One-Year Follow-Up: Schema Therapy for Patients With Borderline Personality Disorder and Comorbid Alcohol Use Disorder

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical psychology & psychotherapy Pub Date : 2024-08-14 DOI:10.1002/cpp.3040

Michiel Boog, Mette C. Visser, Loes Clarijs, Ingmar H. A. Franken, Arnoud Arntz

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Abstract

This article describes the 1-year follow-up of a study into the effectiveness of Schema Therapy (ST) for borderline personality disorder (BPD) and comorbid alcohol use disorder (AUD). In the original study, 20 of these patients participated in a multiple baseline case series design study. The results of the original study were promising (a significant decrease of BPD and AUD symptoms). The present study is aimed at examining the longer term benefits of ST for BPD and comorbid AUD. One year after the cessation of the investigational therapy, 17 of the original participants agreed to participate in this follow-up study. T- or Wilcoxon signed rank tests were performed to compare 1-year follow-up to start of therapy (baseline). The results suggest that the main therapeutic improvements were generally preserved at 1-year follow-up. These findings add to the idea that integrated ST for BPD and comorbid AUD might be effective, also in the long term. A randomized clinical trial is indicated to substantiate this idea.

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一年随访：针对边缘型人格障碍和合并酒精使用障碍患者的模式疗法。

本文介绍了对模式疗法（ST）治疗边缘型人格障碍（BPD）和合并酒精使用障碍（AUD）的有效性进行的为期一年的跟踪研究。在最初的研究中，这些患者中有 20 人参加了多基线病例系列设计研究。最初的研究结果令人鼓舞（BPD 和 AUD 症状明显减少）。本研究旨在考察 ST 对 BPD 和合并 AUD 的长期疗效。在研究疗法停止一年后，17 名最初的参与者同意参加这项后续研究。研究人员通过 T 检验或 Wilcoxon 符号秩检验，对随访 1 年与治疗开始时（基线）的情况进行了比较。结果表明，主要的治疗改善在 1 年的随访中基本保持不变。这些研究结果进一步说明，对 BPD 和合并 AUD 的综合 ST 治疗可能是有效的，而且是长期有效的。为证实这一观点，需要进行随机临床试验。

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

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.