Outcome of mentalization-based and supportive psychotherapy in patients with borderline personality disorder: a randomized trial.
Summary of "Outcome of mentalization-based and supportive psychotherapy in patients with borderline personality disorder: a randomized trial."
Jørgensen CR, Freund C, Bøye R, Jordet H, Andersen D, Kjølbye M. Outcome of mentalization-based and supportive psychotherapy in patients with borderline personality disorder: a randomized trial. Objective: This study presents data from a randomized outcome study comparing mentalization-based and supportive psychotherapy for patients with borderline personality disorder (BPD). Method: Eighty-five SCID-II diagnosed borderline patients were randomized to either i) 2 years of intensive (twice weekly) combined (individual and group), mentalization-based psychotherapy (MBT) or ii) 2 years of less-intensive (biweekly) supportive group therapy. Treatment outcome was assessed using a battery of self-report questionnaires, SCID-II interviews and therapist-rated global assessment of functioning (GAF). Results: Fifty-eight patients completed 2 years of treatment. Significant changes in both treatment groups were identified for several outcome measures, including self-reported measures of general functioning, depression, social functioning and number of diagnostic criteria met for BPD, as outlined by the SCID-II interview. General linear modelling was used to compare treatment outcome in the two groups. Only GAF showed a significantly higher outcome in the MBT group. A trend was found for a higher rate of recovery from BPD in the MBT group. Pre-post effect sizes were high (0.5-2.1) and for the most part highly significant in both groups. Conclusion: The study indicates that both MBT and supportive treatment are highly effective in treating BPD when conducted by a well-trained and experienced psychodynamic staff in a well-organized clinic.
Affiliation
Department of Psychology, University of Aarhus, Aarhus C Clinic for Personality Disorders, Aarhus University Hospital, Risskov, Denmark.
Journal Details
This article was published in the following journal.
Name: Acta psychiatrica Scandinavica
ISSN: 1600-0447
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/22897123
- DOI: http://dx.doi.org/10.1111/j.1600-0447.2012.01923.x
Medical and Biotech [MESH] Definitions
Bibliotherapy
A form of supportive psychotherapy in which the patient is given carefully selected material to read.
Early Diagnosis
Methods to determine in patients the nature of a disease or disorder at its early stage of progression. Generally, early diagnosis improves PROGNOSIS and TREATMENT OUTCOME.
Leprosy, Paucibacillary
A form of LEPROSY classified by the World Health Organization for the purpose of treatment, based on clinical manifestations and skin smear results. Patients with paucibacillary leprosy have fewer than six skin lesions with no causative agent MYCOBACTERIUM LEPRAE on any slit-skin smear testing. Paucibacillary leprosy encompasses indeterminate, borderline tuberculoid, and tuberculoid leprosy.
Leprosy, Multibacillary
A form of LEPROSY classified by the World Health Organization for the purpose of treatment, based on clinical manifestations and skin smear results. Patients with multibacillary leprosy have six or more lesions with or without positive skin smear results for the causative agent MYCOBACTERIUM LEPRAE. Multibacillary leprosy encompasses borderline lepromatous, midborderline, and lepromatous leprosy.
Psychotherapy, Multiple
The use of more than one therapist at one time in individual or group psychotherapy.
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