Jacob Gitta Anne, Hauer Andrea, Köhne Sandra, Assmann Nele, Schaich Anja, Schweiger Ulrich, Fassbinder Eva
GAIA AG, Hamburg, Germany.
Department of Psychiatry and Psychotherapy, University of Lübeck, Lübeck, Germany.
JMIR Ment Health. 2018 Dec 17;5(4):e10983. doi: 10.2196/10983.
Electronic health (eHealth) programs have been found to be effective in treating many psychological conditions. However, regarding borderline personality disorder (BPD), only a few eHealth programs have been tested, involving small interventions based on the dialectical behavior therapy treatment approach. We investigated priovi, a program based on the schema therapy (ST) approach. priovi is considerably more comprehensive than prior programs, offering broad psychoeducation content and many therapeutic exercises.
We tested the acceptability and feasibility of priovi in 14 patients with BPD as an add-on to individual face-to-face ST.
Patients received weekly individual ST and used priovi over a period of 12 months. We assessed BPD symptom severity using self-reported and interview-based measures. Qualitative interviews were conducted with both patients and therapists to assess their experiences with priovi.
BPD symptoms improved significantly (Cohen d=1.0). Overall, qualitative data showed that priovi was positively received by both patients and therapists. Some exercises provoked mild anxiety; however, no serious threat to safety was detected.
priovi is a potentially helpful and safe tool that could support individual ST. It needs to be further tested in a randomized controlled study.
German Clinical Trials Register DRKS00011538; https://www.drks.de/drks_web/navigate.do? navigationId=trial.HTML&TRIAL_ID=DRKS00011538 (Archived by WebCite at http://www.webcitation.org/74jb0AgV8).
电子健康（eHealth）项目已被证明在治疗多种心理疾病方面有效。然而，对于边缘型人格障碍（BPD），仅有少数电子健康项目经过测试，且这些项目是基于辩证行为疗法治疗方法的小型干预措施。我们对priovi进行了研究，这是一个基于图式疗法（ST）方法的项目。priovi比之前的项目要全面得多，提供了广泛的心理教育内容和许多治疗练习。
我们测试了priovi作为个体面对面ST的补充，在14例BPD患者中的可接受性和可行性。
患者每周接受个体ST，并在12个月的时间里使用priovi。我们使用自我报告和基于访谈的测量方法评估BPD症状的严重程度。对患者和治疗师都进行了定性访谈，以评估他们对priovi的体验。
BPD症状有显著改善（科恩d值 = 1.0）。总体而言，定性数据表明患者和治疗师对priovi的接受度都很高。一些练习引发了轻度焦虑；然而，未发现对安全有严重威胁。
priovi是一种潜在有用且安全的工具，可以辅助个体ST。它需要在随机对照研究中进一步测试。
德国临床试验注册中心DRKS00011538；https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00011538（由WebCite存档于http://www.webcitation.org/74jb0AgV8）
