Differential Outcome of a Therapeutic Community Program for Internalizing and Externalizing Personality Disorders: A Change in Cognitive Processes Mediates Symptom Improvement

Autor: Juan M. Ramos, Aintzane Sánchez, Aurora Doll
Jazyk: English<br />Spanish; Castilian
Rok vydání: 2020
Předmět:
Zdroj: Clínica y Salud. Investigación Empírica en Psicología, Vol 31, Iss 1, Pp 47-53 (2020)
Druh dokumentu: article
ISSN: 1130-5274
2174-0550
DOI: 10.5093/clysa2020a3
Popis: The identification of transdiagnostic mediating processes involved in a therapeutic change and their relationship with personality can contribute to a better adjustment of a therapeutic technique, enhancing its effectiveness. In a sample of 158 adults diagnosed with personality disorder who complete an inpatient therapeutic community program for 6 months, the hypothesis of a differential reduction in symptom intensity according to the externalizer/internalizer typology is tested, and cognitive variables mediating change are explored. A pre-post change (p = .000, ηp2 = .50) is observed, along with a difference between externalizers and internalizers (p = .002, ηp2 = .06), and an interaction effect (p = .037, ηp2 = .03). The effect of personality type on symptom change (β = .43, p = .009) is no longer significant when negative automatic thoughts and dysfunctional attitudes are considered as mediators (β = .06, p = .549). Findings are discussed from the perspective of personality disorder as a vulnerability factor.
Databáze: Directory of Open Access Journals
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