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CompletedNCT02988453MBT-CDUpdated May 18, 2022

Mentalization-based Training for Adolescents With Conduct Disorder (MBT-CD)

An interventional study of MBT-CD in Conduct Disorder, sponsored by Heidelberg University. Completed at 1 site in Germany. Open to participants aged 11 Years to 18 Years. Per ClinicalTrials.gov, last updated 2022-05-18.

Sponsored by Heidelberg University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
45
Allocation
Not applicable
Ages
11 Years to 18 Years
Sex
All
01

Study summary

A feasibility and pilot trial to investigate the feasibility of a newly manualized psychotherapy "Mentalization-Based Training for Adolescents with Conduct Disorder (MBT-CD)"

Read the detailed description

Background: Conduct Disorder is a severe and complex mental disorder with the highest incidence in adolescence. Previous studies have shown that family-oriented interventions are effective in the treatment of Conduct Disorder. However, most therapies focus rather on symptom management and less on etiological causes without inclusion of the family in the therapeutic process. Previous research has linked specific symptoms of Conduct Disorder with deficits in mentalization ability. Mentalization is the ability to perceive one's own and other's behavior as the product of affective and cognitive mental states. Low or missing mentalization abilities are regarded as a risk factor for the development and chronification of Conduct Disorder.

Aims: The study aims to investigate the feasibility of a newly manualized psychotherapy "Mentalization-Based Training for Adolescents with Conduct Disorder (MBT-CD)" that strives to decrease symptoms associated with Conduct Disorder by increasing mentalization in adolescents and their families.

Methods: The study is feasibility and piolot trial, carried out in Heidelberg (Germany), and Mainz (Germany). Adolescents aged between 11-18, who meet the DSM-5 criteria for Conduct Disorder will receive MBT-CD. Times of measurement: t0 (Screening), T1 (Baseline, at the beginning of therapy), T2 (3 months after the beginning of therapy), T3 (at the end of therapy, after 6 months), T4 (follow-up, after 9 months).

02

Conditions studied

  • Conduct Disorder

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Keywords

  • mentalization-based treatment
  • conduct disorder
  • adolescents
03

In context

Conduct Disorder

101 studies on the registry are indexed under Conduct Disorder; 15 are open to participants now.

This study's enrollment of 45 is below the median of 124 across 80 interventional studies indexed under Conduct Disorder.

Browse Conduct Disorder studies →

Lead sponsor

Heidelberg University is the lead sponsor of 287 studies on the registry; 19 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
11 Years to 18 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • main diagnosis conduct disorder ( 312.81,312.82)
  • written

Exclusion criteria

Exclusion Criteria:

  • acute substance dependence
  • sexual offenses
  • acute psychotic symptoms, early or early-onset schizophrenia
  • neurological impairments and low intelligence (IQ \<80)
  • non-German-speaking
  • other clinical contra indication for outpatient psychotherapy (e.g. acute suicidality)
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
45 participants (actual)

Study arms

  • Experimental
    MBT-CD

    Mentalization-based treatment program

    Other: MBT-CD

Interventions

  • OtherMBT-CD

    MBT-CD is a disorder-specific modification of MBT, initially developed for patients with Borderline Personality Disorder. It is a manualized and psychodynamically oriented psychotherapy with the aim to increase the mentalization capacity of adolescents in close relationships. The therapy consists of 2 psychoeducational group sessions, 30 individual therapy sessions and 10 family sessions. The average duration of therapy is 6 months.

06

What researchers measure

Primary outcomes

  1. Structured Clinical Interview for DSM-IV Axis II Disorders (SCID-II)

    Time frame: Change from baseline in SCID-II at 12 months (at the end of therapy)

  2. Subtypes of Antisocial Behaviour Questionnaire (STAB)

    Time frame: Change from baseline in STAB at 6 months

  3. Subtypes of Antisocial Behaviour Questionnaire (STAB)

    Time frame: Change from baseline in STAB at 12 months (at the end of therapy)

  4. Subtypes of Antisocial Behaviour Questionnaire (STAB)

    Time frame: Change from baseline in STAB at 18 months (follow-up)

  5. Reactive-Proactive-Aggression Questionnaire (RPQ)

    Time frame: Change from baseline in RPQ at 6 months

  6. Reactive-Proactive-Aggression Questionnaire (RPQ)

    Time frame: Change from baseline in RPQ at 12 months (at the end of therapy)

  7. Reactive-Proactive-Aggression Questionnaire (RPQ)

    Time frame: Change from baseline in RPQ at 18 months (follow-up)

Secondary outcomes

  1. Global Assessment of Functioning (GAF)

    Time frame: Change from baseline in GAF at 12 months (at the end of therapy)

  2. Clinical Global Impression (CGI-SI)

    Time frame: Change from baseline in CGI-SI at 12 months (at the end of therapy)

  3. Levels of Personality Functioning - Questionnaire Adolescence (LoPF-QA)

    Time frame: Change from baseline in LoPF-QA at 12 months (at the end of therapy)

  4. Levels of Personality Functioning - Questionnaire Adolescence (LoPF-QA)

    Time frame: Change from baseline in LoPF-QA at 18 months (follow-up)

  5. Reflective Functioning Questionnaire (RFQ)

    Time frame: Change from baseline in RFQ at 12 months (at the end of therapy)

  6. Reflective Functioning Questionnaire (RFQ)

    Time frame: Change from baseline in RFQ at 18 months (follow-up)

  7. Movie for the Assessment of Social Cognition (MASC)

    Time frame: Change from baseline in MASC at 12 months (at the end of therapy)

  8. 10 round Trust Game Task (TGT)

    Time frame: Change from baseline in TGT at 12 months (at the end of therapy)

  9. Social Hierarchy Task (SHT)

    Time frame: Change from baseline in SHT at 12 months (at the end of therapy)

  10. Approach-Avoidance Task (AAT)

    Time frame: Change from baseline in AAT at 12 months (at the end of therapy)

  11. Symptom Checklist-90-Revised (SCL-90R)

    Time frame: Change from baseline in SCL-90R at 12 months (at the end of therapy)

  12. Stress Index for Parents of Adolescents (SIPA)

    Time frame: Change from baseline in SIPA at 12 months (at the end of therapy)

  13. Stress Index for Parents of Adolescents (SIPA)

    Time frame: Change from baseline in SIPA at 18 months (follow-up)

  14. drop-out rates

    Time frame: after 12 months (at the end of therapy)

  15. cost-effectiveness

    Cost-effectiveness will be measured by participation in training/school, rehospitalization, internment

    Time frame: after 12 months (at the end of therapy)

Other outcomes

  1. Working Alliance Inventory (WAI)

    Treatment related variable (moderator)

    Time frame: Change from baseline in WAI at 6 months

  2. Working Alliance Inventory (WAI)

    Treatment related variable (moderator)

    Time frame: Change from baseline in WAI at 12 months (at the end of therapy)

  3. Experiences in Close Relationships - Revised (ECR-R)

    Treatment related variable (moderator)

    Time frame: Change from baseline in ECR-R at 12 months (at the end of therapy)

  4. Emotion Regulation Questionnaire (ERQ)

    Treatment related variable (moderator)

    Time frame: Change from baseline in ERQ at 12 months (at the end of therapy)

  5. Emotion Regulation Questionnaire (ERQ)

    Treatment related variable (moderator)

    Time frame: Change from baseline in ERQ at 18 months (follow-up)

  6. Zurich Brief Questionnaire for the Assessment of Parental Behaviors (ZKE)

    Treatment related variable (moderator)

    Time frame: Change from baseline in ZKE at 12 months (at the end of therapy)

  7. The Mini-International Neuropsychiatric Interview (MINI)

    Treatment related variable (moderator)

    Time frame: Change from baseline in MINI at 12 months (at the end of therapy)

  8. Youth Psychopathy Traits Inventory (YPI)

    Treatment related variable (moderator)

    Time frame: only baseline assessment

  9. Cultural-Fair-Test (CFT-2)

    Treatment related variable (moderator)

    Time frame: only baseline assessment

  10. Childhood Experience of Care and Abuse Questionnaire (CECA-Q)

    Treatment related variable (moderator)

    Time frame: only baseline assessment

  11. Dimensional Assessment of Personality Pathology - Basic Questionnaire (DAPP-BQ)

    Treatment related variable (moderator)

    Time frame: only baseline assessment

07

Study locations

1 site
  • Heidelberg University
    Heidelberg, 69115, Germany
08

References and documents

Publications

  • Taubner S, Zimmermann L, Ramberg A, Schroder P. Mentalization Mediates the Relationship between Early Maltreatment and Potential for Violence in Adolescence. Psychopathology. 2016;49(4):236-246. doi: 10.1159/000448053. Epub 2016 Aug 23. PubMed 27548462 ↗
  • Rossouw TI, Fonagy P. Mentalization-based treatment for self-harm in adolescents: a randomized controlled trial. J Am Acad Child Adolesc Psychiatry. 2012 Dec;51(12):1304-1313.e3. doi: 10.1016/j.jaac.2012.09.018. PubMed 23200287 ↗
  • Taubner S, White LO, Zimmermann J, Fonagy P, Nolte T. Attachment-related mentalization moderates the relationship between psychopathic traits and proactive aggression in adolescence. J Abnorm Child Psychol. 2013 Aug;41(6):929-38. doi: 10.1007/s10802-013-9736-x. PubMed 23512713 ↗
  • McGauley G, Yakeley J, Williams W, Bateman AW. Attachment, mentalization and antisocial personality disorder. The possible contribution of mentalization-based treatment. European Journal of Psychotherapy & Counselling. 2011; 13 (4): 371-393; doi: 10.1080/13642537.2011.629118.
  • Taubner S, Hauschild S, Kasper L, Kaess M, Sobanski E, Gablonski TC, Schroder-Pfeifer P, Volkert J. Mentalization-based treatment for adolescents with conduct disorder (MBT-CD): protocol of a feasibility and pilot study. Pilot Feasibility Stud. 2021 Jul 2;7(1):139. doi: 10.1186/s40814-021-00876-2. PubMed 34215323 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 18, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02988453
Collaborators
Heidelberg University, Psychotherapy Research Department, Heidelberg University, Clinic for Child and Youth Psychiatry, Johannes Gutenberg University Mainz
Responsible party
Svenja Taubner (Prof. Dr., Heidelberg University) — Principal investigator
First posted
Dec 9, 2016
Start date
Dec 2016
Primary completion
Oct 2021
Completion
Dec 2021
Last update
May 18, 2022

Study contacts

Svenja Taubner, Prof.
principal investigator · Institute for Psychosocial Prevention, Heidelberg University

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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