A randomized controlled trial of a mentalization-based intervention (MBT-FACTS) for families of people with borderline personality disorder

Personality Disorders
Anthony Bateman, Peter Fonagy

Abstract

This article reports a delayed-treatment randomized controlled trial of a mentalization-based intervention for families or significant others living with or supporting a person with borderline personality disorder (BPD). In all, 56 family members/significant others living with/supporting people with a diagnosis of BPD were randomized either to immediate mentalization-based Families and Carers Training and Support, a supportive and skills-based program consisting of five 1.5- to 2-hr evening meetings, delivered by trained family members, or to delayed intervention. The primary outcome was adverse incidents reported by the family member in relation to the person with BPD. Secondary outcomes included self-reported family well-being, empowerment, burden, and levels of anxiety and depression. Family members randomized to immediate intervention showed a significant reduction in reported adverse incidents between themselves and the identified patient in the second phase of treatment compared with those randomized to delayed intervention. Analysis of the rate of change indicated a significantly steeper decline for the immediate-treatment group compared with the delayed-intervention group (β = -1.07, 95% confidence interval [-1.40, -0.7...Continue Reading

Citations

Feb 6, 2020·Annual Review of Clinical Psychology·Patrick LuytenPeter Fonagy
May 6, 2020·The Cochrane Database of Systematic Reviews·Ole Jakob StorebøErik Simonsen
Aug 30, 2019·Borderline Personality Disorder and Emotion Dysregulation·Sophie I LiljedahlSofie Westling
Mar 11, 2019·Current Psychiatry Reports·Jana VolkertSvenja Taubner
Feb 19, 2021·BJPsych Bulletin·Jeremy Holmes
Apr 21, 2021·Nature Human Behaviour·Joep van AgterenMichael Kyrios

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