The allocation of patients with personality disorders to a suitable treatment approach: The development of a checklist based on patients' life stories.

IF 1 4区 医学 Q4 PSYCHIATRY Bulletin of the Menninger Clinic Pub Date : 2024-01-01 DOI:10.1521/bumc.2024.88.3.239
Silvia M Pol, Niek Zuidhof, Dennis Sennef, Anneke M Sools, Gerben J Westerhof
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Abstract

Treatment assignment for patients with personality disorders (PDs) involves a complex process consisting of diagnostic assessment and deciding on the most appropriate psychotherapeutic treatment. This article describes the development of a checklist for systematic analysis of life stories to support reflective and transparent assignment of patients to either dialectical behavioral therapy (DBT) or schema-focused therapy (SFT). In a first study, an email survey, focus group, and member check were conducted among eight clinical experts to identify relevant dimensions in life stories in patients with PDs. In a second study, a checklist based on these dimensions was developed in three rounds of testing with nine clinical experts and nine psychology students. Checklist results were compared to actual assigned treatment for 20 patients. Systematic evaluation of life stories, is promising in supporting the allocation of patients with PDs to a suitable treatment approach by focusing on specific and consensual dimensions in patients' life stories.

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为人格障碍患者分配合适的治疗方法:根据患者的生平事迹编制核对表。
人格障碍(PDs)患者的治疗分配是一个复杂的过程,包括诊断评估和决定最合适的心理治疗方法。本文介绍了一种用于系统分析生活故事的核对表的开发过程,该核对表可支持以反思和透明的方式将患者分配到辩证行为疗法(DBT)或模式聚焦疗法(SFT)中。在第一项研究中,八位临床专家进行了电子邮件调查、焦点小组和成员检查,以确定PD患者生活故事中的相关维度。在第二项研究中,九名临床专家和九名心理学专业学生经过三轮测试,根据这些维度制定了一份核对表。核对表结果与 20 名患者的实际指定治疗进行了比较。对生活故事进行系统评估,通过关注患者生活故事中的特定和共识维度,有望为将帕金森病患者分配到合适的治疗方法提供支持。
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来源期刊
CiteScore
1.90
自引率
0.00%
发文量
30
期刊介绍: The Bulletin of the Menninger Clinic offers a psychodynamic perspective on the application of theory and research in outpatient psychotherapy, attachment theory, developments in cognitive neuroscience and psychopathologies, as well as the integration of different modes of therapy. This widely indexed, peer-reviewed journal has been published since 1936 by the Menninger Clinic. Topical issues focus on critical subjects such as disordered attachments, panic disorder, trauma, and evidence-based interventions.
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