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- Title
Ameliorating Patient Stigma Amongst Staff Working With Personality Disorder: Randomized Controlled Trial of Self-Management Versus Skills Training.
- Authors
Clarke, Sue; Taylor, Georgina; Bolderston, Helen; Lancaster, Joanna; Remington, Bob
- Abstract
Background: Patients diagnosed with a personality disorder (PD) are often stigmatized by the healthcare staff who treat them. Aims: This study aimed to compare the impact on front-line staff of a self-management Acceptance and Commitment Therapy-based training intervention (ACTr) with a knowledge- and skills-based Dialectical Behaviour Training intervention (DBTr). Method: A service-based randomized controlled trial was conducted comparing the effects of 2-day ACTr (N = 53) and DBTr (N = 47) staff workshops over 6 months. Primary outcome measures were staff attitudes towards patients and staff-patient relationships. Results: For both interventions, staff attitudes, therapeutic relationship, and social distancing all improved pre- to postintervention, and these changes were maintained at 6-month followup. Conclusions: Although offering different resources to staff, both ACTr and DBTr were associated with an improved disposition towards PD patients. Future research could evaluate a combined approach, both for staff working with PD patients and those working with other stigmatized groups.
- Subjects
PERSONALITY disorder treatment; PERSONALITY disorder diagnosis; PERSONALITY disorders; SELF-management (Psychology); DIALECTICAL behavior therapy; RANDOMIZED controlled trials; MEDICAL personnel training; HEALTH outcome assessment; PATIENTS
- Publication
Behavioural & Cognitive Psychotherapy, 2015, Vol 43, Issue 6, p692
- ISSN
1352-4658
- Publication type
Article
- DOI
10.1017/S1352465814000320