A person-centered, transdiagnostic schema and mode profile approach to predict outcome in time-limited schema group therapy.

IF 2.6 1区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychotherapy Research Pub Date : 2024-07-17 DOI:10.1080/10503307.2024.2375251

M F van Vreeswijk, P Spinhoven, A M E E Zedlitz, M A P Vugts, E H M Eurelings-Bontekoe

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引用次数: 0

Abstract

Objective: This study employs a person-centered transdiagnostic approach to examine how schema and mode profiles predict symptom severity reduction in schema group therapy for patients with personality disorders and enduring clinical syndromes.

Method: We analyzed symptom reduction in 248 patients across three formats of manualized, time-limited schema group therapy. Latent profile analysis and mixed multilevel modeling were used to determine the extent to which schema/mode classes predict symptom reduction, and whether the inclusion of individual schemas and modes enhances these predictions.

Results: No significant differences in treatment outcomes were found across the group modalities. A three latent profile solution for schemas and modes showed external validity with clinical variables and demonstrated that declines in symptom severity varied by schema and mode class, even after adjusting for baseline symptom severity. Adding the Vulnerability to Harm schema and Vulnerable Child mode to the model increased the explained variance.

Conclusion: Patients with more severe personality problems show more substantial symptom reduction. Both schema and mode profiles significantly contribute to predicting post-treatment symptom levels. Understanding these profiles may help therapists tailor interventions more effectively, consistent with Young's theoretical model.Trial registration: ISRCTN.org identifier: ISRCTN17262253.

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以人为本的跨诊断模式和模式特征方法，用于预测限时模式小组疗法的结果。

研究目的本研究采用以人为本的跨诊断方法，研究模式和模式特征如何预测人格障碍和持久性临床综合征患者在模式小组疗法中症状严重程度的减轻：我们分析了248名患者在三种形式的手册化、有时间限制的图式团体治疗中症状减轻的情况。方法：我们对 248 名患者在三种模式下的症状减轻情况进行了分析，这三种模式都是手动操作、有时间限制的模式，我们使用了潜在特征分析和混合多层次模型来确定模式/模式类别对症状减轻的预测程度，以及纳入个体模式和模式是否会增强这些预测：结果：各组模式的治疗结果无明显差异。图式和模式的三种潜档案解决方案显示了与临床变量的外部有效性，并证明即使在调整了基线症状严重程度后，症状严重程度的下降也因图式和模式类别而异。在模型中加入易受伤害模式和易受伤害儿童模式可增加解释方差：结论：人格问题更严重的患者症状减轻的幅度更大。模式和模式特征对预测治疗后的症状水平有很大帮助。了解这些特征可以帮助治疗师更有效地定制干预措施，这与杨的理论模型是一致的：ISRCTN.org标识符：ISRCTN17262253。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

7.80

自引率

10.30%

发文量

期刊介绍： Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.