Schema Therapy in a Psychodynamic Group

Aalders, Helga; Dijk, Janie van

doi:10.1002/9781119962830.ch28

Cited by 5 publications

(5 citation statements)

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“…Compared to PG, GST-C is more recently developed and based on a clearly defined protocol. For SFGT, a protocol had been published internally, based on publication of Aalders & van Dijk [ 1 ]. PG has, by nature, a more open structure and more differences in how it is applied in clinical practice.…”

Section: Discussionmentioning

confidence: 99%

“…SFGT combines a structured schema-focused approach with an open, unstructured part in one session, thereby giving more room to group dynamics than traditional schema therapy groups [ 1 ]. This format is developed to be especially suited for patients with a Cluster-C PD, enabling a focus on intrapersonal and interpersonal dynamics.…”

Section: Methods: Participants Interventions and Outcomesmentioning

confidence: 99%

“…Another type of schema group therapy that is frequently offered for Cluster-C PDs in the Netherlands is schema-focused group therapy (SFGT), developed by Aalders and van Dijk [ 1 ]. This group format combines a highly structured, schema-focused part with an unstructured, dynamic approach, characterized by an open dialogue and group dynamic interventions.…”

Section: Introductionmentioning

confidence: 99%

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G-FORCE: the effectiveness of group psychotherapy for Cluster-C personality disorders: protocol of a pragmatic RCT comparing psychodynamic and two forms of schema group therapy

Heuvel

Dekker

Daniëls

et al. 2023

Trials

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Background Cluster-C personality disorders (PDs), characterized by a high level of fear and anxiety, are related to high levels of distress, societal dysfunctioning and chronicity of various mental health disorders. Evidence for the optimal treatment is extremely scarce. Nevertheless, the need to treat these patients is eminent. In clinical practice, group therapy is one of the frequently offered approaches, with two important frameworks: schema therapy and psychodynamic therapy. These two frameworks suggest different mechanisms of change, but until now, this has not yet been explored. The purpose of the present G-FORCE trial is to find evidence on the differential (cost)effectiveness of two forms of schema group therapy and psychodynamic group therapy in the routine clinical setting of an outpatient clinic and to investigate the underlying working mechanisms and predictors of outcome of these therapies. Methods In this mono-centre pragmatic randomized clinical trial, 290 patients with Cluster-C PDs or other specified PD with predominantly Cluster-C traits, will be randomized to one of three treatment conditions: group schema therapy for Cluster-C (GST-C, 1 year), schema-focused group therapy (SFGT, 1.5 year) or psychodynamic group therapy (PG, 2 years). Randomization will be pre-stratified on the type of PD. Change in severity of PD (APD-IV) over 24 months will be the primary outcome measure. Secondary outcome measures are personality functioning, psychiatric symptoms and quality of life. Potential predictors and mediators are selected and measured repeatedly. Also, a cost-effectiveness study will be performed, primarily based on a societal perspective, using both clinical effects and quality-adjusted life years. The time-points of assessment are at baseline, start of treatment and after 1, 3, 6, 9, 12, 18, 24 and 36 months. Discussion This study is designed to evaluate the effectiveness and cost-effectiveness of three formats of group psychotherapy for Cluster-C PDs. Additionally, predictors, procedure and process variables are analysed to investigate the working mechanisms of the therapies. This is the first large RCT on group therapy for Cluster-C PDs and will contribute improving the care of this neglected patient group. The absence of a control group can be considered as a limitation. Trial registration CCMO, NL72826.029.20. Registered on 31 August 2020, first participant included on 18 October 2020.

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Section: Discussionmentioning

confidence: 99%

Section: Methods: Participants Interventions and Outcomesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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G-FORCE: the effectiveness of group psychotherapy for Cluster-C personality disorders: protocol of a pragmatic RCT comparing psychodynamic and two forms of schema group therapy

Heuvel

Dekker

Daniëls

et al. 2023

Trials

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“…GST is a semi-structured group therapy format based on the protocol by Aalders and van Dijk (2012). It consists of 60 weekly sessions of group therapy in which patients have the option of terminating the therapy after 40 sessions depending on their therapy needs.…”

Section: Interventionmentioning

confidence: 99%

Psychological symptoms, early maladaptive schemas and schema modes: predictors of the outcome of group schema therapy in patients with personality disorders

Koppers

Van

Peen

et al. 2020

Psychotherapy Research

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“…During the last decade, several group formats of schema therapy have been delivered [5][6][7][8] and an increasing number of schema group therapies for PD have been implemented in outpatient mental health clinics.…”

Section: Introductionmentioning

confidence: 99%

Exploring the effect of group schema therapy and comorbidity on the treatment course of personality disorders

Koppers¹,

Van

Peen³

et al. 2022

Current Opinion in Psychiatry

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Purpose of reviewTo provide an update of outcome studies of schema group therapy for personality disorders and the effect of comorbidity in order to explore whether schema group therapy might be effective for this patient group and what dosage is required. Recent findingsStudies of short-term schema group therapy for personality disorders with or without comorbidity show moderately effective results but the majority of patients fail to achieve full remission from global psychological symptom distress. Preliminary findings revealed that those unremitted patients might benefit from 40 to 60 sessions. Patients with severe personality disorders (such as borderline personality disorders) seem to need longer and/or more intensive treatment dosage to recover.

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Schema Therapy in a Psychodynamic Group

Cited by 5 publications

References 1 publication

G-FORCE: the effectiveness of group psychotherapy for Cluster-C personality disorders: protocol of a pragmatic RCT comparing psychodynamic and two forms of schema group therapy

G-FORCE: the effectiveness of group psychotherapy for Cluster-C personality disorders: protocol of a pragmatic RCT comparing psychodynamic and two forms of schema group therapy

Psychological symptoms, early maladaptive schemas and schema modes: predictors of the outcome of group schema therapy in patients with personality disorders

Exploring the effect of group schema therapy and comorbidity on the treatment course of personality disorders

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