A Feasibility Study of Group Schema Therapy with Psychomotor Therapy for Older Adults with a Cluster B or C Personality Disorder.

IF 4.7 Q2 MATERIALS SCIENCE, BIOMATERIALS

ACS Applied Bio Materials Pub Date : 2025-07-01 Epub Date: 2022-07-16 DOI:10.1080/07317115.2022.2099330

Silvia D M van Dijk, Renske Bouman, Ewa H Folmer, Sebastiaan P J van Alphen, Rob H S van den Brink, Richard C Oude Voshaar

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引用次数: 0

Abstract

Objectives: Schema group therapy is an effective treatment for personality disorders, but its focus on cognitive techniques may be a limitation for older adults. This article describes the rationale and initial evaluation of a group schema therapy protocol enriched with psychomotor therapy (GST+PMT) for older adults in geriatric mental health care.

Methods: Within an observational feasibility study, we evaluated the effect of a 26-week GST+PMT program in 19 outpatients aged 60-70 years with a cluster B or C personality disorder on the Young Schema Questionnaire, Schema Mode Inventory and Manchester Short Assessment of Quality of Life. Cohen's d effect-sizes were calculated between baseline (T0), mid-treatment (T1) and end-of-treatment (T2).

Results: Medium to large pre-post effect-sizes (T0-T2) were found for all outcome measures. Most improvement of schema modes occurred between T0-T1, and of schemas and quality of life between T1-T2.

Conclusions: Group schema therapy enriched with PMT is feasible in later life and its effect might be mediated by targeting schema modes. Future research would be helpful, including larger samples and controlled studies.

Clinical implications: For older adults suffering from personality disorders B or C verbal schema group therapy enriched with non-verbal PMT may be an effective treatment.

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针对患有 B 类或 C 类人格障碍的老年人的集体模式疗法与心理运动疗法的可行性研究。

目的：模式团体疗法是治疗人格障碍的一种有效方法，但它对认知技术的关注可能会限制对老年人的治疗。本文介绍了针对老年精神健康护理中的老年人开展的富含心理运动疗法（GST+PMT）的团体模式疗法方案的原理和初步评估：在一项观察性可行性研究中，我们评估了为期 26 周的 GST+PMT 方案对 19 名年龄在 60-70 岁之间、患有 B 或 C 群人格障碍的门诊患者在青年模式问卷、模式模式量表和曼彻斯特生活质量简短评估方面的影响。计算了基线（T0）、治疗中期（T1）和治疗末期（T2）的 Cohen's d 效果大小：结果：在所有结果测量中，都发现了中等至较大的前后效应大小（T0-T2）。大多数模式的改善发生在 T0-T1 期间，而模式和生活质量的改善发生在 T1-T2 期间：结论：在晚年生活中采用富含 PMT 的团体模式疗法是可行的，其效果可能是通过针对模式而产生的。未来的研究将有所帮助，包括更大规模的样本和对照研究：临床意义：对于患有 B 型或 C 型人格障碍的老年人来说，使用非语言 PMT 的语言图式团体疗法可能是一种有效的治疗方法。

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

ACS Applied Bio Materials Chemistry-Chemistry (all)

CiteScore

9.40

自引率

2.10%

发文量

464

期刊介绍： ACS Applied Bio Materials is an interdisciplinary journal publishing original research covering all aspects of biomaterials and biointerfaces including and beyond the traditional biosensing, biomedical and therapeutic applications. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrates knowledge in the areas of materials, engineering, physics, bioscience, and chemistry into important bio applications. The journal is specifically interested in work that addresses the relationship between structure and function and assesses the stability and degradation of materials under relevant environmental and biological conditions.