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

Clarke, S., Taylor, G., Bolderston, H., Lancaster, J. and Remington, B., 2014. Ameliorating Patient Stigma Amongst Staff Working With Personality Disorder: Randomized Controlled Trial of Self-Management Versus Skills Training. Behavioural and Cognitive Psychotherapy, 43 (6), 1 - 13 .

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ACT DBT STIGMA RCT FINAL Manuscript 10 01 14.pdf - Accepted Version

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DOI: 10.1017/S1352465814000320

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.

Item Type:Article
ISSN:1352-4658
Subjects:UNSPECIFIED
Group:School of Health and Social Care
ID Code:22490
Deposited By: Unnamed user with email symplectic@symplectic
Deposited On:24 Sep 2015 10:02
Last Modified:24 Sep 2015 10:02

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