Results of a multicenter randomized controlled trial of the clinical effectiveness of schema therapy for personality disorders

American Journal of Psychiatry

Volumn 171, Issue 3, 2014, Pages 305-322

  Bamelis, Lotte L M ^a   Evers, Silvia M A A ^a   Spinhoven, Philip ^a   Arntz, Arnoud ^a  

^a MAASTRICHT UNIVERSITY   (Netherlands)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ANXIETY DISORDER; ARTICLE; CLARIFICATION ORIENTED PSYCHOTHERAPY; CLINICAL EFFECTIVENESS; COHORT ANALYSIS; CONTROLLED STUDY; DEPRESSION; FEMALE; FOLLOW UP; HISTRIONIC PERSONALITY DISORDER; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL EDUCATION; MENTAL DISEASE; MULTICENTER STUDY; NARCISSISM; NETHERLANDS; OUTCOME ASSESSMENT; PARALLEL DESIGN; PARANOID PERSONALITY DISORDER; PERSONALITY DISORDER; PRIORITY JOURNAL; PSYCHOTHERAPY; QUALITY OF LIFE; RANDOMIZED CONTROLLED TRIAL; SCHEMA THERAPY; SELF REPORT; SOCIAL INTERACTION; THERAPY EFFECT; TREATMENT DURATION;

ADOLESCENT; ADULT; AGED; FEMALE; HUMANS; MALE; MIDDLE AGED; PATIENT DROPOUTS; PERSONALITY DISORDERS; PSYCHIATRIC STATUS RATING SCALES; PSYCHOTHERAPY; SINGLE-BLIND METHOD; TREATMENT OUTCOME;

EID: 84896458614     PISSN: 0002953X     EISSN: 15357228     Source Type: Journal    
DOI: 10.1176/appi.ajp.2013.12040518     Document Type: Article

References (38)

1. Skodol AE, Gunderson JG, McGlashan TH, Dyck IR, Stout RL, Bender DS, Grilo CM, Shea MT, Zanarini MC, Morey LC, Sanislow CA, Oldham JM: Functional impairment in patients with schizotypal, borderline, avoidant, or obsessive-compulsive personality disorder. Am J Psychiatry 2002; 159:276-283 (Pubitemid 34126906)
2. Wilberg T, Karterud S, Pedersen G, Urnes O: The impact of avoidant personality disorder on psychosocial impairment is substantial. Nord J Psychiatry 2009; 63:390-396
3. Soeteman DI, Verheul R, Busschbach JJV: The burden of disease in personality disorders: Diagnosis-specific quality of life. J Pers Disord 2008; 22:259-268
4. Soeteman DI, Hakkaart-van Roijen L, Verheul R, Busschbach JJV: The economic burden of personality disorders in mental health care. J Clin Psychiatry 2008; 69:259-265 (Pubitemid 351469269)
5. Huang Y, Kotov R, de Girolamo G, Preti A, Angermeyer M, Benjet C, Demyttenaere K, de Graaf R, Gureje O, Karam AN, Lee S, Lépine JP, Matschinger H, Posada-Villa J, Suliman S, Vilagut G, Kessler RC: DSM-IV personality disorders in the WHO World Mental Health Surveys. Br J Psychiatry 2009; 195:46-53
6. Landelijke Stuurgroep Richtlijnontwikkeling in de GGZ: Multidisciplinaire richtlijn persoonlijkheidsstoornissen (Multidisciplinary Clinical Guideline of Personality Disorders). Utrecht, Trimbos-Instituut, 2008
7. Verheul R, Herbrink M: The efficacy of various modalities of psychotherapy for personality disorders: A systematic review of the evidence and clinical recommendations. Int Rev Psychiatry 2007; 19:25-38 (Pubitemid 46439707)
8. Leichsenring F, Rabung S: Long-term psychodynamic psychotherapy in complex mental disorders: update of a meta-analysis. Br J Psychiatry 2011; 199:15-22
9. McMain S, Pos AE: Advances in psychotherapy of personality disorders: A research update. Curr Psychiatry Rep 2007; 9:46- 52 (Pubitemid 46243104)
10. Hadjipavlou G, Ogrodniczuk JS: Promising psychotherapies for personality disorders. Can J Psychiatry 2010; 55:202-210
11. Giesen-Bloo J, van Dyck R, Spinhoven P, van Tilburg W, Dirksen C, van Asselt T, Kremers I, Nadort M, Arntz A: Outpatient psychotherapy for borderline personality disorder: Randomized trial of schema-focused therapy vs transference-focused psychotherapy. Arch Gen Psychiatry 2006; 63:649-658 (Pubitemid 43848296)
12. van Asselt ADI, Dirksen CD, Arntz A, Giesen-Bloo JH, van Dyck R, Spinhoven P, van Tilburg W, Kremers IP, Nadort M, Severens JL: Out-patient psychotherapy for borderline personality disorder: Cost-effectiveness of schema-focused therapy v. transferencefocused psychotherapy. Br J Psychiatry 2008; 192:450-457 (Pubitemid 351809899)
13. Nadort M, Arntz A, Smit JH, Giesen-Bloo J, Eikelenboom M, Spinhoven P, van Asselt T, Wensing M, van Dyck R: Implementation of outpatient schema therapy for borderline personality disorder with versus without crisis support by the therapist outside office hours: A randomized trial. Behav Res Ther 2009; 47:961-973
14. Farrell JM, Shaw IA, Webber MA: A schema-focused approach to group psychotherapy for outpatients with borderline personality disorder: A randomized controlled trial. J Behav Ther Exp Psychiatry 2009; 40:317-328
15. Sachse R (ed): Psychologische psychotherapie der persö nlichkeitsstöringen. Göttingen, Hogrefe-Verlag, 2001
16. Shafran R, Clark DM, Fairburn CG, Arntz A, Barlow DH, Ehlers A, Freeston M, Garety PA, Hollon SD, Ost LG, Salkovskis PM, Williams JMG, Wilson GT: Mind the gap: Improving the dissemination of CBT. Behav Res Ther 2009; 47:902-909
17. Roth AD, Pilling S, Turner J: Therapist training and supervision in clinical trials: Implications for clinical practice. Behav Cogn Psychother 2010; 38:291-302
18. Bamelis LL, Evers SM, Arntz A: Design of a multicentered randomized controlled trial on the clinical and cost effectiveness of schema therapy for personality disorders. BMC Public Health 2012; 12:75
19. First MB, Spitzer RL, Gibbon M, Williams J, Benjamin L: Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID II). New York, New York State Psychiatric Institute, Biometric Research Department, 1994
20. Schouten HJA: Adaptive biased urn randomization in small strata when blinding is impossible. Biometrics 1995; 51:1529-1535 (Pubitemid 26030197)
21. Schotte C, Doncker D: Assessment of DSM-IV Personality Disorders Questionnaire-IV Questionnaire: Manual and Norms. Antwerp, University Hospital Antwerp, 1996
22. Schotte CK, De Doncker DA, Dmitruk D, Van Mulders I, D'Haenen H, Cosyns P: The ADP-IV Questionnaire: Differential validity and concordance with the semi-structured interview. J Pers Disord 2004; 18:405-419 (Pubitemid 39313811)
23. First MB, Spitzer RL, Gibbon M, Williams J (ed): Structured Clinical Interview for DSM-IV Axis I Disorders (SCID I). New York, New York State Psychiatric Institute, Biometric Research Department, 1997
24. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, 4th ed. Washington, DC, American Psychiatric Publishing, 2005
25. Derogatis LR, Rickels K, Rock AF: The SCL-90 and the MMPI: A step in the validation of a new self-report scale. Br J Psychiatry 1976; 128:280-289
26. Mundt JC, Marks IM, Shear MK, Greist JH: The Work and Social Adjustment Scale: A simple measure of impairment in functioning. Br J Psychiatry 2002; 180:461-464 (Pubitemid 34499343)
27. Miskimins RW, Wilson LT, Braucht GN, Berry KL: Self-concept and psychiatric symptomatology. J Clin Psychol 1971; 27:185- 187
28. WHOQOL Group: Development of the World Health Organization WHOQOL-BREF Quality of Life Assessment. Psychol Med 1998; 28:551-558
29. Arntz A: Schema therapy for cluster C personality disorders, in The Wiley-Blackwell Handbook of Schema Therapy: Theory, Research and Practice. Edited by Van Vreeswijk M, Broersen J, Nadort M. Chichester, United Kingdom, Wiley-Blackwell, 2012, pp 397-414
30. Hollon SD, Waskow IE, Evans M, Lowery A: Systems for rating therapies for depression, Proceedings of the 137th Annual Meeting of the American Psychiatric Association, Los Angeles, 1984.
31. Weertman A, Arntz A: Effectiveness of treatment of childhood memories in cognitive therapy for personality disorders: A controlled study contrasting methods focusing on the present and methods focusing on childhood memories. Behav Res Ther 2007; 45:2133-2143 (Pubitemid 47210951)
32. Feingold A: Effect sizes for growth-modeling analysis for controlled clinical trials in the same metric as for classical analysis. Psychol Methods 2009; 14:43-53
33. Pasieczny N, Connor J: The effectiveness of dialectical behaviour therapy in routine public mental health settings: An Australian controlled trial. Behav Res Ther 2011; 49:4-10
34. Enns MW, Larsen DK, Cox BJ: Discrepancies between self and observer ratings of depression: The relationship to demographic, clinical and personality variables. J Affect Disord 2000; 60: 33-41 (Pubitemid 30625242)
35. Hopwood CJ, Morey LC, Edelen MO, Shea MT, Grilo CM, Sanislow CA, McGlashan TH, Daversa MT, Gunderson JG, Zanarini MC, Markowitz JC, Skodol AE: A comparison of interview and selfreport methods for the assessment of borderline personality disorder criteria. Psychol Assess 2008; 20:81-85 (Pubitemid 351418236)
36. Zanarini MC, Frankenburg FR, Hennen J, Silk KR: Mental health service utilization by borderline personality disorder patients and axis II comparison subjects followed prospectively for 6 years. J Clin Psychiatry 2004; 65:28-36
37. Stoffers JM, Völlm BA, Rücker G, Timmer A, Huband N, Lieb K: Psychological therapies for people with borderline personality disorder. Cochrane Database Syst Rev 2012; 8:CD005652
38. Lugnegård T, Hallerbäck MU, Gillberg C: Personality disorders and autism spectrum disorders: what are the connections? Compr Psychiatry 2012; 53:333-340