Economic Evaluation of Schema Therapy and Clarification-Oriented Psychotherapy for Personality Disorders

Bamelis, Lotte; Arntz, Arnoud; Wetzelaer, Pim; Verdoorn, R.; Evers, Silvia M. A. A.

doi:10.4088/jcp.14m09412

Cited by 29 publications

(37 citation statements)

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“…This supports our clinical observations that this mode may take on a slightly different “flavour” to the Self Aggrandizer in the original SMI, as the emphasis is on extreme high standards and a sense of pride or even superiority, often with an excessive emphasis on shape, weight and thinness which is perceived to provide protection from further shame or criticism (Simpson, 2016 ). This is consistent with findings for those with Obsessive-Compulsive Personality Disorder, who in this mode experience themselves as superior to others who are perceived as less principled and scrupulous (Beck et al, 2004 ; Weertman et al, 2008 ; Bamelis et al, 2015 ). Two of the three new items proposed for the Bully and Attack mode (“I feel invincible” and “If I'm not constantly on guard people will take advantage of me”) did not have a high loading on this scale, and will therefore be removed from the shorter scale in the second study.…”

Section: Discussionsupporting

confidence: 85%

Factorial Structure and Preliminary Validation of the Schema Mode Inventory for Eating Disorders (SMI-ED)

et al. 2018

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Objective: The aim of this study was to examine the psychometric properties and factorial structure of the Schema Mode Inventory for Eating Disorders (SMI-ED) in a disordered eating population.Method: 573 participants with disordered eating patterns as measured by the Eating Disorder Examination Questionnaire (EDE-Q) completed the 190-item adapted version of the Schema Mode Inventory (SMI). The new SMI-ED was developed by clinicians/researchers specializing in the treatment of eating disorders, through combining items from the original SMI with a set of additional questions specifically representative of the eating disorder population. Psychometric testing included Confirmatory Factor Analysis (CFA) and internal consistency (Cronbach's α). Multivariate Analyses of Covariance (MANCOVA) was also run to test statistical differences between the EDE-Q subscales on the SMI-ED modes, while controlling for possible confounding variables.Results: Factorial analysis confirmed an acceptable 16-related-factors solution for the SMI-ED, thus providing preliminary evidence for the adequate validity of the new measure based on internal structure. Concurrent validity was also established through moderate to high correlations on the modes most relevant to eating disorders with EDE-Q subscales. This study represents the first step in creating a psychometrically sound instrument for measuring schema modes in eating disorders, and provides greater insight into the relevant schema modes within this population.Conclusion: This research represents an important preliminary step toward understanding and labeling the schema mode model for this clinical group. Findings from the psychometric evaluation of SMI-ED suggest that this is a useful tool which may further assist in the measurement and conceptualization of schema modes in this population.

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Section: Discussionsupporting

confidence: 85%

Factorial Structure and Preliminary Validation of the Schema Mode Inventory for Eating Disorders (SMI-ED)

et al. 2018

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“…This qualitative study was conducted on the basis of a multicentre, randomized and controlled trial (RCT) on the clinical (cost) effectiveness of individual ST with six personality disorders: avoidant, dependent, obsessive-compulsive, paranoid, histrionic and/or narcissistic personality disorder (Bamelis, Evers and Arntz, 2012;Bamelis et al, 2014Bamelis et al, , 2015. Approval was granted by the medical ethics committee of Maastricht University.…”

Section: Designmentioning

confidence: 99%

Schema Therapy for Personality Disorders: a Qualitative Study of Patients’ and Therapists’ Perspectives

Klerk¹,

Abma

Bamelis

et al. 2016

Behav. Cogn. Psychother.

Self Cite

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“…aus dem Cluster C: vermeidend, dependent, zwanghaft) mit 323 Patienten zeigten die Patienten, die mit ST behandelt wurden, deutlichere Verbesserungen in Bezug auf Persönlichkeitssymptomatik und Depression sowie bzgl. des allgemeinen und sozialen Funktionsniveaus als die Patienten in den beiden Kontrollgruppen (gewöhnliche Behandlung (treatment as usual) und klärungsorientierte Psychotherapie), bei geringerer Dropoutrate und besserer Kosteneffektivität (12,13). Auch für Patienten im forensischen Setting, die zumeist unter einer antisozialen PS litten, fanden sich positive Effekte von ST (14).…”

Section: Stand Der Forschungunclassified

Schematherapie bei Persönlichkeitsstörungen

Schaich¹,

Erkens²,

Faßbinder³

2017

Die Psychiatrie

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ZusammenfassungDie Schematherapie (ST) wurde ursprünglich von Jeffrey Young entwickelt um Patienten mit chronischen psychischen Störungen zu helfen, die von klassischer kognitiver Verhaltenstherapie nicht ausreichend profitierten. Mittlerweile zählt ST zu den wichtigsten evidenzbasierten Therapiemethoden für Patienten mit Persönlichkeitsstörungen. Dieser Artikel bietet einen kurzen Überblick über die Theorie der ST und die aktuelle Forschungslage. Außerdem werden Techniken und Besonderheiten der ST an Hand eines Fallbeispiels erläutert.

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Economic Evaluation of Schema Therapy and Clarification-Oriented Psychotherapy for Personality Disorders

Abstract: Netherlands Trial Register NTR566.

Cited by 29 publications

References 0 publications

Factorial Structure and Preliminary Validation of the Schema Mode Inventory for Eating Disorders (SMI-ED)

Factorial Structure and Preliminary Validation of the Schema Mode Inventory for Eating Disorders (SMI-ED)

Schema Therapy for Personality Disorders: a Qualitative Study of Patients’ and Therapists’ Perspectives

Schematherapie bei Persönlichkeitsstörungen

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