A Feasibility Study of Group Schema Therapy with Psychomotor Therapy for Older Adults with a Cluster B or C Personality Disorder

Dijk, Silvia D M van; Bouman, Renske; Folmer, Ewa H; Alphen, S.P.J. van; Brink, Rob H. S. van den; Voshaar, Richard C. Oude

doi:10.1080/07317115.2022.2099330

Cited by 4 publications

(1 citation statement)

References 18 publications

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“…ST has been proven effective for younger adults in several studies (Bamelis et al, 2014;Giesen-Bloo et al, 2006; van Dijk et al, 2023), and there is emerging evidence that ST can also be effective for older adults (van Dijk et al, 2022;Videler et al, 2014Videler et al, , 2018Videler et al, , 2021, although in clinical practice, therapeutic nihilism still prevails towards treatment of personality disorders in later life (Penders et al, 2020;Videler et al, 2020). Individual ST was found to be an effective treatment for older adults with cluster C personality disorders (Videler et al, 2018).…”

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confidence: 99%

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

Khasho,

van Alphen,

Ouwens

et al. 2023

Clin Psychology and Psychoth

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ObjectiveThe aim of this study was to explore the effectiveness of schema therapy (ST) in older adults with borderline personality disorder (BPD).MethodsMultiple 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.ResultsResults 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.ConclusionThis 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.

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