Leppänen V, Hakko H, Sintonen H, Lindeman S
Social and Health Services, Mental Health Services, P.O. Box 13, 90015, Oulu City, Finland.
Department of Psychiatry, Oulu University Hospital, P.O. Box 26, 90029, Oulu City, Finland.
Community Ment Health J. 2016 Feb;52(2):216-27. doi: 10.1007/s10597-015-9866-4. Epub 2015 Apr 1.
The implementation of effective psychotherapies in community mental health care is challenging. This study aimed to create a well-structured and easily applicable treatment model for patients with severe borderline personality disorder (BPD). We integrated a schema therapy based psycho-educational group into an available individual therapy. Two groups were formed: (1) community treatment by experts (CTBE) patients (n = 24) receiving new treatment and (2) treatment as usual (TAU) patients (n = 47). Changes in symptoms were measured by Borderline Personality Disorder Severity Index-IV interview and quality of life by the 15D health-related quality of life questionnaire. After 1 year the CTBE patients showed a significant reduction in a wider range of BPD symptoms and better quality of life than TAU patients. The results of this study are encouraging. A well-structured treatment model was successfully implemented into community mental health care with improved patient adherence to treatment and superior treatment outcomes compared to TAU patients.
在社区精神卫生保健中实施有效的心理治疗具有挑战性。本研究旨在为重度边缘型人格障碍（BPD）患者创建一个结构良好且易于应用的治疗模式。我们将基于图式疗法的心理教育小组纳入现有的个体治疗中。形成了两组：（1）接受新治疗的专家社区治疗（CTBE）患者（n = 24）和（2）常规治疗（TAU）患者（n = 47）。通过边缘型人格障碍严重程度指数-IV访谈测量症状变化，通过15D健康相关生活质量问卷测量生活质量。1年后，CTBE患者与TAU患者相比，在更广泛的BPD症状方面有显著减轻，生活质量更好。本研究结果令人鼓舞。一个结构良好的治疗模式成功地应用于社区精神卫生保健，与TAU患者相比，患者对治疗的依从性提高，治疗效果更佳。
