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Trial registered on ANZCTR
Registration number
ACTRN12624000326594
Ethics application status
Approved
Date submitted
13/12/2023
Date registered
25/03/2024
Date last updated
15/09/2024
Date data sharing statement initially provided
25/03/2024
Type of registration
Retrospectively registered
Titles & IDs
Public title
Interpersonal Counselling for family members of Borderline Personality Disorder patients: experimental contribution in an outpatient setting.
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Scientific title
A study investigating the role for interpersonal counselling in psychological symptom management amongst family members of Borderline Personality Disorder patients.
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Secondary ID [1]
311142
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Borderline Personality Disorder
332308
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Condition category
Condition code
Mental Health
329018
329018
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0
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Psychosis and personality disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Interventions:
1) 6 interpersonal counselling meetings lasting 60 minutes delivered once a fortnight. The meetings are aimed at a relative cohabitant of BPD patient. The sessions will be held by a psychiatrist. Goals and techniques used in these meetings will follow the standardized Revised Interpersonal Psychotherapy adapted for treating Borderline Personality Disorder (IPT-BPD-R) model for the entire duration of the intervention. The meetings take place after outpatient access and registration in the secretariat in the form of individual psychotherapy.
2) 90-minute clinical interviews with administration of psychometric scales at t0 and t1, i.e. before the start and after the conclusion of the intervention.
The sessions will be held face-to-face by a psychiatrist, in the presence of a psychologist.
3) 90-minute clinical interviews for BPD patients, with administration of psychometric scales at t0 and t1, i.e. before the start and after the conclusion of the intervention.
The sessions will be held face-to-face by a psychiatrist, in the presence of a psychologist.
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Intervention code [1]
327586
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Treatment: Other
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Intervention code [2]
327587
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Behaviour
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Comparator / control treatment
1) No intervention is proposed to relatives, who remain on the waiting list.
2) 90-minute clinical interviews with administration of psychometric scales at t0 and t1 3 months later.
The sessions will be held face-to-face by a psychiatrist, in the presence of a psychologist.
3) 90-minute clinical interviews for BPD patients, with administration of psychometric scales at t0 and t1 3 months later.
The sessions will be held face-to-face by a psychiatrist, in the presence of a psychologist.
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Control group
Active
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Outcomes
Primary outcome [1]
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To assess the effectiveness of interpersonal counselling in family members of BPD patients. The general symptoms, anxiety, depressive symptoms, global functioning, quality of life and perceived stress, will be investigated by comparing the interpersonal counselling approach with no treatment. Symptoms will be assessed as a composite primary outcome administering psychometric scales.
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Assessment method [1]
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The scales selected for family members are; Self-Report Symptom Inventory-Revised (SCL-90R); Social and Occupational Functioning Assessment Scale (SOFAS); Satisfaction Profile (SAT-P); Inventory of Interpersonal Problems (IIP-32); Perceived Stress Scale (PSS); Family Burden Interview Schedule (FBIS); Caregiver Burden Inventory (CBI); Hamilton Depression Rating Scale (HAM-D); Hamilton Anxiety Rating Scale (HAM-A).
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Timepoint [1]
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Recruited relatives and control subjects will be evaluated at baseline (t0) and at 3 months post enrolment (t1).
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Secondary outcome [1]
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To assess the efficacy of IPC on BPD symptoms of patients whose relatives received IPC.
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Assessment method [1]
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The scales selected for patients are; Borderline Personality Disorder Severity Index (BPDSI); Self-Report Symtom Inventory-Revised (SCL-90R); Social and Occupational Functioning Assessment Scale (SOFAS); Satisfaction Profile (SAT-P); Inventory of Interpersonal Problems (IIP-32); Clinical Global Impressions (CGI); Level of Expressed Emotion Scale (LEE); Modified Overt Aggression Scale (MOAS); Barratt Impulsiveness Scale (BIS-11); Deliberate Self-Harm Inventory (DSHI); Hamilton Depression Rating Scale (HAM-D); Hamilton Anxiety Rating Scale (HAM-A).
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Timepoint [1]
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Recruited patients and control subjects will be evaluated at baseline (t0) and at 3 months post enrolment (t1).
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Eligibility
Key inclusion criteria
Consecutive (20-75 years), family members of patients diagnosed with BPD according to DSM-5 criteria will be enrolled. The diagnosis is made by evaluation by experienced clinicians and by administration of SCID-5 (Structured Clinical Interview for DSM-5 personality disorders).
The inclusion criteria for patients require a diagnosis made by evaluation by experienced clinicians and by administration of SCID-5 (Structured Clinical Interview for DSM-5 personality disorders).
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Minimum age
20
Years
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Maximum age
75
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Exclusion criteria for relatives:
a) Presence of neuropsychiatric comorbidities, assessed according to DSM-5 criteria and including: neurodevelopmental disorders; neurocognitive disorders; schizophrenia and schizophrenic spectrum disorders; bipolar disorder;
b) Concomitant major depressive episode and/or active substance use;
c) A personality disorder that emerged at the SCID-5-PD interview.
Exclusion criteria for patients:
a) Presence of neuropsychiatric comorbidities, assessed according to DSM-5 criteria and including: neurodevelopmental disorders; neurocognitive disorders; schizophrenia and schizophrenic spectrum disorders; bipolar disorder;
b) Concomitant major depressive episode and/or active substance use;
c) Symptomatological severity judged by the clinician to be incompatible with adaptation to the setting.
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
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Actual
22/04/2022
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Date of last participant enrolment
Anticipated
22/04/2025
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Actual
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Date of last data collection
Anticipated
30/09/2025
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Actual
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Sample size
Target
100
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Accrual to date
54
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Final
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Recruitment outside Australia
Country [1]
26022
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Italy
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State/province [1]
26022
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Funding & Sponsors
Funding source category [1]
315397
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University
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Name [1]
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University of Turin (UniTo)
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Address [1]
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SC Psichiatria U, Dipartimento di Neuroscienze “Rita Levi Montalcini”, Università degli Studi di Torino, Via Cherasco 11, Torino
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Country [1]
315397
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Italy
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Primary sponsor type
University
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Name
University of Turin (UniTo)
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Address
SC Psichiatria U, Dipartimento di Neuroscienze “Rita Levi Montalcini”, Università degli Studi di Torino, Via Cherasco 11, Torino
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Country
Italy
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
317460
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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University of Turin research ethics committee
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Ethics committee address [1]
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University Bioethics Committee, University of Turin (UniTo). Via Bogino, 9 - 10123 Torino.
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Ethics committee country [1]
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Italy
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Date submitted for ethics approval [1]
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Approval date [1]
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20/04/2022
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Ethics approval number [1]
314315
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Summary
Brief summary
Borderline personality disorder represents an important challenge for clinicians and family members. It is known that relatives are frequently involved in patients’ crisis and find themselves in need of handling them. It is also well estabilished that family members of BPD patients can show psychiatric conditions that may play an important role on BPD’s progress. For these reasons an interpersonal psychotherapeutic approach appears particularly suitable in form of Interpersonal Councelling because it acts on the dysfunctional relational patterns. Interpersonal counselling shares a double purpose: a) acting on patient’s relatives psychiatric symptoms, global functioning, quality of life and perceived stress; b) acting through relatives, modifying the interpersonal relationship with the patient itself in order to offer him a more adaptative model he may adopt as a model for other interpersonal relationships. As the current literature on a IPT-based counselling is scarce, the results of this study could provide useful new evidence and inspire the launch of an outpatient project to be shared with other clinics, both hospital and territorial. The hypothesis of our study is that an intervention aimed at the relatives of BPD patients can lead to clinical benefit for both the patient as well as the family.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Paola Bozzatello
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Address
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SC Psichiatria U (Prof. Rocca), Dipartimento di Neuroscienze e Salute Mentale, AOU Città della Salute e della Scienza di Torino, Via Cherasco 11, postcode: 10126, Torino
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Country
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Italy
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Phone
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+390116703778
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Paola Bozzatello
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Address
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SC Psichiatria U (Prof. Rocca), Dipartimento di Neuroscienze e Salute Mentale, AOU Città della Salute e della Scienza di Torino, Via Cherasco 11, postcode: 10126, Torino
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Country
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Italy
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Phone
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+390116703778
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Paola Bozzatello
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Address
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SC Psichiatria U (Prof. Rocca), Dipartimento di Neuroscienze e Salute Mentale, AOU Città della Salute e della Scienza di Torino, Via Cherasco 11, postcode: 10126, Torino
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Country
131156
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Italy
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Phone
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+390116703778
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Fax
131156
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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