Is mentalization-based therapy effective in treating the symptoms of borderline personality disorder? A systematic review

Katharina Vogt, Paul Norman

Research output: Contribution to journalReview article

4 Citations (Scopus)

Abstract

Objective. This review sought to systematically review evidence on the efficacy of mentalization-based therapy (MBT) for the treatment of borderline personality disorder (BPD), in particular, in decreasing psychiatric symptoms associated with BPD and its comorbid disorders.
Method. Fourteen papers were included in the review which examined the effective- ness of MBT in the context of BPD; these included 11 original studies and three follow-up papers.
Results. Mentalization-based therapy was found to achieve either superior or equal reductions in psychiatric symptoms when compared with other treatments (supportive group therapy, treatment as usual/standard psychiatric care, structured clinical manage- ment, and specialized clinical management).
Discussion. Mentalization-based therapy can achieve significant reductions in BPD symptom severity and the severity of comorbid disorders as well as increase quality of life. However, caution is required, as the need for better quality research such as randomized controlled trials is pressing. Research is also needed on the proposed mediators of MBT.
LanguageEnglish
Number of pages24
JournalPsychology and Psychotherapy: Theory, Research and Practice
DOIs
Publication statusE-pub ahead of print - 11 Aug 2018
Externally publishedYes

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Borderline Personality Disorder
Psychiatry
Therapeutics
Group Psychotherapy
Research
Randomized Controlled Trials
Quality of Life
Systematic Review
Therapy

Cite this

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title = "Is mentalization-based therapy effective in treating the symptoms of borderline personality disorder? A systematic review",
abstract = "Objective. This review sought to systematically review evidence on the efficacy of mentalization-based therapy (MBT) for the treatment of borderline personality disorder (BPD), in particular, in decreasing psychiatric symptoms associated with BPD and its comorbid disorders.Method. Fourteen papers were included in the review which examined the effective- ness of MBT in the context of BPD; these included 11 original studies and three follow-up papers.Results. Mentalization-based therapy was found to achieve either superior or equal reductions in psychiatric symptoms when compared with other treatments (supportive group therapy, treatment as usual/standard psychiatric care, structured clinical manage- ment, and specialized clinical management).Discussion. Mentalization-based therapy can achieve significant reductions in BPD symptom severity and the severity of comorbid disorders as well as increase quality of life. However, caution is required, as the need for better quality research such as randomized controlled trials is pressing. Research is also needed on the proposed mediators of MBT.",
keywords = "borderline personality disorder, mentalization‐based therapy, psychological therapies",
author = "Katharina Vogt and Paul Norman",
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N2 - Objective. This review sought to systematically review evidence on the efficacy of mentalization-based therapy (MBT) for the treatment of borderline personality disorder (BPD), in particular, in decreasing psychiatric symptoms associated with BPD and its comorbid disorders.Method. Fourteen papers were included in the review which examined the effective- ness of MBT in the context of BPD; these included 11 original studies and three follow-up papers.Results. Mentalization-based therapy was found to achieve either superior or equal reductions in psychiatric symptoms when compared with other treatments (supportive group therapy, treatment as usual/standard psychiatric care, structured clinical manage- ment, and specialized clinical management).Discussion. Mentalization-based therapy can achieve significant reductions in BPD symptom severity and the severity of comorbid disorders as well as increase quality of life. However, caution is required, as the need for better quality research such as randomized controlled trials is pressing. Research is also needed on the proposed mediators of MBT.

AB - Objective. This review sought to systematically review evidence on the efficacy of mentalization-based therapy (MBT) for the treatment of borderline personality disorder (BPD), in particular, in decreasing psychiatric symptoms associated with BPD and its comorbid disorders.Method. Fourteen papers were included in the review which examined the effective- ness of MBT in the context of BPD; these included 11 original studies and three follow-up papers.Results. Mentalization-based therapy was found to achieve either superior or equal reductions in psychiatric symptoms when compared with other treatments (supportive group therapy, treatment as usual/standard psychiatric care, structured clinical manage- ment, and specialized clinical management).Discussion. Mentalization-based therapy can achieve significant reductions in BPD symptom severity and the severity of comorbid disorders as well as increase quality of life. However, caution is required, as the need for better quality research such as randomized controlled trials is pressing. Research is also needed on the proposed mediators of MBT.

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