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A first step toward integrating schema theory in geriatric psychiatry: a Delphi study
M J H Legra1, F R J Verhey2, S P J van Alphen3
1GGZWNB,Bergen op Zoom,the Netherlands.
International Psychogeriatrics
|April 10, 2017
Summary
Schemas are dynamic and change throughout life due to various factors. Understanding schema triggering and coping in older adults is crucial for effective Schematherapy (ST).
Area of Science:
- Psychology
- Gerontology
- Clinical Psychology
Background:
- Empirical research on Schematherapy (ST) in older adults is limited.
- The manifestation and long-term patterns of schemas in old age are not well understood.
- Changes in schemas during the aging process remain unclear.
Purpose of the Study:
- To explore the nature of schemas in older adults.
- To understand how schemas manifest and change across the life course.
- To inform the application of ST in geriatric populations.
Main Methods:
- A Delphi study involving nine experts in Schematherapy for older adults was conducted.
- Expert consensus was sought on schema dynamics in aging.
Main Results:
- Experts reached consensus that schemas vary in later life due to biopsychosocial factors.
- Schema triggering and schema coping are identified as important clinical concepts for older adults.
- Understanding life-course schema dynamics aids diagnosis and intervention selection in older individuals.
Conclusions:
- Schemas are flexible and dynamic, influenced by multiple factors.
- This study advances knowledge of schema theory in aging populations.
- Findings will improve ST for older adults by clarifying schema plasticity throughout life.