Mentalising severe self‐harm: A longitudinal single case study of an add‐on AMBIT program.

Background: Mentalization‐based treatment (MBT) has been proposed as a promising approach when treating patients suffering from borderline personality disorder (BPD) and severe self‐harm. Though study findings on MBT for patients who self‐harm are convincing, a meta‐analysis showed mixed results, ca...

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Publicado en:Counselling & Psychotherapy Research Vol. 25; no. 2; pp. 1 - 14
Autores principales: Høgenhaug, Stine Steen, Bloch, Marie Skaalum, Jensen, Stefan Lock, Olesen, Anne Vingaard, Telléus, Gry Kjærsdam
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Jun2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2025
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1002/capr.12851
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        atl: Mentalising severe self‐harm: A longitudinal single case study of an add‐on AMBIT program.
      aug:
        au:
          Høgenhaug, Stine Steen
          Bloch, Marie Skaalum
          Jensen, Stefan Lock
          Olesen, Anne Vingaard
          Telléus, Gry Kjærsdam
        affil: Clinic North, Psychiatric Hospital, Bronderslev, Denmark
      sug:
        subj:
          Injuries, Self-Inflicted Therapy
          Severity of Injury
          Mentalization-Based Therapy
          Human
          Prospective Studies
          Funding Source
          Descriptive Research
          Female
          Adult
          Bipolar Disorder Therapy
          Hospitalization
          Scales
          Checklists
          Questionnaires
          Coercion
          Adult: 19-44 years
          Female
      ab: Background: Mentalization‐based treatment (MBT) has been proposed as a promising approach when treating patients suffering from borderline personality disorder (BPD) and severe self‐harm. Though study findings on MBT for patients who self‐harm are convincing, a meta‐analysis showed mixed results, calling for further research and the development of treatment protocols (Gross et al., 2024). Aim: The aim of this study was to describe an add‐on AMBIT intervention for adult patients suffering from severe self‐harm. To demonstrate the add‐on AMBIT's potential, a descriptive longitudinal study design was facilitated and illustrated with a single case of a woman in her mid‐twenties suffering from BPD and severe self‐harm. Materials and Methods: Multiple data sources were applied to show the longitudinal development of the patient one year before entering treatment, during treatment, and one year after treatment including calculation of number of hospitalized bed days, coercion episodes, and suicide attempts. Additionally, the Deliberate Self‐Harm Inventory, the Affect Integration Inventory, the Inventory of Interpersonal Problems, the Hopkins Symptom Checklist, and the WHO's Quality of Life questionnaire were measured every third month during a 2‐year treatment period to examine trajectories of change across time. Results: Results revealed significant improvements on all measured parameters including a reduction in the patient's number of bed days (from 166 to 0), hospitalizations (from 4 to 0), coercion episodes (from 22 to 0), and suicide attempts (from 2 to 0). Furthermore, measures during the treatment period showed reduced self‐harm, decreased symptomatology, increased affect integration, better interpersonal functionality, and improved everyday functioning. Measures 1 year after treatment suggested lasting effects. Discussion: The potential of the add‐on AMBIT intervention is discussed, including limitations and future research recommendations.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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