Effekter av mentaliseringbaserad terapi i en skånsk kohort
(2024) PTPP06 20241Department of Psychology
- Abstract
- The aims of this quality assurance study were to a) describe the cohort with borderline personality disorder (BPD) who underwent Mentalization-based Treatment (MBT) at the psychiatric out-patient unit Mottagning emotionell instabilitet in Malmö, and to b) evaluate treatment effects. Data were collected through systematic search of psychiatric medical records regarding 86 patients who completed treatment between the years 2011 and 2024. Women constituted 92% of the cohort, whose mean age at start of treatment was 31,20 years, and the mean number of registered co-occuring psychiatric diagnoses were seven. Primary outcome measures showed significantly lower symptom rates post-treatment on self-report measures SCL-90 and SCID-II-PQ. Number of... (More)
- The aims of this quality assurance study were to a) describe the cohort with borderline personality disorder (BPD) who underwent Mentalization-based Treatment (MBT) at the psychiatric out-patient unit Mottagning emotionell instabilitet in Malmö, and to b) evaluate treatment effects. Data were collected through systematic search of psychiatric medical records regarding 86 patients who completed treatment between the years 2011 and 2024. Women constituted 92% of the cohort, whose mean age at start of treatment was 31,20 years, and the mean number of registered co-occuring psychiatric diagnoses were seven. Primary outcome measures showed significantly lower symptom rates post-treatment on self-report measures SCL-90 and SCID-II-PQ. Number of patients meeting criteria for BPD in clinical assessment were significantly lower at end of treatment. Secondary outcome measures showed significantly lower rates of psychiatric emergency care use. No significant change regarding inpatient service use were noted for either number of events or days of inpatient care. Nevertheless, in absolute terms, number of inpatient care days dropped considerably during and post- as compared to pre-treatment. This drop was especially marked for a sub-group, whose pre-treatment inpatient service use was particularly high. No significant change regarding rates of certified sick leave were noted. Post-treatment, 35% of patients were referred to primary care. This study indicates MBT as an effective treatment for BPD-patients in psychiatric care in Malmö. Further implementation of MBT teams in other psychiatric areas within Region Skåne is recommended. (Less)
- Abstract (Swedish)
- Denna kvalitetssäkringsstudie har syftat till att a) beskriva patientkohorten med borderline personlighetssyndrom (BPD) som erhållit mentaliseringsbaserad terapi (MBT) vid vuxenpsykiatrimottagning Emotionell instabilitet i Malmö och att b) utvärdera behandlingseffekter. Datainsamlingen gjordes genom journalgenomgång för 86 patienter som fullföljt behandling åren 2011–2024. Patientkohorten utgjordes till 92% av kvinnor, hade en medelålder på 31,20 år och i genomsnitt fanns sju psykiatriska diagnoser registrerade i journal. På primära utfallsmått visade resultaten statistiskt signifikant lägre symtomgrad mätt med självskattningsformulären SCL-90 och SCID-II-PQ. Vid behandlingsavslut hade en statistiskt signifikant andel patienters... (More)
- Denna kvalitetssäkringsstudie har syftat till att a) beskriva patientkohorten med borderline personlighetssyndrom (BPD) som erhållit mentaliseringsbaserad terapi (MBT) vid vuxenpsykiatrimottagning Emotionell instabilitet i Malmö och att b) utvärdera behandlingseffekter. Datainsamlingen gjordes genom journalgenomgång för 86 patienter som fullföljt behandling åren 2011–2024. Patientkohorten utgjordes till 92% av kvinnor, hade en medelålder på 31,20 år och i genomsnitt fanns sju psykiatriska diagnoser registrerade i journal. På primära utfallsmått visade resultaten statistiskt signifikant lägre symtomgrad mätt med självskattningsformulären SCL-90 och SCID-II-PQ. Vid behandlingsavslut hade en statistiskt signifikant andel patienters BPD-diagnos av kliniker bedömts i remission. På sekundära utfallsmått visade resultaten att antalet psykiatriska akutbesök minskat signifikant under och efter behandling. Varken antal psykiatriska heldygnsvårdtillfällen eller påbörjade vårddygn minskade statistiskt signifikant. Antal påbörjade psykiatriska vårddygnen minskade emellertid avsevärt i absoluta tal, i synnerhet för en grupp högkonsumenter av psykiatrisk heldygnsvård. Inga signifikanta skillnader i sjukskrivningsgrad framkom. I kohorten remitterades 35% till primärvård vid behandlingsavslut. Studien visar att MBT fungerar väl för BPD-patienter i Malmöpsykiatrins verksamhet. Implementering av MBT-team i andra verksamhetsområden är att rekommendera. (Less)
Please use this url to cite or link to this publication:
http://lup.lub.lu.se/student-papers/record/9155843
- author
- Eriksson Granborn, Gunnar LU and Magnusson, Emma LU
- supervisor
- organization
- course
- PTPP06 20241
- year
- 2024
- type
- H2 - Master's Degree (Two Years)
- subject
- keywords
- Borderline/emotionellt instabilt personlighetssyndrom (BPD/EIPS), mentaliseringsbaserad terapi (MBT), gruppterapi, individualterapi, SCL-90, kvalitetssäkring, behandlingsutvärdering
- language
- Swedish
- additional info
- Utgör kvalitetssäkringsstudie inom Region Skåne, begränsad publicering.
- id
- 9155843
- date added to LUP
- 2024-06-04 11:23:01
- date last changed
- 2024-06-04 11:23:01
@misc{9155843,
abstract = {{The aims of this quality assurance study were to a) describe the cohort with borderline personality disorder (BPD) who underwent Mentalization-based Treatment (MBT) at the psychiatric out-patient unit Mottagning emotionell instabilitet in Malmö, and to b) evaluate treatment effects. Data were collected through systematic search of psychiatric medical records regarding 86 patients who completed treatment between the years 2011 and 2024. Women constituted 92% of the cohort, whose mean age at start of treatment was 31,20 years, and the mean number of registered co-occuring psychiatric diagnoses were seven. Primary outcome measures showed significantly lower symptom rates post-treatment on self-report measures SCL-90 and SCID-II-PQ. Number of patients meeting criteria for BPD in clinical assessment were significantly lower at end of treatment. Secondary outcome measures showed significantly lower rates of psychiatric emergency care use. No significant change regarding inpatient service use were noted for either number of events or days of inpatient care. Nevertheless, in absolute terms, number of inpatient care days dropped considerably during and post- as compared to pre-treatment. This drop was especially marked for a sub-group, whose pre-treatment inpatient service use was particularly high. No significant change regarding rates of certified sick leave were noted. Post-treatment, 35% of patients were referred to primary care. This study indicates MBT as an effective treatment for BPD-patients in psychiatric care in Malmö. Further implementation of MBT teams in other psychiatric areas within Region Skåne is recommended.}},
author = {{Eriksson Granborn, Gunnar and Magnusson, Emma}},
language = {{swe}},
note = {{Student Paper}},
title = {{Effekter av mentaliseringbaserad terapi i en skånsk kohort}},
year = {{2024}},
}