ABSTRACT

Objectives

Schema group therapy is an effective treatment for personality disorders, but its focus on cognitive techniques may be a limitation for older adults. This article describes the rationale and initial evaluation of a group schema therapy protocol enriched with psychomotor therapy (GST+PMT) for older adults in geriatric mental health care.

Methods

Within an observational feasibility study, we evaluated the effect of a 26-week GST+PMT program in 19 outpatients aged 60–70 years with a cluster B or C personality disorder on the Young Schema Questionnaire, Schema Mode Inventory and Manchester Short Assessment of Quality of Life. Cohen’s d effect-sizes were calculated between baseline (T0), mid-treatment (T1) and end-of-treatment (T2).

Results

Medium to large pre-post effect-sizes (T0-T2) were found for all outcome measures. Most improvement of schema modes occurred between T0-T1, and of schemas and quality of life between T1-T2.

Conclusions

Group schema therapy enriched with PMT is feasible in later life and its effect might be mediated by targeting schema modes. Future research would be helpful, including larger samples and controlled studies.

Clinical Implications

For older adults suffering from personality disorders B or C verbal schema group therapy enriched with non-verbal PMT may be an effective treatment.

中文翻译：

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团体图式疗法与精神运动疗法对患有 B 类或 C 类人格障碍的老年人的可行性研究

 抽象的

 目标

图式团体疗法是治疗人格障碍的有效方法，但其对认知技术的关注可能对老年人来说是一种限制。本文描述了老年心理保健中针对老年人的富含精神运动疗法 (GST+PMT) 的团体图式治疗方案的基本原理和初步评估。

 方法

在一项观察性可行性研究中，我们评估了 19 名 60-70 岁患有 B 类或 C 类人格障碍门诊患者的 26 周 GST+PMT 计划对年轻图式问卷、图式模式量表和曼彻斯特质量短期评估的影响的生命。计算基线 (T0)、治疗中期 (T1) 和治疗结束 (T2) 之间的 Cohen d 效应大小。

 结果

所有结果指标均发现中到大的前后效应大小（T0-T2）。图式模式的大部分改善发生在 T0-T1 之间，图式和生活质量的改善则发生在 T1-T2 之间。

 结论

富含 PMT 的团体图式治疗在以后的生活中是可行的，其效果可能是通过目标图式模式来介导的。未来的研究将会有所帮助，包括更大的样本和对照研究。

 临床意义

对于患有 B 型或 C 型人格障碍的老年人来说，富含非语言 PMT 的语言图式团体治疗可能是一种有效的治疗方法。