Day hospital mentalization-based treatment v. specialist treatment as usual in patients with borderline personality disorder: randomized controlled trial

Psychological Medicine
Elisabeth M P LaurenssenJack Dekker

Abstract

Day hospital mentalization-based treatment (MBT-DH) is a promising treatment for borderline personality disorder (BPD) but its evidence base is still limited. This multi-site randomized trial compared the efficacy of MBT-DH delivered by a newly set-up service v. specialist treatment as usual (S-TAU) tailored to the individual needs of patients, and offered by a well-established treatment service. Two mental healthcare institutes in The Netherlands participated in the study. Patients who met DSM-IV criteria for BPD and had a score of ⩾20 on the borderline personality disorder severity index (BPDSI) were randomly allocated to MBT-DH (N = 54) or S-TAU (N = 41). The primary outcome variable was the total score on the BPDSI. Secondary outcome variables included symptom severity, quality of life, and interpersonal functioning. Data were collected at baseline and every 6 months until 18-month follow-up, and were analyzed using multilevel analyses based on intention-to-treat principles. Both treatments were associated with significant improvements in all outcome variables. MBT-DH was not superior to S-TAU on any outcome variable. MBT-DH was associated with higher acceptability in BPD patients compared v. S-TAU, reflected in significant...Continue Reading

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Citations

Aug 10, 2018·Psychology and Psychotherapy·Javier Malda-CastilloGuillermo Perez-Algorta
May 21, 2019·Personality and Mental Health·S FlynnJ Shaw
May 6, 2020·The Cochrane Database of Systematic Reviews·Ole Jakob StorebøErik Simonsen
Oct 15, 2019·Journal of Personality Disorders·Farid ChakhssiMarion Sommers-Spijkerman
Jan 1, 2021·Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists·Glaydcianne Pinheiro BezerraSimone Hauck
Jun 10, 2021·Psychiatric Services : a Journal of the American Psychiatric Association·Kezanne TongAnne M Doherty
May 15, 2019·Journal of Psychiatric Practice·Claudia SavardEvens Villeneuve

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