Parenting Skills for Mothers With Borderline Personality Disorder (BPD)

Borderline Personality Disorder Clinical Trial

— ProChild  

Official title:

Preventing Maltreatment and Promoting Mental Health in Children of Mothers With Borderline Personality Disorder - ProChild

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT04169048
• Other study ID #: RenRos02
• Status: Recruiting
• Phase: N/A
• Start date: February 4, 2020
• Est. completion date: March 2023

Study information

• Verified date: February 2020
• Source: Freie Universität Berlin
• Contact: Charlotte Rosenbach, Dr.
• Phone: 00493083851258
• Email: c.rosenbach[@]fu-berlin.de
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The first disorder-specific parenting training program for mothers with Borderline Personality Disorder (M-BPD) is evaluated in a randomized controlled trial.

The training program is expected to have positive effects on parenting behavior, decrease the risk of maltreatment of the child, and improve emotion regulation in mothers at post treatment and at 6-month follow-up compared to a control group (treatment as usual; TAU).

Additionally, disorder-specific aspects of dysfunctional parenting behavior as well as BPD-specific aspects of child maltreatment are compared to a clinical control group (mothers with anxiety and/or depression, M-AD/D) and a healthy control group (M-CON).

To assess the differential development of parenting, the risk of maltreatment and emotion dysregulation in untreated M-BPD are compared to M-CON. The investigators expect the difference to increase over time, indicating a worsening in BPD parenting.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 240
• Est. completion date: March 2023
• Est. primary completion date: June 2022
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Female
• Age group: 18 Years and older

Eligibility

Inclusion criteria for mothers with BPD:

1. diagnosed with BPD (assessed via SCID-PD)

2. running or completed therapy for BPD symptoms

3. child between 6 months and 6 years

4. living with child or regular (weekly) contact

Exclusion criteria for the mothers with BPD

1. Acute child endangerment

2. maternal acute suicidality

3. maternal psychotic symptoms (assessed via SCID-CV)

4. maternal acute alcohol or drug dependency (assessed via SCID-CV)

5. maternal diagnosed intellectual disability.

Inclusion criteria for mothers with depression and/or anxiety disorders:

1. diagnosed with acute affective or anxiety disorder (assessed via SCID-CV)

2. child between 6 months and 6 years

3. living with child or regular (weekly) contact

Exclusion criteria for mothers with depression and/or anxiety disorders:

1. Acute child endangerment

2. maternal acute suicidality

3. maternal psychotic symptoms (assessed via SCID-CV)

4. maternal acute alcohol or drug dependency (assessed via SCID-CV)

5. maternal diagnosed intellectual disability

6. lifetime diagnosis of BPD (assessed via SCID-PD)

Inclusion criteria for healthy control group:

1. child between 6 months and 6 years

2. living with child or regular (weekly) contact

Exclusion criteria for the healthy control group:

1. Acute child endangerment

2. maternal acute suicidality

3. maternal psychotic symptoms (assessed via SCID-CV)

4. maternal acute alcohol or drug dependency (assessed via SCID-CV)

5. maternal diagnosed intellectual disability.

6. lifetime diagnosis of BPD (assessed via SCID-PD)

7. any acute mental disorder (assessed via SCID-CV)

8. current psychotherapy

Related Conditions & MeSH terms

• Borderline Personality Disorder
• Mothers
• Personality Disorders

Intervention

Behavioral:
• Group training for mothers with Borderline Personality Disorder
The group programme is designed to teach mothers with BPD parenting skills and to reduce dysfunctional parenting attitudes and strategies. The components are: childrens basics needs, mindfulness, stress and stress reduction, dealing with conflicts, dealing with emotions, dysfunctional attitudes, physical contact, parenting rules, self care.

Locations

Country	Name	City	State
Germany	Freie Universität Berlin	Berlin

Sponsors (3)

Lead Sponsor	Collaborator
Freie Universität Berlin	Ruhr University of Bochum, University of Bremen

Country where clinical trial is conducted

Germany, 

References & Publications (1)

Buck-Hostkotte, S., Renneberg, B. & Rosenbach, C. (2015). Mütter mit Borderline-Persönlichkeitsstörung. Das Trainingsmanual "Borderline und Mutter sein". Weinheim: Beltz.

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Negative intervention outcomes	Questionniare assessing negative intervention outcomes (INEP, Ladwig, Rief, & Nestoriouc, 2014).The INEP measures negative effects of psychotherapy in different areas of life (intrapersonal change, relationships, friendships, family, malpractice, and stigmatization). Range from -3 to +3. Higher values indicating better therapeutic course.	week 12 (after treatment) (intervention group only)
Other	client satisfaction	Client Satisfaction Questionnaire (CSQ-8, Attkisson & Zwick, 1982; German ZUF-8; Schmidt, Lamprecht & Wittmann, 1989). CSQ-8 measures client satisfaction with intervention. Range 8-32 with higher values indicating greater satisfaction.	week 12 (after treatment) (intervention group only)
Primary	Change in dysfunctional discipline practices	Parenting Scale (Arnold, O'Leary, Wolff & Acker, 1993; german version: Erziehungsfragebogen-Kurzform, EFB-K; Miller, 2001). Questionniare measuring dysfunctional discipline practices in parents. Mean values range between 1-7 with higher values indicating more negative parenting strategies.	day 0 (before treatment), week 12 (after treatment), month 9 (6 months after second assessment)
Primary	Change in positive and dysfunctional parenting strategies	Alabama Parenting Questionnaire (Frick, 1991; German DEAPQ-EL-GS; Reichle & Franiek, 2007). The questionnaire assesses several parenting strategies with 7 subscales (positive parenting, responsible parenting, parental Involvement, poor monitoring/supervision, inconsistent discipline, corporal punishment, powerful implementation). Range 6-30, with higher values indicating more of the respective parenting strategy	day 0 (before treatment), week 12 (after treatment), month 9 (6 months after second assessment)
Primary	Change in child rearing competence	Parenting Sense of Competence Scale (PSOC, Gibeau- Wallston & Wandersman, 1978; German FKE; Miller, 2001). The PSOC measures how parents perceive their child rearing competence. Range 0-96 with higher values indicating higher sense of competence.	day 0 (before treatment), week 12 (after treatment), month 9 (6 months after second assessment)
Primary	Change in parental stress	Parental Stress Index (PSI, Abidin, 1995; German EBI; Tröster, 2010). The PSI is a dimensional rating of parental stress. Range 48 - 240 with higher values indicating higher stress.	day 0 (before treatment), week 12 (after treatment), month 9 (6 months after second assessment)
Primary	Change in physical and psychological aggression towards child	Conflict Tactic Scale - Parent Child (CTS-PC; Strauss, 1998). The CTSPC measures the extent to which a parent has carried out specific acts of physical and psychological aggression. Range 0-300 with higher values indicating higher annual frequency	day 0 (before treatment), week 12 (after treatment), month 9 (6 months after second assessment)
Primary	Change in physical abuse potential	Child Abuse Potential Inventory (CAPI, Milner, 1986, German EBSK; Deegener et al., 2009). The CAPI measures physical abuse potential with reference to the individual burden and three validity scales: a lie scale, a random response scale, and an inconsistency scale. t-values are calculated considering all scales.	day 0 (before treatment), week 12 (after treatment), month 9 (6 months after second assessment)
Primary	Change in child neglect	Child Neglect Index (CNI; Trocmé, 1996). The CNI measures child neglect, rated by the diagnostician. Range 0-80 with higher values indicating higher neglect.	day 0 (before treatment), week 12 (after treatment), month 9 (6 months after second assessment) and for the intervention group after each session.
Secondary	Change in emotion regulation	Difficulties in Emotion Regulation Scale (DERS; Gratz & Roemer, 2004). Difficulties in emotion regulation are measured with a) awareness and understanding of emotions; (b) acceptance of emotions; (c) the ability to engage in goal-directed behavior, and refrain from impulsive behavior, when experiencing negative emotions; and (d) access to emotion regulation strategies perceived as effective. Range 36 - 180 with higher values indicating more problems in emotion regulation.	day 0 (before treatment), week 12 (after treatment), month 9 (6 months after second assessment)
Secondary	Change in mental distress	Brief Symptom Inventory (BSI, Derogatis, 1975; German: Franke, 2000). The BSI measures mental distress. Results are displayed via t-values.	day 0 (before treatment), week 12 (after treatment), month 9 (6 months after second assessment)
Secondary	Change in borderline specific thoughts and feelings	Questionnaire of Thoughts and Feelings (QTF, Renneberg et al., 2010). The QTF measures borderline specific thoughts and feelings. Range 1-5 with higher values indicating more BPD-specific thoughts and feelings.	day 0 (before treatment), week 12 (after treatment), month 9 (6 months after second assessment)