Brief psychoeducation for people with personality disorder: A pilot study

Banerjee, Penelope; Duggan, Conor; Huband, Nick; Watson, Neil

doi:10.1348/147608305x57987

Cited by 44 publications

(38 citation statements)

References 12 publications

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“…Furthermore, the preliminary psychoeducation component of PEPS therapy aims to educate, build rapport and motivate people for problem-solving therapy. 34 PDs and their impact are discussed in a collaborative dialogue and problems that may be worked on in subsequent group sessions are identified. Psychoeducation has shown good effects with people with borderline PD, showing significantly greater declines in general impulsivity and the storminess of close relationships over 12 weeks than in those who did not receive psychoeducation.…”

Section: Social Problem-solving Therapymentioning

confidence: 99%

“…38,39 A pilot study of a psychoeducational intervention aimed at clarifying the offenders' PD diagnosis and identifying associated problems led to an increase in patients' knowledge about PD and improved the therapeutic alliance. 34 A brief problem-solving therapy was evaluated with this client group, finding that social problem-solving abilities improved post therapy and that this improvement was sustained at a 6-month follow-up. 40 A social problem-solving intervention has also been evaluated with women in a secure setting, with improvements after treatment in risk and health, 41 and with people at high risk of suicide, showing reduced suicidal ideation over those receiving treatment as usual.…”

Section: Social Problem-solving Therapymentioning

confidence: 99%

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Psychoeducation with problem-solving (PEPS) therapy for adults with personality disorder: a pragmatic randomised controlled trial to determine the clinical effectiveness and cost-effectiveness of a manualised intervention to improve social functioning

McMurran

Crawford

Reilly

et al. 2016

Health Technol Assess

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If effective, less intensive treatments for people with personality disorder have the potential to serve more people.To compare the clinical effectiveness and cost-effectiveness of psychoeducation with problem-solving (PEPS) therapy plus usual treatment against usual treatment alone in improving social problem-solving with adults with personality disorder.Multisite two-arm, parallel-group, pragmatic randomised controlled superiority trial.Community mental health services in three NHS trusts in England and Wales.Community-dwelling adults with any personality disorder recruited from community mental health services.Up to four individual sessions of psychoeducation, a collaborative dialogue about personality disorder, followed by 12 group sessions of problem-solving therapy to help participants learn a process for solving interpersonal problems.The primary outcome was measured by the Social Functioning Questionnaire (SFQ). Secondary outcomes were service use (general practitioner records), mood (measured via the Hospital Anxiety and Depression Scale) and client-specified three main problems rated by severity. We studied the mechanism of change using the Social Problem-Solving Inventory. Costs were identified using the Client Service Receipt Inventory and quality of life was identified by the European Quality of Life-5 Dimensions questionnaire. Research assistants blinded to treatment allocation collected follow-up information.There were 739 people referred for the trial and 444 were eligible. More adverse events in the PEPS arm led to a halt to recruitment after 306 people were randomised (90% of planned sample size); 154 participants received PEPS and 152 received usual treatment. The mean age was 38 years and 67% were women. Follow-up at 72 weeks after randomisation was completed for 62% of participants in the usual-treatment arm and 73% in the PEPS arm. Intention-to-treat analyses compared individuals as randomised, regardless of treatment received or availability of 72-week follow-up SFQ data. Median attendance at psychoeducation sessions was approximately 90% and for problem-solving sessions was approximately 50%. PEPS therapy plus usual treatment was no more effective than usual treatment alone for the primary outcome [adjusted difference in means for SFQ -0.73 points, 95% confidence interval (CI) -1.83 to 0.38 points; p = 0.19], any of the secondary outcomes or social problem-solving. Over the follow-up, PEPS costs were, on average, £182 less than for usual treatment. It also resulted in 0.0148 more quality-adjusted life-years. Neither difference was statistically significant. At the National Institute for Health and Care Excellence thresholds, the intervention had a 64% likelihood of being the more cost-effective option. More adverse events, mainly incidents of self-harm, occurred in the PEPS arm, but the difference was not significant (adjusted incidence rate ratio 1.24, 95% CI 0.93 to 1.64).There was possible bias in adverse event recording because of dependence on self-disclosure or reporting by the clini...

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Section: Social Problem-solving Therapymentioning

confidence: 99%

Section: Social Problem-solving Therapymentioning

confidence: 99%

Psychoeducation with problem-solving (PEPS) therapy for adults with personality disorder: a pragmatic randomised controlled trial to determine the clinical effectiveness and cost-effectiveness of a manualised intervention to improve social functioning

McMurran

Crawford

Reilly

et al. 2016

Health Technol Assess

Self Cite

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“…Such extra support may include typical case management services, that is, assessment of needs and linkage with services [19] , but also psychoeducation about the impact of the patients personality disorder [20] , or a targeted psychotherapy to address co-morbid personality disorder and substance use disorders [21] , apart from a focus on the substance use in and by itself.…”

Section: Implications For Clinical Practicementioning

confidence: 99%

Influence of Personality Disorder Features on Social Functioning in Substance-Abusing Women Five Years after Compulsive Residential Treatment

Jansson

Hesse²,

Fridell³

2008

Eur Addict Res

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Background: Personality disorders (PD) are related to negative outcome in substance abuse treatment, and in the general population, personality disorders are related to negative outcome in overall functioning. Little is known about the impact of PD on adjustment following substance abuse treatment. Methods: A cohort of 132 women was followed for 5 years after their index treatment episode in compulsory treatment. During treatment, patients were assessed with the SCID-II. At follow-up, patients were administered a timeline follow-back interview covering their functioning, including employment status over the years, and linked with hospital and criminal justice registers. Results: The impact of PD on functioning varied substantially between disorders and outcome domains. Conduct disorder alone was associated with criminal justice involvement, and conduct disorder and avoidant PD features were associated with unemployment. Dependent PD and obsessive-compulsive personality disorder features were positively associated with employment. Borderline PD features were associated with hospital admissions. Discussion: We discuss how strategies associated with various PDs may foster or hinder social adjustment in general and employment patterns in particular.

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“…Psychoeducation about PD aims to educate, build rapport, and motivate people for problem solving therapy. Psychoeducation has been shown to improve the therapeutic alliance (Banerjee, Duggan, Huband, & Watson, 2006), and reduce impulsivity and improve close relationships with people with borderline PD (Zanarini & Frankenburg, 2008).…”

Section: Introductionmentioning

confidence: 99%

Psychoeducation and Problem Solving (PEPS) Therapy for Adults With Personality Disorder: A Pragmatic Randomized-Controlled Trial

McMurran

Day

Reilly

et al. 2017

Journal of Personality Disorders

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We compared psychoeducation and problem solving (PEPS) therapy against usual treatment in a multi-site randomised controlled trial. The primary outcome was social functioning. We aimed to recruit 444 community-dwelling adults with personality disorder; however, safety concerns led to an early cessation of recruitment. 154 people were randomised to PEPS and 152 to usual treatment. Follow up at 72 weeks was completed for 68%. PEPS therapy was no more effective than usual treatment for improving social functioning (adjusted difference in mean Social Functioning Questionnaire scores = -0·73; 95% CI -1·83 to 0·38; P=0·19). PEPS therapy is not an effective treatment for improving social functioning of adults with personality disorder living in the community.3

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Brief psychoeducation for people with personality disorder: A pilot study

Abstract: These findings support the hypothesis and suggest the therapeutic relationship is not impaired when a diagnosis of personality disorder is imparted using this psychoeducation programme.

Cited by 44 publications

References 12 publications

Psychoeducation with problem-solving (PEPS) therapy for adults with personality disorder: a pragmatic randomised controlled trial to determine the clinical effectiveness and cost-effectiveness of a manualised intervention to improve social functioning

Psychoeducation with problem-solving (PEPS) therapy for adults with personality disorder: a pragmatic randomised controlled trial to determine the clinical effectiveness and cost-effectiveness of a manualised intervention to improve social functioning

Influence of Personality Disorder Features on Social Functioning in Substance-Abusing Women Five Years after Compulsive Residential Treatment

Psychoeducation and Problem Solving (PEPS) Therapy for Adults With Personality Disorder: A Pragmatic Randomized-Controlled Trial

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