Evidence map›Paper›PMID 31170947›Full record

Trial reportBMC psychiatry2019

Efficacy of Mentalization-based group therapy for adolescents: the results of a pilot randomised controlled trial.

Helen Griffiths, Fiona Duffy, Louise Duffy, Sarah Brown, Harriet Hockaday, Emma Eliasson, Jessica Graham, Julie Smith, Alice Thomson, Matthias Schwannauer

Erratum issued Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT02771691 (Efficacy of Mentalization-Based Group Therapy for Adolescents), which is not on this map. Cited by 29 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02771691 nacompletednot on this map

Efficacy of Mentalization-Based Group Therapy for Adolescents: A Pilot Randomised Controlled Trial

TypeinterventionalSponsorUniversity of EdinburghRan2016 to 2017Enrolled53ConditionsDeliberate Self-HarmArmsMentalization-Based Group Therapy for Adolescents
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 7 syntheses or guidelines pooled it.

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  3. Reducing self-harm in adolescents: the RISA-IPD comprehensive synopsis.Health technology assessment (Winchester, England) · 2026
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  6. Interventions for self-harm in children and adolescents.The Cochrane database of systematic reviews · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Helen GriffithsSchool of Health in Social Science, The University of Edinburgh, Old Medical School, Teviot Place, Edinburgh, EH8 9AG, UK. Helen.Griffiths@ed.ac.uk.
Fiona DuffySchool of Health in Social Science, The University of Edinburgh, Old Medical School, Teviot Place, Edinburgh, EH8 9AG, UK.
Louise DuffyNHS Lothian Child and Adolescent Mental Health Services, Royal Edinburgh Hospital, Tipperlinn Road, Edinburgh, EH10 5HF, UK.
Sarah BrownSchool of Health in Social Science, The University of Edinburgh, Old Medical School, Teviot Place, Edinburgh, EH8 9AG, UK.
Harriet HockadaySchool of Health in Social Science, The University of Edinburgh, Old Medical School, Teviot Place, Edinburgh, EH8 9AG, UK.
Emma EliassonSchool of Health in Social Science, The University of Edinburgh, Old Medical School, Teviot Place, Edinburgh, EH8 9AG, UK.
Jessica GrahamNHS Lothian Child and Adolescent Mental Health Services, Royal Edinburgh Hospital, Tipperlinn Road, Edinburgh, EH10 5HF, UK.
Julie SmithSchool of Health in Social Science, The University of Edinburgh, Old Medical School, Teviot Place, Edinburgh, EH8 9AG, UK.
Alice ThomsonSchool of Health in Social Science, The University of Edinburgh, Old Medical School, Teviot Place, Edinburgh, EH8 9AG, UK.
Matthias SchwannauerSchool of Health in Social Science, The University of Edinburgh, Old Medical School, Teviot Place, Edinburgh, EH8 9AG, UK.ORCID 0000-0002-4683-2596

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMentalization Based Therapy (MBT) has yielded promising outcomes for reducing self-harm, although to date only one study has reported MBT's effectiveness for adolescents (Rossouw and Fonagy, J Am Acad Child Adolesc Psychiatry 51:1304-1313, 2012) wherein the treatment protocol consisted of an intensive programme of individual and family therapy. We sought to investigate an adaptation of the adult MBT introductory manual in a group format for adolescents.

methodsThe present study is a randomised controlled single blind feasibility trial that aims to (1) adapt the original explicit MBT introductory group manual for an adolescent population (MBT-Ai) and to (2) assess the feasibility of a trial of MBT-Ai through examination of consent rates, attendance, attrition and self-harm. Repeated measures ANOVAs were conducted to examine change over time in independent and dependent variables between groups, and multi level models (MLM) were conducted to examine key predictors in relation to change over time with self-report self-harm and emergency department presentation for harm as the primary outcome variables.

resultsFifty-three young people consented to participate and were randomised to MBT-Ai + TAU or TAU alone. Five participants withdrew from the trial. Trial procedures seemed appropriate and safe, with acceptable group attendance. Self-reported self-harm and emergency department presentation for self-harm significantly decreased over time in both groups, though there were no between group differences. Social anxiety, emotion regulation, and borderline traits also significantly decreased over time in both groups. Mentalization emerged as a significant predictor of change over time in self reported self harm and hospital presentation for self-harm.

conclusionsIt was feasible to carry out an RCT of MBT-Ai for adolescents already attending NHS CAMHS who have recently self-harmed. Our data gave signals that suggested a relatively brief group-based MBT-Ai intervention may be a promising intervention with potential for service implementation. Future research should consider the appropriate format, dosage and intensity of MBT for the adolescent population.

trial registrationNCT02771691 ; Trial Registration Date: 25/04/2016.

Indexed as

AdolescentAdolescent BehaviorChildFamily TherapyFemaleHumansMaleMentalizationPilot ProjectsPsychotherapy, GroupSelf-Injurious BehaviorSingle-Blind MethodTreatment OutcomeAdolescentGroupMBTMentalizationSelf-harm

Identifiers

PMID31170947
PMCPMC6554935

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Registered trials

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.