title: Inpatient schema therapy for nonresponsive patients with personality pathology: Changes in symptomatic distress, schemas, schema modes, coping styles, experienced parenting styles, and mental well-being.
abstract: This study provides an evaluation of group schema therapy (ST) for inpatient treatment of patients with personality pathology who did not respond to previous psychotherapeutic interventions. Forty-two patients were assessed pre- and posttreatment, and 35 patients were evaluated at follow-up 6 months later. The results showed a dropout rate of 35%. Those who dropped out did not differ from those who completed treatment with regard to demographic and clinical variables; the only exception was that those who dropped out showed a lower prevalence of mood disorders. Furthermore, intention-to-treat analyses showed a significant improvement in maladaptive schemas, schema modes, maladaptive coping styles, mental well-being, and psychological distress after treatment, and these improvements were maintained at follow-up. On the other hand, there was no significant change in experienced parenting style as self-reported by patients. Changes in schemas and schema modes measured from pre- to posttreatment were predictive of general psychological distress at follow-up. Overall, these preliminary findings suggest that positive treatment results can be obtained with group ST-based inpatient treatment for patients who did not respond to previous psychotherapeutic interventions. Moreover, these findings are comparable with treatment results for patients without such a nonresponsive treatment history. (PsycINFO Database Record
authors.affiliation: Mediant.
authors.forename: Grietje M
authors.initials: GM
authors.lastname: Schaap
authors.affiliation: Department of Psychology, Health, and Technology, University of Twente.
authors.forename: Farid
authors.initials: F
authors.lastname: Chakhssi
authors.affiliation: Department of Psychology, Health, and Technology, University of Twente.
authors.forename: Gerben J
authors.initials: GJ
authors.lastname: Westerhof
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D003131:Combined Modality Therapy; D015897:Comorbidity; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D008388:Marital Therapy / Q000379:methods*; D019964:Mood Disorders / Q000523:psychology / Q000628:therapy; D009769:Object Attachment; D010287:Parent-Child Relations; D016487:Parenting / Q000523:psychology*; D010352:Patient Dropouts; D010554:Personality Disorders / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy*; D011446:Prospective Studies; D011613:Psychotherapy / Q000379:methods*; D011788:Quality of Life / Q000523:psychology; D016896:Treatment Outcome