Abstract
ObjectiveTo examine changes in personality disorders and symptomology and the relation between personality disorder variables and treatment outcomes in an adolescent sample during partial residential mentalization based treatment.MethodsIn a sample of 62 (out of 115) adolescents treated for personality disorders, assessment was done pre- and post-treatment using the Structured Clinical Interview for DSM personality disorders and the Symptom Check List 90.ResultsSignificant reductions in personality disorder traits (t = 8.36, p = .000) and symptoms (t = 5.95, p = .000) were found. During pre-treatment, 91.8% (n = 56) of the patients had one or more personality disorders, compared to 35.4% (n = 22) at post-treatment. Symptom reduction was not related to pre-treatment personality disorder variables.ConclusionDuring intensive psychotherapy, personality disorders and symptoms may diminish. Future studies should evaluate whether the outcomes obtained are the result of the treatment given or other factors.
Highlights
Little research has been conducted on personality disorders in adolescents; research regarding effective treatments is limited [1,2,3,4,5]
Detection and treatment of personality disorders during adolescence are for that reason important. The aim of this cohort pilot study is to examine the changes in a group of adolescents with clinically diagnosed personality disorders who received an intensive mentalization based treatment (MBT) with partial
We provide treatment evaluation data following the transparent reporting of evaluations with nonrandomised designs (TREND) guidelines [22] from a prospective pilot study of 115 adolescents with clinically diagnosed personality disorders, of whom 62 (54%) completed the treatment protocol and filled out questionnaires during pre- and post-treatment
Summary
Little research has been conducted on personality disorders in adolescents; research regarding effective treatments is limited [1,2,3,4,5]. Detection and treatment of (traits of ) personality disorders during adolescence are for that reason important. The aim of this cohort pilot study is to examine the changes in a group of adolescents with clinically diagnosed personality disorders who received an intensive mentalization based treatment (MBT) with partial. This is partly understandable as, during adolescence, normal emotional maturation is characterised by an interplay between progression and regression [15], which complicates the diagnostic process of personality disorders. The reluctance of professionals to diagnose (traits of ) personality disorders in adolescents is likely to delay
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