Brief individual experiential schema therapy in adult outpatients with cluster C personality disorders: Does it work?

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL Clinical psychology & psychotherapy Pub Date : 2024-02-12 DOI:10.1002/cpp.2948

Rowina Wan-Vermeer, Samantha Bouwmeester, Annemieke Starrenburg

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Abstract

This study investigated the effectiveness of brief individual experiential schema therapy (ST) in 12 adult outpatients with cluster C personality disorders (PD) using randomised multiple baseline design. Waitlist period was followed by five explorative sessions, 18 experiential ST sessions, two treatment follow-up (FU) booster sessions and a 6-month FU assessment. Overall well-being (ORS), behavioural treatment goals and negative core beliefs were assessed 60–91 times, global symptomatic distress (BSI) six times. PD severity (SCID-5-PD) was pre-post-analysed. Randomisation and non-parametric tests showed large significant effects (d = 1.08–2.38, r = .53–.66) on all outcomes at treatment-FU and 6-month FU assessment. This is the first study providing preliminary evidence of effectiveness of brief individual experiential ST for patients with cluster C PD, tentatively challenging the common tenet that long treatment duration is required. Due to limitations, replication is recommended.

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针对 C 群人格障碍成人门诊患者的简短个人体验模式疗法：有效吗？

本研究采用随机多重基线设计，对 12 名 C 群人格障碍（PD）成人门诊患者进行了简短的个人体验式模式疗法（ST）的有效性调查。候补名单期之后是5次探索性疗程、18次体验式ST疗程、2次治疗后续（FU）强化疗程和为期6个月的FU评估。对总体幸福感（ORS）、行为治疗目标和消极核心信念进行了 60-91 次评估，对总体症状困扰（BSI）进行了 6 次评估。对帕金森病的严重程度（SCID-5-PD）进行了前后分析。随机化和非参数检验显示，在治疗-FU和6个月FU评估中，所有结果都有很大的显著影响（d = 1.08-2.38, r = .53-.66）。这是第一项研究，它初步证明了简短的个人体验式 ST 对 C 组 PD 患者的有效性，初步挑战了需要长时间治疗的普遍信条。由于研究的局限性，建议进行重复研究。

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来源期刊

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.