PMID- 33272104
OWN - NLM
STAT- MEDLINE
DCOM- 20210927
LR  - 20210927
IS  - 1468-4381 (Electronic)
IS  - 1050-3307 (Linking)
VI  - 31
IP  - 7
DP  - 2021 Sep
TI  - Psychological symptoms, early maladaptive schemas and schema modes: predictors of 
      the outcome of group schema therapy in patients with personality disorders.
PG  - 831-842
LID - 10.1080/10503307.2020.1852482 [doi]
AB  - Objective: This naturalistic study examined the outcomes of group schema therapy 
      for patients with personality disorders (PD) and the effect of psychological 
      symptoms, early maladaptive schemas (EMS) and schema modes on outcome.Method: 
      Assessments were made of 194 patients at baseline, during treatment, at treatment 
      termination and at three-month follow-up. We used the Symptom Checklist-General 
      Severity Index (SCL-GSI) to measure the remission-rate of global psychological 
      distress and as a dependent variable in a multilevel model to conduct univariate 
      and multiple variate analyses.Results: The research sample achieved medium 
      symptom reduction (pre-post d = 0.65, 95% CI [0.39-0.91]) and the remission rate 
      was about 30% after 60 sessions. These results remained stable at three-month 
      follow-up (pre-follow-up d = 0.61, 95% CI [0.29-0.94]; 28.9%). Higher baseline 
      scores on the SCL scale interpersonal sensitivity, the EMS defectiveness/shame 
      and all the maladaptive schema modes together predicted improvements in global 
      psychological distress after treatment.Conclusions: A long-term form of group 
      schema therapy proved effective for a broad group of patients with PD. 
      Internalizing symptoms seems predictive for improvement at outcome. Almost a 
      third of the patients achieved remission. There is therefore room for 
      improvement, possibly by increasing dose or intensity in combination with 
      individual sessions.
FAU - Koppers, David
AU  - Koppers D
AUID- ORCID: 0000-0002-9127-364X
AD  - Research Department, Arkin Mental Health Care Institute, Amsterdam, Netherlands.
FAU - Van, Henricus
AU  - Van H
AUID- ORCID: 0000-0001-6491-7238
AD  - Research Department, Arkin Mental Health Care Institute, Amsterdam, Netherlands.
AD  - NPI Centre for Personality Disorders, Arkin Mental Health Care Institute, 
      Amsterdam, Netherlands.
FAU - Peen, Jaap
AU  - Peen J
AUID- ORCID: 0000-0002-4421-8744
AD  - Research Department, Arkin Mental Health Care Institute, Amsterdam, Netherlands.
FAU - Dekker, Jack J M
AU  - Dekker JJM
AUID- ORCID: 0000-0003-3782-6431
AD  - Research Department, Arkin Mental Health Care Institute, Amsterdam, Netherlands.
AD  - Department of Clinical Psychology, Free University Amsterdam, Amsterdam, 
      Netherlands.
LA  - eng
PT  - Journal Article
DEP - 20201203
PL  - England
TA  - Psychother Res
JT  - Psychotherapy research : journal of the Society for Psychotherapy Research
JID - 9110958
SB  - IM
MH  - *Cognitive Behavioral Therapy
MH  - Humans
MH  - Personality Disorders/therapy
MH  - *Psychotherapy, Group
MH  - Schema Therapy
MH  - Treatment Outcome
OTO - NOTNLM
OT  - group psychotherapy
OT  - long-term psychotherapy
OT  - outcome research
OT  - personality disorders
OT  - prediction
EDAT- 2020/12/05 06:00
MHDA- 2021/09/28 06:00
CRDT- 2020/12/04 05:29
PHST- 2020/12/05 06:00 [pubmed]
PHST- 2021/09/28 06:00 [medline]
PHST- 2020/12/04 05:29 [entrez]
AID - 10.1080/10503307.2020.1852482 [doi]
PST - ppublish
SO  - Psychother Res. 2021 Sep;31(7):831-842. doi: 10.1080/10503307.2020.1852482. Epub 
      2020 Dec 3.