Oriented mentalization-based treatment for borderline personality disorder patients: preliminary results at Camposampiero Mental Health Center
This contribution presents two brief reports about preliminary results of 18 months of oriented Mentalization-Based Treatment (MBT), with Borderline Personality Disorder patients, recruited at the Camposampiero Mental Health Center. Following in large part Bateman and Fonagy guidelines for MBT in in...
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2018-12-01
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| Series: | Research in Psychotherapy |
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| Online Access: | https://www.researchinpsychotherapy.org/index.php/rpsy/article/view/336 |
| _version_ | 1811295496138915840 |
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| author | Stefano Carrera Guia Pandolfi Jee Yun Cappelletti Walter Padoani Silvia Salcuni |
| author_facet | Stefano Carrera Guia Pandolfi Jee Yun Cappelletti Walter Padoani Silvia Salcuni |
| author_sort | Stefano Carrera |
| collection | DOAJ |
| description | This contribution presents two brief reports about preliminary results of 18 months of oriented Mentalization-Based Treatment (MBT), with Borderline Personality Disorder patients, recruited at the Camposampiero Mental Health Center. Following in large part Bateman and Fonagy guidelines for MBT in institutional settings, this paper presents preliminary results in two brief reports related to two cohorts of patient underwent to the oriented MBT in Camposampiero Mental Health Center (MHC). In the first study, we analyzed a group of 9 patients: an anamnestic schedule was administered; then, symptoms (SCL-90-R), psychodiagnostic scale and global health functioning (Health of the Nation Outcome Scale, Structured Clinical Interview for DSM-IV Axis II Disorder [SCID-II], Global Assessment of Functioning, [GAF]), data on service impact and service costs (Cassel Community Adjustment Questionnaire, Patient Evaluation Schedule and folder data) were provided at the beginning (T0), at the end of the treatment (T2) and 1 year after the end of the MBT project. The second study showed a micro-analytical change on a second patient cohort (n=6) at T0, 3, 6 and 9 months (T1) were presented considering specifically mentalization (Comparative Psychotherapy Process Scale, Modes of Mentalization Scale, Mentalization Imbalances Scale) and patienttherapist session evaluation trends (Session Evaluation Questionnaire) and patient reflective functioning at T0 and T2 (Reflective Functioning Questionnaire). Aims and hypotheses of the two studies pointed out how the oriented MBT bring to an improvement of the overall functioning of the patients, a reduction of the symptoms, a decrease of the diagnostic criteria for the Borderline Personality Disorder (BPD) and the other Axis II disorders, a reduction of the workload hours for the MHC staff and of the costs of the assistance. The analyses of both the studies were carried out using non-parametric statistics (Friedman test, Spearman correlation, Chi-square). Preliminary results confirmed the improvement in the overall functioning of patients (GAF), the reduction in BPD-related symptoms and in diagnostic criteria for BPD (SCID-II), the improvement of patients’ mentalization skills, and a significant reduction in workload for health staff. Standing the limits and the preliminary results, the two brief reports demonstrate the feasibility of an oriented MBT within an Italian Public Service and the effectiveness of this treatment pathway for patients with BPD, leaving some open questions to stimulate a fruitful clinical discussion. |
| first_indexed | 2024-04-13T05:34:17Z |
| format | Article |
| id | doaj.art-c43363fa2b8d4aa7a55e6fbac2b79f7a |
| institution | Directory Open Access Journal |
| issn | 2499-7552 2239-8031 |
| language | English |
| last_indexed | 2024-04-13T05:34:17Z |
| publishDate | 2018-12-01 |
| publisher | PAGEPress Publications |
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| series | Research in Psychotherapy |
| spelling | doaj.art-c43363fa2b8d4aa7a55e6fbac2b79f7a2022-12-22T03:00:21ZengPAGEPress PublicationsResearch in Psychotherapy2499-75522239-80312018-12-0121310.4081/ripppo.2018.336Oriented mentalization-based treatment for borderline personality disorder patients: preliminary results at Camposampiero Mental Health CenterStefano Carrera0Guia Pandolfi1Jee Yun Cappelletti2Walter Padoani3Silvia Salcuni4Mental Health Centre, Department of Psychiatry, Camposampiero Hospital, ULSS 6 Euganea, Camposampiero (PD)Mental Health Centre, Department of Psychiatry, Camposampiero Hospital, ULSS 6 Euganea, Camposampiero (PD); Department of Developmental Psychology and Socialisation, University of PaduaMental Health Centre, Department of Psychiatry, Camposampiero Hospital, ULSS 6 Euganea, Camposampiero (PD)Mental Health Centre, Department of Psychiatry, Camposampiero Hospital, ULSS 6 Euganea, Camposampiero (PD)Department of Developmental Psychology and Socialisation, University of PaduaThis contribution presents two brief reports about preliminary results of 18 months of oriented Mentalization-Based Treatment (MBT), with Borderline Personality Disorder patients, recruited at the Camposampiero Mental Health Center. Following in large part Bateman and Fonagy guidelines for MBT in institutional settings, this paper presents preliminary results in two brief reports related to two cohorts of patient underwent to the oriented MBT in Camposampiero Mental Health Center (MHC). In the first study, we analyzed a group of 9 patients: an anamnestic schedule was administered; then, symptoms (SCL-90-R), psychodiagnostic scale and global health functioning (Health of the Nation Outcome Scale, Structured Clinical Interview for DSM-IV Axis II Disorder [SCID-II], Global Assessment of Functioning, [GAF]), data on service impact and service costs (Cassel Community Adjustment Questionnaire, Patient Evaluation Schedule and folder data) were provided at the beginning (T0), at the end of the treatment (T2) and 1 year after the end of the MBT project. The second study showed a micro-analytical change on a second patient cohort (n=6) at T0, 3, 6 and 9 months (T1) were presented considering specifically mentalization (Comparative Psychotherapy Process Scale, Modes of Mentalization Scale, Mentalization Imbalances Scale) and patienttherapist session evaluation trends (Session Evaluation Questionnaire) and patient reflective functioning at T0 and T2 (Reflective Functioning Questionnaire). Aims and hypotheses of the two studies pointed out how the oriented MBT bring to an improvement of the overall functioning of the patients, a reduction of the symptoms, a decrease of the diagnostic criteria for the Borderline Personality Disorder (BPD) and the other Axis II disorders, a reduction of the workload hours for the MHC staff and of the costs of the assistance. The analyses of both the studies were carried out using non-parametric statistics (Friedman test, Spearman correlation, Chi-square). Preliminary results confirmed the improvement in the overall functioning of patients (GAF), the reduction in BPD-related symptoms and in diagnostic criteria for BPD (SCID-II), the improvement of patients’ mentalization skills, and a significant reduction in workload for health staff. Standing the limits and the preliminary results, the two brief reports demonstrate the feasibility of an oriented MBT within an Italian Public Service and the effectiveness of this treatment pathway for patients with BPD, leaving some open questions to stimulate a fruitful clinical discussion.https://www.researchinpsychotherapy.org/index.php/rpsy/article/view/336Mentalization-based treatmentBorderline personality disorderSymptomsMental Health Center |
| spellingShingle | Stefano Carrera Guia Pandolfi Jee Yun Cappelletti Walter Padoani Silvia Salcuni Oriented mentalization-based treatment for borderline personality disorder patients: preliminary results at Camposampiero Mental Health Center Research in Psychotherapy Mentalization-based treatment Borderline personality disorder Symptoms Mental Health Center |
| title | Oriented mentalization-based treatment for borderline personality disorder patients: preliminary results at Camposampiero Mental Health Center |
| title_full | Oriented mentalization-based treatment for borderline personality disorder patients: preliminary results at Camposampiero Mental Health Center |
| title_fullStr | Oriented mentalization-based treatment for borderline personality disorder patients: preliminary results at Camposampiero Mental Health Center |
| title_full_unstemmed | Oriented mentalization-based treatment for borderline personality disorder patients: preliminary results at Camposampiero Mental Health Center |
| title_short | Oriented mentalization-based treatment for borderline personality disorder patients: preliminary results at Camposampiero Mental Health Center |
| title_sort | oriented mentalization based treatment for borderline personality disorder patients preliminary results at camposampiero mental health center |
| topic | Mentalization-based treatment Borderline personality disorder Symptoms Mental Health Center |
| url | https://www.researchinpsychotherapy.org/index.php/rpsy/article/view/336 |
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