Family Connections: The Impact of an Education Program for Carers of Individuals With Borderline Personality Disorder in Italian Mental Health Services.

Borderline personality disorder (BPD) has a strong impact not only on patients' lives but also on their families. The presence of an invalidating environment is one of the key factors in the etiology of BPD. This study evaluated the impact of the Family connections (FC) program on burden, grief, and...

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Publicado en:Family Process Vol. 64; no. 1; pp. 1 - 13
Autores principales: Lanfredi, Mariangela, Meloni, Serena, Ferrari, Clarissa, Fruzzetti, Alan E., Geviti, Andrea, Macis, Ambra, Vanni, Giovanna, Perna, Giampaolo, Diaferia, Giuseppina, Pinti, Maddalena, Occhialini, Giorgia, Ridolfi, Maria Elena, Rossi, Roberta
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Mar2025
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Family Connections: The Impact of an Education Program for Carers of Individuals With Borderline Personality Disorder in Italian Mental Health Services.
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        au:
          Lanfredi, Mariangela
          Meloni, Serena
          Ferrari, Clarissa
          Fruzzetti, Alan E.
          Geviti, Andrea
          Macis, Ambra
          Vanni, Giovanna
          Perna, Giampaolo
          Diaferia, Giuseppina
          Pinti, Maddalena
          Occhialini, Giorgia
          Ridolfi, Maria Elena
          Rossi, Roberta
        affil: Unit of Psychiatry, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy
      sug:
        subj:
          Borderline Personality Disorder Psychosocial Factors
          Borderline Personality Disorder Therapy
          Caregivers Psychosocial Factors
          Caregiver Education Evaluation
          Caregiver Burden Psychosocial Factors
          Mental Health Services Italy
          Family Relations
          Human
          Male
          Female
          Adult
          Middle Age
          Italy
          Grief
          Adaptation, Psychological
          Depression
          Age Factors
          Sex Factors
          Descriptive Statistics
          Probability
          Analysis of Variance
          Anger
          Funding Source
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Borderline personality disorder (BPD) has a strong impact not only on patients' lives but also on their families. The presence of an invalidating environment is one of the key factors in the etiology of BPD. This study evaluated the impact of the Family connections (FC) program on burden, grief, and other clinical variables in 202 caregivers and identified the profiles of participants who improved/deteriorated their levels of burden and grief. Findings from generalized linear mixed models showed significant reductions in burden, grief, depression, global psychological distress, and suppressed and expressed anger after FC intervention. Two classification trees were applied to test whether improvements in burden and grief were associated with age, gender and the improvements in other clinical variables. Caregivers reporting reduced depression were more likely to improve in both burden and grief. Moreover, younger participants showing increased depression had a 72.7% probability of being part of the improvement in burden and a 66.7% probability of being part of the improvement in grief. A decrease in depression and having a younger age were associated with positive gains for caregiving burden and grief. Longitudinally, ANOVAs showed positive changes in burden and grief as well as decreased depression, global psychological distress and suppressed anger were maintained at 4‐month follow‐up. Present findings improve our understanding of the utility of the FC program for caregivers of people with BPD. The impact of depressive symptoms' reduction and being younger on perceived burden and grief highlight the importance of exploring additional possible moderators of outcomes in FC intervention. Trial Registration: NCT06076343; NCT06074289. Registered 10/10/2023
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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