PSYCHOSOCIAL IMPACTS OF BORDERLINE PERSONALITY DISORDER IN THE FAMILY: AN INTEGRATIVE REVIEW

Authors

DOI:

https://doi.org/10.47820/recima21.v3i10.2038

Keywords:

Psychosocial impacts, Family, Borderline personality disorder

Abstract

Objective: To integrate the main scientific evidence on the psychosocial impacts of Borderline Personality Disorder (BPD) on the family. Method: This is an integrative review in which the literature search was conducted in the following databases: PsycInfo, Medical Literature Analysis and Retrieval System (Medline) via Pubmed, Latin American and Caribbean Literature on Health Sciences (LILACS) via (BVS) and PePSIC. Results and Discussion: 16 studies were selected, whose results were integrated into two categories, with their subdivisions: social impacts (communication of the diagnosis by the health team; access to services; financial problems; stigma and support network) and psychological impacts (subjective overload; psychiatric disorders and coping with dysfunctional behaviors). Conclusion: It can be inferred that since the beginning of BPD symptoms the family already faces significant impacts, generating overload and worsening in the diagnosed family member's condition. Family members need to be actively involved in the patient's treatment, and more investment is needed in research on strategies that can help them minimize the psychosocial impacts of BPD on the family.

Downloads

Download data is not yet available.

Author Biographies

  • Rafaelle da Ponte Brito

    Universidade Estadual do Ceará

  • Samuel Miranda Mattos

    Mestre e doutorando em Saúde Coletiva pela Universidade Estadual do Ceará. Profissional de Educação Física

  • Lídia Andrade Lourinho

    Doutora em Saúde Coletiva (UECE/UFC/UNIFOR). Mestre em Educação em saúde (UNIFOR). Fonoaudióloga. Pedagoga. Psicopedagoga. Professora da Universidade Estadual do Ceará

References

Araújo, W. C. O. (2020). Recuperação da informação em saúde. ConCI: Convergências Em Ciência Da Informação, 3(2), 100-134. https://doi.org/10.33467/conci.v3i2.13447

Bardin, L. (2011). Análise de conteúdo. São Paulo: Edições 70.

Bailey, R. C., & Grenyer, B. F. (2015). The relationship between expressed emotion and wellbeing for families and carers of a relative with Borderline Personality Disorder. Personality and Mental Health, 9(1), 21-32. https://pubmed.ncbi.nlm.nih.gov/25195577/

Bailey, R. C., & Grenyer, B. F. S. (2013). Burden and Support Needs of Carers of Persons with Borderline Personality Disorder. Harvard Review of Psychiatry, 21(5), 248-258. https://doi.org/10.1097/HRP.0b013e3182a75c2c

Dunne, E., & Rogers, B. (2013). “It’s us that have to deal with it seven days a week”: carers and borderline personality disorder. Community Mental Health Journal, 49(6), 643-648. https://pubmed.ncbi.nlm.nih.gov/23054157/

Ekdahl, S., Idvall, E., & Perseius, K.-I. (2014). Family Skills Training in Dialectical Behaviour Therapy: The Experience of the Significant Others. Archives of Psychiatric Nursing, 28(4), 235-241.

https://doi.org/10.1016/j.apnu.2014.03.002

Fitzpatrick, S., Wagner, A. C., & Monson, C. M. (2019). Optimizing borderline personality disorder treatment by incorporating significant others: A review and synthesis. Personality Disorders: Theory, Research, and Treatment, 10(4), 297-308. https://doi.org/10.1037/per0000328

Flynn, D., Kells, M., Joyce, M., Corcoran, P., Herley, S., Suarez, C., Cotter, P., Hurley, J., Weihrauch, M., & Groeger, J. (2017). Family Connections versus optimised treatment-as-usual for family members of individuals with borderline personality disorder: non-randomised controlled study. Borderline Personality Disorder and Emotion Dysregulation, 4(18), 1-9. https://pubmed.ncbi.nlm.nih.gov/28861273/

Gabutti, I. (2021). Filling the gap between theory and practice: A pilot study on parents’ perceptions of integrated care for patients with borderline personality disorder. The International Journal of Health Planning and Management, 36(6), 2366-2375. https://pubmed.ncbi.nlm.nih.gov/34460966/

Grenyer, B. F. S., Bailey, R. C., Lewis, K. L., Matthias, M., Garretty, T., & Bickerton, A. (2019). A Randomized Controlled Trial of Group Psychoeducation for Carers of Persons With Borderline Personality Disorder. Journal of Personality Disorders, 33(2), 214-228. https://pubmed.ncbi.nlm.nih.gov/29505385/

Hastrup, L. H., Jennum, P., Ibsen, R., Kjellberg, J., & Simonsen, E. (2019). Societal costs of Borderline Personality Disorders: a matched-controlled nationwide study of patients and spouses. Acta Psychiatrica Scandinavica, 140(5), 458-467. https://pubmed.ncbi.nlm.nih.gov/31483859/

Jørgensen, M. S., Storebø, O. J., Poulsen, S., & Simonsen, E. (2021). Burden and Treatment Satisfaction among Caregivers of Adolescents with Borderline Personality Disorder. Family Process, 60(3), 772-787. https://pubmed.ncbi.nlm.nih.gov/33010045/

Kay, M. L., Poggenpoel, M., Myburgh, C. P., & Downing, C. (2018). Experiences of family members who have a relative diagnosed with borderline personality disorder. Curationis, 41(1), 1-9. https://pubmed.ncbi.nlm.nih.gov/30326706/

Khan, S., & Kamal, A. (2019). Adaptive family functioning and borderline personality disorder: mediating role of impulsivity. Journal of the Pakistan Medical Association, 70(1), 1-4. doi: 10.5455/JPMA.6250

Kirtley, J., Chiocchi, J., Cole, J., & Sampson, M. (2019). Stigma, Emotion Appraisal, and the Family Environment as Predictors of Carer Burden for Relatives of Individuals Who Meet the Diagnostic Criteria for Borderline Personality Disorder. Journal of Personality Disorders, 33(4), 497-514. https://pubmed.ncbi.nlm.nih.gov/30307828/

Lawn, S., & McMahon, J. (2015). Experiences of family carers of people diagnosed with borderline personality disorder. Journal of Psychiatric and Mental Health Nursing, 22(4), 234-243. https://pubmed.ncbi.nlm.nih.gov/25857849/

Meshkinyazd, A., Bordbar, M. F., & Heydari, A. (2021). Experiences of Family Caregivers of Patients with Borderline Personality Disorder of Social Stigma. Iranian Journal of Nursing and Midwifery Research, 26(1), 18-24. https://pubmed.ncbi.nlm.nih.gov/33954094/

Meshkinyazd, A., Heydari, A., & M, F. B. (2020). Lived Experiences of Caregivers of Patients with Borderline Personality Disorder: A Phenomenological Study. International Journal of Community Based Nursing and Midwifery, 8(2), 177-188. https://pubmed.ncbi.nlm.nih.gov/32309458/

Ouzzani, M., Hammady, H., Fedorowicz, Z., & Elmagarmid, A. (2016). Rayyan—a web and mobile app for systematic reviews. Systematic Reviews, 5(1), 210. https://doi.org/10.1186/s13643-016-0384-4

Pearce, J., Jovev, M., Hulbert, C., McKechnie, B., McCutcheon, L., Betts, J., & Chanen, A. M. (2017). Evaluation of a psychoeducational group intervention for family and friends of youth with borderline personality disorder. Borderline Personality Disorder and Emotion Dysregulation, 4 (5), 1-7. https://pubmed.ncbi.nlm.nih.gov/28352470/

Rathus, J., Campbell, B., Miller, A., & Smith, H. (2015). Treatment Acceptability Study of Walking The Middle Path, a New DBT Skills Module for Adolescents and their Families. American Journal of Psychotherapy, 69(2), 163-178. https://pubmed.ncbi.nlm.nih.gov/26160621/

Seigerman, M. R., Betts, J. K., Hulbert, C., McKechnie, B., Rayner, V. K., Jovev, M., Cotton, S. M., McCutcheon, L., McNab, C., Burke, E., & Chanen, A. M. (2020). A study comparing the experiences of family and friends of young people with borderline personality disorder features with family and friends of young people with other serious illnesses and general population adults. Borderline Personality Disorder and Emotion Dysregulation, 7(17), 1-8. https://pubmed.ncbi.nlm.nih.gov/32704374/

Published

17/10/2022

How to Cite

PSYCHOSOCIAL IMPACTS OF BORDERLINE PERSONALITY DISORDER IN THE FAMILY: AN INTEGRATIVE REVIEW. (2022). RECIMA21 - Revista Científica Multidisciplinar - ISSN 2675-6218, 3(10), e3102038. https://doi.org/10.47820/recima21.v3i10.2038