Gülüm İsmail Volkan
Department of Psychological Counselling and Guidance, Dumlupinar University, Kütahya, Turkey.
Res Psychother. 2018 Aug 8;21(2):314. doi: 10.4081/ripppo.2018.314.
Schema therapy (ST) is a relatively new, but promising, psychotherapy approach. Able to be implemented in both individual and group settings, research findings suggest that ST is a highly effective treatment for personality disorders. As in other treatments for personality disorders, some patients decide to drop out from treatment, feeling they did not benefit. To date, there has been no study in the literature that investigates the dropout rates across ST studies specifically. Consequently, this study systematically researched eight different ST studies in which dropout rates were reported. Together, these studies featured both individual and group therapy settings, inpatient and outpatient settings, and different personality disorder diagnoses. The weighted mean dropout rate was 23.3%, 95% CI (14.8-31.7%) across these studies. Although this finding is very similar to those meta-analyses that obtained their dropout rates from different orientations and diagnoses, namely psychotherapy in general, ST's dropout rates might be significantly lower than studies that included personality disorders in particular.
图式疗法（ST）是一种相对较新但很有前景的心理治疗方法。研究结果表明，这种疗法既能在个体治疗中实施，也能在团体治疗中实施，对人格障碍具有高效的治疗效果。与其他针对人格障碍的治疗方法一样，一些患者觉得没有从中受益，于是决定退出治疗。迄今为止，文献中尚无专门研究图式疗法各项研究中退出率的相关报告。因此，本研究系统地调研了八项不同的图式疗法研究，这些研究均报告了退出率。这些研究涵盖了个体和团体治疗环境、住院和门诊治疗环境，以及不同的人格障碍诊断类型。这些研究的加权平均退出率为23.3%，95%置信区间为（14.8 - 31.7%）。尽管这一结果与那些从不同方向和诊断得出退出率的元分析结果非常相似，即在一般心理治疗方面，但图式疗法的退出率可能显著低于那些专门针对人格障碍的研究。
