Psychoeducation of Borderline Patients

边缘患者的心理教育

基本信息

批准号：
8605931
负责人：
MARY C ZANARINI
金额：
$ 23.7万
依托单位：
MCLEAN HOSPITAL
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-03-19 至 2016-01-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8605931
关键词：
Acute Area Biological Borderline Personality Disorder Characteristics Childhood Clinical DSM-IV Diagnosis Diagnostic Disclosure Disease Early treatment Education Educational Curriculum Educational process of instructing Effectiveness Etiology Evaluation Family Family history of Health Professional Hospitalization Impairment Impulsivity Individual Instruction Internet Intervention Measures Mental Health Mental disorders Methods Newly Diagnosed Online Systems Other Genetics Outcome Outcome Assessment Patient Self-Report Patients Persons Pharmaceutical Preparations Phase Property Psychiatric Emergency Services Psychiatric therapeutic procedure Psychometrics Psychopathology Randomized Randomized Controlled Trials Recording of previous events Research Schedule Severities Site Social Adjustment Symptoms Temperament Testing Time Underserved Population Update Work analog base community setting cost cost efficient disability dual diagnosis efficacy testing experience follow-up improved functioning knowledge base longitudinal course outcome forecast programs psychoeducation psychosocial randomized trial social social stigma tool web site

项目摘要

DESCRIPTION (provided by applicant): Recent research suggests that BPD is a common, serious but treatable disorder with a better than previously recognized prognosis. Despite these findings, many patients with BPD are not given the borderline diagnosis by the mental health professionals treating them. It is also true that many newly diagnosed borderline patients are not provided with up-to-date information on the disorder even though psychoeducation has been found to be a useful form of treatment for other serious psychiatric illnesses. Our group has conducted a preliminary randomized trial of psychoeducation for BPD that found that those provided with immediate psychoeducation had a significantly greater reduction in two core symptoms of BPD--general impulsivity and stormy relationships--than those with delayed psychoeducation. However, both instruction and assessment of change over time were conducted in person by paraprofessionals. The importance of the current study is that it will allow us to develop and test the efficacy of an internet-based program of psychoeducation for BPD that will be both cost efficient and easy to disseminate widely, particularly to underserved populations. This application has three main aims. Our first aim is to update the curriculum for teaching individuals with BPD the latest information concerning the disorder. Our second aim is to develop a website for teaching this curriculum and assessing change in three key outcomes: severity of borderline psychopathology, psychosocial impairment, and treatment utilization over time. Our third aim is to conduct a small-scale randomized controlled trial of psychoeducation for BPD using this set of web-based instructional and assessment tools. Half of the study's 80 subjects will receive this intervention a week after diagnostic disclosure and half will not. We plan to assess our three outcomes each week for 12 weeks (as we did in our prior study) to determine its immediate effects. We also plan to assess these outcomes at six, nine, and 12 months after randomization to determine if these effects are long lasting. The completion of this project will prepare us for an R01 application to test the effectiveness of this early form of treatment for BPD in community settings. In this phase, we will conduct a large-scale, multi-site randomized controlled trial to determine if gaining internet-based knowledge about BPD leads to significant improvement in the areas of symptom severity, psychosocial functioning, and treatment utilization.

描述（由申请人提供）：最近的研究表明，BPD是一种常见，严重但可治疗的疾病，其预后比以前公认的预后更好。尽管有这些发现，但许多BPD患者的心理卫生专业人员对他们的治疗并未进行边缘诊断。确实，即使发现精神教育是其他严重的精神病患者的一种有用的治疗形式，也没有为许多新诊断的边缘患者提供有关该疾病的最新信息。我们的小组已经对BPD进行了心理教育的初步随机试验，发现那些即时精神教育的人在BPD的两种核心症状 - 一般冲动和暴风雨之间的降低明显更大，而那些患有延迟的心理教育。但是，随着时间的推移，随着时间的推移的指导和评估都是由专业人士亲自进行的。当前研究的重要性在于，它将使我们能够开发和测试基于互联网的心理教育计划对BPD的疗效，这既具有成本效益又易于传播，尤其是在服务不足的人群中。该应用程序具有三个主要目标。我们的第一个目的是更新课程，以教导BPD的个人有关该疾病的最新信息。我们的第二个目的是开发一个网站，以教授该课程并评估三个关键结果的变化：边界心理病理学的严重性，心理社会障碍和随着时间的流逝的治疗利用。我们的第三个目标是使用这组基于Web的教学和评估工具进行BPD的小规模随机对照试验。在研究的80个受试者中，有一半将在诊断披露后的每周接受此干预措施，而一半则不会。我们计划在12周内每周评估我们的三个结果（如我们在先前的研究中所做的那样），以确定其直接影响。我们还计划在随机分组后的六，九和12个月内评估这些结果，以确定这些影响是否持久。该项目的完成将使我们为R01应用程序做好准备，以测试BPD在社区环境中的这种早期治疗形式的有效性。在此阶段，我们将进行大规模的多站点随机对照试验，以确定获得基于互联网的BPD知识是否会导致症状严重程度，社会心理功能和治疗利用的领域显着改善。