Wiersma Imke Cm, Wouters Hans, Timmerman Karin, Heijman Jackie, Westerhof Gerben J, Radstaak Mirjam, Haeyen Suzanne
Research Group Arts and Psychomotor Therapies in Health Care, HAN University of Applied Sciences, Nijmegen, Gelderland, Netherlands
Research Group Arts and Psychomotor Therapies in Health Care, HAN University of Applied Sciences, Nijmegen, Gelderland, Netherlands.
BMJ Open. 2024 Dec 31;14(12):e090275. doi: 10.1136/bmjopen-2024-090275.
Personality disorders (PDs) cause much suffering. In treating patients with PDs, it is important not only to focus on reducing symptoms, but also on promoting psychological adaptability and well-being. The experiential nature of Creative Arts and Psychomotor Therapies (CAPTs) contributes to working on psychological adaptability and improving well-being, although more evidence is needed. This protocol paper describes a study to develop and evaluate a CAPTs-intervention aimed at promoting psychological adaptability and well-being in people with PDs.
The CAPTs-intervention will be developed using the Intervention Mapping method. A mixed method design will be used for the evaluation of this intervention, using a multiple baseline single case experimental design (MBSCED) with at least 17 participants with a PD included. Quantitative measures that will be completed weekly are the Generic Sense of Ability to Adapt Scale, the Self-Expression and Emotion Regulation in Art Therapy Scale and the Schema Mode Inventory (SMI, healthy adult and happy child). The Mental Health Continuum Short Form, the Brief Symptom Inventory and the SMI (complete) will only be completed at week 1 and 10 of the intervention. Qualitative instruments are an online survey for Experts by Experience, focus groups for CAPTs-therapists, psychologists, managers and referrers, and semi-structured interviews with patients. Quantitative outcomes will be analysed with linear mixed models. Qualitative analysis will be performed using thematic analysis.
This study has been approved by the Research Ethics Committee of the HAN University of Applied Sciences (ref: ECO 471.07/23). All participants will sign an Informed Consent and data will be treated confidentially. Study findings will be published Open Access in peer-reviewed journals.
This study has been registered at https://www.
gov (trial registration number NCT06219122).
人格障碍（PDs）会给患者带来诸多痛苦。在治疗人格障碍患者时，不仅要专注于减轻症状，还应注重促进心理适应能力和幸福感。尽管还需要更多证据，但创意艺术与心理运动疗法（CAPTs）的体验性质有助于提升心理适应能力并改善幸福感。本方案文件描述了一项旨在开发和评估针对人格障碍患者促进心理适应能力和幸福感的CAPTs干预措施的研究。
将采用干预映射法来开发CAPTs干预措施。将使用混合方法设计来评估该干预措施，采用多基线单病例实验设计（MBSCED），纳入至少17名患有PD的参与者。每周要完成的定量测量指标包括通用适应能力量表、艺术治疗中的自我表达与情绪调节量表以及图式模式量表（SMI，健康成人版和快乐儿童版）。心理健康连续体简表、简明症状量表和完整的SMI仅在干预的第1周和第10周完成。定性工具包括针对有经验专家的在线调查、针对CAPTs治疗师、心理学家、管理人员和推荐人的焦点小组以及对患者的半结构化访谈。定量结果将采用线性混合模型进行分析。定性分析将采用主题分析法。
本研究已获得汉应用科学大学研究伦理委员会的批准（编号：ECO 471.07/23）。所有参与者都将签署知情同意书，数据将得到保密处理。研究结果将在同行评审期刊上以开放获取的方式发表。
