Giles Alexandra, Sved Williams Anne, Webb Stephanie, Drioli-Phillips Phoebe, Winter Amelia
School of Justice and Society, University of South Australia, Adelaide, SA, Australia.
Women's and Children's Health Network, North Adelaide, SA, Australia.
Borderline Personal Disord Emot Dysregul. 2024 Oct 28;11(1):25. doi: 10.1186/s40479-024-00269-w.
Perinatal borderline personality disorder (BPD) is a common condition in perinatal mental health settings with few specialised treatment options, and little is known about the enduring effects of available treatment programs. This study explored the follow-up experiences of women with BPD after completing Mother-Infant Dialectical Behaviour Therapy (MI-DBT).
Semi-structured interviews were conducted with eight women who had completed MI-DBT 3 years prior. Reflexive Thematic Analysis was used to analyse the interviews to gain a richer understanding of these mothers' lived experience.
A thematic analysis generated four main themes which indicated that participants found that MI-DBT improved their ability to hold their child in mind, be aware of their own internal state and behaviours, manage their own emotional reactions and stay calm, and manage interpersonal interactions within adult relationships. Mothers with perinatal borderline personality disorder also highlighted the need for ongoing support in the context of parenting.
This study is the first of its kind to explore the longer-term experiences of mothers following such an intervention, giving voice to this vulnerable group of women. The findings of this study provide a greater understanding of the complex challenges experienced as part of parenting for mothers with borderline personality disorder, and provides both insight into mothers' experiences of life after MI-DBT and the impact of the program on their lives. The clinical and research implications of the study's findings are discussed.
This research was retrospectively registered on 07/03/2024, ACTRN12624000225516.
围产期边缘型人格障碍（BPD）是围产期心理健康环境中的常见病症，专门的治疗选择很少，对于现有治疗方案的持久效果了解甚少。本研究探讨了完成母婴辩证行为疗法（MI-DBT）后患有BPD的女性的随访经历。
对8名3年前完成MI-DBT的女性进行了半结构化访谈。采用反思性主题分析法对访谈进行分析，以更深入地了解这些母亲的生活经历。
主题分析产生了四个主要主题，表明参与者发现MI-DBT提高了她们在心中想着孩子的能力、意识到自己的内心状态和行为的能力、管理自己的情绪反应并保持冷静的能力，以及管理成人关系中的人际互动的能力。患有围产期边缘型人格障碍的母亲还强调了在育儿背景下持续获得支持的必要性。
本研究是同类研究中首个探索此类干预后母亲长期经历的研究，让这一弱势群体有了发声的机会。本研究的结果更深入地了解了边缘型人格障碍母亲在育儿过程中所经历的复杂挑战，既洞察了母亲在完成MI-DBT后的生活经历，也了解了该项目对她们生活的影响。讨论了该研究结果的临床和研究意义。
本研究于2024年3月7日进行回顾性注册，澳大利亚和新西兰临床试验注册号：ACTRN12624000225516。
