关键词: Schema Therapy addiction alcohol use disorder borderline personality disorder follow‐up substance use disorder

Mesh : Humans Borderline Personality Disorder / therapy psychology complications Female Follow-Up Studies Adult Male Alcoholism / therapy psychology complications Treatment Outcome Comorbidity Middle Aged Cognitive Behavioral Therapy / methods

来  源:   DOI:10.1002/cpp.3040

Abstract:
This article describes the 1-year follow-up of a study into the effectiveness of Schema Therapy (ST) for borderline personality disorder (BPD) and comorbid alcohol use disorder (AUD). In the original study, 20 of these patients participated in a multiple baseline case series design study. The results of the original study were promising (a significant decrease of BPD and AUD symptoms). The present study is aimed at examining the longer term benefits of ST for BPD and comorbid AUD. One year after the cessation of the investigational therapy, 17 of the original participants agreed to participate in this follow-up study. T- or Wilcoxon signed rank tests were performed to compare 1-year follow-up to start of therapy (baseline). The results suggest that the main therapeutic improvements were generally preserved at 1-year follow-up. These findings add to the idea that integrated ST for BPD and comorbid AUD might be effective, also in the long term. A randomized clinical trial is indicated to substantiate this idea.
摘要:
本文介绍了一项为期1年的随访研究,该研究涉及模式疗法(ST)对边缘性人格障碍(BPD)和共患酒精使用障碍(AUD)的有效性。在最初的研究中,这些患者中的20名参加了多基线病例系列设计研究。原始研究的结果是有希望的(BPD和AUD症状的显着降低)。本研究旨在研究ST对BPD和合并症AUD的长期益处。停止研究治疗一年后,原始参与者中有17人同意参加这项后续研究。进行T-或Wilcoxon符号秩检验以比较1年随访与治疗开始(基线)。结果表明,在1年的随访中,主要的治疗改善通常得以保留。这些发现增加了这样一种观点,即BPD和合并症AUD的综合ST可能是有效的,从长远来看。一项随机临床试验证实了这一观点。
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