Introduction: Mentalization-Based Treatment (MBT) is an intervention used in a broad spectrum of clinical disorders. Recently, its application has also been extended to the treatment of psychosis. The term mentalisation refers to a mental process through which people attribute intentions, understand themselves and others. This process is implicated in thoughts and the emotional and affective aspects of the person, which in turn guide the subject in behaviour and relationship life. Recent studies testify that an increase in mentalisation predict an improvement in social life, a decrease in social stress and positive and negative symptoms. This pilot study aims at implementing a preliminary evaluation of MBT, considering clinical aspects, and social and personal functioning parameters. Methods: A group of patients recruited from the Mental Health Department of the AULSS 6 Euganea will be evaluated at the start of treatment (T0), at the end of treatment (T2) and 1 (T3), 2 (T4) and 5 years after the end (T5). A primary assessment (evaluation of outcomes) will be made to verify the improvement of symptoms and social functioning. The following instruments: the Scale for the Assessment of Negative Symptoms (PANSS), the Scale for the Assessment of Positive Symptoms, the Global Assessment of Functioning scale (GAF), the Health of the Nation Outcome Scale (HoNOS), the Outcome Questionnaire-45, and the Social and Work Functioning Assessment Scale. A second assessment (Process Evaluation) will be carried out to verify any changes in certain cognitive, expressive, emotional, and relational skills. Reflective Function Questionnaire (RFQ), Coping Orientation to Problems Experienced (COPE), Mentalized Affectivity Scale (MAS), and Relationship Questionnaire (RQ) will be administrated. Within factors ANOVA will be performed to evaluate the differences between the measures. Results: The study is currently in progress and is expected to achieve an improvement in the symptomatology, cognitive, expressive, emotional, and relational skills of the patients involved in the study. Conclusions: MBT originated as a treatment for personality disorders. Nevertheless, effectiveness has over the years been extended to the treatment of a wide range of clinical conditions. It is therefore believed that the highly structured nature of MBT, combined with its objectives, makes this treatment appropriate for this type of patients.
A PILOT STUDY EVALUATING THE EFFECTIVENESS AND OUTCOMES OF MBT TREATMENT IN PATIENTS WITH PSYCHOSIS IN A REHABILITATION DAY CENTER IN PADOVA
Boldrini Tommaso;
2022-01-01
Abstract
Introduction: Mentalization-Based Treatment (MBT) is an intervention used in a broad spectrum of clinical disorders. Recently, its application has also been extended to the treatment of psychosis. The term mentalisation refers to a mental process through which people attribute intentions, understand themselves and others. This process is implicated in thoughts and the emotional and affective aspects of the person, which in turn guide the subject in behaviour and relationship life. Recent studies testify that an increase in mentalisation predict an improvement in social life, a decrease in social stress and positive and negative symptoms. This pilot study aims at implementing a preliminary evaluation of MBT, considering clinical aspects, and social and personal functioning parameters. Methods: A group of patients recruited from the Mental Health Department of the AULSS 6 Euganea will be evaluated at the start of treatment (T0), at the end of treatment (T2) and 1 (T3), 2 (T4) and 5 years after the end (T5). A primary assessment (evaluation of outcomes) will be made to verify the improvement of symptoms and social functioning. The following instruments: the Scale for the Assessment of Negative Symptoms (PANSS), the Scale for the Assessment of Positive Symptoms, the Global Assessment of Functioning scale (GAF), the Health of the Nation Outcome Scale (HoNOS), the Outcome Questionnaire-45, and the Social and Work Functioning Assessment Scale. A second assessment (Process Evaluation) will be carried out to verify any changes in certain cognitive, expressive, emotional, and relational skills. Reflective Function Questionnaire (RFQ), Coping Orientation to Problems Experienced (COPE), Mentalized Affectivity Scale (MAS), and Relationship Questionnaire (RQ) will be administrated. Within factors ANOVA will be performed to evaluate the differences between the measures. Results: The study is currently in progress and is expected to achieve an improvement in the symptomatology, cognitive, expressive, emotional, and relational skills of the patients involved in the study. Conclusions: MBT originated as a treatment for personality disorders. Nevertheless, effectiveness has over the years been extended to the treatment of a wide range of clinical conditions. It is therefore believed that the highly structured nature of MBT, combined with its objectives, makes this treatment appropriate for this type of patients.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
