Effectiveness of a One-day Psychoeducation Program on Internalized Stigmatization for BPD Patients (EDUC-BPD)

Effectiveness of a One-day Psychoeducation Program on Internalized Stigmatization for Borderline Personality Disorder (BPD) Patients

Education day on borderline personality disorder (BPD), including a transmission of current scientific knowledge on the disease. A dimensional understanding of BPD is delivered as well as disidentification of oneself to the symptoms of borderline personality disorder (Ducasse 2020 Eur Arch Psychiatry Clin Neurosci). The main objective is to evaluate the impact of borderline education day on self-stigma.

Study Overview

• Status: Completed
• Conditions: Borderline Personality Disorder
• Intervention / Treatment: Other: Psychoeducation day on borderline personality disorder

Detailed Description

Borderline personality disorder defined as "a pattern of instability in interpersonal relationships, self-image and affects, and impulsiveness marked" concerns 4-6% of the general population. This is the emotional trouble the most associated with the occurence of suicide attempts (85% of these patients make multiple suicide attempts) and death by suicide (10% of these patients). This is a major public health problem.

A large number of patients with borderline personality disorder are not informed of their diagnosis. The main reasons are : the non-recognition of this disorder by health professionals, the belief that borderline personality disorder is a overly stigmatizing diagnosis , or preference to diagnose another disorder - that professionals think respond better to treatments and therefore be of a better prognosis.

Patients with borderline personality disorder often think themselves as "bad people" or the only people suffering from these symptoms. Thus, the ignorance of borderline personality disorder by patients leads to a basis of their altered sense of identity, perceived as defective or isolated. This generate a strong internalized stigma.

Many people diagnosed with borderline personality disorder receive no information about this disorder while psychoeducation has shown its effectiveness in severe psychiatric disorders, including the disorder of borderline personality, by reducing the negative repercussions psychiatric pathology. Moreover, the education of patients suffering from self-stigma makes it possible to in the face of negative beliefs around the disease and the acquisition of knowledge about the disorder and how to deal with it reduces self-stigma in bipolar patients. However, the propensity to feel shame - the stigmatization of oneself as worthless - is strongest in borderline personality disorder compared to all psychiatric disorders and most associated with the occurence of suicidal behaviors. In recommendations with good clinical practice, the investigator propose within the sector a day of education on borderline personality disorder including a transmission of current scientific knowledge on the illness, a dimensional understanding of the disorder, and the dis-identification of self to the symptoms of borderline personality disorder. The investigator hypothesize that this day of psychoeducation makes it possible to decrease self-stigma, which could be a mediator in reducing negative repercussions of borderline pathology.

• Study Type: Observational
• Enrollment (Actual): 50

Contacts and Locations

Study Locations

• France
  • Montpellier, France, 34000
    • University Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

The study population is patients with Borderline Personality disorder assesed according to the SCID II

Description

Inclusion Criteria:

• Patients with Borderline Personality disorder assessed according to SCID II
• Having attended the borderline education day

Exclusion Criteria:

• None

Study Plan

How is the study designed?

Design Details

• Observational Models: Cohort
• Time Perspectives: Retrospective

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Comparison of internalized stigma of mental illnessillness	Comparison of internalized stigma of mental illness between pre-treatment	At immediate post-intervention
Comparison of internalized stigma of mentalillness	Comparison of internalized stigma of mental illness between pre-treatment	At 3 months post-intervention

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Depressive symptoms using the Beck Depression Inventory	Comparison of depressive symptoms between pre-treatment and post-intervention	At immediate post-intervention
Depressive symptoms using the Beck Depression Inventory	Comparison of depressive symptoms between pre-treatment and 3 months post-intervention	At 3 months post-intervention
Severity of suicidal ideation evaluated by the likert scales from 0 (none) to 10 (maximum possible suicidal ideation)	Comparison of the intensity of suicidal ideation between pre-treatment and post-intervention	At immediate post-intervention
Severity of suicidal ideation evaluated by the likert scales from 0 (none) to 10 (maximum possible suicidal ideation)	Comparison of the intensity of suicidal ideation between pre-treatment and 3 months post-intervention	At 3 months post-intervention
Psychological pain using the Likert scales from 0 (none) to 10 (maximum possible pain)	Comparison of psychological pain between pre-treatment and post-intervention	At immediate post-intervention
Psychological pain using the Likert scales from 0 (none) to 10 (maximum possible pain)	Comparison of psychological pain between pre-treatment and 3 months post-intervention	At 3 months post-intervention
The intensity of hopelessness using the Likert scales from 0 (none) to 10 (maximum possible hopelessness)	Comparison of the intensity of hopelessness between pre-treatment and post-intervention	At immediate post-intervention
The intensity of hopelessness using the Likert scales from 0 (none) to 10 (maximum possible hopelessness)	Comparison of the intensity of hopelessness between pre-treatment and 3 months post-intervention	At 3 months post-intervention
The intensity of optimism using analog visual scale	Comparison of the intensity of optimism between pre-treatment and post-intervention	At immediate post-intervention
The intensity of optimism using analog visual scale	Comparison of the intensity of optimism between pre-treatment and 3 months post-intervention	At 3 months post-intervention
Feeling of pleasure using the quality of life questionnaire on pleasure and satisfaction	Comparison of feeling of pleasure between pre-treatment and post-intervention	At immediate post-intervention
Feeling of pleasure using the quality of life questionnaire on pleasure and satisfaction	Comparison of feeling of pleasure between pre-treatment and 3 months post-intervention	At 3 months post-intervention
Feeling of satisfaction using the quality of life questionnaire on pleasure and satisfaction	Comparison of feeling of satisfaction between pre-treatment and post-intervention	At immediate post-intervention
Feeling of satisfaction using the quality of life questionnaire on pleasure and satisfaction	Comparison of feeling of satisfaction between pre-treatment and 3 months post-intervention	At 3 months post-intervention
Anxiety state using the State-Trait Inventory (STAI-State)	Comparison of the state of anxiety between pre-treatment and post-intervention	At immediate post-intervention
Anxiety state using the State-Trait Inventory (STAI-State)	Comparison of the state of anxiety between pre-treatment and 3 months post-intervention	At 3 months post-intervention
Hopelessness using the Beck Hopelessness Scale (BHS)	Comparison of the hopelessness between pre-treatment and post-intervention	At immediate post-intervention
Hopelessness using the Beck Hopelessness Scale (BHS)	Comparison of the hopelessness between pre-treatment and 3 months post-intervention	At 3 months post-intervention
Level of positive and negative affects using the PANAS Scale	Comparison of level of positive and negative affects between pre-treatment and post-intervention	At immediate post-intervention
Level of positive and negative affects using the PANAS Scale	Comparison of level of positive and negative affects between pre-treatment and 3 months post-intervention	At 3 months post-intervention

Collaborators and Investigators

• Sponsor: University Hospital, Montpellier

Study record dates

Study Major Dates

• Study Start (Actual): January 1, 2021
• Primary Completion (Actual): January 1, 2021
• Study Completion (Actual): September 1, 2021

Study Registration Dates

• First Submitted: June 16, 2022
• First Submitted That Met QC Criteria: June 16, 2022
• First Posted (Actual): June 23, 2022

Study Record Updates

• Last Update Posted (Actual): July 5, 2022
• Last Update Submitted That Met QC Criteria: June 29, 2022
• Last Verified: May 1, 2022

More Information

Terms related to this study

• Keywords: Psychoeducation day; internalized stigmatization
• Additional Relevant MeSH Terms: Mental Disorders; Personality Disorders; Borderline Personality Disorder
• Other Study ID Numbers: RECHMPL21_0611

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: Undecided
• IPD Plan Description: NC

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No