Unified Protocol vs Mentalization-Based Therapy for Adolescents With Borderline Personality Disorder
Study Overview
This study compares two treatments for adolescents with borderline personality disorder (BPD): Mentalization-Based Therapy for Adolescents (MBT-A) and Unified Protocol for Adolescents (UP-A). It involved 91 Iranian adolescents, mostly female, to see which treatment better reduces BPD symptoms.
Methodology
Participants were randomly assigned to either MBT-A (45 participants) or UP-A (46 participants). They were monitored for 36 months after treatment. The effectiveness of both therapies was assessed using a statistical method called MIXED ANCOVA, focusing on the severity of borderline symptoms and other related issues like impulsivity and self-harm.
Key Findings
- Both treatments significantly reduced primary and secondary symptoms of BPD.
- UP-A was more effective than MBT-A in reducing emotional dysregulation.
- However, improvements in other areas, such as interpersonal relationships and identity issues, were minimal for both treatments over time.
Conclusion
UP-A is a shorter and less intensive treatment that appears to be better at addressing emotional dysregulation in adolescents with BPD. However, it is important to note that other symptoms of BPD did not show significant improvement with either treatment.
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