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

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

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

Conditions
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Borderline Personality Disorder

Intervention / Treatment
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* Other: Psychoeducation day on borderline personality disorder


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients with Borderline Personality disorder assessed according to SCID II Having attended the borderline education day Exclusion Criteria: None

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: Psychoeducation day on borderline personality disorder|Transmission of latest knowledge on borderline personality disorder|

What is the study measuring?
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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 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Psychoeducation day, internalized stigmatization