Group schema-focused therapy enriched with psychomotor therapy versus treatment as usual for older adults with cluster B and/or C personality disorders: a randomized trial.

Autor: van Dijk SDM; Department of Psychiatry, University of Groningen, University Medical Center Groningen, Post office box 30.001, 9700, RB, Groningen, The Netherlands. S.d.m.van.dijk@umcg.nl., Veenstra MS; Department of Psychiatry, University of Groningen, University Medical Center Groningen, Post office box 30.001, 9700, RB, Groningen, The Netherlands., Bouman R; Department of Psychiatry, University of Groningen, University Medical Center Groningen, Post office box 30.001, 9700, RB, Groningen, The Netherlands., Peekel J; Mediant Geestelijke Gezondheidszorg, Enschede, The Netherlands., Veenstra DH; Van Andel Ouderenpsychiatrie (GGZ Friesland), Leeuwarden, The Netherlands., van Dalen PJ; Dimence, Mental Health Organization, Deventer, The Netherlands., van Asselt ADI; Department of Epidemiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands., Boshuisen ML; Lentis, Mental Health Organization, Groningen, The Netherlands., van Alphen SPJ; Vrije Universiteit, Brussel, Belgium., van den Brink RHS; Department of Psychiatry, University of Groningen, University Medical Center Groningen, Post office box 30.001, 9700, RB, Groningen, The Netherlands., Oude Voshaar RC; Department of Psychiatry, University of Groningen, University Medical Center Groningen, Post office box 30.001, 9700, RB, Groningen, The Netherlands.
Jazyk: angličtina
Zdroj: BMC psychiatry [BMC Psychiatry] 2019 Jan 15; Vol. 19 (1), pp. 26. Date of Electronic Publication: 2019 Jan 15.
DOI: 10.1186/s12888-018-2004-4
Abstrakt: Background: Several types of psychotherapy have been proven successful in the treatment of personality disorders in younger age groups, however studies among older patients are lacking. We developed a group schema-focused therapy (SFT) enriched with psychomotor therapy (PMT) for older adults with cluster B and/or C personality disorders. This paper describes the design of a randomized controlled trial (RCT). We will evaluate the (cost-)effectiveness of this therapy protocol in specialized mental health care. We hypothesize that our treatment program is cost-effective and superior to treatment as usual (TAU) in reducing psychological distress and improving quality of life in older adults treated to specialized mental healthcare.
Methods: A multicenter RCT with a one-year follow-up comparing group schema-focused therapy enriched with psychomotor therapy (group SFT + PMT) and TAU for adults aged 60 years and older who suffer from either a cluster B and/or C personality disorder. The primary outcome is general psychological distress measured with the 53-item Brief Symptom Inventory. Secondary outcomes are the Schema Mode Inventory (118-item version) and the Young Schema Questionnaire. Cost-effectiveness analysis will be performed from a societal perspective with the EuroQol five dimensions questionnaire and structured cost-interviews.
Discussion: This study will add to the knowledge of psychotherapy in later life. The study specifically contributes to the evidence on (cost-) effectiveness of group SFT enriched with PMT adapted to the needs of for older adults with cluster b and/or c personality.
Trial Registration: Netherlands Trial Register NTR 6621 . Registered on 20 August 2017.
Databáze: MEDLINE
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