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Symptom, alexithymia and self-image outcomes of Mentalisation-based treatment for borderline personality disorder: a naturalistic study
Stockholm County Council, Sweden.
Karolinska Institutet, Sweden;Institute for Eating Disorders, Oslo, Norway.
Stockholm County Council, Sweden;Karolinska Institutet, Sweden.ORCID iD: 0000-0002-6443-5279
Child and Adolescent Psychiatry Clinic, Stockholm, Sweden.
2018 (English)In: BMC Psychiatry, ISSN 1471-244X, E-ISSN 1471-244X, Vol. 18, no 1, p. 1-9, article id 185Article in journal (Refereed) Published
Abstract [en]

Background: Mentalisation-based treatment (MBT) in borderline personality disorder (BPD) has a growing evidence base, but there is a lack of effectiveness and moderator studies. The present study examined the effectiveness of MBT in a naturalistic setting and explored psychiatric and psychological moderators of outcome. 

Method: Borderline and general psychiatric symptoms, suicidality, self-harm, alexithymia and self-image were measured in a group of BPD patients (n = 75) receiving MBT; assessments were made at baseline, and subsequently after 6, 12 and 18 months (when treatment ended). Borderline symptoms were the primary outcome variable. 

Results: Borderline symptoms improved significantly (d = 0.79, p <.001), as did general psychiatric symptoms, suicidality, self-harm, self-rated alexithymiaand self-image. BPD severity or psychological moderators had no effect on outcome. Younger patients improved more on self-harm, although this could be explained by the fact that older patients had considerably lower baseline self-harm. 

Conclusions: MBT seems to be an effective treatment in a naturalistic setting for BPD patients. This study is one of the first studies of MBT showing that outcomes related to mentalisation, self-image and self-rated alexithymia improved. Initial symptom severity did not influence results indicating that MBT treatment is well adapted to patients with severe BPD symptoms. 

Trial registration: The study was retrospectively registered 25 September 2017 in the ClinicalTrials.gov PRS registry, no. NCT03295838.

Place, publisher, year, edition, pages
BioMed Central, 2018. Vol. 18, no 1, p. 1-9, article id 185
National Category
Applied Psychology
Research subject
Social Sciences, Psychology
Identifiers
URN: urn:nbn:se:lnu:diva-82209DOI: 10.1186/s12888-018-1699-6ISI: 000435410100002PubMedID: 29890960OAI: oai:DiVA.org:lnu-82209DiVA, id: diva2:1308123
Available from: 2019-04-30 Created: 2019-04-30 Last updated: 2019-04-30Bibliographically approved

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Kaldo, Viktor

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