{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T22:02:18Z","timestamp":1788472938872,"version":"build-2803163510"},"reference-count":51,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T00:00:00Z","timestamp":1722470400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T00:00:00Z","timestamp":1722470400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Family Process"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Burden and psychological distress are higher in informal caregivers (ICs) of people with severe emotional and behavior dysregulation who have been given a diagnosis of borderline personality disorder (BPD) compared with non\u2010caregivers. The current cross\u2010sectional study examines the difference in outcomes of ICs of people with BPD who have received the intervention Family Connections (FC) and who also led interventions for other caregivers (caregiver\u2010leaders) compared with those who have attended FC but not led caregiver interventions (non\u2010leader\u2010FC participants). The sample for this research is from a larger study (Hayes et\u00a0al., 2023,\n                    <jats:italic>Borderline Personality Disorder and Emotion Dysregulation<\/jats:italic>\n                    ,\n                    <jats:bold>10<\/jats:bold>\n                    , 31). Data for 347 participants who self\u2010reported receiving FC and completed the McLean Screening Instrument for BPD\u2010Carer Version, the Brief COPE, the Multidimensional Scale of Perceived Social Support, the Kessler Psychological Distress scale, the WHO\u20105 Well\u2010being Index, and the Coronavirus Anxiety Scale were analyzed. The results found that being a caregiver\u2010leader was associated with higher positive mental well\u2010being and lower psychological distress compared with non\u2010leader\u2010FC participants. Being a caregiver\u2010leader was also associated with significantly greater use of the coping strategy of positive reframing and lower use of behavioral disengagement and self\u2010blame than non\u2010leader\u2010FC participants. The study provides preliminary evidence that for those who have received FC, becoming an intervention leader is associated with better outcomes than caregivers who do not become leaders and provides support for caregiver\u2010led rollout of FC across services.\n                  <\/jats:p>","DOI":"10.1111\/famp.13042","type":"journal-article","created":{"date-parts":[[2024,8,2]],"date-time":"2024-08-02T02:04:41Z","timestamp":1722564281000},"page":"2119-2134","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Caregivers of individuals with borderline personality disorder: The relationship between leading caregiver interventions and psychological distress\/positive mental well\u2010being"],"prefix":"10.1111","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-9104-7221","authenticated-orcid":false,"given":"Aoife","family":"Hayes","sequence":"first","affiliation":[{"name":"School of Applied Psychology University College Cork  Cork Ireland"},{"name":"Mental Health Services Cork Kerry Community Healthcare, Health Service Executive  Cork Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynn","family":"Courey","sequence":"additional","affiliation":[{"name":"The Sashbear Foundation  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Kells","sequence":"additional","affiliation":[{"name":"Mental Health Services Cork Kerry Community Healthcare, Health Service Executive  Cork Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Doreen","family":"Hyndman","sequence":"additional","affiliation":[{"name":"The Sashbear Foundation  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Dempsey","sequence":"additional","affiliation":[{"name":"School of Applied Psychology University College Cork  Cork Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mike","family":"Murphy","sequence":"additional","affiliation":[{"name":"School of Applied Psychology University College Cork  Cork Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,8,1]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.auec.2018.12.001"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10597\u2010016\u20100040\u20104"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425787"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467\u2010842X.2001.tb00310.x"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/pmh.1273"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/mpr.145"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/JCN.0000000000000350"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477\u20107525\u201010\u2010149"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.13205"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467\u20106494.1986.tb00391.x"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1300\/J200v06n01_16"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2020.1857699"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1207\/s15327558ijbm0401_6"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.2008.22.4.353"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.copsyc.2020.07.029"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10597\u2010012\u20109556\u20104"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnu.2011.06.005"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40479\u2010017\u20100069\u20101"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.psych.55.090902.141456"},{"key":"e_1_2_6_21_1","unstructured":"Fruzzetti A. 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