A case series of sage: a new couple-based intervention for borderline personality disorder
Abstract Background Research suggests that interpersonal dysfunction may be central to borderline personality disorder (BPD), and that the relationships of people with BPD are particularly impaired. Further, the significant others of people with BPD exhibit elevated psychological problems but little...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-01-01
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| Series: | Borderline Personality Disorder and Emotion Dysregulation |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40479-023-00244-x |
| _version_ | 1797355965161406464 |
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| author | Skye Fitzpatrick Sonya Varma David Chafe Nikoo Norouzian Jenna Traynor Sophie Goss Elizabeth Earle Alyssa Di Bartolomeo Ashley Siegel Lindsay Fulham Candice M. Monson Rachel E. Liebman |
| author_facet | Skye Fitzpatrick Sonya Varma David Chafe Nikoo Norouzian Jenna Traynor Sophie Goss Elizabeth Earle Alyssa Di Bartolomeo Ashley Siegel Lindsay Fulham Candice M. Monson Rachel E. Liebman |
| author_sort | Skye Fitzpatrick |
| collection | DOAJ |
| description | Abstract Background Research suggests that interpersonal dysfunction may be central to borderline personality disorder (BPD), and that the relationships of people with BPD are particularly impaired. Further, the significant others of people with BPD exhibit elevated psychological problems but little access to mental healthcare. Despite this, most BPD interventions are delivered individually and do not routinely incorporate significant others. This manuscript presents the first case series of Sage, a 12-session manualized intervention for people with borderline personality disorder (BPD) and their intimate partners with three targets: a) BPD severity, b) relationship conflict, and c) intimate partner mental health. Findings Five couples of people with BPD with frequent suicidal/self-injurious behavior or high suicidal ideation and their intimate partners received Sage. Measures of Sage targets as well as tertiary outcomes were administered at pre-, mid-, and post-intervention. Four out of five dyads completed Sage, with high intervention satisfaction ratings. Improvements were generally demonstrated in BPD severity, suicidal ideation, and suicidal behavior/self-injury. Half of dyads exhibited improvements in conflict, and additional improvements in mental health outcomes for dyad members were demonstrated. One dyad exhibited poor outcomes and speculations regarding this are offered. Conclusions Findings provide proof of concept of Sage as an intervention that can improve BPD and other mental health outcomes in those with BPD and their intimate partners. Incorporating intimate partners into BPD treatment may optimize and expedite its outcomes. However, further testing is needed. Trial registration This project was pre-registered at Clinicaltrials.gov (Identifier: [NCT04737252]). |
| first_indexed | 2024-03-08T14:18:49Z |
| format | Article |
| id | doaj.art-12d3a20c923d44379f090c07ee3e0b67 |
| institution | Directory Open Access Journal |
| issn | 2051-6673 |
| language | English |
| last_indexed | 2024-03-08T14:18:49Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Borderline Personality Disorder and Emotion Dysregulation |
| spelling | doaj.art-12d3a20c923d44379f090c07ee3e0b672024-01-14T12:12:33ZengBMCBorderline Personality Disorder and Emotion Dysregulation2051-66732024-01-011111810.1186/s40479-023-00244-xA case series of sage: a new couple-based intervention for borderline personality disorderSkye Fitzpatrick0Sonya Varma1David Chafe2Nikoo Norouzian3Jenna Traynor4Sophie Goss5Elizabeth Earle6Alyssa Di Bartolomeo7Ashley Siegel8Lindsay Fulham9Candice M. Monson10Rachel E. Liebman11Department of Psychology, York UniversityDepartment of Psychology, York UniversityDepartment of Psychology, York UniversityDepartment of Psychology, York UniversityMcLean Hospital, Harvard Medical SchoolDepartment of Psychology, York UniversityDepartment of Psychology, York UniversityDepartment of Psychology, York UniversityDepartment of Psychology, York UniversityDepartment of Psychology, York UniversityDepartment of Psychology, Toronto Metropolitan UniversityDepartment of Psychology, Toronto Metropolitan UniversityAbstract Background Research suggests that interpersonal dysfunction may be central to borderline personality disorder (BPD), and that the relationships of people with BPD are particularly impaired. Further, the significant others of people with BPD exhibit elevated psychological problems but little access to mental healthcare. Despite this, most BPD interventions are delivered individually and do not routinely incorporate significant others. This manuscript presents the first case series of Sage, a 12-session manualized intervention for people with borderline personality disorder (BPD) and their intimate partners with three targets: a) BPD severity, b) relationship conflict, and c) intimate partner mental health. Findings Five couples of people with BPD with frequent suicidal/self-injurious behavior or high suicidal ideation and their intimate partners received Sage. Measures of Sage targets as well as tertiary outcomes were administered at pre-, mid-, and post-intervention. Four out of five dyads completed Sage, with high intervention satisfaction ratings. Improvements were generally demonstrated in BPD severity, suicidal ideation, and suicidal behavior/self-injury. Half of dyads exhibited improvements in conflict, and additional improvements in mental health outcomes for dyad members were demonstrated. One dyad exhibited poor outcomes and speculations regarding this are offered. Conclusions Findings provide proof of concept of Sage as an intervention that can improve BPD and other mental health outcomes in those with BPD and their intimate partners. Incorporating intimate partners into BPD treatment may optimize and expedite its outcomes. However, further testing is needed. Trial registration This project was pre-registered at Clinicaltrials.gov (Identifier: [NCT04737252]).https://doi.org/10.1186/s40479-023-00244-xBorderline personality disorderEmotion dysregulationSuicideSelf-injuryCouple therapyIntervention development |
| spellingShingle | Skye Fitzpatrick Sonya Varma David Chafe Nikoo Norouzian Jenna Traynor Sophie Goss Elizabeth Earle Alyssa Di Bartolomeo Ashley Siegel Lindsay Fulham Candice M. Monson Rachel E. Liebman A case series of sage: a new couple-based intervention for borderline personality disorder Borderline Personality Disorder and Emotion Dysregulation Borderline personality disorder Emotion dysregulation Suicide Self-injury Couple therapy Intervention development |
| title | A case series of sage: a new couple-based intervention for borderline personality disorder |
| title_full | A case series of sage: a new couple-based intervention for borderline personality disorder |
| title_fullStr | A case series of sage: a new couple-based intervention for borderline personality disorder |
| title_full_unstemmed | A case series of sage: a new couple-based intervention for borderline personality disorder |
| title_short | A case series of sage: a new couple-based intervention for borderline personality disorder |
| title_sort | case series of sage a new couple based intervention for borderline personality disorder |
| topic | Borderline personality disorder Emotion dysregulation Suicide Self-injury Couple therapy Intervention development |
| url | https://doi.org/10.1186/s40479-023-00244-x |
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