Treatment Outcome of 18-Month, Day Hospital Mentalization-Based Treatment (MBT) in Patients with Severe Borderline Personality Disorder in the Netherlands
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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.
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ERGT had not been evaluated outside a research setting prior to this study.
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- Authors
- Bales, D., van Beek, N., Smits, M., Willemsen, S., Busschbach, J. J. V., Verheul, R., & Andrea, H.
- Affiliations
- De Viersprong (NL)
- Erasmus MC (NL)
- Venue
- Journal of Personality Disorders
- Publisher
- Guilford Publications
- Published
- 2012-08
- Volume
- 26
- Issue
- 4
- Pages
- 568-582
- ISSN
- 0885-579X (ISSN-L)
- OpenAlex
- W2143832621
- Cited by
- 199
- References
- 47
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 8 · 2023: 11 · 2022: 7 · 2021: 41 · 2020: 9 · 2019: 37 · 2018: 13 · 2017: 18 · 2016: 8 · 2015: 15 · 2014: 13 · 2013: 7 · 2012: 1
- FWCI
- 13.05
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- other-oa
- Locations
- Journal of Personality Disorders (publishedVersion)
- Research portal (Tilburg University) (publishedVersion)
- Tilburg University Research Portal (publishedVersion)
- PubMed (publishedVersion)
- UvA-DARE (University of Amsterdam) (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
- RePub (Erasmus University Rotterdam) (submittedVersion, other-oa)
- UvA-DARE (University of Amsterdam) (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
- mentalization-based treatment, borderline personality disorder, treatment outcomes, psychiatric comorbidity, manualized psychotherapy, suicide attempts, self-harm, social functioning
- MeSH terms
- Adult, Ambulatory Care, Borderline Personality Disorder, Female, Follow-Up Studies, Humans, Interpersonal Relations, Male, Mental Health, Middle Aged, Netherlands, Psychotherapy, Severity of Illness Index, Cohort Studies, Cognitive Behavioral Therapy, Treatment Outcome, Young Adult
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