{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,11]],"date-time":"2025-06-11T05:28:13Z","timestamp":1749619693911,"version":"3.37.3"},"reference-count":44,"publisher":"Royal College of Psychiatrists","issue":"1","license":[{"start":{"date-parts":[[2024,1,17]],"date-time":"2024-01-17T00:00:00Z","timestamp":1705449600000},"content-version":"unspecified","delay-in-days":16,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003725","name":"National Research Foundation of Korea","doi-asserted-by":"publisher","award":["2021R1A2C2009668"],"award-info":[{"award-number":["2021R1A2C2009668"]}],"id":[{"id":"10.13039\/501100003725","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych open"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec id=\"S2056472423006476_sec_a1\">\n\t    <jats:title>Background<\/jats:title>\n\t    <jats:p>Availability of long-term psychological interventions for personality disorders is limited because of their high intensity and cost. Research in evidence-based, low-intensity interventions is needed.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472423006476_sec_a2\">\n\t    <jats:title>Aims<\/jats:title>\n\t    <jats:p>This study aimed to examine the feasibility, acceptability and potential impact of a low-intensity, digital guided self-help (GSH) intervention that is focused on emotion regulation, recovery-oriented and provides in-the-moment delivery for patients with personality disorders.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472423006476_sec_a3\" sec-type=\"methods\">\n\t    <jats:title>Method<\/jats:title>\n\t    <jats:p>We conducted a single-blind feasibility trial. A total of 43 patients with a personality disorder were recruited and randomly assigned to either a GSH arm (<jats:italic>n<\/jats:italic> = 22) or a treatment-as-usual arm (<jats:italic>n<\/jats:italic> = 21). The GSH intervention included a series of short videos offering psychoeducation and support, personalised feedback using text messages, and supportive telephone calls, for 4 weeks in addition to treatment as usual. Outcomes of emotional disturbance, emotion dysregulation, self-harm behaviours and decentring ability were measured at baseline, 4 weeks (end of intervention) and 8 weeks (follow-up).<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472423006476_sec_a4\" sec-type=\"results\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>All patients who attended the first session continued until the last session. There was an interaction effect between time and group on anxiety (<jats:italic>P<\/jats:italic> = 0.027, <jats:italic>\u0394\u03b7<\/jats:italic><jats:sup>2<\/jats:sup> = 0.10), where the GSH group showed a significant reduction in anxiety at follow-up (<jats:italic>P<\/jats:italic> = 0.003, <jats:italic>d<\/jats:italic> = 0.25). The GSH group increased in decentring ability at the end of intervention (<jats:italic>P<\/jats:italic> = 0.007, <jats:italic>d<\/jats:italic> = \u22120.65), and the decrease in self-harm behaviours continued until follow-up (<jats:italic>P<\/jats:italic> = 0.02, <jats:italic>d<\/jats:italic> = 0.57).<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472423006476_sec_a5\" sec-type=\"conclusions\">\n\t    <jats:title>Conclusions<\/jats:title>\n\t    <jats:p>The results suggest that a personalised digital GSH with a focus on recovery could reduce anxiety and self-harm behaviours at short-term follow-up.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1192\/bjo.2023.647","type":"journal-article","created":{"date-parts":[[2024,1,17]],"date-time":"2024-01-17T06:58:14Z","timestamp":1705474694000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["Recovery-focused self-help intervention using vodcasts for patients with personality 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Psychotherapy for Borderline Personality Disorder: Mentalization Based Treatment. 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Published by Cambridge University Press on behalf of the Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e31"}}