CoChat
Sign Up
Cited by 962Personality Disorders and PsychopathologyPsychotherapy Techniques and ApplicationsPsychoanalysis and Psychopathology Research

The DOI matches its Crossref record; 30 of the 30 references it cites were found in a registry or an index.

Randomized Controlled Trial of Outpatient Mentalization-Based Treatment Versus Structured Clinical Management for Borderline Personality Disorder

Bateman, Anthony, Fonagy, Peter·2009·American Journal of Psychiatry
DOI 10.1176/appi.ajp.2009.09040539
Open this paper in CoChat — free account

Abstract

OBJECTIVE: This randomized controlled trial tested the effectiveness of an 18-month mentalization-based treatment (MBT) approach in an outpatient context against a structured clinical management (SCM) outpatient approach for treatment of borderline personality disorder. METHOD: Patients (N=134) consecutively referred to a specialist personality disorder treatment center and meeting selection criteria were randomly allocated to MBT or SCM. Eleven mental health professionals equal in years of experience and training served as therapists. Independent evaluators blind to treatment allocation conducted assessments every 6 months. The primary outcome was the occurrence of crisis events, a composite of suicidal and severe self-injurious behaviors and hospitalization. Secondary outcomes included social and interpersonal functioning and self-reported symptoms. Outcome measures, assessed at 6-month intervals, were analyzed using mixed effects logistic regressions for binary data, Poisson regression models for count data, and mixed effects linear growth curve models for self-report variables. RESULTS: Substantial improvements were observed in both conditions across all outcome variables. Patients randomly assigned to MBT showed a steeper decline of both self-reported and clinically significant problems, including suicide attempts and hospitalization. CONCLUSIONS: Structured treatments improve outcomes for individuals with borderline personality disorder. A focus on specific psychological processes brings additional benefits to structured clinical support. Mentalization-based treatment is relatively undemanding in terms of training so it may be useful for implementation into general mental health services. Further evaluations by independent research groups are now required.

Overview

Integrity signals

Registry

Crossref · 10.1176/appi.ajp.2009.09040539

Cites

30 of 30 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Verification

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Citations

Cites

Show all 29 references

Research works printed but not linked: 2

  1. American Psychiatric Association, 2001, Am J Psychiatry, 158
  2. 1983, II. Towson, Md

Cited by

Sorted by citations

Items 401–500 of 962

Related

See all

Metadata

Authors
Bateman, A., & Fonagy, P.
Affiliations
  • Barnet Enfield and Haringey Mental Health Trust (GB)
  • St Ann’s Hospital (GB)
ORCID
Venue
American Journal of Psychiatry
Publisher
American Psychiatric Association Publishing
Published
2009-12
Volume
166
Issue
12
Pages
1355-1364
ISSN
  • 0002-953X (ISSN-L)
  • 1535-7228
DOI
10.1176/appi.ajp.2009.09040539
OpenAlex
W2127089902
Cited by
961
References
29
Citations by year
2026: 34 · 2025: 30 · 2024: 41 · 2023: 29 · 2022: 50 · 2021: 78 · 2020: 56 · 2019: 73 · 2018: 71 · 2017: 63 · 2016: 69 · 2015: 59 · 2014: 70 · 2013: 86 · 2012: 71
FWCI
54.23
Type
journal article
Language
en
Open access
closed
Locations
  • American Journal of Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
  • Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
Keywords
borderline personality disorder, mentalization-based treatment, outpatient care, crisis events, suicide attempts, self-harm, hospitalization, therapist training, treatment effectiveness
MeSH terms
Adolescent, Adult, Aged, Ambulatory Care, Mental Disorders, Borderline Personality Disorder, Double-Blind Method, Female, Follow-Up Studies, Hospitalization, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Psychotherapy, Psychotherapy, Group, Suicide, Attempted, Comorbidity, Cognitive Behavioral Therapy, Self-Injurious Behavior, Treatment Outcome

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review