{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T17:05:41Z","timestamp":1778864741878,"version":"3.51.4"},"reference-count":39,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,2,7]],"date-time":"2022-02-07T00:00:00Z","timestamp":1644192000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Euro Eating Disorders Rev"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Mentalisation\u2010based treatment (MBT) aims to improve reflective functioning. There is a growing evidence base outlining positive clinical outcomes for the use of MBT in eating disorder patients with co\u2010morbid borderline personality disorder (BPD). The use of MBT has not been studied for eating disorder patients without BPD. This pilot study is an exploratory randomised controlled trial in which outcomes from MBT are compared with standard clinical management in a cohort of patients diagnosed with an eating disorder but not BPD. The main objectives were two\u2010fold\u2014to explore the use of MBT as a therapeutic modality and to test the acceptability and feasibility of the protocol design.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Thirty\u2010two participants were randomised to receive either MBT or standard treatment during an inpatient eating disorders program. All patients enrolled in the study were diagnosed with an eating disorder but did not meet DSM\u20105 criteria for BPD. On admission patients were categorised as very underweight (BMI 15.0\u201316.4\u00a0kg\/m<jats:sup>2<\/jats:sup>), underweight (BMI 16.5\u201318.4\u00a0kg\/m<jats:sup>2<\/jats:sup>) or healthy weight range (BMI \u2265 18.5\u201324.9\u00a0kg\/m<jats:sup>2<\/jats:sup>). Upon discharge participants were further categorised as weight restored (BMI \u2265 18.5\u00a0kg\/m<jats:sup>2<\/jats:sup>) or non\u2010weight restored (BMI &lt; 18.5\u00a0kg\/m<jats:sup>2<\/jats:sup>). The primary outcome was the subscale score on the Reflective Functioning Questionnaire (RFQ\u20108). Secondary outcomes were subscale scores on the Eating Disorder Examination Questionnaire and the Depression, Anxiety and Stress Scale (DASS)\u201021. Participants were assessed at baseline and on discharge. Statistical significance was determined using repeated measurements analysis of variance (ANOVA).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Both groups experienced improvements in eating disorder symptoms and measures of psychological well\u2010being. Participants within the MBT group exhibited greater improvements in reflective capacity as defined by the RFQ\u20108 however these benefits appeared to be limited to patients who achieved weight restoration at discharge. The eligibility criteria\u2014which excluded comorbid BPD\u2014led to challenges in recruitment which limited the power of the study analysis. As participants with a range of different eating disorder diagnoses were included this led to complexities in estimating the treatment effect within a defined cohort.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Although the small sample size must be noted as a limitation\u2014the finding that weight restoration appears to be associated with improvements in reflective capacity in MBT would be worth exploring in a subsequent larger study. Modification of eligibility criteria and recruitment from a defined cohort may increase the efficiency of a future study.<\/jats:p><\/jats:sec>","DOI":"10.1002\/erv.2888","type":"journal-article","created":{"date-parts":[[2022,2,8]],"date-time":"2022-02-08T02:32:55Z","timestamp":1644287575000},"page":"206-220","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["The mind\u2010in\u2010mind study: A pilot randomised controlled trial that compared modified mentalisation based treatment with supportive clinical management for patients with eating disorders without borderline personality disorder"],"prefix":"10.1002","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6377-1302","authenticated-orcid":false,"given":"Miranda","family":"Sonntag","sequence":"first","affiliation":[{"name":"Level 7 Eating Disorders Northside Clinic  St Leonards, Sydney New South Wales Australia"},{"name":"Drug\u00a0&amp; Alcohol Consultation Liaison Service Royal North Shore Hospital  St Leonards, Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janice","family":"Russell","sequence":"additional","affiliation":[{"name":"Peter Beumont Eating Disorders Service Royal Prince Alfred Hospital  Camperdown, Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,2,7]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eatbeh.2012.09.002"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40519-015-0204-1"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.focus.11.2.178"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/med\/9780198570905.001.0001"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2009.09040539"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20931"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.1773"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-015-0068-9"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40519-020-01017-z"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.7717\/peerj.5756"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/1039856214566830"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurpsy.2011.07.002"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2017.11.043"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0158678"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1108\/MHRJ-04-2015-0012"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/0004867414555814"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-017-0149-z"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40519-013-0040-0"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-020-00299-z"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/papt.12195"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20297"},{"key":"e_1_2_11_24_1","unstructured":"National Institute for Health and Care Excellence. 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