Mentalization-Based Treatment in Adolescent Inpatients: A Naturalistic Multi-Informant Study of Outcomes
Noor Tromp1, Rob van Dijk2, Rob Saunders3
1Parlan Jeugdhulp, Alkmaar, The Netherlands.
Journal of Personality Disorders
|March 25, 2021
Summary
Mentalization-Based Treatment for Adolescents (MBT-A) significantly improved psychiatric symptoms and quality of life in inpatients with personality pathology. The gains were clinically meaningful, particularly for internalizing symptoms.
Area of Science:
- Psychiatry
- Clinical Psychology
- Adolescent Mental Health
Background:
- Severe personality pathology and comorbidity are prevalent in adolescents.
- Evidence-based interventions are crucial given cutbacks in intensive treatment programs.
- Mentalization-Based Treatment for Adolescents (MBT-A) is a potential intervention.
Purpose of the Study:
- To evaluate the outcomes of a 12-month MBT-A program.
- To assess changes in psychiatric symptoms, personality pathology, and quality of life.
- To determine the clinical significance of treatment effects in adolescents.
Main Methods:
- A multi-informant, multidomain design was employed.
- 118 inpatient adolescents with personality pathology symptoms participated.
- Outcomes were assessed over a 12-month treatment period.
Main Results:
- Adolescents showed statistically significant improvements in general psychiatric symptoms.
- Significant reductions in personality pathology dimensions were observed.
- Health-related and generic quality of life improved, especially in internalizing domains.
Conclusions:
- MBT-A is an effective treatment for adolescents with personality pathology.
- The treatment yields clinically important improvements in patient well-being.
- Findings support MBT-A's integration into clinical practice and further research.
Keywords:
MBT-Aadolescentsmentalization-based treatment for adolescentsmulti-informantpersonality pathologyquality of lifeMore Related Videos
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