ArticlePsychology and psychotherapy2015
Changing from a traditional psychodynamic treatment programme to mentalization-based treatment for patients with borderline personality disorder--does it make a difference?
Article in Psychology and psychotherapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Is mentalization-based therapy effective in treating the symptoms of borderline personality disorder? A systematic review.Psychology and psychotherapy · 2019Pooled it
- Effectiveness of Psychotherapy on Suicidal Risk: A Systematic Review of Observational Studies.Frontiers in psychology · 2019Pooled it
- Assessing mentalization in practice: Reliability of the mentalization-based treatment research adherence and competence scale.The British journal of clinical psychology · 2026Article
- Improvement of personality functioning in patients with personality disorders: a comparative study of mentalization-based treatment versus non-manualized treatments.Frontiers in psychiatry · 2026Article
- Sustainability of Mentalization-Based Treatment Programs for Poorly Functioning Patients With Borderline Personality Disorder. Can We Really Keep It Up?Personality and mental health · 2025Article
- Borderline personality disorder Athens study: a quasi-experimental pragmatic trial for the assessment of a public, psychodynamic, stepped care service for borderline personality disorder patients.Frontiers in psychiatry · 2025Article
- Recent evidence-based developments in the treatment of DID.Frontiers in psychiatry · 2025Review
- Minding mentalizing - convergent validity of the Mentalization Breakdown Interview.Frontiers in psychiatry · 2024Article
- Flaws in the Design of a Randomized Controlled Trial Comparing Short-Term versus Long-Term Mentalization-Based Therapy for Borderline Personality Disorder.Psychotherapy and psychosomatics · 2024Article
- The cultural change narrative as a core component of therapeutic change.Frontiers in psychiatry · 2023Article
- Combined group and individual therapy for patients with avoidant personality disorder-A pilot study.Frontiers in psychiatry · 2023Article
- Improvement of personality functioning among people treated within personality disorder mental health services. A longitudinal, observational study.Frontiers in psychiatry · 2023Article
- Current state of the evidence on community treatments for people with complex emotional needs: a scoping review.BMC psychiatry · 2022Article
- Pedagogical stance in mentalization-based treatment.Journal of clinical psychology · 2022Article
- A Randomized-Controlled Trial of Mentalization-Based Treatment Compared With Structured Case Management for Borderline Personality Disorder in a Mainstream Public Health Service.Frontiers in psychiatry · 2020Article
- Social Cognition Capacities as Predictors of Outcome in Mentalization-Based Treatment (MBT).Frontiers in psychiatry · 2020Article
- Misleading about MBT in Oslo.BMC psychiatry · 2019Article
- Article
- Mentalization-Based Treatment for Personality Disorders: Efficacy, Effectiveness, and New Developments.Current psychiatry reports · 2019Review
- Mentalization-based treatment or psychodynamic treatment programmes for patients with borderline personality disorder - the impact of clinical severity.Psychology and psychotherapy · 2019Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesFew studies outside United Kingdom have documented effects of mentalization-based treatment (MBT) for patients with borderline personality disorder (BPD). This study aimed to investigate outcomes for BPD patients treated in an MBT programme in a Norwegian specialist treatment unit and compare benefits of the implemented MBT with the unit's former psychodynamic treatment programme.
designA naturalistic, longitudinal, comparison of treatment effects for BPD patients before and after transition to MBT.
methodsThe sample consisted of 345 BPD patients treated in the period 1993-2013. Before 2008, patients were admitted to a psychodynamic treatment programme (n = 281), after 2008 patients received MBT (n = 64). Symptom distress, interpersonal problems, and global functioning were assessed repeatedly throughout the treatment. Suicidal/self-harming acts, hospital admissions, medication, and occupational status were assessed at the start and end of treatment. Therapists' competence and adherence to MBT was rated and found satisfactory. The statistical method for longitudinal analyses was mixed models.
resultsBPD patients in MBT and in the former psychodynamic treatment programme had comparable baseline severity and impairments of functioning. BPD patients in MBT had a remarkably low drop-out rate (2%), significantly lower than the former treatment. Improvements of symptom distress, interpersonal, global and occupational functioning were significantly greater for MBT patients. Large reductions in suicidal/self-harming acts, hospital admissions, and use of medication were evident in the course of both treatments.
conclusionsThe study confirms the effectiveness of MBT for BPD patients and indicates greater clinical benefits than in traditional psychodynamic treatment programmes. PRACTITIONER POINTS: MBT is an effective treatment for patients with BPD. MBT can successfully be implemented in therapeutic settings outside United Kingdom and may be more beneficial than psychodynamic treatment programmes for BPD patients.
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