دورية أكاديمية
A Randomized Controlled Trial Comparing Mentalization-Based Therapy With the Unified Protocol in the Treatment of Psychopathy and Comorbid Borderline + Antisocial Personality Disorders.
العنوان: | A Randomized Controlled Trial Comparing Mentalization-Based Therapy With the Unified Protocol in the Treatment of Psychopathy and Comorbid Borderline + Antisocial Personality Disorders. |
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المؤلفون: | Mohajerin B; Clinical Psychology Department, School of Medicine, Shahid Beheshti University of Medical Science, Tehran, Iran., Shamsi A; School of Medicine, Shahid Beheshti University of Medical Science, Tehran, Iran., Howard R; Institute of Mental Health, Nottingham, UK. |
المصدر: | Clinical psychology & psychotherapy [Clin Psychol Psychother] 2024 Jul-Aug; Vol. 31 (4), pp. e3047. |
نوع المنشور: | Journal Article; Randomized Controlled Trial; Comparative Study |
اللغة: | English |
بيانات الدورية: | Publisher: John Wiley & Sons Country of Publication: England NLM ID: 9416196 Publication Model: Print Cited Medium: Internet ISSN: 1099-0879 (Electronic) Linking ISSN: 10633995 NLM ISO Abbreviation: Clin Psychol Psychother Subsets: MEDLINE |
أسماء مطبوعة: | Original Publication: Chichester, West Sussex, England : John Wiley & Sons, c1993- |
مواضيع طبية MeSH: | Borderline Personality Disorder*/therapy , Borderline Personality Disorder*/psychology , Borderline Personality Disorder*/complications , Antisocial Personality Disorder*/therapy , Antisocial Personality Disorder*/psychology , Antisocial Personality Disorder*/complications , Mentalization*, Humans ; Male ; Adult ; Female ; Treatment Outcome ; Comorbidity ; Psychotherapy/methods ; Middle Aged |
مستخلص: | Background: Those with cooccurring antisocial personality disorder (ASPD) and borderline personality disorder (BPD) are reported to be highly psychopathic and to represent a severe challenge to treatment efforts. In a sample of such individuals, the effects of two treatments, mentalization-based therapy (MBT) and the unified protocol (UP), were investigated on three outcomes: (i) the psychopathy trait domains of meanness, boldness and disinhibition proposed by the triarchic psychopathy model (TPM); (ii) antisocial and borderline symptom severity; and (iii) the severity of their common features including impulsivity, anger expression and self-harm. Methods: Of 163 individuals with BPD + ASPD screened for eligibility, 55 were randomized to MBT treatment and 53 to UP treatment. Outcomes of treatment were assessed at 6-month intervals to 36 months. Results: Short-term reductions were seen following both treatments in traits of psychopathy, antisocial and borderline personality symptom severity, anger dysregulation, impulsivity and self-harm, but both treatment groups showed almost complete relapse of symptoms at the 36-month follow-up. UP had more durable effects than MBT. Conclusions: Despite being a considerably shorter treatment, UP was at least as effective as MBT and in some respects superior. Remission of symptoms was not achieved by either treatment in the long term. Psychopathy and borderline/antisocial comorbidity with which it is associated are to some extent remediable through psychotherapy, but only in the short term. Clinical Implications: Patients with high levels of impulsivity and disinhibition are likely to relapse following psychotherapy and should be closely monitored after treatment. (© 2024 John Wiley & Sons Ltd.) |
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فهرسة مساهمة: | Keywords: antisocial personality disorder; borderline personality disorder; comorbidity; mentalization‐based therapy; psychopathy; triarchic model; unified protocol |
تواريخ الأحداث: | Date Created: 20240822 Date Completed: 20240822 Latest Revision: 20240822 |
رمز التحديث: | 20240822 |
DOI: | 10.1002/cpp.3047 |
PMID: | 39171765 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1099-0879 |
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DOI: | 10.1002/cpp.3047 |