Mentalization based treatment of youth on the psychotic spectrum: clinical profiles and outcomes for youth in the ECID

Frontiers in Psychiatry

Psychiatry

Mark Dangerfield¹  Line Brotnow Decker² 

[1] Vidal and Barraquer University Institute of Mental Health, Ramon Llull University, Barcelona, Spain;Yale Child Study Center, Yale University, New Haven, CT, United States;

关键词: mentalization-based treatment;    psychotic spectrum;    adolescence;    treatment resistant;    AMBIT;   

DOI  :  10.3389/fpsyt.2023.1206511

 received in 2023-04-15, accepted in 2023-06-20,  发布年份 2023

来源: Frontiers

【 摘 要 】

IntroductionEarly intervention may significantly improve the prognosis associated with psychotic disorders in adulthood.MethodsThe present study examined the acceptability and effectiveness of a standalone intensive, in-home, mentalization-based treatment (MBT) for extremely high-risk, non-help-seeking youth on the psychotic spectrum [Equipo Clínico de Intervención a Domicilio (ECID), Home Intervention Clinical Team].ResultsDespite previously being unable to participate in treatment, more than 90% of youth engaged and those on the psychotic spectrum demonstrated slightly higher engagement than the general high-risk group (95% and 85%, respectively, X1 = 4.218, p = 0.049). Generalized estimating equation (GEE) models revealed no main group effect on the likelihood of reengaging with school over the first 12 months of treatment (X1 = 1.015, p = 0.314) when controlling for the duration of school absenteeism at intake. Overall, the percentage of school engagement rose from 12 to 55 over this period, more than 40% of the total sample experienced clinically reliable change and an additional 50% appeared clinically stable. No statistically significant difference was observed between the groups in the average change in HoNOSCA total severity score (X1 = 0.249, p = 0.618) or the distribution of youth into categories of clinical change during the first year of treatment (X1 = 0.068, p = 0.795).DiscussionThe present findings suggest that a mentalization based intervention may be able to engage extremely high-risk youth in treatment and have clinically meaningful impact on symptom severity and functioning after 12 months.

【 授权许可】

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Copyright © 2023 Dangerfield and Brotnow Decker.