{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T07:30:23Z","timestamp":1790062223408,"version":"4.0.1"},"reference-count":40,"publisher":"Royal College of Psychiatrists","issue":"5","license":[{"start":{"date-parts":[[2021,8,2]],"date-time":"2021-08-02T00:00:00Z","timestamp":1627862400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych open"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:sec id=\"S2056472421009741_sec_a1\">\n\t    <jats:title>Background<\/jats:title>\n\t    <jats:p>People with personality disorder experience long waiting times for access to psychological treatments, resulting from a limited availability of long-term psychotherapies and a paucity of evidence-based brief interventions. Mentalisation-based treatment (MBT) is an efficacious therapeutic modality for personality disorder, but little is known about its viability as a short-term treatment.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472421009741_sec_a2\">\n\t    <jats:title>Aims<\/jats:title>\n\t    <jats:p>We aimed to evaluate mental health, client satisfaction and psychological functioning outcomes before and after a 10-week group MBT programme as part of a stepped-care out-patient personality disorder service.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472421009741_sec_a3\" sec-type=\"methods\">\n\t    <jats:title>Method<\/jats:title>\n\t    <jats:p>We examined routinely collected pre\u2013post treatment outcomes from 176 individuals (73% female) aged 20\u201363 years, attending a dedicated out-patient personality disorder service, who completed MBT treatment. Participants completed assessments examining mentalising capacity, client satisfaction, emotional reactivity, psychiatric symptom distress and social functioning.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472421009741_sec_a4\" sec-type=\"results\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>Post-MBT outcomes suggested increased mentalising capacity (mean difference 5.1, 95% CI 3.4\u20136.8, <jats:italic>P<\/jats:italic> &lt; 0.001) and increased client satisfaction with care (mean difference 4.3, 95% CI 3.3\u20135.2, <jats:italic>P<\/jats:italic> &lt; 0.001). Post-MBT emotional reactivity (mean difference \u22126.3, 95% CI \u22128.4 to \u22124.3, <jats:italic>P<\/jats:italic> &lt; 0.001), psychiatric symptom distress (mean difference \u22125.2, 95% CI \u22126.8 to \u22123.7, <jats:italic>P<\/jats:italic> &lt; 0.001) and impaired social functioning (mean difference \u22120.7, 95% CI \u22121.2 to \u22120.3, <jats:italic>P<\/jats:italic> = 0.002) were significantly lower than pre-treatment. Improved mentalising capacity predicted improvements in emotional reactivity (<jats:italic>\u03b2<\/jats:italic> = \u22120.56, <jats:italic>P<\/jats:italic> &lt; 0.001) and social functioning (<jats:italic>\u03b2<\/jats:italic> = \u22120.35, <jats:italic>P<\/jats:italic> &lt; 0.001).<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472421009741_sec_a5\" sec-type=\"conclusions\">\n\t    <jats:title>Conclusions<\/jats:title>\n\t    <jats:p>Short-term MBT as a low-intensity treatment for personality disorder was associated with positive pre\u2013post treatment changes in social and psychological functioning. MBT as deployed in this out-patient service expands access to personality disorder treatment.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1192\/bjo.2021.974","type":"journal-article","created":{"date-parts":[[2021,8,2]],"date-time":"2021-08-02T07:02:35Z","timestamp":1627887755000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":13,"title":["A service evaluation of short-term mentalisation based treatment for personality disorder"],"prefix":"10.1192","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8183-8558","authenticated-orcid":false,"given":"Niall M.","family":"McGowan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nandana","family":"Syam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debra","family":"McKenna","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6975-085X","authenticated-orcid":false,"given":"Steve","family":"Pearce","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3448-9927","authenticated-orcid":false,"given":"Kate E. 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