Improvement of personality functioning in patients with personality disorders: a comparative study of mentalization-based treatment versus non-manualized treatments - Summary - MDSpire
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Improvement of personality functioning in patients with personality disorders: a comparative study of mentalization-based treatment versus non-manualized treatments
To investigate characteristics of patients admitted to mentalization-based treatment (MBT) versus non-manualized treatments (NMT), longitudinal changes in personality functioning (PF), and associations between initial personality disorder (PD) status and treatment outcomes.
Approach:
Key Findings:
Patients in MBT had more severe personality pathology and a higher symptom burden compared to those in NMT.
Treatment condition explained little longitudinal variation, with comparable improvements in PF across both groups.
Effect sizes for improvement ranged from medium to large in both MBT and NMT.
Greater improvement in MBT was associated with an increasing number of borderline and narcissistic PD criteria.
Poorer improvement in MBT was linked to a higher number of avoidant PD criteria.
Interpretation:
Admittance to MBT versus NMT was largely matched to severity and type of PD.
Limitations:
The study is observational and may not account for all variables influencing treatment outcomes.
The findings are based on data from a specific population in Norway, which may limit generalizability.
Conclusion:
Both MBT and NMT showed clinically relevant improvements. Further development of treatments for avoidant PD is necessary.
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