Metacognitive Interpersonal Therapy in group (MIT-G) for young adults with personality disorders: A pilot randomized controlled trial.
Adult
Cognitive Behavioral Therapy
/ methods
Feasibility Studies
Female
Humans
Interpersonal Relations
Male
Metacognition
/ physiology
Outcome and Process Assessment, Health Care
Patient Acceptance of Health Care
Patient Education as Topic
Personality Disorders
/ therapy
Pilot Projects
Psychotherapy, Group
/ methods
Young Adult
group
interpersonal motives
metacognition
personality disorder
treatment
Journal
Psychology and psychotherapy
ISSN: 2044-8341
Titre abrégé: Psychol Psychother
Pays: England
ID NLM: 101135751
Informations de publication
Date de publication:
09 2019
09 2019
Historique:
received:
15
01
2018
revised:
09
03
2018
pubmed:
7
4
2018
medline:
18
2
2020
entrez:
7
4
2018
Statut:
ppublish
Résumé
Young adults with personality disorders (PD) other than borderline are in urgent need of validated treatments to help them in managing important life transitions. Therapeutic interventions focused upon social and interpersonal difficulties may facilitate these individuals in maximizing opportunities for employment, forming stable romantic relationships, and belong to social groups. It is also important that they are offered evidence-based, first-line time-limited treatments in order to maximize effectiveness and reduce costs. We developed a 16-session programme of group-based Metacognitive Interpersonal Therapy (MIT-G) including psychoeducation on the main interpersonal motives, an experiential component enabling practice of awareness of mental states; and use of mentalistic knowledge for purposeful problem-solving. We report a feasibility, acceptability, and clinical significance randomized clinical trial. Participants meeting inclusion criteria were randomized to receive MIT-G (n = 10) or waiting list+TAU (n = 10). Dropout rate was low and session attendance high (92.19%). Participants in the MIT-G arm had symptomatic and functional improvements consistent with large effect sizes. In the MIT-G arm similarly large effects were noted for increased capacity to understand mental states and regulate social interactions using mentalistic knowledge. Results were sustained at follow-up. Our findings suggest potential for applying MIT-G in larger samples to further test its effectiveness in reducing PD-related symptoms and problematic social functioning.
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
342-358Informations de copyright
© 2018 The British Psychological Society.
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