Changing intergenerational patterns of emotional dysregulation in families with perinatal borderline personality disorder

Williams, Anne Sved; Osborn, Amanda; Yelland, Chris; Hollamby, Sharron

doi:10.1007/s00737-021-01119-2

Cited by 16 publications

(32 citation statements)

References 30 publications

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“…Brief interventions have been shown meta‐analytically to be more effective than longer interventions for improving maternal sensitivity and infant attachment security (Bakermans‐Kranenburg et al, 2003 ). However, to improve intervention effects on maternal mental health, it may be useful to investigate the effectiveness of integrating or supplementing VIPP‐PMH with longer‐term interventions focussed on improving maternal emotion regulation, such as Mother‐Infant Dialectical Behaviour Therapy (Sved Williams et al, 2021 ) or the Parenting Skills for Borderline Personality Disorder Group Training (Renneberg & Rosenbach, 2016 ), potentially using a stepped care model.…”

Section: Discussionmentioning

confidence: 99%

Video feedback parent‐infant intervention for mothers experiencing enduring difficulties in managing emotions and relationships: A randomised controlled feasibility trial

Barnicot

Welsh

Kalwarowsky

et al. 2022

British J Clinic Psychol

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Objectives: Parents experiencing mental health difficulties consistent with "personality disorder", often related to a history of complex trauma, may face increased challenges in parent-child relationships and child socioemotional development. There are no published randomised controlled trials (RCTs) evaluating perinatal parent-child interventions for this population. We evaluated the feasibility and acceptability of undertaking an RCT of the video feedback intervention for positive parenting adapted for perinatal mental health (VIPP-PMH). Design: Feasibility study incorporating a pilot RCT.Methods: Mothers with enduring difficulties in managing emotions and relationships, consistent with a "personality disorder", and their 6-to 36-month old infants were randomly allocated to receive six sessions of VIPP-PMH (n = 20) or usual care alone (n = 14). Results: 76% of eligible mothers consented to participate.Intervention uptake and completion rates were 95% (≥1 VIPP-PMH session) and 70% (6 sessions), respectively.

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Section: Discussionmentioning

confidence: 99%

Video feedback parent‐infant intervention for mothers experiencing enduring difficulties in managing emotions and relationships: A randomised controlled feasibility trial

Barnicot

Welsh

Kalwarowsky

et al. 2022

British J Clinic Psychol

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“…There have been a number of promising interventions developed for mothers experiencing difficulties consistent with ‘borderline personality disorder’ including the ‘parenting skills for mothers with borderline personality disorder’ group intervention (Renneberg & Rosenbach, 2016; Rosenbach et al, 2020) and mother–infant dialectical behaviour therapy (Sved Williams et al, 2021). However, these have not yet been tested in a randomised controlled trial (RCT).…”

Section: Introductionmentioning

confidence: 99%

Mother and clinician experiences of a trial of a video feedback parent–infant intervention for mothers experiencing difficulties consistent with ‘personality disorder’: A qualitative interview study

et al. 2023

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Objectives: We explored mothers' and clinicians' experiences of a video feedback intervention adapted for perinatal 'personality disorder' (VIPP-PMH) and the acceptability of a randomised controlled trial (RCT) examining its effectiveness. Design: In-depth qualitative interviews with participants from a two-phase feasibility study of the VIPP-PMH intervention. Participants were mothers experiencing enduring difficulties in managing emotions and relationships, consistent with a 'personality disorder', and their 6-to 36-month-old children. Methods: Forty-four qualitative interviews were conducted, including all nine mothers receiving VIPP-PMH during the pilot phase, 25 of the 34 mothers participating in the RCT (14 allocated to the VIPP-PMH arm and 9 from the control arm), 11 of the 12 clinicians delivering VIPP-PMH and one researcher. Interview data were thematically analysed. Results: Mothers described feeling motivated to take part in the research and understood the need for randomisation. Research visits were largely experienced positively, with some suggestions for improvement in questionnaire timing and accessibility. Almost all mothers initially felt anxious about being filmed, but reported positive experiences of the intervention, particularly valuing its non-judgemental, positive and child-focussed nature, their supportive relationship with the therapist and the insights they gained on their child.

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“…On quantitative measures, it showed promising potential to improve maternal and infant mental health, finding statistically significant improvements in PRF, depression, and anxiety symptoms and improvements in the maternal‐infant relationship following completion of the program, with medium effect sizes. A later publication with a larger cohort (Sved‐Williams et al., 2021) confirmed these findings, showing improvements in maternal mental health, parenting confidence, and competence, but little improvement on observed interactions between mother and infant.…”

Section: The Role Of Dialectical Behavior Therapy (Dbt) In Interventi...mentioning

confidence: 89%

Reflective functioning and mother–infant relationships among mothers with Borderline Personality Disorder post‐therapy

Osborne

Mattiske

Winter

et al. 2023

Infant Mental Health Journal

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The stressful nature of parenting infants exacerbates the characteristics of Borderline Personality Disorder (BPD). Consequently, mothers with BPD tend to be emotionally dysregulated, respond impulsively to their infants, and have poorer mother–infant relationships. Few parenting interventions target the specific skill deficits observed in mothers with BPD. This study explored the differences in parental reflective functioning (PRF) and mother–infant relationship quality at baseline and following a 24‐week, group parenting intervention for mothers with BPD. PRF and mother‐infant relationship quality were assessed from quantitative (N = 23) and qualitative (N = 32) perspectives. Quantitative data (Parental Reflective Functioning Questionnaire) showed a significant improvement in one of the three subscales, Interest and Curiosity, between baseline and post‐intervention, and a significant moderate positive association between the subscale Certainty of Mental States and maternal‐infant interaction quality post‐intervention. Improvements in mother‐infant relationship quality were not evident from the observational measure, Nursing Child Assessment Satellite Teaching scale. In contrast, semi‐structured interview qualitative data found maternal improvements in parental reflection, coping strategies implemented post‐intervention, and quality of mother–infant relationships. Overwhelmingly positive intervention feedback suggested perceived maternal benefits of group format and skills taught. Future studies with larger sample sizes would allow further clarification of such parenting interventions for mothers with BPD.

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Changing intergenerational patterns of emotional dysregulation in families with perinatal borderline personality disorder

Cited by 16 publications

References 30 publications

Video feedback parent‐infant intervention for mothers experiencing enduring difficulties in managing emotions and relationships: A randomised controlled feasibility trial

Video feedback parent‐infant intervention for mothers experiencing enduring difficulties in managing emotions and relationships: A randomised controlled feasibility trial

Mother and clinician experiences of a trial of a video feedback parent–infant intervention for mothers experiencing difficulties consistent with ‘personality disorder’: A qualitative interview study

Reflective functioning and mother–infant relationships among mothers with Borderline Personality Disorder post‐therapy

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