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Background <p>Extant data suggest that children of mothers with borderline personality disorder (BPD) are at risk for a variety of poor psychosocial outcomes, including psychopathology. One avenue for interrupting intergenerational transmission of psychopathology is through scaffolding parenting. The Mediational Intervention for Sensitizing Caregivers (MISC) has been used with other high-risk groups and holds promise for this population. The objective of the current study was to evaluate the feasibility and acceptability of MISC for mothers with BPD, and to identify key modifications for future adaptation of MISC for this population.</p> Methods <p>This objective was accomplished via three aims following a best-practice adaptation model for evidence-based psychosocial interventions. Aim 1 consisted of quantitative assessment (phase 1) of need for parenting support with <i>n</i> = 88 mothers with BPD and <i>n</i> = 195 without, and qualitative assessment (phase 2) of the lived experience of parenting among 15 mothers with BPD. Aim 2 consisted of integration of mixed methods results from Aim 1, and the decision to proceed with adaptation of MISC for mothers with BPD. Aim 3 consisted of focus groups and theatre testing of MISC, with <i>n</i> = 14 mothers with BPD.</p> Results <p>Aim 1 findings showed significant group differences on quantitative measures between mothers with and without BPD. Qualitative themes provided information about perceived need and desire for parenting support from the patient perspective. Aim 2 integration provided preliminary support for the feasibility and utility of MISC for mothers with BPD. Results of Aim 3 focus groups identified qualitative evidence in support of the acceptability of MISC for mothers with BPD. Additionally, participant feedback identified feasible and actionable modifications to MISC that can be implemented in future work with this population.</p> Conclusions <p>The current study suggests that MISC is a potentially feasible and acceptable alternative for mothers with BPD who are interested in receiving professional parenting support services.</p>

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The Mediational Intervention for Sensitizing Caregivers: an evaluation of feasibility and acceptability among mothers with borderline personality disorder

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年12月16日

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  • Kiana Cano,
  • Nabeeha Asim,
  • Madeleine Allman,
  • Carla Sharp

摘要

Background

Extant data suggest that children of mothers with borderline personality disorder (BPD) are at risk for a variety of poor psychosocial outcomes, including psychopathology. One avenue for interrupting intergenerational transmission of psychopathology is through scaffolding parenting. The Mediational Intervention for Sensitizing Caregivers (MISC) has been used with other high-risk groups and holds promise for this population. The objective of the current study was to evaluate the feasibility and acceptability of MISC for mothers with BPD, and to identify key modifications for future adaptation of MISC for this population.

Methods

This objective was accomplished via three aims following a best-practice adaptation model for evidence-based psychosocial interventions. Aim 1 consisted of quantitative assessment (phase 1) of need for parenting support with n = 88 mothers with BPD and n = 195 without, and qualitative assessment (phase 2) of the lived experience of parenting among 15 mothers with BPD. Aim 2 consisted of integration of mixed methods results from Aim 1, and the decision to proceed with adaptation of MISC for mothers with BPD. Aim 3 consisted of focus groups and theatre testing of MISC, with n = 14 mothers with BPD.

Results

Aim 1 findings showed significant group differences on quantitative measures between mothers with and without BPD. Qualitative themes provided information about perceived need and desire for parenting support from the patient perspective. Aim 2 integration provided preliminary support for the feasibility and utility of MISC for mothers with BPD. Results of Aim 3 focus groups identified qualitative evidence in support of the acceptability of MISC for mothers with BPD. Additionally, participant feedback identified feasible and actionable modifications to MISC that can be implemented in future work with this population.

Conclusions

The current study suggests that MISC is a potentially feasible and acceptable alternative for mothers with BPD who are interested in receiving professional parenting support services.