Evidence map›Paper›PMID 36434148›Full record

Trial reportEuropean child & adolescent psychiatry2023

Mentalization-based treatment for adolescents with conduct disorder (MBT-CD): a feasibility study.

Sophie Hauschild, Lea Kasper, Jana Volkert, Esther Sobanski, Svenja Taubner

2 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in European child & adolescent psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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.

NCT02988453 nacompletednot on this map

Mentalization-based Training for Adolescents With Conduct Disorder (MBT-CD): A Feasibility and Pilot Study

TypeinterventionalSponsorHeidelberg UniversityRan2016 to 2021Enrolled45ConditionsConduct DisorderArmsMBT-CD
NCT07091721 narecruitingnot on this mapstarted 2025, after this paper: background citation

The Mentalization Intervention for Children and Adolescents (MICA) Study: A Randomised Controlled Trial of Support for Aggressive and Violent Behaviour Via Forensic Child and Adolescent Mental Health Services (FCAMHS)

TypeinterventionalSponsorAnna FreudRan2025 to 2027Enrolled632ConditionsConduct Disorder, Mentalization Based Therapy, Violent Behavior, Aggressive BehaviourArmsMentalization based therapy (MBT), Support as usual
3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Sophie HauschildInstitute for Psychosocial Prevention, University Hospital Heidelberg, Heidelberg, Germany. sophie.hauschild@med.uni-heidelberg.de.ORCID http://orcid.org/0000-0003-0296-6995
Lea KasperInstitute for Psychosocial Prevention, University Hospital Heidelberg, Heidelberg, Germany.ORCID http://orcid.org/0000-0002-0127-8683
Jana VolkertDepartment of Psychology, Medical School Berlin, Berlin, Germany.ORCID http://orcid.org/0000-0003-1555-2599
Esther SobanskiDepartment of Child and Adolescent Psychiatry and Psychotherapy, University Medical Center Johannes Gutenberg University Mainz, Mainz, Germany.ORCID http://orcid.org/0000-0001-7824-3959
Svenja TaubnerInstitute for Psychosocial Prevention, University Hospital Heidelberg, Heidelberg, Germany.ORCID http://orcid.org/0000-0001-8058-762X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Conduct disorder (CD) is a common psychiatric disorder in youth characterized by persisting norm-violating or aggressive behavior. Considering high individual and societal burden, feasible and effective psychotherapeutic treatment is desirable. Yet, treatments and research in this patient group are scarce. This study investigates the feasibility of mentalization-based treatment for adolescents with CD (MBT-CD) in terms of acceptability of MBT-CD and scientific assessments by participants as well as necessary organizational resources to conduct a consecutive randomized controlled trial (RCT). Recruitment, adherence and treatment session numbers were descriptively analyzed. Treatment evaluation interviews were qualitatively analyzed. A subset of sessions of therapists without prior MBT experience was rated for MBT adherence. Quantitative data were used to plan a consecutive RCT. Pre to post treatment changes in diagnosis and self-reported aggression, mentalizing and personality functioning were preliminarily analyzed. N = 45 adolescents with CD were recruited. 43% dropped out. Acceptance of scientific assessments was somewhat lower than therapy adherence (questionnaires filled out by ~ 80% of adolescents in treatment), and low at follow-up (25% of treatment completers). Mean session number was 30.3. Most treatment completers were satisfied with MBT-CD. Referrals mainly came from child and youth services and psychiatry. Nine of 16 sessions rated for MBT adherence were adherent. A priori sample size estimation for a prospective RCT with a drop-out rate of 43% yielded a sample of N = 158 to detect an effect f = .15 with 80% power in a repeated measures ANOVA. Pre-post analyses revealed diagnostic improvement in 68%. Of self-reported data, empathy pathology improved. Findings provide a sound basis for a consecutive feasibility and pilot RCT.

trial registrationClinicaltrials.gov, registration number NCT02988453, November 30, 2016, https://clinicaltrials.gov/ct2/show/NCT02988453.

Indexed as

Borderline Personality DisorderConduct DisorderMentalizationAdolescentChildFeasibility StudiesHumansMentalization-Based TherapyTreatment OutcomeAdolescentsConduct disorderFeasibilityMentalization-based treatment

Identifiers

PMID36434148
PMCPMC9702655

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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.