Effects of schema group therapy in older outpatients: a proof of concept study

Abstract

This proof of concept study shows that SCBT-g has potential to change EMS and to show significant effect at symptom level in older outpatients with PD features. A control condition in a randomized controlled trial is a necessary step for further research.

Outcome of day treatment for older adults with affective disorders: An observational pre‐post design of two transdiagnostic approaches

“…The multidisciplinary team of therapists learn from and can reflect on actual behaviour of the patient in weekly meetings. These nonverbal techniques are considered a powerful instrument to change enduring traits and are highly valued on older persons …”

Psychotherapeutic Treatment Levels for Personality Disorders in Older Adults

“…As far as we know, there are only two treatment studies into PDs in older adults over the age of 60 (Lynch et al, 2007;Videler, Rossi, Schoevaars, Van der Feltz-Cornelis, & Van Alphen, 2014). The first study was a small randomized controlled trial on 37 depressed older patients with a comorbid PD, who were randomized to either antidepressant therapy alone or antidepressant therapy combined with dialectical behavior therapy (DBT).…”

“…Probably, the diagnosis of the PDs was confounded by the comorbid depression. The second study (Videler et al, 2014), which evaluated short-term schema group therapy for 31 older outpatients suffering from chronic depression and/or a PD (or PD features) within a pre-post design with repeated measures, found a medium treatment effect on the reduction of depressive symptoms, dysfunctional schemas and schema modes. Furthermore, the reduction in symptoms was mediated by a change in dysfunctional schemas, which supports the efficacy of schema therapy (ST) for older adults.…”

“…In ST, besides cognitive and behavioral techniques, experiential techniques are important and powerful in changing EMS; experiential techniques are guided imagery and rescripting, role-play and chair work (Arntz & van Genderen, 2009;Kellogg, 2014). Nevertheless, the efficacy of individual ST in older adults remains to be explored further (Videler et al, 2014).…”

“…Furthermore, conducting empirical research into augmenting the efficacy of a cognitive behavioral approach for PDs in older adults-at all three Downloaded by [Tilburg University] at 00:58 09 October 2015 treatment levels-is of great importance (Videler et al, 2014). Currently, research is being carried out in the Netherlands in which ST is applied to older adults with a PD in a multiple baseline case series design .…”