Roelofs Jeffrey, Muris Peter, van Wesemael Doret, Broers Nick J, Shaw Ida, Farrell Joan
Department of Clinical Psychological Science, Faculty of Psychology and Neuroscience, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands ; Virenze-RIAGG Maastricht, Parallelweg 45-47, 6221 BD Maastricht, The Netherlands.
Department of Methodology and Statistics, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands.
J Child Fam Stud. 2016;25:2246-2257. doi: 10.1007/s10826-016-0391-z. Epub 2016 Mar 14.
Personality disorders are complex mental health problems, associated with chronic dysfunction in several life domains. Adolescents suffer from these disorders as well. The present study is a naturalistic case study, investigating whether group schematherapy (GST) can be applied to adolescents with personality disorders or personality disorder traits. Four clinically referred patients were included and completed questionnaires on quality of life, symptoms of psychopathology, schema modes, early maladaptive schemas, and schema coping styles. Patients participated in weekly GST sessions complemented by weekly or 2-weekly individual sessions. The parents of the adolescents participated in a separate parent group. From pre- to post-treatment, results demonstrated improvements for some patients in quality of life and symptoms of psychopathology. Changes in a number of modes and schemas were observed in all patients from pre- to post-therapy. In addition to assessing changes from pre- to post-treatment, the current study investigated the temporal changes in modes during therapy as well. Results demonstrated that maladaptive modes decreased, whereas healthy modes increased for all patients across the course of therapy. The present study provides preliminary support for the applicability of GST for adolescents as well as the effectiveness of GST. It is a starting point for further research on this intervention.
人格障碍是复杂的心理健康问题，与多个生活领域的慢性功能障碍相关。青少年也会患这些障碍。本研究是一项自然主义案例研究，调查团体图式疗法（GST）是否可应用于患有人格障碍或人格障碍特质的青少年。纳入了四名临床转诊患者，并完成了关于生活质量、精神病理学症状、图式模式、早期适应不良图式和图式应对方式的问卷调查。患者参加每周一次的团体图式疗法课程，并辅以每周或每两周一次的个体治疗。青少年的父母参加了一个单独的家长团体。从治疗前到治疗后，结果显示部分患者的生活质量和精神病理学症状有所改善。从治疗前到治疗后，所有患者的一些模式和图式都出现了变化。除了评估治疗前到治疗后的变化，本研究还调查了治疗期间模式的时间变化。结果表明，在整个治疗过程中，所有患者的适应不良模式减少，而健康模式增加。本研究为团体图式疗法对青少年的适用性以及团体图式疗法的有效性提供了初步支持。这是对该干预措施进一步研究的起点。
