Detailed contribution information
| Contribution title | Examining the Effectiveness of Mentalization-Based Therapy (MBT) in Eating Disorders (EDs): A Systematic Review |
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| Contribution code | D1.095 |
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| Form of presentation | Poster |
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| Abstract |
Background: Mentalization-based therapy (MBT) has emerged as a promising intervention for addressing the interpersonal and emotional challenges that are integral to the pathology of eating disorders (EDs). By enhancing mentalizing abilities- the capacity to understand and interpret one's own and others’ mental states- MBT offers a targeted approach to fostering healthier emotional responses and interpersonal functioning. This review evaluates the effectiveness of MBT in improving mentalizing capabilities and reducing ED symptoms. Methods: In line with PRISMA guidelines, a systematic search was conducted via four databases (MEDLINE, Embase, PsycINFO, and CENTRAL). The search targeted empirical studies investigating the application of MBT in individuals with clinically diagnosed EDs. Risk of bias was assessed, and findings were synthesized narratively, employing a detailed and interpretive methodology to integrate diverse study outcomes. Results and conclusions: The review identified four relevant studies: two randomized control trials (RCTs) and two observational studies. These four studies explored MBT across varying treatment contexts, including inpatient facilities, day hospitals, and outpatient settings. Comparison treatments included psychodynamic therapy and supportive treatment. Patient populations exhibited significant heterogeneity, with some studies including individuals with comorbid borderline personality disorder (BPD) alongside EDs. Across studies, MBT demonstrated effectiveness in reducing ED symptoms, improving reflective functioning, and addressing emotional dysregulation, with similar benefit to standard ED treatments with improved compliance. Future research should explore the application and adaptation of MBT with adolescents and emerging adults. High-quality RCTs are needed to further establish the acceptability, feasibility, efficacy, and cost-effectiveness of MBT. |