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THE EFFECTIVENESS OF AN ADAPTED SCHEMA GROUP THERAPY FOR OLDER ADULTS WITH PERSONALITY DISORDERS


- candidate number27532
- NTR NumberNTR6563
- ISRCTNISRCTN no longer applicable
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR11-jul-2017
- Secondary IDsMETC - 17N93 
- Public TitleTHE EFFECTIVENESS OF AN ADAPTED SCHEMA GROUP THERAPY FOR OLDER ADULTS WITH PERSONALITY DISORDERS
- Scientific TitleTHE EFFECTIVENESS OF AN ADAPTED SCHEMA GROUP THERAPY FOR OLDER ADULTS WITH PERSONALITY DISORDERS
- ACRONYM
- hypothesisThe aim of the current study is to evaluate whether an adaption of the SCBT-g protocol with gerotopics will enhance the effectiveness of SCBT-g in a group of older adults suffering from one or more PDs. Based on the hypotheses in the literature (van Alphen et al., 2012; Videler et al., 2014; Videler et al., 2015; Videler et al., in press), the following adjustments are made: a) take more time to learn the schema language and train the cognitive techniques; b) using examples that fit in to the experience of older adults; c) integrate experiential techniques like imagery and rescripting; d) compensating the decline of social support by encouraging the group cohesion whereby the therapist acts as a parent and the participants take the role of siblings and include the support system; e) add treatment strategies on the modes (e.g. group imagery, improvisation) and f) contextualize to a life course perspective by integrating wisdom enhancement and stimulating worth enhancing beliefs. After the adapted form of SCBT-g treatment we expect to find a decline of symptomatic distress, EMS and mode severity and more adaptive personality functioning. In addition, we expect to find a greater treatment effect in comparison to the earlier study by Videler et al. (2014).
- Healt Condition(s) or Problem(s) studiedPersonality disorder, Schema-focused therapy
- Inclusion criteriaInclusion criteria are participants of sixty years and older diagnosed with a PD according to the DSM-5 (Section-II)-criteria. Patients are diagnosed with the Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID II; First, Gibbon, Spitzer, Williams & Benjamin, 1997; Dutch Translation Weertman, Arntz & Kerkhofs, 2000) completed with measurements on the Gerontological Personality disorders Scale (GPS; van Alphen, Engelen, Kuin, Hoijtink & Derksen, 2006), Severity Indices of Personality Problems Short Form (SIPP-SF; derived from the SIPP-118; Verheul et al., 2008) and the Dutch informant personality questionnaire (HAP; Barendse & Thissen, 2006).
- Exclusion criteriaExclusion criteria are: 1) severe cognitive impairments due to a neurodegenerative disease (MMSE<24); 2) a schizoid, schizotypal or antisocial PD; 3) substance abuse needing clinical detoxification; 4) lifetime prevalence of psychosis of bipolar disorder; 5) major psychotic depression; 6) learning disabilities (IQ<75); 7) patients with significant hearing or vision problems to such an extent that they cannot participate in a group.
- mec approval receivedyes
- multicenter trialyes
- randomisedno
- group[default]
- TypeSingle arm
- Studytypeintervention
- planned startdate 15-aug-2017
- planned closingdate1-sep-2019
- Target number of participants20
- InterventionsThe short-term group therapy consists of 20 sessions, 18 weekly sessions of 90 minutes and 2 booster sessions of 90 minutes, one and two months after termination of treatment.
- Primary outcomeSymptomatic distress
Early maladaptive schemas (EMS)
Schema modes
(mal)adaptive personality functioning
- Secondary outcome-
- Timepointspre-, mid- and post-test
- Trial web site
- statusopen: patient inclusion
- CONTACT FOR PUBLIC QUERIES Kim van Beest
- CONTACT for SCIENTIFIC QUERIES Kim van Beest
- Sponsor/Initiator
- Funding
(Source(s) of Monetary or Material Support)
- Publications-
- Brief summaryTHE EFFECTIVENESS OF SCHEMA GROUP THERAPY IN OLDER OUTPATIENTS. The aim of this study is to evaluate whether an adaption of the SCBT-g protocol with gerotopics will enhance the effectiveness of SCBT-g in a group of older adults with one or more PDs.
- Main changes (audit trail)
- RECORD11-jul-2017 - 30-jul-2017


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