The effectiveness of individual schema therapy in older adults with borderline personality disorder: A multiple-baseline case series design.

Autor: Khasho DA; GGz Breburg, PersonaCura, Clinical Centre of Excellence for Personality Disorders and Autism in Older Adults, Tilburg, The Netherlands., van Alphen SPJ; GGz Breburg, PersonaCura, Clinical Centre of Excellence for Personality Disorders and Autism in Older Adults, Tilburg, The Netherlands.; Department of Clinical and Life Span Psychology, Vrije Universiteit Brussel (VUB), Brussels, Belgium.; Mondriaan, Clinical Centre of Excellence for Older Adults with Personality Disorders, Heerlen-Maastricht, The Netherlands.; Department of Medical and Clinical Psychology, Tilburg University, Tilburg, The Netherlands., Ouwens MA; GGz Breburg, PersonaCura, Clinical Centre of Excellence for Personality Disorders and Autism in Older Adults, Tilburg, The Netherlands.; Tranzo Department, Tilburg University, Tilburg, The Netherlands., Arntz A; Department of Clinical Psychology, University of Amsterdam, Amsterdam, The Netherlands., Heijnen-Kohl SMJ; Mondriaan, Clinical Centre of Excellence for Older Adults with Personality Disorders, Heerlen-Maastricht, The Netherlands., Videler AC; GGz Breburg, PersonaCura, Clinical Centre of Excellence for Personality Disorders and Autism in Older Adults, Tilburg, The Netherlands.; Tranzo Department, Tilburg University, Tilburg, The Netherlands.
Jazyk: angličtina
Zdroj: Clinical psychology & psychotherapy [Clin Psychol Psychother] 2023 Nov-Dec; Vol. 30 (6), pp. 1313-1323. Date of Electronic Publication: 2023 Aug 29.
DOI: 10.1002/cpp.2900
Abstrakt: Objective: The aim of this study was to explore the effectiveness of schema therapy (ST) in older adults with borderline personality disorder (BPD).
Methods: Multiple baseline case series design with five BPD patients, with a mean age of 66. After a baseline phase with random length, patients received weekly ST sessions for a year, followed by follow-up sessions during 6 months. Participants rated the credibility of negative core beliefs weekly; various secondary outcome measures were assessed every 6 months (severity of BPD, early maladaptive schemas, schema modes, personality functioning, maladaptive personality traits, psychological distress and quality of life), and BPD diagnosis was assessed before baseline and after follow-up. Data were analysed with mixed regression analyses and paired t-tests.
Results: Results revealed that ST led to a significant decrease in credibility of negative core beliefs, with high effect sizes. All participants remitted from their BPD diagnosis.
Conclusion: This is the first study exploring the effectiveness of ST for BPD in older adults, and it suggests that ST can be a powerful intervention for this group of patients.
(© 2023 The Authors. Clinical Psychology & Psychotherapy published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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