Department of Psychiatry, University of Groningen, University Medical Center Groningen, Post office box 30.001, 9700, RB, Groningen, The Netherlands.
Mediant Geestelijke Gezondheidszorg, Enschede, The Netherlands.
BMC Psychiatry. 2019 Jan 15;19(1):26. doi: 10.1186/s12888-018-2004-4.
Several types of psychotherapy have been proven successful in the treatment of personality disorders in younger age groups, however studies among older patients are lacking. We developed a group schema-focused therapy (SFT) enriched with psychomotor therapy (PMT) for older adults with cluster B and/or C personality disorders. This paper describes the design of a randomized controlled trial (RCT). We will evaluate the (cost-)effectiveness of this therapy protocol in specialized mental health care. We hypothesize that our treatment program is cost-effective and superior to treatment as usual (TAU) in reducing psychological distress and improving quality of life in older adults treated to specialized mental healthcare.
A multicenter RCT with a one-year follow-up comparing group schema-focused therapy enriched with psychomotor therapy (group SFT + PMT) and TAU for adults aged 60 years and older who suffer from either a cluster B and/or C personality disorder. The primary outcome is general psychological distress measured with the 53-item Brief Symptom Inventory. Secondary outcomes are the Schema Mode Inventory (118-item version) and the Young Schema Questionnaire. Cost-effectiveness analysis will be performed from a societal perspective with the EuroQol five dimensions questionnaire and structured cost-interviews.
This study will add to the knowledge of psychotherapy in later life. The study specifically contributes to the evidence on (cost-) effectiveness of group SFT enriched with PMT adapted to the needs of for older adults with cluster b and/or c personality.
Netherlands Trial Register NTR 6621 . Registered on 20 August 2017.
几种类型的心理疗法已被证明在治疗年轻人群体的人格障碍方面是有效的，然而针对老年患者的研究却很少。我们为患有 B 组和/或 C 组人格障碍的老年患者开发了一种团体焦点解决型心理疗法（SFT），并加入了心理运动疗法（PMT）。本文描述了一项随机对照试验（RCT）的设计。我们将评估这种治疗方案在专业精神保健中的（成本）效益。我们假设我们的治疗方案在降低心理困扰和改善接受专业精神保健治疗的老年人的生活质量方面具有成本效益，优于常规治疗（TAU）。
一项多中心 RCT，为期一年的随访，比较团体焦点解决型心理疗法（团体 SFT+PMT）和 TAU 对年龄在 60 岁及以上、患有 B 组和/或 C 组人格障碍的成年人的治疗效果。主要结局是使用 53 项Brief Symptom Inventory 测量的一般心理困扰。次要结局是 Schema Mode Inventory（118 项版本）和 Young Schema Questionnaire。成本效益分析将从社会角度进行，使用 EuroQol 五维问卷和结构化成本访谈。
这项研究将增加对晚年心理治疗的认识。该研究特别为团体 SFT 与 PMT 的结合提供了证据，这种方法适应了老年 B 组和/或 C 组人格障碍患者的需求。
荷兰试验注册 NTR 6621。注册于 2017 年 8 月 20 日。
