title: Responding to the treatment challenge of patients with severe BPD: results of three pilot studies of inpatient schema therapy.
abstract: BACKGROUND
  Schema Therapy (ST), a psychotherapy model integrating cognitive, experiential and behavioural interventions, was initially developed and evaluated as an outpatient treatment for patients with severe and chronic disorders, among them Borderline Personality Disorder (BPD). Two randomized controlled trials have demonstrated the effectiveness of ST for BPD, delivered in an individual or group format, in the outpatient setting. However, the most severely impaired BPD patients are referred to inpatient treatment due to suicidality and severe self-harm. Specialized inpatient treatment programs are limited, with little evaluative research.
  
  
  OBJECTIVE
  The pilot studies are designed to be first steps in naturalistic clinical settings to evaluate the effects of an intensive inpatient ST treatment program.
  
  
  METHODS
  This report presents the results of three independent uncontrolled pilot studies with a total of 92 BPD patients. The programs combine individual and group modalities and are consistent theoretically with the ST model for BPD patients.
  
  
  RESULTS
  RESULTS show that inpatient ST can significantly reduce symptoms of severe BPD and global severity of psychopathology with effect sizes ranging from Cohen's d = 2.84 to Cohen's d = .43.
  
  
  CONCLUSIONS
  Differences in the effect sizes across the three pilot studies could be explained by length of treatment, number of group psychotherapists and their training. Although there are limitations to the presented pilot studies such as differences in the samples, treatment settings, variations in the treatment itself and the use of different measures, which may have influenced outcome, they are a starting point for describing and evaluating inpatient treatment for BPD in naturalistic settings.
authors: University Medical Center Mainz, Germany.
authors: Neele
authors: N
authors: Reiss
authors: University Medical Center Mainz, Germany.
authors: Klaus
authors: K
authors: Lieb
authors: Maastricht University, The Netherlands.
authors: Arnoud
authors: A
authors: Arntz
authors: Indiana University School of Medicine/Midtown CMHC, Schema Therapy Institute Midwest, Indianapolis, USA.
authors: Ida A
authors: IA
authors: Shaw
authors: Indiana University School of Medicine/Midtown CMHC, Schema Therapy Institute Midwest, Indianapolis, USA.
authors: Joan
authors: J
authors: Farrell
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001521:Behavior Therapy / Q000379:methods; D001883:Borderline Personality Disorder / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy*; D015928:Cognitive Behavioral Therapy / Q000379:methods; D003131:Combined Modality Therapy; D003469:Culture; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D018794:Problem-Based Learning; D011599:Psychopathology; D013811:Psychotherapeutic Processes; D011613:Psychotherapy / Q000379:methods*; D011615:Psychotherapy, Group / Q000379:methods; D016896:Treatment Outcome; D055815:Young Adult