Schema therapy for personality disorders in older adults

A multiple-baseline study

A.C. Videler, S.P.J. van Alphen, R.J.J. Van Royen, C.M. van der Feltz-Cornelis, G. Rossi, A. Arntz

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Objective: 

No studies have been conducted yet into the effectiveness of treatment of personality disorders in later life. This study is a first test of the effectiveness of schema therapy for personality disorders in older adults.

Method: 

Multiple-baseline design with eight cluster C personality disorder patients, with a mean age of 69. After a baseline phase with random length, schema therapy was given during the first year, followed by follow-up sessions during six months. Participants weekly rated the credibility of dysfunctional core beliefs. Symptomatic distress, early maladaptive schemas, quality of life and target complaints were assessed every six months and personality disorder diagnosis was assessed before baseline and after follow-up. Data were analyzed with mixed regression analyses.

Results: 

Results revealed significant linear trends during treatment phases, but not during baseline and follow-up. The scores during follow-up remained stable and were significantly lower compared to baseline, with high effect sizes. Seven participants remitted from their personality disorder diagnosis.Conclusion: Schema therapy appears an effective treatment for cluster C personality disorders in older adults. This finding is highly innovative as this is the first study exploring the effectiveness of psychotherapy, in this case schema therapy, for personality disorders in older adults.

Original languageEnglish
Pages (from-to)738-747
JournalAging & Mental Health
Volume22
Issue number6
DOIs
Publication statusPublished - 2018

Keywords

  • DESIGN
  • OUTPATIENTS
  • Older adults
  • POPULATION
  • PSYCHOTHERAPY
  • RELIABILITY
  • TRIAL
  • WHOQOL-BREF
  • clinical trial
  • personality disorders
  • psychotherapy
  • schema therapy

Cite this

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title = "Schema therapy for personality disorders in older adults: A multiple-baseline study",
abstract = "Objective: No studies have been conducted yet into the effectiveness of treatment of personality disorders in later life. This study is a first test of the effectiveness of schema therapy for personality disorders in older adults.Method: Multiple-baseline design with eight cluster C personality disorder patients, with a mean age of 69. After a baseline phase with random length, schema therapy was given during the first year, followed by follow-up sessions during six months. Participants weekly rated the credibility of dysfunctional core beliefs. Symptomatic distress, early maladaptive schemas, quality of life and target complaints were assessed every six months and personality disorder diagnosis was assessed before baseline and after follow-up. Data were analyzed with mixed regression analyses.Results: Results revealed significant linear trends during treatment phases, but not during baseline and follow-up. The scores during follow-up remained stable and were significantly lower compared to baseline, with high effect sizes. Seven participants remitted from their personality disorder diagnosis.Conclusion: Schema therapy appears an effective treatment for cluster C personality disorders in older adults. This finding is highly innovative as this is the first study exploring the effectiveness of psychotherapy, in this case schema therapy, for personality disorders in older adults.",
keywords = "DESIGN, OUTPATIENTS, Older adults, POPULATION, PSYCHOTHERAPY, RELIABILITY, TRIAL, WHOQOL-BREF, clinical trial, personality disorders, psychotherapy, schema therapy",
author = "A.C. Videler and {van Alphen}, S.P.J. and {Van Royen}, R.J.J. and {van der Feltz-Cornelis}, C.M. and G. Rossi and A. Arntz",
year = "2018",
doi = "10.1080/13607863.2017.1318260",
language = "English",
volume = "22",
pages = "738--747",
journal = "Aging & Mental Health",
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Schema therapy for personality disorders in older adults : A multiple-baseline study. / Videler, A.C.; van Alphen, S.P.J.; Van Royen, R.J.J.; van der Feltz-Cornelis, C.M.; Rossi, G.; Arntz, A.

In: Aging & Mental Health, Vol. 22, No. 6, 2018, p. 738-747.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Schema therapy for personality disorders in older adults

T2 - A multiple-baseline study

AU - Videler, A.C.

AU - van Alphen, S.P.J.

AU - Van Royen, R.J.J.

AU - van der Feltz-Cornelis, C.M.

AU - Rossi, G.

AU - Arntz, A.

PY - 2018

Y1 - 2018

N2 - Objective: No studies have been conducted yet into the effectiveness of treatment of personality disorders in later life. This study is a first test of the effectiveness of schema therapy for personality disorders in older adults.Method: Multiple-baseline design with eight cluster C personality disorder patients, with a mean age of 69. After a baseline phase with random length, schema therapy was given during the first year, followed by follow-up sessions during six months. Participants weekly rated the credibility of dysfunctional core beliefs. Symptomatic distress, early maladaptive schemas, quality of life and target complaints were assessed every six months and personality disorder diagnosis was assessed before baseline and after follow-up. Data were analyzed with mixed regression analyses.Results: Results revealed significant linear trends during treatment phases, but not during baseline and follow-up. The scores during follow-up remained stable and were significantly lower compared to baseline, with high effect sizes. Seven participants remitted from their personality disorder diagnosis.Conclusion: Schema therapy appears an effective treatment for cluster C personality disorders in older adults. This finding is highly innovative as this is the first study exploring the effectiveness of psychotherapy, in this case schema therapy, for personality disorders in older adults.

AB - Objective: No studies have been conducted yet into the effectiveness of treatment of personality disorders in later life. This study is a first test of the effectiveness of schema therapy for personality disorders in older adults.Method: Multiple-baseline design with eight cluster C personality disorder patients, with a mean age of 69. After a baseline phase with random length, schema therapy was given during the first year, followed by follow-up sessions during six months. Participants weekly rated the credibility of dysfunctional core beliefs. Symptomatic distress, early maladaptive schemas, quality of life and target complaints were assessed every six months and personality disorder diagnosis was assessed before baseline and after follow-up. Data were analyzed with mixed regression analyses.Results: Results revealed significant linear trends during treatment phases, but not during baseline and follow-up. The scores during follow-up remained stable and were significantly lower compared to baseline, with high effect sizes. Seven participants remitted from their personality disorder diagnosis.Conclusion: Schema therapy appears an effective treatment for cluster C personality disorders in older adults. This finding is highly innovative as this is the first study exploring the effectiveness of psychotherapy, in this case schema therapy, for personality disorders in older adults.

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