Treatment outcome of 18-month, day hospital mentalization-based treatment (MBT) in patients with severe borderline personality in the Netherlands

D. Bales, N. van Beek, M. Smits, S. Willemsen, J.J.V. Busschbach, R. Verheul, H. Andrea

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Psychoanalytically oriented day hospital therapy, later manualized and named mentalization-based treatment (MBT), has proven to be a (cost-) effective treatment for patients with severe borderline personality disorder and a high degree of psychiatric comorbidity (BPD) in the United Kingdom (UK). As to yet it has not been shown whether manualized day hospital MBT would yield similar results when conducted by an independent institute outside the UK. We investigated the applicability and treatment outcome of 18-month, manualized day hospital MBT in the Netherlands by means of a prospective cohort study with 45 Dutch patients with severe BPD and a high degree of comorbid Axis I and Axis II disorders. Outcomes were assessed each six months. Symptom distress, social and interpersonal functioning, and personality pathology and functioning all improved significantly, with effect sizes between 0.7 and 1.7. Suicide attempts, acts of self-harm, and care consumption were also significantly reduced. The results indicate that MBT can effectively be implemented in an independent treatment institute outside the UK. This study also supports the clinical effectiveness of manualized day hospital MBT in patients with severe BPD and a high degree of psychiatric comorbidity.
Original languageEnglish
Pages (from-to)568-582
JournalJournal of Personality Disorders
Volume26
Issue number4
DOIs
Publication statusPublished - 2012

Fingerprint

Netherlands
Comorbidity
Pathology
United Kingdom

Cite this

Bales, D. ; van Beek, N. ; Smits, M. ; Willemsen, S. ; Busschbach, J.J.V. ; Verheul, R. ; Andrea, H. / Treatment outcome of 18-month, day hospital mentalization-based treatment (MBT) in patients with severe borderline personality in the Netherlands. In: Journal of Personality Disorders. 2012 ; Vol. 26, No. 4. pp. 568-582.
@article{ecacffcec46747f5b69228d41629111c,
title = "Treatment outcome of 18-month, day hospital mentalization-based treatment (MBT) in patients with severe borderline personality in the Netherlands",
abstract = "Psychoanalytically oriented day hospital therapy, later manualized and named mentalization-based treatment (MBT), has proven to be a (cost-) effective treatment for patients with severe borderline personality disorder and a high degree of psychiatric comorbidity (BPD) in the United Kingdom (UK). As to yet it has not been shown whether manualized day hospital MBT would yield similar results when conducted by an independent institute outside the UK. We investigated the applicability and treatment outcome of 18-month, manualized day hospital MBT in the Netherlands by means of a prospective cohort study with 45 Dutch patients with severe BPD and a high degree of comorbid Axis I and Axis II disorders. Outcomes were assessed each six months. Symptom distress, social and interpersonal functioning, and personality pathology and functioning all improved significantly, with effect sizes between 0.7 and 1.7. Suicide attempts, acts of self-harm, and care consumption were also significantly reduced. The results indicate that MBT can effectively be implemented in an independent treatment institute outside the UK. This study also supports the clinical effectiveness of manualized day hospital MBT in patients with severe BPD and a high degree of psychiatric comorbidity.",
author = "D. Bales and {van Beek}, N. and M. Smits and S. Willemsen and J.J.V. Busschbach and R. Verheul and H. Andrea",
year = "2012",
doi = "10.1521/pedi.2012.26.4.568",
language = "English",
volume = "26",
pages = "568--582",
journal = "Journal of Personality Disorders",
issn = "0885-579X",
publisher = "GUILFORD PUBLICATIONS INC",
number = "4",

}

Treatment outcome of 18-month, day hospital mentalization-based treatment (MBT) in patients with severe borderline personality in the Netherlands. / Bales, D.; van Beek, N.; Smits, M.; Willemsen, S.; Busschbach, J.J.V.; Verheul, R.; Andrea, H.

In: Journal of Personality Disorders, Vol. 26, No. 4, 2012, p. 568-582.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Treatment outcome of 18-month, day hospital mentalization-based treatment (MBT) in patients with severe borderline personality in the Netherlands

AU - Bales, D.

AU - van Beek, N.

AU - Smits, M.

AU - Willemsen, S.

AU - Busschbach, J.J.V.

AU - Verheul, R.

AU - Andrea, H.

PY - 2012

Y1 - 2012

N2 - Psychoanalytically oriented day hospital therapy, later manualized and named mentalization-based treatment (MBT), has proven to be a (cost-) effective treatment for patients with severe borderline personality disorder and a high degree of psychiatric comorbidity (BPD) in the United Kingdom (UK). As to yet it has not been shown whether manualized day hospital MBT would yield similar results when conducted by an independent institute outside the UK. We investigated the applicability and treatment outcome of 18-month, manualized day hospital MBT in the Netherlands by means of a prospective cohort study with 45 Dutch patients with severe BPD and a high degree of comorbid Axis I and Axis II disorders. Outcomes were assessed each six months. Symptom distress, social and interpersonal functioning, and personality pathology and functioning all improved significantly, with effect sizes between 0.7 and 1.7. Suicide attempts, acts of self-harm, and care consumption were also significantly reduced. The results indicate that MBT can effectively be implemented in an independent treatment institute outside the UK. This study also supports the clinical effectiveness of manualized day hospital MBT in patients with severe BPD and a high degree of psychiatric comorbidity.

AB - Psychoanalytically oriented day hospital therapy, later manualized and named mentalization-based treatment (MBT), has proven to be a (cost-) effective treatment for patients with severe borderline personality disorder and a high degree of psychiatric comorbidity (BPD) in the United Kingdom (UK). As to yet it has not been shown whether manualized day hospital MBT would yield similar results when conducted by an independent institute outside the UK. We investigated the applicability and treatment outcome of 18-month, manualized day hospital MBT in the Netherlands by means of a prospective cohort study with 45 Dutch patients with severe BPD and a high degree of comorbid Axis I and Axis II disorders. Outcomes were assessed each six months. Symptom distress, social and interpersonal functioning, and personality pathology and functioning all improved significantly, with effect sizes between 0.7 and 1.7. Suicide attempts, acts of self-harm, and care consumption were also significantly reduced. The results indicate that MBT can effectively be implemented in an independent treatment institute outside the UK. This study also supports the clinical effectiveness of manualized day hospital MBT in patients with severe BPD and a high degree of psychiatric comorbidity.

U2 - 10.1521/pedi.2012.26.4.568

DO - 10.1521/pedi.2012.26.4.568

M3 - Article

VL - 26

SP - 568

EP - 582

JO - Journal of Personality Disorders

JF - Journal of Personality Disorders

SN - 0885-579X

IS - 4

ER -