Abstract
| Original language | English |
|---|---|
| Pages (from-to) | 568-582 |
| Journal | Journal of Personality Disorders |
| Volume | 26 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - 2012 |
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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 journal › Article › Scientific › peer-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 -