The DOI matches its Crossref record; 4 of the 4 references it cites were found in a registry or an index.
Effectiveness of Partial Hospitalization in the Treatment of Borderline Personality Disorder: A Randomized Controlled Trial
Abstract
OBJECTIVE: This study compared the effectiveness of psychoanalytically oriented partial hospitalization with standard psychiatric care for patients with borderline personality disorder. METHOD: Thirty-eight patients with borderline personality disorder, diagnosed according to standardized criteria, were allocated either to a partially hospitalized group or to a standard psychiatric care (control) group in a randomized controlled design. Treatment, which included individual and group psychoanalytic psychotherapy, was for a maximum of 18 months. Outcome measures included the frequency of suicide attempts and acts of self-harm, the number and duration of inpatient admissions, the use of psychotropic medication, and self-report measures of depression, anxiety, general symptom distress, interpersonal function, and social adjustment. Data analysis used repeated measures analysis of covariance and nonparametric tests of trend. RESULTS: Patients who were partially hospitalized showed a statistically significant decrease on all measures in contrast to the control group, which showed limited change or deterioration over the same period. An improvement in depressive symptoms, a decrease in suicidal and self-mutilatory acts, reduced inpatient days, and better social and interpersonal function began at 6 months and continued until the end of treatment at 18 months. CONCLUSIONS: Psychoanalytically oriented partial hospitalization is superior to standard psychiatric care for patients with borderline personality disorder. Replication is needed with larger groups, but these results suggest that partial hospitalization may offer an alternative to inpatient treatment.
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“Bateman 1999 report data indicating a very large, statistically significant difference in favour of MBT-PH (SMD -1.98; N = 38, 95% CI -2.78 to -1.19; Analysis 1.14).”
From Psychological therapies for people with borderline personality disorder. (2012) · cites this paper as Bateman 1999
In the citing paper
“Two trials did not mention blinding of outcome assessors (Bateman 1999;Zanarini 2008), and the risk of bias was judged 'unclear'.”
From Psychological therapies for people with borderline personality disorder. (2012) · cites this paper as Bateman 1999
In the citing paper
“It has been compared with control groups in two trials, one testing MBT in a partial hospitalisation (MBT-PH; Bateman 1999) and one testing MBT in an outpatient setting (MBT-out; Bateman 2009).”
From Psychological therapies for people with borderline personality disorder. (2012) · cites this paper as Bateman 1999
In the citing paper
“Bateman 1999 report data indicating a very large, significant effect of less interpersonal pathology in partially-hospitalised MBT patients (SMD -2.22; N = 38, 95% CI -3.04 to -1.39; Analysis 1.10).”
From Psychological therapies for people with borderline personality disorder. (2012) · cites this paper as Bateman 1999
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Fonagy, P., & Allison, E. (2015) · Wiley eBooks · doi:10.1002/9781118625392.wbecp311 · Cited by 14
Self-citationPsychotherapie der Persönlichkeitsstörungen im Jugendalter
Baader, A., Schmeck, K., Resch, F., & Kaess, M. (2014) · Praxis der Kinderpsychologie und Kinderpsychiatrie · doi:10.13109/prkk.2014.63.10.770 · Cited by 2
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Kein Vorteil durch intensivere Behandlung
Stoffers, J. (2013) · InFo Neurologie & Psychiatrie · doi:10.1007/s15005-013-0334-9
Borderline Personality Disorder in Adolescence
Williams, L. L., & Sharp, C. (2013) · Journal of Psychiatric Practice · doi:10.1097/01.pra.0000428563.86705.84 · Cited by 13
Psychoedukation bei Borderline-Persönlichkeitsstörungen für Betroffene und Angehörige
Rentrop, M., Reicherzer, M., Schwerthöffer, D., Bäuml, J., & Hörz, S. (2012) · Psychotherapeut (Berlin) · doi:10.1007/s00278-012-0926-8
Empathic Accuracy and Borderline Personality Disorder
Ripoll, L. H. (2012) · Neuropsychoanalysis · doi:10.1080/15294145.2012.10773704
“Nevertheless, given the significant impact of psychodynamic psychotherapy in the treatment of BPD (Bateman & Fonagy, 1999, 2001, 2009; Clarkin et al., 2001; Levy, Clarkin, et al., 2006; Levy, Meehan, et al., 2006), perhaps a psychotherapeutic approach might effectively correct dysfunctional…”
Background(2011) · Odile Jacob eBooks · doi:10.3917/oj.cottr.2011.01.0323
de Bruin, R. (2011) · Kind & Adolescent Praktijk · doi:10.1007/s12454-011-0002-5
Physical and Medical Dimensions of Borderline Personality Disorder and the Effect of Treatment
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Effectiveness of psychotherapy
Fonagy, P. (2009) · doi:10.1201/b13480-74
Self-citationPsychotherapeutische behandelmethoden voor borderlinepersoonlijkheidsstoornis
Verheul, R., de Groot, E. D., & Trijsburg, R. W. (2009) · Tijdschrift voor Psychotherapie · doi:10.1007/bf03080513
“Het onderzoek liet tevens significante verbetering zien in zelfrapportagemetingen van depressie, angst, algehele lijdensdruk, interpersoonlijk functioneren en sociale aanpassing (Bateman & Fonagy, 1999).”
BackgroundRecent advances in psychosocial treatments for borderline personality disorder
Federici, A., & McMain, S. (2009) · F1000 Medicine Reports · doi:10.3410/m1-51
“Mentalization-based day treatment (MBT) has also been studied and empirically supported in randomized controlled trials [34,35], and a recent follow-up study [36] demonstrated superior maintenance of treatment gains among those who received MBT.”
Challenges of patient‐led mental health services to psychoanalytic clinicians
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“…trends in the economics of mental health care and emphasis on the randomized controlled trial as the research standard, studies indicate that it does have a place in the treatment of psychiatric conditions (Bateman and Fonagy, 1999, 2001; Gabbard, 2001a, 2001b; Svartberg, Stiles, & Seltzer, 2004).”
Case report of treatment of severe mood disorder in an inpatient setting: when less is more.
Obst-Buckner, P., Brown, J., Vaishnavi, S., Schoenberg, H., Fancher, L., & Rao, V. (2008) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2008.04.002
“Psychoanalytically oriented partial hospitalization has found to be more effective than standard psychiatric care in patients with borderline personality disorder [10].”
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Clemens, N. (2008) · Journal of Psychiatric Practice · doi:10.1097/01.pra.0000320117.23187.89
Kennedy, F., & Thomas, S. (2008) · Cognitive Behaviour Therapy · doi:10.1017/s1754470x08000068
“Psychoanalytically oriented partial hospitalization (Bateman & Fonagy, 1999) and transferencefocused therapy (Giesen-Bloo et al. 2006) have also been shown to improve symptoms of personality disorder.”
BackgroundAn Evidence-Based Approach to Managing Suicidal Behavior in Patients with BPD
Paris, J. (2008) · Borderline Personality Disorder: Meeting the Challenges to Successful Treatment · doi:10.1300/j200v06n01_09
“Such interventions can equally be carried out in day hospitals, as has been shown by several groups (Bateman & Fonagy, 1999, Piper et al., 1999; Chiesa et al., 2002).”
Mentalization-based Treatment (MBT)
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Psychotherapy for Personality Disorders
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Steps 5 and 6 of EBP: Finalizing the Treatment Plan and Practice Evaluation
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Jennifer: A Young Homeless Woman Who Has Borderline Personality Disorder
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Metadata
- Authors
- Bateman, A., & Fonagy, P.
- Affiliations
- St Ann's Hospital (GB)
- Venue
- American Journal of Psychiatry
- Published
- 1999-10-01
- Volume
- 156
- Issue
- 10
- Pages
- 1563-1569
- ISSN
- 0002-953X (ISSN-L)
- 1535-7228
- OpenAlex
- W2119720111
- Cited by
- 1,416
- References
- 0
- Citations by year
- 2026: 17 · 2025: 17 · 2024: 36 · 2023: 24 · 2022: 42 · 2021: 75 · 2020: 43 · 2019: 84 · 2018: 60 · 2017: 58 · 2016: 57 · 2015: 61 · 2014: 67 · 2013: 67 · 2012: 74
- FWCI
- 38.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- borderline personality disorder, partial hospitalization, psychoanalytic psychotherapy, group therapy, suicide attempts, self-harm, hospitalization, psychotropic drug use, depressive symptoms, social adaptation, interpersonal functioning
- MeSH terms
- Adult, Anxiety Disorders, Borderline Personality Disorder, Day Care, Medical, Depressive Disorder, Female, Health Status, Hospitalization, Humans, Interpersonal Relations, Length of Stay, London, Male, Personality Inventory, Psychiatric Status Rating Scales, Psychoanalytic Therapy, Psychotherapy, Group, Psychotropic Drugs, Self Mutilation, Social Adjustment, Suicide, Attempted, Treatment Outcome
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