ArticlePsychology and psychotherapy2019
Mentalization-based treatment or psychodynamic treatment programmes for patients with borderline personality disorder - the impact of clinical severity.
Article in Psychology and psychotherapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 40 citations in OpenAlex.
- Personality Disorders as a Possible Moderator of the Effects of Relational Interventions in Short-Term Psychoanalytic Psychotherapy with Depressed Adolescents.International journal of environmental research and public health · 2022Trial
- Mentalization-based treatment in groups for adolescents with Borderline Personality Disorder: 3- and 12-month follow-up of a randomized controlled trial.European child & adolescent psychiatry · 2021Trial
- 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
- Personality disorders: the impact of severity on societal costs.European archives of psychiatry and clinical neuroscience · 2025Article
- Intake Characteristics as Predictors of Psychotherapy Outcome in a Practice Research Network in Argentina.Administration and policy in mental health · 2024Article
- Improvement of personality functioning among people treated within personality disorder mental health services. A longitudinal, observational study.Frontiers in psychiatry · 2023Article
- Mentalization based treatment of youth on the psychotic spectrum: clinical profiles and outcomes for youth in the ECID.Frontiers in psychiatry · 2023Article
- Antisocial personality disorder in group therapy, kindling pro-sociality and mentalizing.Research in psychotherapy (Milano) · 2022Article
- Pedagogical stance in mentalization-based treatment.Journal of clinical psychology · 2022Article
- Cessation of Deliberate Self-Harm Behavior in Patients With Borderline Personality Traits Treated With Outpatient Dialectical Behavior Therapy.Frontiers in psychology · 2021Article
- Countertransference feelings and personality disorders: a psychometric evaluation of a brief version of the Feeling Word Checklist (FWC-BV).BMC psychiatry · 2020Article
- Social Cognition Capacities as Predictors of Outcome in Mentalization-Based Treatment (MBT).Frontiers in psychiatry · 2020Article
- Mentalization-Based Treatment for Personality Disorders: Efficacy, Effectiveness, and New Developments.Current psychiatry reports · 2019Review
- Case formulations in mentalization-based group therapy.Research in psychotherapy (Milano) · 2018Article
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesMentalization-based treatment (MBT), originally designed for patients with borderline personality disorder (BPD), may be particularly indicated for severe conditions. However, there is limited documentation of how increasing severity of personality disorder (PD) effect outcomes of highly specialized treatments. This study aimed to investigate associations between clinical severity and outcomes for patients in MBT as compared to a psychodynamic group-based treatment programme (PDT).
designA naturalistic, longitudinal, comparison study.
methodsThe sample included 345 patients with BPD (PDTn = 281, MBTn = 64). The number of diagnosed PDs, PD criteria, and symptom disorders were chosen as baseline indicators of clinical severity. Clinical outcomes (global functioning, symptom distress, interpersonal problems) were repeatedly assessed over three years. Therapists' fidelity to MBT was satisfactory. Linear mixed models were the applied statistics.
resultsIn PDT, greater clinical severity was associated with poorer improvement rates. Clinical severity was not associated with significant differences in outcomes for patients in MBT. Differences in outcomes for patients in MBT and PDT increased significantly with higher severity of disorder.
conclusionsSupporting previous research, this study indicates that clinical benefits associated with MBT also apply for BPD patients with severe conditions. The results also suggest that increasing severity was a challenge in PDT. PRACTITIONER POINTS: MBT may be particularly beneficial for severely disordered BPD patients Differences between MBT and PDT were less pronounced in moderately disordered BPD patients.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.