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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“MBT was developed, manualised and demonstrated to be an evidence-based multimodal treatment model, designed originally for individuals with borderline personality disorder (BPD) by Anthony Bateman and Peter Fonagy (Bateman & Fonagy, 1999, 2009, 2016, 2019; Bateman & Fonagy, 2008; Laurenssen et al., 2018).”
BackgroundRoeder, E. (2018) · Steuerliche Organschaft · doi:10.9785/9783504385217-004 · Cited by 1
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BackgroundPersonality Disorders and Suicidality
Paris, J. (2016) · Wiley eBooks · doi:10.1002/9781118903223.ch7 · Cited by 1
Kim, H.-G., Cheon, E., & Koo, B. (2016) · Psychoanalysis · doi:10.18529/psychoanal.2016.27.3.81 · Cited by 1
Valbak, K. (2015) · Group Analysis · doi:10.1177/0533316415613465 · Cited by 1
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BackgroundOntdekken ‘how the mind works’
Smits, M., Luyten, P., & Bales, D. (2015) · Tijdschrift voor Psychotherapie · doi:10.1007/s12485-015-0038-3 · Cited by 1
Green, J. (2015) · Wiley eBooks · doi:10.1002/9781118381953.ch40 · Cited by 1
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“Bateman and Fonagy (1999) developed MBT for BPD based on the idea that targeting improvements in RF will help emotionally dysregulated patients achieve greater emotional stability and form more stable relationships.”
BackgroundAgyapong, V. I. O., Buckmaster, R., Keever, P. M., O'Raghallaigh, J. W., Houlihan, P., & MacHale, S. (2013) · Journal of Advances in Medicine and Medical Research · doi:10.9734/bjmmr/2013/5242 · Cited by 1
“Only a few non-pharmacological interventions have been reported to be effective in reducing repetition in selected subsets of populations with self-harm including; partial hospitalization, dialectical behaviour therapy, psychodynamic interpersonal therapy an and the OPAC programme (outreach, problem solving, adherence…”
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“…sobre investigación empírica en psicoterapia dentro de esta área ha cre- cido significativamente en la última década, pero con múltiples problemas metodológicos que reducen la validez de sus conclusiones (Bateman & Fonagy, 1999; Bateman & Tyrer, 2003; Gabbard, 2000, 2001; Livesley, 2000).”
BackgroundTherapie-Manual: Forschungsmethode und/oder Praxisrealität?
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“Evidence has been found for psychodynamically and psychoanalytically oriented psychotherapies [Bateman and Fonagy, 1999, 2001], cognitive beha- viour therapy [DeRubeis et al., 1999; Gloaguen et al., 1998], and dialectic behaviour therapy [Linehan et al., 1991].”
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“Recentemente, alcuni autori (Linehan, 1993; Linehan et al, 1991; 1994; Bateman & Fonagy, 1999; 2001; 2003) hanno studiato l'efficacia della psicoterapia comportamental-dialettica, della psicoterapia analitica e di un programma combinato d'ispirazione psicoanalitica in pazienti borderline.”
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“Instead of trying to solve the issue of the effectiveness of psychoanalytic therapy in general, it might be more productive to consider the controlled treatment of special groups such as borderline patients, as the London Partial Hospital Study (Bateman and Fonagy 1999) neatly demonstrated.”
BackgroundVázquez-Bourgón, J., Ruiz, E. G., Zatón, F. H., Salvador‐Carulla, L., Ayesa‐Arriola, R., Tordesillas‐Gutiérrez, D., & Crespo‐Facorro, B. (2021) · Revista de Psiquiatría y Salud Mental (English Edition) · doi:10.1016/j.rpsmen.2019.04.002 · Cited by 5
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Effect of socio-cultural factors in therapeutic intervention
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“[6] Interventions for BPD were based on five major treatments, namely dialectic behaviour therapy (DBT), mentalisation-based treatment (MBT),[7] schema-focused therapy (SFT),[8] transference-focused psychotherapy (TFP),[9] and systems training for emotional predictability and problem-solving (STEPPS).”
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Self-citationBliss, S., & McCardle, M. (2013) · Clinical social work journal · doi:10.1007/s10615-013-0456-z
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Debbané, M., Nurock, M., Abed‐Maillard, S., Ravey, F., Moser, M., Decoro, V., Drexl, K., Conchon, C., Empson, L. A., Alameda, L., et al. (2026) · BMJ Open · doi:10.1136/bmjopen-2026-119021
“30–32 RCTs in borderline personality disorder further support MBT’s efficacy in enhancing interpersonal functioning and emotion regulation, 33–35 as reflected in improved functional outcomes, notably higher engagement in purposeful activity and decreased use of professional support and social care…”
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“effective than outpatient treatment [9] because patient may be lost for follow ups in outpatient clinics as seen after the first visit in our case.”
BackgroundBlack, D. W., Paris, J., & Schulz, C. S. (2017) · Wiley eBooks · doi:10.1002/9781119152606.ch7 · Cited by 2
Sevecke, K., & Bock, A. (2017) · PiD - Psychotherapie im Dialog · doi:10.1055/s-0043-103882
Ligier, F. (2016) · theses.fr (ABES) · doi:10.70675/d12688eazf30cz4c29zbb38zf9a16dc6f99f
“Trente-quatre pourcent des sujets ont été hospitalisés durant l’étude, avec une moyenne de 3,3 (2,1) hospitalisations et 48% ont consulté en ambulatoire.”
BackgroundInfluentialThe Value of Repeated Clinical Observation Over Time.
Silk, K. (2016) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2016.16040484
Wagner, T. (2016) · edoc Publication server (Humboldt University of Berlin) · doi:10.18452/17509
MBT voor patiënten met borderline: Zelfreflectie en inlevingsvermogen stap voor stap bevorderen
Bleumer, P., & Meijer, R. (2016) · Psychopraktijk · doi:10.1007/s13170-016-0026-5
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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