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Outcome of mentalization-based and supportive psychotherapy in patients with borderline personality disorder: a randomized trial
Article first published online: 17 AUG 2012
DOI: 10.1111/j.1600-0447.2012.01923.x
© 2012 John Wiley & Sons A/S
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How to Cite
Jørgensen, C. R., Freund, C., Bøye, R., Jordet, H., Andersen, D. and Kjølbye, M. (2013), Outcome of mentalization-based and supportive psychotherapy in patients with borderline personality disorder: a randomized trial. Acta Psychiatrica Scandinavica, 127: 305–317. doi: 10.1111/j.1600-0447.2012.01923.x
Publication History
- Issue published online: 10 MAR 2013
- Article first published online: 17 AUG 2012
- Accepted for publication July 6, 2012
- Abstract
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Keywords:
- borderline personality disorder;
- psychotherapy;
- treatment outcome
Objective: This study presents data from a randomized outcome study comparing mentalization-based and supportive psychotherapy for patients with borderline personality disorder (BPD).
Method: Eighty-five SCID-II diagnosed borderline patients were randomized to either i) 2 years of intensive (twice weekly) combined (individual and group), mentalization-based psychotherapy (MBT) or ii) 2 years of less-intensive (biweekly) supportive group therapy. Treatment outcome was assessed using a battery of self-report questionnaires, SCID-II interviews and therapist-rated global assessment of functioning (GAF).
Results: Fifty-eight patients completed 2 years of treatment. Significant changes in both treatment groups were identified for several outcome measures, including self-reported measures of general functioning, depression, social functioning and number of diagnostic criteria met for BPD, as outlined by the SCID-II interview. General linear modelling was used to compare treatment outcome in the two groups. Only GAF showed a significantly higher outcome in the MBT group. A trend was found for a higher rate of recovery from BPD in the MBT group. Pre-post effect sizes were high (0.5–2.1) and for the most part highly significant in both groups.
Conclusion: The study indicates that both MBT and supportive treatment are highly effective in treating BPD when conducted by a well-trained and experienced psychodynamic staff in a well-organized clinic.