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

D. Khasho, Bas van Alphen, S.M.J. Heijnen-kohl, Machteld Ouwens, Arnoud Arntz, Arjan Videler

Research output: Contribution to journalArticleScientificpeer-review

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 number1003030
JournalContemporary Clinical Trials Communications
Volume14
DOIs
Publication statusPublished - 2019

Keywords

  • schemas
  • BORDERLINE PERSONALITY-DISORDER
  • older adults
  • TRIAL

Cite this

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title = "The effectiveness of individual schema therapy in older adults with borderline personality disorder: Protocol of a multiple-baseline study",
abstract = "BackgroundThe 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/designA 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.DiscussionTo 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.",
keywords = "schemas, BORDERLINE PERSONALITY-DISORDER, older adults, TRIAL",
author = "D. Khasho and {van Alphen}, Bas and S.M.J. Heijnen-kohl and Machteld Ouwens and Arnoud Arntz and Arjan Videler",
year = "2019",
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language = "English",
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journal = "Contemporary Clinical Trials Communications",
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The effectiveness of individual schema therapy in older adults with borderline personality disorder : Protocol of a multiple-baseline study. / Khasho, D.; van Alphen, Bas; Heijnen-kohl, S.M.J.; Ouwens, Machteld; Arntz, Arnoud; Videler, Arjan.

In: Contemporary Clinical Trials Communications, Vol. 14, 1003030, 2019.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - The effectiveness of individual schema therapy in older adults with borderline personality disorder

T2 - Protocol of a multiple-baseline study

AU - Khasho, D.

AU - van Alphen, Bas

AU - Heijnen-kohl, S.M.J.

AU - Ouwens, Machteld

AU - Arntz, Arnoud

AU - Videler, Arjan

PY - 2019

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N2 - BackgroundThe 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/designA 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.DiscussionTo 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.

AB - BackgroundThe 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/designA 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.DiscussionTo 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.

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