PMID- 32913772
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20231112
IS  - 2239-8031 (Electronic)
IS  - 2499-7552 (Print)
IS  - 2239-8031 (Linking)
VI  - 21
IP  - 3
DP  - 2018 Dec 19
TI  - Oriented mentalization-based treatment for borderline personality disorder 
      patients: preliminary results at Camposampiero Mental Health Center.
PG  - 336
LID - 10.4081/ripppo.2018.336 [doi]
LID - 336
AB  - 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 (T(0)), at the end of 
      the treatment (T(2)) 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 T(0), 
      3, 6 and 9 months (T(1)) 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 T(0) and 
      T(2) (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.
CI  - (c)Copyright S. Carrera et al., 2018.
FAU - Carrera, Stefano
AU  - Carrera S
AD  - Mental Health Centre, Department of Psychiatry, Camposampiero Hospital, ULSS 6 
      Euganea, Camposampiero (PD).
FAU - Pandolfi, Guia
AU  - Pandolfi G
AD  - Mental Health Centre, Department of Psychiatry, Camposampiero Hospital, ULSS 6 
      Euganea, Camposampiero (PD).
AD  - Department of Developmental Psychology and Socialisation, University of Padua, 
      Italy.
FAU - Cappelletti, Jee Yun
AU  - Cappelletti JY
AD  - Mental Health Centre, Department of Psychiatry, Camposampiero Hospital, ULSS 6 
      Euganea, Camposampiero (PD).
FAU - Padoani, Walter
AU  - Padoani W
AD  - Mental Health Centre, Department of Psychiatry, Camposampiero Hospital, ULSS 6 
      Euganea, Camposampiero (PD).
FAU - Salcuni, Silvia
AU  - Salcuni S
AD  - Department of Developmental Psychology and Socialisation, University of Padua, 
      Italy.
LA  - eng
PT  - Journal Article
DEP - 20181218
PL  - Italy
TA  - Res Psychother
JT  - Research in psychotherapy (Milano)
JID - 101684638
PMC - PMC7451349
OTO - NOTNLM
OT  - Borderline personality disorder
OT  - Mental Health Center
OT  - Mentalization-based treatment
OT  - Symptoms
COIS- Conflict of interest: the authors declare no potential conflict of interest.
EDAT- 2018/12/18 00:00
MHDA- 2018/12/18 00:01
PMCR- 2018/12/18
CRDT- 2020/09/11 05:45
PHST- 2018/09/17 00:00 [received]
PHST- 2018/12/05 00:00 [accepted]
PHST- 2020/09/11 05:45 [entrez]
PHST- 2018/12/18 00:00 [pubmed]
PHST- 2018/12/18 00:01 [medline]
PHST- 2018/12/18 00:00 [pmc-release]
AID - 10.4081/ripppo.2018.336 [doi]
PST - epublish
SO  - Res Psychother. 2018 Dec 18;21(3):336. doi: 10.4081/ripppo.2018.336. eCollection 
      2018 Dec 19.