Feasibility of Group Schema Therapy for Outpatients with Severe Borderline Personality Disorder in Germany: A Pilot Study with Three Year Follow-Up
نویسندگان
چکیده
Borderline Personality Disorder (BPD) is a severe, challenging to treat mental disorder. Schema therapy (ST) as an individual therapy has been proven to be an effective psychological treatment for BPD. A group format of ST (GST) has been developed and evaluated in a randomized controlled trial in the United States and piloted in The Netherlands. These results suggest that GST speeds up and amplifies treatment effects of ST and might reduce delivery costs. However, feasibility in the German health care system and with BPD patients with high BPD severity and comorbidity, and frequent hospitalization, has not been tested to date. We investigated GST in 10 severely impaired, highly comorbid female patients with BPD, that needed frequent hospital admission. Patients received an outpatient ST-treatment program with weekly group and individual sessions for 1 year. Outcome measures including BPD severity, general psychopathology, psychosocial functioning, quality of life, happiness, schemas, and modes, and days of hospitalization were assessed at the start of treatment and 6, 12, and 36 months later with semi-structured interviews and self-report measures. We observed significant decreases in severity of BPD symptoms, general symptom severity, dysfunctional BPD-specific modes and schemas, and days of hospitalization. Functional modes, quality of live and happiness improved. The results of this feasibility study are promising and encourage further implementation of ST outpatient treatment programs even for patients with severe BPD and high hospitalization risk. However, small sample size and the missing of a control group do not allow the generalizability of these findings.
منابع مشابه
Effectiveness of Mentalization based Therapy on Ego-Strength and Defense Mechanisms in People with Borderline Personality Disorder
Introduction: Ego-strength and defense mechanisms are key concepts in the psychoanalytic approaches, which are important in the etiology of borderline personality disorder. Therefore, the present study was conducted with the aim of evaluating the effectiveness of mentalization based therapy (MBT) on ego-strength and defense mechanisms of people with borderline personality disorder. Materials an...
متن کاملComparison of the Effectiveness of Group Psychotherapy by Schema Therapy and Acceptance and Commitment Therapy on Symptoms of Antisocial Personality Disorder among Addicts Residing in Treatment Camp
Aim: One of the important and effective factors in the outcomes of substance dependence treatment is the high prevalence of simultaneous occurrence and comorbidity of known psychiatric disorders, especially antisocial personality disorder, with substance dependence disorder. Antisocial personality disorder is one of the most prevalent axis 2 mental disorders among individuals with substance add...
متن کاملThe Comparison of the effectiveness of dialectical behavior therapy and mentalization-based therapy in improving the symptoms of people with borderline personality disorder
The present study aimed to compare the effectiveness of dialectical behavior therapy and mentalization-based therapy in improving the symptoms of people with a borderline personality disorder. The current research was with a pre-test-post-test design and a control group with a follow-up period of 1 month. The statistical population of this research was all the treatment seekers suffering from b...
متن کاملThe Effectiveness of Integrated Schema Oriented Therapy and Young’s Schema Therapy on Perception of Exclusion among individuals with Borderline Personality Characteristics
Background& Aims: Personality pathological symptoms are the ones that require the attention of psychological therapists. Borderline personality characteristics due to its significant prevalence, as a personality trait, require the attention of therapists. Accordingly, the aim of this study was to determine the effectiveness of integrated schema oriented therapy and schema therapy on perception ...
متن کاملComparison of the Effectiveness of Schema Therapy and Integrated Schema Oriented Therapy on Components of Impulsivity in People with Borderline Personality Characteristic
Introduction: Impulsivity is one of the problems which Individuals with borderline personality characteristics suffered from them. According to this point, the aim of this study was to comparison of the effectiveness of schema therapy and integrated schema oriented therapy on impulsivity and their components among individuals with borderline personality characteristics. Methods: The research me...
متن کامل