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ERIC Number: ED513463
Record Type: Non-Journal
Publication Date: 2010
Pages: 81
Abstractor: As Provided
Reference Count: 0
ISBN: ISBN-978-1-1095-8861-3
Effectiveness and Moderators of Improvement in a Family Education Program for Borderline Personality Disorder
Neiditch, Emily R.
ProQuest LLC, Ph.D. Dissertation, St. John's University (New York)
Borderline personality disorder (BPD) puts great stress on the family system as family members cope with difficult symptoms, accompanying stigma, and caregiver burden. However, development and research on family interventions for BPD lags behind that of other serious mental illnesses. The current study describes a sample of family members, explores the effectiveness of Family Connections, a 12-week family education program for families of people with BPD, and identifies moderators of outcome. Sixty-seven participants (mostly mothers of a BPD daughter) completed self-report questionnaires before beginning the program Twenty-nine participants completed both the program and the questionnaires at completion. Questionnaires measured aspects of participants' psychological well-being, family empowerment and functioning, and knowledge about mental illness. Participants also reported on the number of BPD symptoms they perceived in their relative. Analyses showed that the number of BPD symptoms in the ill relative predicted participant's depression, grief, burden, and family empowerment. Further analyses showed that burden partially mediated the relation between BPD symptoms and depression. From pre- to post-participation in Family Connections, participants demonstrated a decrease in burden, depression, grief, and anger, and an increase in hopefulness, family empowerment, knowledge of mental illness, and self-care. A trend was found for BPD illness severity to moderate change in family empowerment. Those participants whose relative had an above-average number of hospitalizations in the last five years improved at the greatest rate. Furthermore, a trend was found for relative's residence to moderate change in burden. Participants who lived with their ill relative improved at a greater rate than those who lived apart. The study replicated and extended support for interventions for BPD families. Over the course of the program, participants reported significant improvements in several areas of psychological well-being, both related to their relative's illness, and to aspects of their general mental health. Participants seem to be benefiting from the program as intended. Predictors of improvement suggest that participants may benefit most when they are more "experienced" with the BPD illness. These participants may be at a point when they are ready and able to apply the skills and make use of the support provided. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page:]
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Publication Type: Dissertations/Theses - Doctoral Dissertations
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A