在老年人群中集群C个性障碍的方案治疗中整合积极方案:多重基线研究
Loes van Donzel1,2, Machteld A Ouwens1,2, Sebastiaan P J van Alphen3,4
1PersonaCura, Clinical Centre of Excellence for Personality Disorders and Developmental Disorders in Older Adults, GGz Breburg, Tilburg, The Netherlands.
Clinical psychology & psychotherapy
|August 13, 2025
概括
这项研究表明,将积极方案整合到方案治疗 (ST) 中可能有助于患有人格障碍的老年人. 适应方法改善了积极的核心信念和减少了痛苦,这表明这种心理治疗的初步疗效.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 心理治疗研究 心理治疗研究
背景情况:
- 方案治疗 (ST) 对人格障碍是有效的,但往往强调负面方案.
- 在ST文献中存在着对负面与正面方案的关注的不平衡.
- 患有人格障碍的老年人可能会从解决这两种模式类型的干预中受益.
研究的目的:
- 评估适应方案治疗 (ST) 方法的有效性,整合积极方案.
- 评估老年人的积极和消极核心信念,症状困扰和模式模式的变化.
- 探索ST中积极模式集成对集群C个性障碍的初步有效性.
主要方法:
- 采用多重基线设计,对10名老年人 (年龄大于60岁) 进行了诊断,他们患有群体C人格障碍.
- 参与者接受了一年的每周单独ST课程,并进行了6个月的随访期.
- 结果包括核心信念的可信性,症状性痛苦,模式模式和早期不适应/积极模式.
主要成果:
- 在群体层面,从基线到随访期间,观察到积极核心信念的显著增加和负面信念的减少.
- 个人结局是混合的,但在治疗期间38%的患者和随访时50%的患者出现了积极信念的显著改善.
- 二级结局结果显示,症状困扰和PD标准的显著减少,积极的方案增加.
结论:
- 将正面方案整合到ST中显示出对患有人格障碍的老年人潜在的初步疗效.
- 适应的ST方法可以增强积极的核心信念并减少心理痛苦.
- 需要进一步的研究,以将研究结果推广到其他年龄组和诊断,并确定关键的治疗元素.
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