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Schema modes and patient characteristics as predictors of treatment outcome in a Schema therapy-based treatment for inpatients with personality disorders

Marissink, Selena (2021) Schema modes and patient characteristics as predictors of treatment outcome in a Schema therapy-based treatment for inpatients with personality disorders.

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Abstract:Background Schema therapy is an effective treatment for personality disorders. However, little is known about which characteristics and schema modes are predictive for the outcome of treatment. The aim to obtain more information about this so that treatment can be made even more effective. Outcome of treatment is based on the two continua model. Method A within-subject design study is conducted based on a sample of 146 inpatients of Mediant de Boerhaven. Materials used are the SMI-1, BSI, and MHC-SF. Statistical analyses were used to assess if there is a relationship between the pre-measurement and the post-measurement and whether there are predictive characteristics for the outcome of treatment. Results Accomplishment of treatment predicted more wellbeing and fewer symptoms at the end of treatment, the Detached Protector, and a longer duration of treatment predicted less wellbeing and more symptoms. The Enraged Child predicted less wellbeing, whereas the Vulnerable Child and more wellbeing at the start of treatment predicted more wellbeing at the end of treatment. The Punitive Parent and more symptoms at the start of treatment were predictors for more symptoms at the end of treatment. Discussion The Vulnerable Child is an important part in treatment, and specific dysfunctional modes make it difficult to treat the Vulnerable Child. Treating the predictive dysfunctional modes at an early stage can ensure that treatment can focus on the Vulnerable Child earlier. This can lead to better treatment results.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:70 social sciences in general, 77 psychology
Programme:Psychology MSc (66604)
Link to this item:http://purl.utwente.nl/essays/85852
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