<i>Family Connections:</i> Results of the first application of the Program in Brazil

Barban, Marilia; Weydmann, Gibson; Guimarães, Beatriz Passos; Macchione, Ana Carolina Seneviva; Leonardi, Jan Luiz

doi:10.1590/1413-8271202429e270831

Marilia Barban

Conceptualization

Methodology

Validation

Investigation

Data Curation

Writing - Original Draft

Visualization

Resources

Project Administration

Marilia Barban - Graduated in Psychology from Universidade Presbiteriana Mackenzie. Training in Contextual Behavioral Therapies, Advanced Qualification in Behavior Analytic Therapy and Professional Master’s Degree in Applied Behavior Analysis at Paradigma - Centro de Ciências e Tecnologia do Comportamento, where she is currently coordinator of the School-Clinic and teacher of the Advanced Qualification in Behavior Analytic Therapy. Qualified as a Family Connections Program Leader (National Education Alliance for Borderline Personality Disorder -NEA BPD). Clinical psychologist. E-mail: marilia.barban@gmail.com

Instituto Par (PAR), São Paulo, Brazil

https://orcid.org/0000-0003-1869-5173

Gibson Weydmann

Formal Analysis

Writing - Original Draft

Writing - Review & Editing

Data Curation

Gibson Weydmann - Degree in psychology from the Universidade do Vale do Rio dos Sinos, with an em-phasis on clinical psychology (UNISINOS). Master’s and PhD degree in Psychology obtained from Laboratório de Psicologia Experimental, Neurociências e Comporta-mento (LPNeC) of the Universidade Federal do Rio Grande do Sul (UFRGS). Spe-cialist in Contextual-Behavioral Therapies (CEFI). Clinical psychologist. Currently working as an assistant professor at Universidade La Salle. E-mail: gibson.weydmann@ufrgs.br

Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil

https://orcid.org/0000-0001-9401-9412

Beatriz Passos Guimarães

Investigation

Beatriz Passos Guimarães - Graduated in Psychology from the Universidade do Sagrado Coração (USC). Professional Master’s Degree in Applied Behavior Analysis from Paradigma - Centro de Ciências e Tecnologia do Comportamento, where she is currently a supervising instructor for the Advanced Qualification in Behavior Analytic Therapy. Coordinator of the Theoretical Module of the Dialectical Behavioral Therapy Laboratory (DBT-LAB), which offers free DBT to the low-income population. Clinical psychologist. E-mail: beaguimaraes9@gmail.com

Instituto Par (PAR), São Paulo, Brazil

https://orcid.org/0000-0001-6810-8497

Ana Carolina Seneviva Macchione

Investigation

Ana Carolina Ceneviva Macchione - Graduated in psychology from PUC-Campinas. Master’s degree in Experimental Psychology: Behavior Analysis from PUC-SP. Specialization in behavior-analytic clinics and post-graduate studies in children’s clinics Paradigma - Centro de Ciências e Tecnologia do Comportamento. Clinical psychologist. E-mail: aninhamacchione@gmail.com

Instituto Par (PAR), São Paulo, Brazil

https://orcid.org/0000-0003-0846-4056

Jan Luiz Leonardi

Conceptualization

Methodology

Validation

Writing - Review & Editing

Supervision

Jan Luiz Leonardi - Degree in Psychology at PUC-SP. Specialization in Behavior Therapy at Paradigma - Centro de Ciências e Tecnologia do Comportamento, lecturer in the Professional Master’s Degree in Applied Behavior Analysis. Training in Dialectical Behavioral Therapy by Behavioral Tech. Master’s degree in Experimental Psychology: Behavior Analysis from PUC-SP. PhD in Clinical Psychology from USP. Coordinator of Evidence-Based Psychotherapy Training at InPBE (Institute of Evidence-Based Psychology). Clinical psychologist. E-mail: janleonardi@gmail.com

Instituto Par (PAR), São Paulo, Brazil

https://orcid.org/0000-0002-4166-4909

Contact: Marilia Barban Mestrado Profissional em Análise do Comportamento Aplicada, Instituto Par Centro de Ciências e Tecnologia do Comportamento Rua Bartira, 1294, Perdizes São Paulo-SP, Brasil CEP: 05009-000 Telephones: +55 (11) 9.1652-3961 / +55 (11) 9.6302-8605

Editora:

Giselle Pianowski

Conflict of interest:

The authors declare that there are no conflicts of interest.

Variable	Family members		Relatives with BPD
	Average	SD	Average	SD	p-value
FSQ
Positive family organization	42,55	11,97	39,80	12,63	0,516
Positive family beliefs	26,55	8,57	23,40	7,84	0,273
Positive resource management, family support and problem solving	21,55	5,67	19,20	4,91	0,209
Positive emotions	25,20	7,79	22,73	7,57	0,355

FACES - IV
Cohesion	24,11	5,78	23,71	7,17	0,963
Flexibility	20,28	6,55	19,43	6,49	0,717
Communication	32,50	7,64	28,21	9,69	0,172
Satisfaction	26,50	8,50	25,57	10,18	0,780

DV	Pre-intervention	Post-intervention	Follow-up	Pre-intervention (α)	Post-intervention (α)	Follow-up (α)
DV	Average (SEM)	Average (SEM)	Average (SEM)	Pre-intervention (α)	Post-intervention (α)	Follow-up (α)
Family members
FSQ
Positive family organization	43,50 (3,26)	45,86 (2,55)	46,14 (2,89)	0,92	0,89	0,93
Positive family beliefs	26,57 (2,25)	27,79 (1,78)	26,71 (2,24)	0,91	0,86	0,95
Positive resource management, family support and problem solving	22,64 (1,44)	23,79 (1,16)	22,86 (1,67)	0,79	0,82	0,91
Positive emotions	25,36 (2,11)	27,57 (1,64)	27,64 (2,08)	0,92	0,87	0,94
FACES - IV
Cohesion	24,07 (1,46)	25,54 (1,19)	25,08 (1,05)	0,84	0,78	0,79
Flexibility	21,54 (1,58)	21,98 (1,28)	21,00 (1,38)	0,81	0,77	0,85
Communication	32,69 (2,20)	32,77 (1,87)	32,92 (1,90)	0,91	0,89	0,91
Satisfaction	26,46 (2,43)	27,46 (2,33)	26,85 (2,14)	0,95	0,94	0,96
Relatives with BPD
FSQ
Positive family organization	43,50 (2,63)	50.00 (3.81^)a,b	48.60 (3.39) ^a,b	0,96	0,89	0,89
Positive family beliefs	25,50 (1,85)	30.30 (2.67) ^a,b	29.60 (2.70) ^a,b	0,88	0,91	0,90
Positive resource management, family support and problem solving	20,40 (1,28)	23.40 (2.17) ^a,b	24.80 (1.77) ^a,b	0,71	0,84	0,77
Positive emotions	25,10 (1,51)	28.90 (2.97) ^a,b	29.20 (2.41) ^a,b	0,91	0,94	0,91
FACES - IV
Cohesion	26,10 (1,32)	26,20 (1,72)	25,20 (2,25)	0,90	0,86	0,92
Flexibility	21,00 (1,80)	22,30 (2,21)	23,20 (1,96)	0,88	0,84	0,86
Communication	30,40 (2,38)	33,20 (2,83)	29,60 (3,35)	0,90	0,90	0,92
Satisfaction	27,10 (2,58)	30,40 (3,26)	27,90 (3,33)	0,96	0,95	0,961

DV	Pre-intervention	Post-intervention	Follow-up	p	Pre-intervention (α)	Post-intervention (α)	Follow-up (α)
DV	Average (SEM)	Average (SEM)	Average (SEM)	p	Pre-intervention (α)	Post-intervention (α)	Follow-up (α)
DERS
Non-acceptance	9,00 (2,11)	8,50 (1,93)	8,00 (1,96)	0,479	0,88	0,69	0,91
Difficulty in acting according to objectives	16,78 (1,31)	14,00 (0,88)	15,57 (1,32)	0,023^a	0,81	0,70	0,86
Difficulty controlling impulses^#	12,00 (2,21)	10,00 (1,64)	9,50 (2,14)	0,212	0,86	0,40	0,84
Lack of emotional awareness	16,79 (1,61)	15,57 (1,14)	16,07 (1,31)	0,577	0,87	0,71	0,80
Limited access to emotional regulation strategies^#	16,00 (2,21)	12,50 (1,75)	15,00 (2,04)	0,408	0,85	0,91	0,91
Lack of emotional clarity^#	8,50 (2,18)	8,50 (1,86)	8,00 (1,96)	0,657	0,87	0,82	0,80
FBIS-BR
Overall objective score	2,63 (0,27)	1,96 (0,16)	2,30 (0,29)	0,006 ^b	0,90	0,84	0,95
Overall subjective score	2,42 (0,25)	2,04 (0,22)	2,31 (0,26)	0,057	0,88	0,88	0,93
DASS-21
Depression#	13,00 (2,25)	6,00 (1,75)	9,00 (2,00)	0,328	0,82	0,71	0,85
Anxiety	14,00 (2,68)	9,57 (2,04)	13,29 (2,92)	0,161	0,89	0,85	0,92
Stress^#	10,00 (2,21)	5,00 (1,86)	7,00 (1,93)	0,513	0,89	0,89	0,93
BSI
General symptom index^#	1,11 (2,10)	0,75 (2,03)	0,66 (1,87)	0,793	0,97	0,97	0,98
Index of positive symptoms^#	1,63 (2,11)	1,44 (1,93)	1,63 (1,96)	0,872	0,97	0,97	0,98
WHOQOL-BREF
Perceived quality of life^#	3,00 (1,64)	3,00 (2,18)	3,50 (2,18)	0,096	Single item	Single item	Single item
Satisfaction with health^#	3,00 (1,96)	3,00 (1,75)	4,00 (2,29)	0,266	Single item	Single item	Single item
Physical Domain^#	3,10 (1,68)	3,10 (2,25)	3,80 (2,07)	0,262	0,72	0,78	0,79
Psychological domain	3,24 (0,16)	3,56 (0,15)	3,36 (0,20)	0,216	0,69	0,70	0,82
Social relations	2,96 (0,25)	2,99 (0,27)	3,16 (0,25)	0,454	0,79	0,74	0,83
Environment	3,68 (0,17)	3,79 (0,15)	3,78 (0,16)	0,797	0,83	0,83	0,84

[1] Contact: Marilia Barban Mestrado Profissional em Análise do Comportamento Aplicada, Instituto Par Centro de Ciências e Tecnologia do Comportamento Rua Bartira, 1294, Perdizes São Paulo-SP, Brasil CEP: 05009-000 Telephones: +55 (11) 9.1652-3961 / +55 (11) 9.6302-8605

Brasil

Brasil

Family Connections: Results of the first application of the Program in Brazil

Family Connections: Resultados da Primeira Aplicação do Programa no Brasil

Family Connections : Resultados de la primera aplicación del Programa en Brasil

Abstract