Supportive Program for Mother With BPD (PAM-B)

Toulouse University Hospital

Status: Completed

Conditions: Borderline Personality Disorder; Parent-child Problem

Treatments: Other: Supportive Program for Mother with BPD (SuPMother-B).

Study type: Interventional

Funder types: Other

Identifiers

NCT02203708

Interregional PHRC 2011 (Other Grant/Funding Number)

11 199 08

Details and patient eligibility

About

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)).

Enrollment: 10 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

Mother:

• Women with children and at least one child aged 2 months to 2 years, Borderline Personality Disorder with SIDP (Structured Interview for DSM Personality Disorders)
• age above 18 years
• written consent

Child:

• ages between 2 months and 2 years,
• parental consent for research participation.

Exclusion criteria

Mother:

• chronic psychotic disorder, major depressive disorder, current mania or hypomania,
• legal protection,
• if no child can be included, the mother cannot be included.

Child :

•major psychomotor development disorder or psychiatric disorder according to the investigator.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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10 participants in 2 patient groups

BPD prevention

Active Comparator group

Description:

Supportive Program for Mother with BPD (SuPMother-B) : BPD mothers participate to prevention program in groups or/and house calls.

Treatment:

Other: Supportive Program for Mother with BPD (SuPMother-B).

Usual care of BPD mothers

No Intervention group

Description:

BPD mothers don't participate to Supportive Program (SuPMother-B).