The DOI matches its Crossref record; 11 of the 12 references it cites were found in a registry or an index.
Family Connections: A Program for Relatives of Persons With Borderline Personality Disorder
Open accessAbstract
This study assessed changes in family members who participated in Family Connections, a 12‐week manualized education program for relatives of persons with borderline personality disorder (BPD). Family Connections, led by trained family members, is based on the strategies of standard Dialectical Behavior Therapy (DBT) and DBT for families. The program provides (a) current information and research on BPD, (b) coping skills, (c) family skills, and (d) opportunities to build a support network for family members. Forty‐four participants representing 34 families completed the pre‐, post‐, and 6‐month postbaseline self‐report questionnaires. Analyses employing hierarchical linear modeling strategies showed significant reductions in grief and burden, and a significant increase in mastery from pre‐ to post‐group assessment. Changes were maintained at 6 months post baseline.
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“Los familiares de personas con un trastorno mental tienen riesgo de padecer depresión, sobrecarga emocional, duelo y aislamiento (Greenberg, Seltzer, y Greenley, 1993;Hoffman et al., 2005).”
From Efectividad y aceptabilidad del entrenamiento en habilidades de la terapia dialéctica comportamental para familiares de personas con trastorno de personalidad límite (2019) · cites this paper as Hoffman et al., 2005
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“Despite family members of people with BPD having more risk of suffering from psychological problems, there are no empirically-validated interventions for this population.”
From Efectividad y aceptabilidad del entrenamiento en habilidades de la terapia dialéctica comportamental para familiares de personas con trastorno de personalidad límite (2019) · cites this paper as Hoffman et al., 2005
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“Los estudios piloto que han evaluado el programa FC® indican mejorías en el duelo (i.e., las experiencias cognitivas, emocionales y psicológicas como tristeza, dolor y pérdida asociadas a tener un familiar con trastorno mental; Hoffman, 2005, p. 220), la sobrecarga emocional, el bienestar psicológico y la autoeficacia de los familiares tras recibir el programa (Hoffman et al., 2005;Hoffman et al.,”
From Efectividad y aceptabilidad del entrenamiento en habilidades de la terapia dialéctica comportamental para familiares de personas con trastorno de personalidad límite (2019) · cites this paper as Hoffman et al., 2005
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“Este resultado es alentador, ya que va en la línea de previas investigaciones que evaluaron el programa FC (Flynn et al., 2017;Hoffman et al., 2005;Hoffman, et al., 2007;Rajalin et al., 2009) y sugiere que incluir componentes específicos para las relaciones familiares podría disminuir la sobrecarga emocional del cuidador.”
From Efectividad y aceptabilidad del entrenamiento en habilidades de la terapia dialéctica comportamental para familiares de personas con trastorno de personalidad límite (2019) · cites this paper as Hoffman et al., 2005
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“However, significant differences regarding depressive symptoms have not been shown (Hoffman et al., 2005; Rajalin, Wickholm-Pethrus, Hursti, & Jokinen, 2009).”
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“This result is significant since FC training was originally created to benefit family members of people with BPD (Hoffman et al., 2005; Hofmann et al., 2007).”
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“Carers often experience blame and/or shame through their interactions with services or individuals; they may also blame themselves for their person’s mental illness and thereby experience vicarious trauma (Ekdahl, Idvall, Samuelsson, & Perseius, 2011; Hoffman et al., 2005; Lefley, 2005).”
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“Finally, family and carers were offered the chance to engage in the Family Connections Programme, which was a 12-week evidence-based course, shown to reduce caregiver burden and enhance empowerment (Hoffman et al ., 2005).”
Dorman-Ilan, S., Salomon, A., Rubin, N., de la Fontaine, N., Marom, R., Meilik, R., Yona, S., Aharon, G., Schwartz-Lifshitz, M., Gothelf, D., et al. (2026) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2026.1888780 · Cited by 1
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“Programs like Family Connections, a peer-led psy-choeducational program based on dialectical behavior therapy techniques, have been developed for caregivers of people with BPD [30].”
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“The work of Perry Hoffman and Alan Fruzzetti has further incorporated DBT skill building into this educational model through the development of “Family Connections,” a consumer led multiple-family education group (Hoffman et al., 2005).”
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“This stigma is observable not only in the general population, but also in some mental health professionals, who often refuse to care for this type of patient (Hoffman et al., 2005).”
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“Abbreviations ADHD Attention Deficit Hyperactivity Disorder BAS Burden Assessment Scale 16 BPD Borderline personality disorder DBT Dialectical Behavior Therapy EE Expressed Emotion FC Family Connections FFMQ Five Facet Mindfulness Questionnaire FPE Family psychoeducation QAFM Questions About Family Members References…”
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“Contrastingly, few studies have explored the impact on those supporting the individual with a BPD diagnosis or evaluated the effectiveness of support programmes for supporters (Hoffman et al., 2005, p.218).”
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“O Family Connections é um programa de intervenção baseado em estratégias de TCD e foi criado para melhorar as atitudes de familiares de pacientes com TPB e reduzir o esgotamento familiar [25].”
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“Similarly, Family Connections (FC) (Hoffman et al. 2005), a psychoeduca-tional model, has shown consistent effectiveness in improving emotional regulation, family functioning, and caregiver burden.”
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“Evidence from alternative programs such as Family Connections™ (FC; Hoffman et al., 2005) – based on principles of DBT and targeted towards families of individuals diagnosed with BPD, have also reported reduction in carer burden (Boritz et al., 2021; Sutherland et al., 2020), burnout, guilt,…”
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“The most validated is the Family Connections program ® [20], with several observational studies [7] and several controlled studies [12, 16].”
Wang, S., Zhou, Y., Yu, Y., Zhang, J., Zhu, X., Zhang, K., Ji, Z., Li, Y., Yan, F., & Wang, C. (2026) · Frontiers in Public Health · doi:10.3389/fpubh.2026.1828667
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La thérapie comportementale dialectique
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Metadata
- Authors
- Hoffman, P. D., Fruzzetti, A. E., Buteau, E., Neiditch, E. R., Penney, D., Bruce, M. L., Hellman, F., & Struening, E.
- Affiliations
- Icahn School of Medicine at Mount Sinai (US)
- University of Nevada, Reno (US)
- Tufts University (US)
- Cornell University (US)
- New York State Psychiatric Institute (US)
- Venue
- Family Process
- Publisher
- Wiley
- Published
- 2005-05-10
- Volume
- 44
- Issue
- 2
- Pages
- 217-225
- ISSN
- 0014-7370 (ISSN-L)
- 1545-5300
- OpenAlex
- W2167190782
- Cited by
- 190
- References
- 12
- Citations by year
- 2026: 8 · 2025: 8 · 2024: 24 · 2023: 17 · 2022: 11 · 2021: 18 · 2020: 14 · 2019: 17 · 2018: 10 · 2017: 7 · 2016: 9 · 2015: 2 · 2014: 8 · 2013: 5 · 2012: 4
- FWCI
- 6.53
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Family Process (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (7k08mh001602-06)
- National Institute of Mental Health (K08 MH001602-05)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Family Caregiving in Mental Illness
- Social Sciences › Psychology › Clinical Psychology › Counseling, Therapy, and Family Dynamics
- Keywords
- borderline personality disorder, relatives of patients, family education programs, family ties, dialectical behavior therapy, coping strategies, family skills, grief, caregiver burden, mastery, family support networks, manualized intervention
- MeSH terms
- Adaptation, Psychological, Borderline Personality Disorder, Family, Family Therapy, Female, Health Education, Humans, Male, Middle Aged, Prospective Studies, Surveys and Questionnaires, United States, Program Evaluation, Program Development, Cost of Illness
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