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| ID | Type | Description | Link |
|---|---|---|---|
| Interregional PHRC 2011 | Other Grant/Funding Number | French Ministry of Health |
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Borderline Personality Disorder (BPD) is characterized by a pervasive pattern of instability of interpersonal relationships, self-image and emotions as well as marked impulsivity. When patients have children, they are at high risk of severe emotional and relational disturbances (withdrawal, low self-esteem, depression, suicidal thoughts). In addition, studies support the effectiveness of parental guidance group to reduce emotional and behavioral difficulties of children. To our knowledge there are no programs directed to mothers with BPD who received a controlled evaluation.
From experience with parental guidance, data from the observation of children of patients with BPD and psychosocial programs directed to patients BPD, we have built for preventive intervention. The Supportive Program for Mothers with BPD (SuPMother-B) consists of 10 group sessions providing information (education, childcare, care specific to BPD) and promotes mother-child interactions (observation, games).
Purpose: Compare the effect of a program (SuPMother-B) group, of 10 sessions, offered to mothers with a BPD in addition to a minimal intervention (diagnostic announcement and provision of health care resources) on behavior withdrawal of children at 6 months compared to a group of mothers receiving only minimal intervention.
Primary outcome: Difference at 6 months between the experimental and control groups on scores on the assessment scale withdrawal (Alarm Distress Baby (ADBB)).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BPD prevention | Active Comparator | Supportive Program for Mother with BPD (SuPMother-B) : BPD mothers participate to prevention program in groups or/and house calls. |
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| Usual care of BPD mothers | No Intervention | BPD mothers don't participate to Supportive Program (SuPMother-B). |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Supportive Program for Mother with BPD (SuPMother-B). | Other | The development of the program is based on several principles: group process, groupware, mentalization, parental values, behavioral strategies and information on the child's needs, knowledge of the BPD and the strategies of get better. The program will last 10 sessions of group of about 2h. Minimal intervention. All study participants receive an individual interview about 45 minutes with a psychiatrist for three objectives: information on the diagnosis of BPD, information on resources for health care and educational aids. |
| Measure | Description | Time Frame |
|---|---|---|
| Difference between the experimental and control groups on scores on the assessment scale withdrawal (Alarm Distress Baby (ADBB)). | Visit 3 at 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Brunet-Lezine Scale | This scale permits to assess the psychomotor development of the child. | Visit 2 (inclusion), 3 (6 months) and 4 (1 year) |
| Borderline Personality Disorder Severity Index (BPDSI) |
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Inclusion Criteria:
Mother:
Child:
Exclusion Criteria:
Mother:
Child :
•major psychomotor development disorder or psychiatric disorder according to the investigator.
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| Name | Affiliation | Role |
|---|---|---|
| CHEYNIER | UTAMS PMI Empalot | Principal Investigator |
| LATOUR | UTAMS PMI Reynerie | Principal Investigator |
| BLEY-RIBET | UTAMS PMI Bonnefoy | Principal Investigator |
| MULQUIN | UTAMS PMI Rangueil | Principal Investigator |
| KOUBAA | UTAMS PMI Cazères | Principal Investigator |
| BERTIN | UTAMS PMI Montauban | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Service de psychiatrie de l'enfant et de l'adolescent - Hôpital La Grave - centre Hospitalier de Toulouse | Toulouse | 31059 | France |
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| ID | Term |
|---|---|
| D001883 | Borderline Personality Disorder |
| ID | Term |
|---|---|
| D010554 | Personality Disorders |
| D001523 | Mental Disorders |
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Borderline Personality Disorder Severity Index (BPDSI) is a semi-structured interview assessing the frequency and severity of manifestations of borderline personality disorders of the mother during an agreed period (3 months to 1 year).
| Visit 2 (inclusion), 3 (6 months) and 4 (1 year) |
| Global Assessment Scale | This scale corresponds to the 5th axis of the Diagnostic and Statistical Manual of Mental Disorders (DSM) and permits to assess the overall functioning of the mother. | Visit 2 (inclusion), Visit 3 (6 months), Visit 4 (1 Year) |
| Difference between the experimental and control groups on scores on the assessment scale withdrawal (Alarm Distress Baby (ADBB)). | Visit 2 (inclusion) and visit 4 (1 Year) |
| M.I.N.I. 5.0.0 French version | Structured interview to assess 17 disorders such as actual or passed depression, mania, abuse... | Visit 2 (inclusion), Visit 3 (6 months), Visit 4 (1 year) |
| Parenting Sense of Competence Scale (P.S.O.C) | This scale assess the perceived competence of the parent's role as educator. | Visit 2 (inclusion), Visit 3 (6 months), Visit 4 (1 year) |
| social and demographic data | marital status, profession, socio-economic level, number of children | Visit 2 (inclusion), Visit 3 (6 months), Visit 4 (1 year) |
| Data on care pathways | Questionnaire established by the research team to evaluate the use of care services by the mothers and children. | Visit 2 (inclusion), Visit 3 (6 months), Visit 4 (1 year) |