Lundgaard, Poul;
Lundgaard, Louise;
Midgley, Nick;
(2024)
The Thoughtful program: a randomized controlled study of a mentalization-based mental health education intervention in a psychiatric outpatient population.
Nordic Journal of Psychiatry
, 78
(8)
pp. 721-726.
10.1080/08039488.2024.2422371.
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Abstract
BACKGROUND: P-factor and mentalizing theory and research set perspectives for transdiagnostic psychiatric treatments. AIMS: To test the effects of a low-cost mentalization-based health education program (the Thoughtful program) in an unselected waiting list population, from a psychiatric outpatient clinic in North Norway. METHODS: Waiting list patients were randomized (1:1 allocation): 79 patients in the control group were offered standard individual assessment and treatment. Seventy-nine patients in the intervention group were offered a one-day (six-hour) group-based Thoughtful course, plus individual assessment, and treatment. RESULTS: During a 6-month follow-up period, the number of patients in active assessment and treatment was 66% higher in the control group than in the intervention group. Self-reported patient questionnaire scores on mentalizing, well-being and suicidal ideation scores showed no significant changes in the control group. In the intervention group, significant changes were reported: Mentalizing scores improved by 72% and well-being scores improved by 55%. Suicidal ideation scores were not significantly changed. No adverse effects were registered. LIMITATIONS: The results from this study should be interpreted with caution because of a small population size and low questionnaire response rate. The follow up period was limited to 6 months. Transfer of program information from intervention group patients to control group patients could not be guaranteed. It may be considered a limitation that diagnostic pattern analysis was not included in the study. CONCLUSIONS: A low-cost transdiagnostic mentalization-based educational program in an outpatient psychiatry clinic may improve patient mentalizing and wellbeing without adverse effects and reduce the use of hospital services.
| Type: | Article |
|---|---|
| Title: | The Thoughtful program: a randomized controlled study of a mentalization-based mental health education intervention in a psychiatric outpatient population |
| Location: | England |
| DOI: | 10.1080/08039488.2024.2422371 |
| Publisher version: | https://doi.org/10.1080/08039488.2024.2422371 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
| Keywords: | health service research, mental health education, Mentalizing, naturalistic trial, psychiatry, randomized clinical trial |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology |
| URI: | https://discovery-pp.ucl.ac.uk/id/eprint/10200464 |
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