Skip to main content
Search
Search
    Quick Search anywhere
    Quick search in Citations
Advanced Search
Skip main navigationClose Drawer MenuOpen Drawer Menu
Previous article
Next article
Originalarbeit

Evaluation einer Mehrfamiliengruppe für Patient_innen mit einer Borderline-Persönlichkeitsstörung und ihre Angehörigen

Eine Tagebuchstudie

Published Online:December 16, 2021https://doi.org/10.1026/1616-3443/a000613

Abstract

Zusammenfassung.Hintergrund. Familiäre Konflikte und dysfunktionale Verhaltensweisen spielen eine entscheidende Rolle bei der Entstehung und Aufrechterthaltung von Borderline-Persönlichkeitsstörungen (BPS). Auf der Grundlage der Dialektisch-Behavioralen Therapie (DBT) berücksichtigte Alan Fruzzetti die genannten Faktoren in einem transaktionalen Entstehungmodell. Um BPS-Betroffenen und deren Angehörigen Strategien für eine funktionalere Emotions- und Interaktionsbewältigung an die Hand zu geben, entwickelte Alan Fruzzetti DBT-Familien-Skills. Fragestellung. Die Wirksamkeit dieser Fertigkeiten als therapeutische Intervention im Rahmen eines Mehrfamiliensettings wurde im Rahmen der vorliegenden Pilotstudie evaluiert. Methode. Mittels Tagebuch- und Sitzungsabfragen wurden prozessuale Daten der psychischen Beanspruchung und Anwendungshäufigkeit von DBT-Familien-Skills (AFS) erhoben. Ergebnisse. Via Trendanalysen konnten Hinweise auf hypothesenkonforme Beanspruchungsreduktionen und eine Zunahme der AFS über den zeitlichen Gruppenverlauf bei BPS-Betroffenen und Angehörigen identifiziert werden. Schlussfolgerung. Die Ergebnisse der Pilotstudie liefern erste Hinweise, dass die in einem Mehrfamilienformat angebotenen DBT-Familien-Skills zu einer Reduktion der psychischen Beanspruchung der BPS-Betroffenen und Angehörigen beitragen.


Evaluation of a Multifamily Group for Patients With Borderline Personality Disorder and Their Relatives: A Diary Study

Abstract.Background. Family conflicts and dysfunctional behaviors play a crucial role in the development and maintenance of borderline personality disorder (BPD). Based on dialectical behavioral therapy (DBT), Alan Fruzzetti considered these factors in a transactional model of development. To provide BPD sufferers as well as their relatives with strategies to more functionally cope with emotions and interactions, Fruzzetti developed DBT family skills. Research question. In this pilot study, we evaluated the effectiveness of such skills as a therapeutic intervention in a multifamily setting. Method. Using diary and session queries, we collected procedural data of psychological distress and frequency of use of DBT family skills (AFS). Via trend analyses, we identified evidence of hypothesis-compliant strain reductions and an increase in AFS over the course of the group among both BPD sufferers and family members. Conclusion. The results of the pilot study provide initial evidence that DBT family skills offered in a multifamily format contribute to a reduction in psychological distress for BPD sufferers and their family members.

Literatur

  • Apfelbaum, S. & Gagliesi, P. (2004). El Trastorno Límite de Personalidad consultantes, familiares y allegados. VERTEX: Revista Argentina Psiquatría, 15, 295 – 302. First citation in articleGoogle Scholar

  • Association, A. P. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub. https://doi.org/10.1176/appi.books.9780890425596 First citation in articleGoogle Scholar

  • Association, A. P. (2018). Diagnostisches und statistisches manual psychischer Störungen–DSM-5®. Göttingen: Hogrefe Verlag. https://doi.org/10.1026/02803-000 First citation in articleGoogle Scholar

  • Bailey, R. C. & Grenyer, B. F. (2013). Burden and support needs of carers of persons with borderline personality disorder: A systematic review. Harvard review of psychiatry, 21 (5), 248 – 258. https://doi.org/10.1097/HRP.0b013e3182a75c2c First citation in articleCrossref, Google Scholar

  • Banse, R. & Asendorpf, J. (2000). Psychologie der Beziehung. Bern: Hans Huber. First citation in articleGoogle Scholar

  • Bohus, M. (2002). Borderline-Störung, Fortschritte der Psychotherapie Band 14. Göttingen: Hogrefe. First citation in articleGoogle Scholar

  • Borckardt, J. J., Nash, M. R., Murphy, M. D., Moore, M., Shaw, D. & O’Neil, P. (2008). Clinical practice as natural laboratory for psychotherapy research: A guide to case-based time-series analysis. American Psychologist, 63 (2), 77 – 95. https://doi.org/10.1037/0003-066X.63.2.77 First citation in articleCrossref, Google Scholar

  • Chambless, D. L. & Ollendick, T. H. (2001). Empirically supported psychological interventions: Controversies and evidence. Annual review of psychology, 52 (1), 685 – 716. https://doi.org/10.1146/annurev.psych.52.1.685 First citation in articleCrossref, Google Scholar

  • Dams, A., Schommer, N., Roepke, S., Heuser, I. & Lammers, C.-H. (2007). Das Skilltraining und die poststationäre Effektivität der stationären Dialektisch-Behavioralen Therapie (DBT) nach sechs Monaten. PPmP-Psychotherapie·Psychosomatik·Medizinische Psychologie, 57 (01), 19 – 24. https://doi.org10.1055/s-2006-951908 First citation in articleCrossref, Google Scholar

  • DIN EN ISO (2018). Ergonomische Grundlagen bezüglich psychischer Arbeitsbelastung – Teil 1: Allgemeine Aspekte und Konzepte und Begriffe (ISO 10075 – 1:2017); Deutsche Fassung EN ISO 10075 – 1:2017. https://doi.org/10.31030/2654667 First citation in articleGoogle Scholar

  • Fruzzetti, A. (2006). The High-Conflict Couple: A dialectical behavior therapy guide to finding peace, intimacy, and validation. Oakland: New Harbinger Publications. First citation in articleGoogle Scholar

  • Fruzzetti, A. E. & Hoffman, P. D. (2004). Family connections workbook and training manual. Rye, NY: National Education Alliance for Borderline Personality Disorder. First citation in articleGoogle Scholar

  • Fruzzetti, A. E. & Shenk, C. (2008). Fostering validating responses in families. Social Work in Mental Health, 6(1 – 2), 215 – 227. https://doi.org/10.1300/J200v06n01_17 First citation in articleCrossref, Google Scholar

  • Grenyer, B. F. S., Bailey, R. C., Lewis, K. L., Mathias, M. & Bickerton, A. (2018). A randomized controlled trial of Group Psychoeducation for carers of persons with Borderline Personality Disorder. Journal of Personality Disorders, 32, 1 – 15. https://doi.org/10.1521/pedi_2018_32_340 First citation in articleGoogle Scholar

  • Giffin, J. (2008). Family experience of borderline personality disorder. Australian New Zealand Journal of Family Therapy, 29 (3), 133 – 138. https://doi.org/10.1375/anft.29.3.133 First citation in articleCrossref, Google Scholar

  • Guillén, V., Diaz-García, A., Mira, A., García-Palacios, A., Escrivivá-Martínez, T., Banos, R. & Botella, C. (2021). Interventions for family members and carers of patients with Borderline Pesonality disorder: A systematic review. Family Process, 60 (1) https://doi10.1111/famp.12537 First citation in articleCrossref, Google Scholar

  • Gunia, H. & Quiroga Murcia, C. (2017). Tango Argentino in der Psychotherapie. München: Reinhardt Verlag. First citation in articleGoogle Scholar

  • Hoffman, P. D., Fruzzetti, A. & Swenson, C. (1999). Dialectical behavior therapy‐family skills training. Family process, 38 (4), 399 – 414. https://doi.org/10.1111/j.1545-5300.1999.00399.x First citation in articleCrossref, Google Scholar

  • Hoffman, P. D., Fruzzetti, A. E. & Buteau, E. (2007). Understanding and Engaging families: An education, skills and support program for relatives impacted by borderline personality disorder. Journal of Mental Health, 16 (1), 69 – 82. https://doi.org/10.1080/09638230601182052 First citation in articleCrossref, Google Scholar

  • Hoffman, P. D., Fruzzetti, A. E., Buteau, E., Neiditch, E. R., Penney, D., Bruce, M. L. & Struening, E. (2005). Family connections: a program for relatives of persons with borderline personality disorder. Family Process, 4, 2, 217 – 225. https://doi.org/10.1111/j.1545-5300.2005.00055.x First citation in articleCrossref, Google Scholar

  • Kirtley, J., Chiocchi, J., Cole, J. & Sampson, M. (2018). Stigma, emotion appraisal, and the family environment as predictors of carer burden for relatives of individuals who meet the diagnostic criteria for borderline personality disorder. Journal of Personality Disorders, 1 – 18. https://doi.org/10.1521/pedi_2018_32_355 First citation in articleGoogle Scholar

  • Lindenboim, N., Comtois, K. A. K. & Linehan, M. M. (2007). Skills practice in dialectical behavior therapy for suicidal women meeting criteria for borderline personality disorder. Cognitive Behavioral Practice, 14 (2), 147 – 156. https://doi.org/10.1016/j.cbpra.2006.10.004 First citation in articleCrossref, Google Scholar

  • Linehan, M. M. (1993a). Cognitive behavioral therapy of borderline personality disorder (Vol. 51). New York: Guilford Press. First citation in articleGoogle Scholar

  • Linehan, M. (1993b). Skills training manual for treating borderline personality disorder (Vol. 29). New York: Guilford press. First citation in articleGoogle Scholar

  • Linehan, M. (1996). Dialektisch Behaviorale Therapie der BPS. München: CIP. First citation in articleGoogle Scholar

  • Miller, A. L., Wyman, S. E., Huppert, J. D., Glassman, S. L. & Rathus, J. H. (2000). Analysis of behavioral skills utilized by suicidal adolescents receiving dialectical behavior therapy. Cognitive Behavioral Practice, 7 (2), 183 – 187. https://doi.org/10.1016/s1077-7229(00)80029-2 First citation in articleCrossref, Google Scholar

  • Müller, B. & Basler, H.-D. (1993). Kurzfragebogen zur aktuellen Beanspruchung. KAB: Beltz Weinheim. First citation in articleGoogle Scholar

  • Neacsiu, A. D., Rizvi, S. L. & Linehan, M. M. (2010). Dialectical behavior therapy skills use as a mediator and outcome of treatment for borderline personality disorder. Behaviour research therapy, 48 (9), 832 – 839. https://doi.org/10.1016/j.brat.2010.05.017 First citation in articleCrossref, Google Scholar

  • Rathus, H.H. & Miller, A.L (2002). Dialectical behavioral therapy adapted for suicidal adolescents. Suicide and Life-Threatening Behavior, 32, 146 – 157. https://doi.org/10.1521/suli.32.2.146.24399 First citation in articleCrossref, Google Scholar

  • R Core Team (2013). R: A language and environment for statistical computing. http://www.R-project.org/ First citation in articleGoogle Scholar

  • Regalado, P., Pechon, V., Stoewsand, C. & Gagliese, P. (2011). Borderline personality disorder: A pre-post evaluation of a group program for family relatives. Fundación Foro para la Salud Mental, Buenos Aires, Argentina First citation in articleGoogle Scholar

  • Santisteban, D. A., Mena, M. P., Muir, J., A., McCabe, E., B., Abalo, C. & Cummings, A. M. (2015). The efficacy ot two adoscent substance abuse treatments and the impact of comorbid depression: Result of a small randomized controll trial. Psychiatr Rehabil J, 38, 55 – 64. https://doi.org/10.1037/prj0000106 First citation in articleCrossref, Google Scholar

  • Schmitz, B. & Wiese, B. S. (2006). New perspectives for the evaluation of training sessions in self-regulated learning: Time-series analyses of diary data. Contemporary educational psychology, 31 (1), 64 – 96. https://doi.org/10.1016/j.cedpsych.2005.02.002 First citation in articleCrossref, Google Scholar

  • Scheirs, J. & Bok, S. (2007). Psychological distress in caretakers or relatives of patients with borderline personality disorder. International Journal of Social Psychiatry, 53 (3), 195 – 203. https://doi.org/10.1177/0020764006074554 First citation in articleCrossref, Google Scholar

  • Stiglmayr, C. & Gunia, H. (2017). Dialektisch-Behaviorale Therapie (DBT) zur Behandlung der Borderline-Persönlichkeitsstörung. Göttingen: Hogrefe. https://doi.org/10.1026/02424-000 First citation in articleCrossref, Google Scholar

  • Trasselli, C. & von Auer, K. Gunia. H. (2022). DBT – Familienskills. Ein Praxisleitfaden. Göttingen: Hogrefe. First citation in articleGoogle Scholar

  • Tsanas, A., Saunders, K., Bilderbeck, A., Palmius, N., Osipov, M., Clifford, G. & De Vos, M. (2016). Daily longitudinal self-monitoring of mood variability in bipolar disorder and borderline personality disorder. Journal of Affective Disorders, 205, 225 – 233. https://doi.org/10.1016/j.jad.2016.06.065 First citation in articleCrossref, Google Scholar

  • Uliaszek, A.A., Wilson, S., Mayberry, M., Cox, K. & Maslar, M. (2014). A pilot intervention of multifamily dialectical behavior group therapy in a treatment-seeking afolescent population: Effects on teens and their family members. The Family Journal: Counseling and Therapy for Couples and Families, 22 (2), 206 – 215. https://doi.org/10.1177/1066480713513554 First citation in articleGoogle Scholar

  • Wilks, C. R., Valenstein, H., Tran, H., King, A. M. M., Lunga, A. & Linehan, M. M. (2017). Dialectical behavior therapy skills for families of individuals with behavioral disorders: Initial feasibility and outcomes. Cognitive and Behavioral Practice, 24, 288 – 295. https://doi.org/10.1016/j.cbpra.2016.06.004 First citation in articleCrossref, Google Scholar

  • Witte, K. (2019). Angewandte Statistik in der Bewegungswissenschaft (Band 3). Heidelberg: Springer. https://doi.org/10.1007/978-3-662-58360-9 First citation in articleCrossref, Google Scholar