The effectiveness of individual schema therapy in older adults with borderline personality disorder: Protocol of a multiple-baseline study

D. Khasho*, B. van Alphen, S.M.J. Heijnen-kohl, M.A. Ouwens, A. Arntz, A.C. Videler

*Corresponding author for this work

Research output: Contribution to journalArticleScientificpeer-review

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Abstract

Background
The treatment of borderline personality disorder (BPD) has been examined extensively in adults up to the age of fifty in the past quarter of a century, but there is still a world to discover in treating BPD in older adults. The aim of the study is to investigate the effectiveness of schema therapy in older adults with BPD.
Methods/design
A multiple baseline design is used in which participants are randomly assigned to baseline length. The primary outcome measure is assessed weekly and consists of the credibility of negative core beliefs. Secondary outcome measures are quality of life, psychological distress, early maladaptive schemas, schema modes, severity of BPD symptoms and meeting the criteria for BPD. Ten older adults (age > 60 years) with BPD are treated with schema therapy, with weekly sessions during one year. This treatment phase is preceded by a baseline phase varying from 4 to 8 weeks. After treatment, there is a 6-month follow-up phase with monthly booster sessions.
Discussion
To our knowledge, this is the first empirical study of the effectiveness of psychotherapeutic treatment for BPD in older adults. Because of the different manifestation of BPD in later life, besides section II DSM-5 criteria, the alternative, dimensional model for personality disorders of DSM-5 is used to assess BPD in older adults.
Original languageEnglish
Article number100330
Number of pages5
JournalContemporary Clinical Trials Communications
Volume14
DOIs
Publication statusPublished - 2019

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Keywords

  • AXIS II
  • Borderline personality disorder
  • COMMUNITY SAMPLE
  • CONSTRUCT-VALIDITY
  • INTERVIEW
  • INVENTORY
  • Multiple baseline case series
  • Older adults
  • Personality disorder
  • QUALITY-OF-LIFE
  • RANDOMIZATION TESTS
  • RELIABILITY
  • SEVERITY INDEXES
  • SYMPTOMS
  • Schema therapy

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