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:: Volume 3, Issue 4 (Winter 2025) ::
Health Res Develop 2025, 3(4): 41-55 Back to browse issues page
Effectiveness of Mentalization-Based Therapy on Dimensions of Frustration Tolerance in Adolescents with Borderline Personality Features: A Semi-Experimental Study
Fatemeh Izadi1 , Alireza Pegah2 , Gholamreza Talebi *3
1- Na. C., Islamic Azad University & Master of Clinical Psychology, Department of Psychology, Na. C., Islamic Azad University, Najafabad, Iran
2- Islamic Azad University. Isfahan branch (Khorasgan). Isfahan & Master of Clinical Psychology. Islamic Azad University. Isfahan branch (Khorasgan). Isfahan. Iran., Alipegah.psy@gmail.com
3- Na. C., Islamic Azad University & Assistant Professor of Health Psychology, Department of Medicine, Na. C., Islamic Azad University, Najafabad, Iran., rezatalebi@iau.ac.ir , rezatalebi@iau.ac.ir
Abstract:   (155 Views)
Background: Frustration tolerance during the sensitive period of adolescence, when accompanied by borderline personality features, can be associated with detrimental individual, familial, and social outcomes, as well as the maintenance and exacerbation of borderline symptoms. This study aimed to investigate the effectiveness of mentalization-based therapy (MBT) on dimensions of frustration tolerance in adolescents with borderline personality features.
methods: This semi-experimental study employed a pre-test–post-test design with a three-month follow-up and a control group. The population consisted of all adolescents with borderline personality features referred to mental health centers in Isfahan in 2024. Based on purposive sampling and inclusion criteria, 34 participants were selected and randomly assigned to experimental and control groups (17 per group). Instruments included the Claridge and Brooks Borderline Personality Scale and the Harrington Frustration Tolerance Questionnaire. The experimental group received 20 sessions of MBT, twice a week, while the control group received no intervention. Data were analyzed using repeated measures ANOVA and Bonferroni post-hoc tests in SPSS version 26.
Results: The mean age of participants in the experimental group was 16/41 ± 1/06 years. Results indicated that MBT significantly improved all dimensions of frustration tolerance, including emotional intolerance, discomfort intolerance, achievement goal intolerance, and injustice intolerance (P < 0/05). The effect sizes for these dimensions were 0/53, 0.57, 0/50, and 0/57, respectively, indicating a moderate intervention effect. These improvements were maintained at the follow-up stage.
Conclusion: MBT significantly enhanced various dimensions of frustration tolerance in adolescents with borderline personality features, and the effects remained stable over time. Therefore, this therapy may serve as an effective intervention for improving frustration tolerance in this population and can be applied by mental health professionals.
Keywords: Mentalization-Based Therapy, Failure tolerance, Borderline Personality Disorder, Adolescent.
Full-Text [PDF 1148 kb]   (21 Downloads)    
Type of Study: Original | Subject: Special
Received: 2025/09/25 | Accepted: 2025/11/5 | Published: 2025/12/31
References
1. Leichsenring F, Fonagy P, Heim N, Kernberg OF, Leweke F, Luyten P, et al. Borderline personality disorder: a comprehensive review of diagnosis and clinical presentation, etiology, treatment, and current controversies. World psychiatry. 2024;23(1):4-25. [DOI:10.1002/wps.21156] [PMID]
2. Mohajerin B, Howard RC. The impact of age and sex on the expression and severity of borderline symptoms in individuals with borderline personality disorder: an Iranian study. Personality and Mental Health. 2025;19(1):e70004. [DOI:10.1002/pmh.70004]
3. Laurini O, Strugarek P, Rahioui H. Borderline personality: revisiting its classification as a neurodevelopmental disorder. Frontiers in Psychiatry. 2025;16:1587778. [DOI:10.3389/fpsyt.2025.1587778] [PMID] []
4. rabi E, Motaharh, Baghooli, Barzegar, Naziri. Exploring the basics and principles of borderline personality disorder. new approach to educating children. 2025;6(4):126-39.
5. Fard F, Samani A, Talebi. Presenting a structural model of borderline personality traits based on the quality of the parent-child relationship with the mediation of frustration tolerance in students. Journal of the Faculty of Medicine, Mashhad University of Medical Sciences. 2023;66(5).
6. Iliaeifar SGT, Panah SA, Majidpour Z, Ghanbarnejad M, Aghaei N, Ghochani KPM. The effectiveness of schema therapy on tolerance of failure and internalized shame in people with borderline personality disorder. Quarterly Journal of Experimental and Cognitive Psychology. 2024;1(4):103-16. [DOI:10.61838/qecp.111]
7. Harrington N. Frustration intolerance: Therapy issues and strategies. Journal of Rational-Emotive & Cognitive-Behavior Therapy. 2011;29(1):4-16. [DOI:10.1007/s10942-011-0126-4]
8. Simona T, Hortensia BC, Gabriel R. Frustration Intolerance Scale for Students. Clinical Psychology & Psychotherapy. 2025;32(1):e70028. [DOI:10.1002/cpp.70028] [PMID]
9. Fernandez J, Bernacer J. Frustration Tolerance and Personality. Addiction and Attachment. 2021.
10. Kawalramani S, Pandey S. Effect of frustration intolerance and emotional maturity on internet addiction among young adults. 2020.
11. Henry SK. Relationship between frustration tolerance and psychological self-regulatory mechanisms in weight loss maintenance: The University of Alabama at Birmingham; 2019.
12. Karterud SW, Kongerslev MT. A temperament-attachment-mentalization-based (TAM) theory of personality and its disorders. Frontiers in Psychology. 2019;10:518. [DOI:10.3389/fpsyg.2019.00518]
13. Wiwe M. Errare Humanum Est (To Err Is Human): A mentalizing breakdown in the therapeutic work with an adolescent. Frontiers in Psychology. 2021;12:789120. [DOI:10.3389/fpsyg.2021.789120]
14. Kumpasoğlu GB, Saunders R, Campbell C, Nolte T, Montague R, Pilling S, et al. Mentalizing, epistemic trust and interpersonal problems in emotion regulation: A sequential path analysis across common mental health disorders and community control samples. Journal of affective disorders. 2025;372:502-11. [DOI:10.1016/j.jad.2024.12.050] [PMID]
15. Saricali M, Guler D. The mediating role of psychological need frustration on the relationship between frustration intolerance and existential loneliness. Current Psychology. 2022;41(8):5603-11. [DOI:10.1007/s12144-022-02866-w]
16. Bengari A, Yousefi E, Khajepoor L. Comparing Mentalizing and Transdiagnostic Therapies for Distress Tolerance in Religiously Committed Betrayed Women. Iranian Journal of Educational Research. 2025;4(3):0-.
17. Simonsen S, Kongerslev MT, Bateman A. Mentalization-based treatment. ICD-11 Personality Disorders: Assessment and Treatment: Oxford University Press; 2025. p. 373-93. [DOI:10.1093/9780191964343.003.0022]
18. Jørgensen MS, Høgenhaug SS, Sharp C, Bo S. Mentalization‐Based Therapy for Borderline Personality Disorder: State‐Of‐The‐Science and Future Directions. Clinical Psychology & Psychotherapy. 2025;32(4):e70120. [DOI:10.1002/cpp.70120] [PMID]
19. Hajek Gross C, Oehlke SM, Prillinger K, Goreis A, Plener PL, Kothgassner OD. Efficacy of mentalization‐based therapy in treating self‐harm: A systematic review and meta‐analysis. Suicide and Life‐Threatening Behavior. 2024;54(2):317-37. [DOI:10.1111/sltb.13044]
20. Mohajerin B, Gallagher MW, Howard R. Unified Protocol vs Mentalization‐Based Therapy for Adolescents With Borderline Personality Disorder: A Randomized Controlled Trial. Clinical Psychology & Psychotherapy. 2025;32(1):e70033. [DOI:10.1002/cpp.70033]
21. Rizzi E, Weijers JG, Kate Ct, Selten J-P. Mentalization based treatment for a broad range of personality disorders: a naturalistic study. BMC psychiatry. 2024;24(1):429. [DOI:10.1186/s12888-024-05865-2]
22. Khabir L, Mohamadi N, Rahimi C, Dastgheib SA. The effectiveness of group therapy based on Mentalization and dialectical behavior on clinical symptoms of borderline personality disorder: a randomized controlled clinical trial. Journal of Health Sciences & Surveillance System. 2018;6(2):80-8.
23. Rossouw TI, Fonagy P. Mentalization-based treatment for self-harm in adolescents: a randomized controlled trial. Journal of the American Academy of child & adolescent psychiatry. 2012;51(12):1304-13. e3. [DOI:10.1016/j.jaac.2012.09.018]
24. Stepp SD, Scott LN, Morse JQ, Nolf KA, Hallquist MN, Pilkonis PA. Emotion dysregulation as a maintenance factor of borderline personality disorder features. Comprehensive psychiatry. 2014;55(3):657-66. [DOI:10.1016/j.comppsych.2013.11.006] [PMID]
25. Delavar A. Research methodology in psychology and educational sciences. The fourth edition of the publication editing Tehran(Persian). 2009.
26. Harrington N. The frustration discomfort scale: Development and psychometric properties. Clinical Psychology & Psychotherapy: An International Journal of Theory & Practice. 2005;12(5):374-87. [DOI:10.1002/cpp.465]
27. Rahimi N, Afsharinia K. Prediction of psychological resilience based on degree of differentiation and Frustration tolerance in the elderly. Aging Psychology. 2017;3(2):127-36.
28. Claridge G, Broks P. Schizotypy and hemisphere function-I: Theoretical considerations and the measurement of schizotypy. Personality and Individual Differences. 1984;5(6):633-48. [DOI:10.1016/0191-8869(84)90111-9]
29. Rawlings D, Claridge G, Freeman JL. Principal components analysis of the schizotypal personality scale (STA) and the borderline personality scale (STB). Personality and Individual Differences. 2001;31(3):409-19. https://doi.org/10.1016/S0191-8869(00)00146-X [DOI:10.1016/0191-8869(85)90070-4]
30. Bateman A, Fonagy P. Mentalization-based treatment for personality disorders: A practical guide: Oxford University Press; 2016. [DOI:10.1093/med:psych/9780199680375.001.0001]
31. Einy S, Narimani M. Effectiveness of mentalization based therapy on ego-strength and defense mechanisms in people with borderline personality disorder. Shefaye Khatam. 2019;7(3):1-12. [DOI:10.29252/shefa.7.3.1]
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Ethics code: IR. IAU. NAJAFABAD. REC. 1404. 046
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Izadi F, Pegah A, Talebi G. (2025). Effectiveness of Mentalization-Based Therapy on Dimensions of Frustration Tolerance in Adolescents with Borderline Personality Features: A Semi-Experimental Study. Health Res Develop. 3(4), 41-55.
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