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Ameliorating Patient Stigma Amongst Staff Working With Personality Disorder: Randomized Controlled Trial of Self-Management Versus Skills Training

Published online by Cambridge University Press:  11 November 2014

Sue Clarke ,
Georgina Taylor ,
Helen Bolderston ,
Joanna Lancaster  and
Bob Remington
Sue Clarke*
Affiliation:
Bournemouth University, UK
Georgina Taylor
Affiliation:
University of Southampton, UK
Helen Bolderston
Affiliation:
University of Southampton, UK
Joanna Lancaster
Affiliation:
St Ann's Hospital, Poole, UK
Bob Remington
Affiliation:
University of Southampton, UK
*
Reprint requests to Sue Clarke, University Department of Mental Health, St Ann's Hospital, 69 Haven Road, Poole BH13 7LN, UK. E-mail: [email protected]
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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 follow-up. 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.

Keywords

Personality disorderstigmaAcceptance and Commitment Therapy (ACT)Dialectical Behaviour Therapy (DBT)trainingacceptance
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 43 , Issue 6 , November 2015 , pp. 692 - 704
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2014 

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