Inpatient psychotherapy for complex personality pathology: The long-term development of symptoms, well-being and schema modes

IF 1.2 Q3 PSYCHOLOGY, CLINICAL

Counselling & Psychotherapy Research Pub Date : 2024-09-11 DOI:10.1002/capr.12806

Roel M. Pietersen, Karin Timmerman, Gerben J. Westerhof

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Abstract

Problem

Inpatient psychotherapy can offer positive treatment outcomes for people with complex personality pathology who do not benefit from outpatient treatment. Little is known about how the development of schema modes during treatment relates to long-term development of symptoms, well-being and schema modes.

Method

This study employed a naturalistic, exploratory, within-subject design with long-term follow-up (LFU) measurement 2–8 years after discharge. Course and correlation of symptoms, well-being and schema modes were examined through multilevel analyses.

Results

Best scores on symptoms, well-being and schema modes were at LFU. The higher the baseline level and the greater the results achieved on schema modes during treatment, the more positive the course of symptoms and well-being becomes during treatment and in the long term.

Conclusion

This study shows that results achieved on symptoms, well-being and schema modes during inpatient psychotherapy treatment persist and even continue to improve two to eight years after treatment.

Abstract Image

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复杂人格病理学的住院心理治疗：症状、幸福感和模式的长期发展

问题对于门诊治疗效果不佳的复杂人格病症患者来说，住院心理治疗可以带来积极的治疗效果。人们对治疗过程中模式的发展与症状、幸福感和模式的长期发展之间的关系知之甚少。方法本研究采用自然、探索性、受试者内部设计，在出院后 2 至 8 年进行长期随访（LFU）测量。通过多层次分析研究了症状、幸福感和模式的发展过程和相关性。结果在 LFU 时，症状、幸福感和模式的得分最高。基线水平越高，在治疗过程中取得的模式结果越大，在治疗过程中和长期来看，症状和幸福感的过程就越积极。结论本研究表明，住院心理治疗期间在症状、幸福感和图式模式方面取得的结果会持续存在，甚至在治疗两到八年后继续改善。

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来源期刊

Counselling & Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

4.40

自引率

12.50%

发文量

期刊介绍： Counselling and Psychotherapy Research is an innovative international peer-reviewed journal dedicated to linking research with practice. Pluralist in orientation, the journal recognises the value of qualitative, quantitative and mixed methods strategies of inquiry and aims to promote high-quality, ethical research that informs and develops counselling and psychotherapy practice. CPR is a journal of the British Association of Counselling and Psychotherapy, promoting reflexive research strongly linked to practice. The journal has its own website: www.cprjournal.com. The aim of this site is to further develop links between counselling and psychotherapy research and practice by offering accessible information about both the specific contents of each issue of CPR, as well as wider developments in counselling and psychotherapy research. The aims are to ensure that research remains relevant to practice, and for practice to continue to inform research development.