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Schema Therapy for adolescents with personality disorder traits and disruptive behavior problems in secure residential youth care


- candidate number27427
- NTR NumberNTR6578
- ISRCTNISRCTN no longer applicable
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR19-jun-2017
- Secondary IDs140 14_05_2014 Ethische Commissie Psychologie van de Universiteit Maastricht
- Public TitleSchema Therapy for adolescents with personality disorder traits and disruptive behavior problems in secure residential youth care
- Scientific TitleSchema Therapy for adolescents with personality disorder traits and disruptive behavior problems in secure residential youth care
- ACRONYM
- hypothesisSchema Therapy outperforms treatment as usual with respect to improvement in behavior problems, personality pathology, and quality of life.
- Healt Condition(s) or Problem(s) studiedSchema therapy, Adolescents, Behavioral problems, Personality disorder
- Inclusion criteria1. Age 14 or older
2. Ready for transfer from high to medium secure treatment unit
3. Expected stay at medium secure treatment unit is 6 months or longer
4. IQ > 70
5. five or more traits of personality disorders
- Exclusion criteria1. accute psychotic symptoms
2. severe autism spectrum disorder
- mec approval receivedno
- multicenter trialno
- randomisedno
- groupParallel
- Type2 or more arms, non-randomized
- Studytypeintervention
- planned startdate 16-sep-2014
- planned closingdate31-dec-2018
- Target number of participants90
- InterventionsSchema Therapy (individual Schema Therapy and treatment climate based on Schema Therapy principles)
Treatment as usual (individual cognitive-behavioral therapy / training or and treatment climate based on behavioral principles)
- Primary outcome1. improvement in behavior problems, personality pathology (early maladaptive schemas, schema modes, schema coping), and quality of life during stay at medium secure unit.
2. sustainment of improvement in these measures at 3- and 12-month follow-up.
- Secondary outcome1. Change in therapist-reported schema modes during Schema Therapy sessions
2. Difference in treatment climate between Schema Therapy and TAU units
- Timepointsright after inclusion in study and transfer to medium secure treatment units, and then every three months during stay at medium secure unit. Follow-up both 3 and 12 months after discharge.
- Trial web site
- statusopen: patient inclusion
- CONTACT FOR PUBLIC QUERIES Marjolein van Wijk-Herbrink
- CONTACT for SCIENTIFIC QUERIES Marjolein van Wijk-Herbrink
- Sponsor/Initiator Maastricht University, Conrisq Group, Zetten
- Funding
(Source(s) of Monetary or Material Support)
- PublicationsVan Wijk-Herbrink, M. F. (2016). Weinig vertrouwen in volwassenen: Werk in Uitvoering. Kind en Adolescent Praktijk, uitgave 2.
- Brief summaryThis study investigates the effectiveness of Schema Therapy in adolescents with disruptive behaviors and personality disorder traits in secure residential care. Treatment co-ordinators ask patients, who are ready for the transfer from a high secure observational unit to a medium secure treatment unit, and their parents for informed consent. For practical reasons, we use a "natural randomisation" procedure to allocate participants to either the Schema Therapy or Treatment as Usual (TAU) condition: Participants are transferred to one of two Schema Therapy units when there is a bed available, and when a Schema Therapist can start the individual Schema Therapy within 6 weeks. If either one of these conditions is not met, then the participant is transferred to a TAU unit. An independent commission assesses the availability of beds and therapy sessions, which is blind to both researchers and treatment co-ordinators. Self-report measures on behavior problems, personality pathology, and quality of life are administered right after transfer to a medium secure unit and every three months after that. Follow-up measures are administered three and twelve months after discharge from secure residential youth care.
- Main changes (audit trail)
- RECORD19-jun-2017 - 5-aug-2017


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