Centre d'Information et de documentation du CRA Rhône-Alpes
CRA
Informations pratiques
-
Adresse
Centre d'information et de documentation
du CRA Rhône-Alpes
Centre Hospitalier le Vinatier
bât 211
95, Bd Pinel
69678 Bron CedexHoraires
Lundi au Vendredi
9h00-12h00 13h30-16h00Contact
Tél: +33(0)4 37 91 54 65
Mail
Fax: +33(0)4 37 91 54 37
-
Détail de l'auteur
Auteur Stig POULSEN |
Documents disponibles écrits par cet auteur (1)
Faire une suggestion Affiner la recherche
Mentalization-based treatment in groups for adolescents with borderline personality disorder: a randomized controlled trial / Emma BECK in Journal of Child Psychology and Psychiatry, 61-5 (May 2020)
[article]
Titre : Mentalization-based treatment in groups for adolescents with borderline personality disorder: a randomized controlled trial Type de document : Texte imprimé et/ou numérique Auteurs : Emma BECK, Auteur ; Sune BO, Auteur ; Mie Sedoc JORGENSEN, Auteur ; Matthias GONDAN, Auteur ; Stig POULSEN, Auteur ; Ole Jakob STOREBO, Auteur ; Christian FJELLERAD ANDERSEN, Auteur ; Espen FOLMO, Auteur ; Carla SHARP, Auteur ; Jesper PEDERSEN, Auteur ; Erik SIMONSEN, Auteur Article en page(s) : p.594-604 Langues : Anglais (eng) Mots-clés : Mentalization-based treatment adolescence borderline personality disorder group psychotherapy mentalizing Index. décimale : PER Périodiques Résumé : BACKGROUND: Borderline personality disorder (BPD) typically onsets in adolescence and predicts later functional disability in adulthood. Highly structured evidence-based psychotherapeutic programs, including mentalization-based treatment (MBT), are first choice treatment. The efficacy of MBT for BPD has mainly been tested with adults, and no RCT has examined the effectiveness of MBT in groups (MBT-G) for adolescent BPD. METHOD: A total of 112 adolescents (111 females) with BPD (106) or BPD symptoms >/=4 DSM-5 criteria (5) referred to child and adolescent psychiatric outpatient clinics were randomized to a 1-year MBT-G, consisting of three introductory, psychoeducative sessions, 37 weekly group sessions, five individual case formulation sessions, and six group sessions for caregivers, or treatment as usual (TAU) with at least 12 monthly individual sessions. The primary outcome was the score on the borderline personality features scale for children (BPFS-C); secondary outcomes included self-harm, depression, externalizing and internalizing symptoms (all self-report), caregiver reports, social functioning, and borderline symptoms rated by blinded clinicians. Outcome assessments were made at baseline, after 10, 20, and 30 weeks, and at end of treatment (EOT). The ClinicalTrials.gov identifier is NCT02068326. RESULTS: At EOT, the primary outcome was 71.3 (SD = 15.0) in the MBT-G group and 71.3 (SD = 15.2) in the TAU group (adjusted mean difference 0.4 BPFS-C units in favor of MBT-G, 95% confidence interval -6.3 to 7.1, p = .91). No significant group differences were found in the secondary outcomes. 29% in both groups remitted. 29% of the MBT group completed less than half of the sessions compared with 7% of the control group. CONCLUSIONS: There is no indication for superiority of either therapy method. The low remission rate points to the importance of continued research into early intervention. Specifically, retention problems need to be addressed. En ligne : http://dx.doi.org/10.1111/jcpp.13152 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=422
in Journal of Child Psychology and Psychiatry > 61-5 (May 2020) . - p.594-604[article] Mentalization-based treatment in groups for adolescents with borderline personality disorder: a randomized controlled trial [Texte imprimé et/ou numérique] / Emma BECK, Auteur ; Sune BO, Auteur ; Mie Sedoc JORGENSEN, Auteur ; Matthias GONDAN, Auteur ; Stig POULSEN, Auteur ; Ole Jakob STOREBO, Auteur ; Christian FJELLERAD ANDERSEN, Auteur ; Espen FOLMO, Auteur ; Carla SHARP, Auteur ; Jesper PEDERSEN, Auteur ; Erik SIMONSEN, Auteur . - p.594-604.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 61-5 (May 2020) . - p.594-604
Mots-clés : Mentalization-based treatment adolescence borderline personality disorder group psychotherapy mentalizing Index. décimale : PER Périodiques Résumé : BACKGROUND: Borderline personality disorder (BPD) typically onsets in adolescence and predicts later functional disability in adulthood. Highly structured evidence-based psychotherapeutic programs, including mentalization-based treatment (MBT), are first choice treatment. The efficacy of MBT for BPD has mainly been tested with adults, and no RCT has examined the effectiveness of MBT in groups (MBT-G) for adolescent BPD. METHOD: A total of 112 adolescents (111 females) with BPD (106) or BPD symptoms >/=4 DSM-5 criteria (5) referred to child and adolescent psychiatric outpatient clinics were randomized to a 1-year MBT-G, consisting of three introductory, psychoeducative sessions, 37 weekly group sessions, five individual case formulation sessions, and six group sessions for caregivers, or treatment as usual (TAU) with at least 12 monthly individual sessions. The primary outcome was the score on the borderline personality features scale for children (BPFS-C); secondary outcomes included self-harm, depression, externalizing and internalizing symptoms (all self-report), caregiver reports, social functioning, and borderline symptoms rated by blinded clinicians. Outcome assessments were made at baseline, after 10, 20, and 30 weeks, and at end of treatment (EOT). The ClinicalTrials.gov identifier is NCT02068326. RESULTS: At EOT, the primary outcome was 71.3 (SD = 15.0) in the MBT-G group and 71.3 (SD = 15.2) in the TAU group (adjusted mean difference 0.4 BPFS-C units in favor of MBT-G, 95% confidence interval -6.3 to 7.1, p = .91). No significant group differences were found in the secondary outcomes. 29% in both groups remitted. 29% of the MBT group completed less than half of the sessions compared with 7% of the control group. CONCLUSIONS: There is no indication for superiority of either therapy method. The low remission rate points to the importance of continued research into early intervention. Specifically, retention problems need to be addressed. En ligne : http://dx.doi.org/10.1111/jcpp.13152 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=422