Back to Search
Start Over
Day hospital versus intensive outpatient mentalization-based treatment: 3-year follow-up of patients treated for borderline personality disorder in a multicentre randomized clinical trial
- Source :
- Smits, M L, Feenstra, D J, Bales, D L, Blankers, M, Dekker, J J M, Lucas, Z, Kamphuis, J H, Busschbach, J J V, Verheul, R & Luyten, P 2022, ' Day hospital versus intensive outpatient mentalization-based treatment : 3-year follow-up of patients treated for borderline personality disorder in a multicentre randomized clinical trial ', Psychological Medicine, vol. 52, no. 3, pp. 485-495 . https://doi.org/10.1017/S0033291720002123, Psychological Medicine, 52(3), 485-495. Cambridge University Press
- Publication Year :
- 2020
-
Abstract
- BackgroundTwo types of mentalization-based treatment (MBT), day hospital MBT (MBT-DH) and intensive outpatient MBT (MBT-IOP), have been shown to be effective in treating patients with borderline personality disorder (BPD). This study evaluated trajectories of change in a multi-site trial of MBT-DH and MBT-IOP at 36 months after the start of treatment.MethodsAll 114 patients (MBT-DH n = 70, MBT-IOP n = 44) from the original multicentre trial were assessed at 24, 30 and 36 months after the start of treatment. The primary outcome was symptom severity measured with the Brief Symptom Inventory. Secondary outcome measures included borderline symptomatology, personality and interpersonal functioning, quality of life and self-harm. Data were analysed using multilevel modelling and the intention-to-treat principle.ResultsPatients in both MBT-DH and MBT-IOP maintained the substantial improvements made during the intensive treatment phase and showed further gains during follow-up. Across both conditions, 83% of patients improved in terms of symptom severity, and 97% improved on borderline symptomatology. No significant differences were found between MBT-DH and MBT-IOP at 36 months after the start of treatment. However, trajectories of change were different. Whereas patients in MBT-DH showed greater improvement during the intensive treatment phase, patients in MBT-IOP showed greater continuing improvement during follow-up.ConclusionsPatients in both conditions showed similar large improvements over the course of 36 months, despite large differences in treatment intensity. MBT-DH and MBT-IOP were associated with different trajectories of change. Cost-effectiveness considerations and predictors of differential treatment outcome may further inform optimal treatment selection.
- Subjects :
- 050103 clinical psychology
Pediatrics
medicine.medical_specialty
animal structures
media_common.quotation_subject
long-term follow-up
law.invention
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
Quality of life
SDG 3 - Good Health and Well-being
Mentalization
law
Borderline Personality Disorder
Treatment intensity
Outpatients
medicine
Personality
Mentalization-based treatment
Humans
0501 psychology and cognitive sciences
Borderline personality disorder
Applied Psychology
media_common
business.industry
05 social sciences
treatment intensity
medicine.disease
randomized clinical trial
mentalization-based treatment
Hospitals
030227 psychiatry
Psychiatry and Mental health
Treatment Outcome
embryonic structures
Quality of Life
Day hospital
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 14698978 and 00332917
- Volume :
- 52
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Psychological medicine
- Accession number :
- edsair.doi.dedup.....23f5fbcd4ecfd97dcc7d59a7205ebde0