Study protocol for a multi-center RCT testing a group-based parenting intervention tailored to mothers with borderline personality disorder against a waiting control group (ProChild*-SP1)

Charlotte Rosenbach, Nina Heinrichs, Robert Kumsta, Silvia Schneider, Babette Renneberg, Charlotte Rosenbach, Nina Heinrichs, Robert Kumsta, Silvia Schneider, Babette Renneberg

Abstract

Background/aims: Borderline personality disorder (BPD) is a severe mental disorder characterized by an unstable sense of self, intense and rapidly changing affect, as well as impulsive and self-destructive behaviors. Interpersonal relationships of individuals with BPD are characterized by marked instability, a lack of dependability, and quick changes between love and hate. For children of individuals with BPD, this can lead to permanent stress and attachment insecurity and an increased risk of adverse physical and mental health development. To reduce dysfunctional parenting and improve positive parenting, and in turn, to promote healthy child development, a group intervention for mothers with BPD was developed. This study aims to evaluate this first disorder-specific parenting intervention for BPD in a randomized controlled trial.

Method: In a parallel-group, two-arm, randomized controlled trial, an initial N = 178 mothers diagnosed with BPD and their children aged 6 months to 6 years are assigned to either the parenting intervention or a waiting control group. If taking place, participants of both groups continue their regular treatment for BPD diagnosis (e.g., individual therapy, medication). The primary outcomes are changes in parenting from baseline (day 0) to post intervention (week 12) and follow-up (6 months after group intervention; month 9). The waiting control group can attend the group intervention at the end of all assessments. Participants allocated to the intervention group are expected to show improvement in their parenting and a reduction in child abuse potential. Maternal emotion regulation and mental distress are analyzed as secondary outcomes.

Discussion: Mothers with BPD may need tailored help when reporting difficulties raising their children. The first disorder-specific parenting intervention has been developed to close this gap. ProChild is part of a large government-supported consortium, which aims to investigate different aspects of abuse and maltreatment in childhood and adolescence.

Trial registration: ClinicalTrials.gov NCT04169048 . Registered on Nov 19, 2019.

Keywords: Borderline personality disorder; Group intervention; Parenting; Randomized-controlled trial; Study protocol.

Conflict of interest statement

Charlotte Rosenbach and Babette Renneberg are co-authors of the manual “Borderline and motherhood”. Babette Renneberg has received research grants by the BMBF (see below) to conduct the presented study.

Nina Heinrichs serves as an international advisory board member for the Triple P parenting program, and she is part of the Triple P Research Network. She participated (and is participating) in research studies involving other parenting programs, such as the Parenting for Lifelong Health (PLH) program.

The other author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

© 2022. The Author(s).

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