Evidence map›Paper›PMID 38212804›Full record

ArticleBorderline personality disorder and emotion dysregulation2024

A case series of sage: a new couple-based intervention for borderline personality disorder.

Skye Fitzpatrick, Sonya Varma, David Chafe, Nikoo Norouzian, Jenna Traynor, Sophie Goss, Elizabeth Earle, Alyssa Di Bartolomeo, Ashley Siegel, Lindsay Fulham and 2 more

Registry-linked trialOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Borderline personality disorder and emotion dysregulation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04737252 (Development and Initial Testing of a Couple-Based Intervention to Optimize Suicide and Self-Injury Treatment), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.6field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04737252 nacompletednot on this map

Development and Initial Testing of a Couple-Based Intervention to Optimize Suicide and Self-Injury Treatment: COMPASS (Connecting, Overcoming, and Moving Past Suicide and Self-Injury)

TypeinterventionalSponsorYork UniversityRan2021 to 2023Enrolled42ConditionsSelf-injurious Thoughts and Behaviours, Borderline Personality DisorderArmsSage (formerly known as COMPASS)
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 2 countries.

Skye FitzpatrickDepartment of Psychology, York University, 4700 Keele Street, Toronto, ON, M3J 1P3, Canada. skyefitz@yorku.ca.
Sonya VarmaDepartment of Psychology, York University, 4700 Keele Street, Toronto, ON, M3J 1P3, Canada.
David ChafeDepartment of Psychology, York University, 4700 Keele Street, Toronto, ON, M3J 1P3, Canada.
Nikoo NorouzianDepartment of Psychology, York University, 4700 Keele Street, Toronto, ON, M3J 1P3, Canada.
Jenna TraynorMcLean Hospital, Harvard Medical School, Boston, MA, USA.
Sophie GossDepartment of Psychology, York University, 4700 Keele Street, Toronto, ON, M3J 1P3, Canada.
Elizabeth EarleDepartment of Psychology, York University, 4700 Keele Street, Toronto, ON, M3J 1P3, Canada.
Alyssa Di BartolomeoDepartment of Psychology, York University, 4700 Keele Street, Toronto, ON, M3J 1P3, Canada.
Ashley SiegelDepartment of Psychology, York University, 4700 Keele Street, Toronto, ON, M3J 1P3, Canada.
Lindsay FulhamDepartment of Psychology, York University, 4700 Keele Street, Toronto, ON, M3J 1P3, Canada.
Candice M MonsonDepartment of Psychology, Toronto Metropolitan University, Toronto, ON, Canada.
Rachel E LiebmanDepartment of Psychology, Toronto Metropolitan University, Toronto, ON, Canada.
York University · CAHarvard University · USToronto Metropolitan University · CAUniversity of Toronto · CA

Funding

American Foundation for Suicide Prevention PRG-0-057-19
6 · The paper itself

Abstract

backgroundResearch suggests that interpersonal dysfunction may be central to borderline personality disorder (BPD), and that the relationships of people with BPD are particularly impaired. Further, the significant others of people with BPD exhibit elevated psychological problems but little access to mental healthcare. Despite this, most BPD interventions are delivered individually and do not routinely incorporate significant others. This manuscript presents the first case series of Sage, a 12-session manualized intervention for people with borderline personality disorder (BPD) and their intimate partners with three targets: a) BPD severity, b) relationship conflict, and c) intimate partner mental health.

findingsFive couples of people with BPD with frequent suicidal/self-injurious behavior or high suicidal ideation and their intimate partners received Sage. Measures of Sage targets as well as tertiary outcomes were administered at pre-, mid-, and post-intervention. Four out of five dyads completed Sage, with high intervention satisfaction ratings. Improvements were generally demonstrated in BPD severity, suicidal ideation, and suicidal behavior/self-injury. Half of dyads exhibited improvements in conflict, and additional improvements in mental health outcomes for dyad members were demonstrated. One dyad exhibited poor outcomes and speculations regarding this are offered.

conclusionsFindings provide proof of concept of Sage as an intervention that can improve BPD and other mental health outcomes in those with BPD and their intimate partners. Incorporating intimate partners into BPD treatment may optimize and expedite its outcomes. However, further testing is needed.

trial registrationThis project was pre-registered at Clinicaltrials.gov (Identifier: [NCT04737252]).

Indexed as

Borderline personality disorderCouple therapyEmotion dysregulationIntervention developmentSelf-injurySuicide

Identifiers

PMID38212804
PMCPMC10785503
OpenAlexW4390765786

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.