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BMC Psychiatry
Published in: BMC Psychiatry 1/2019

Open Access 01-12-2019 | Study protocol

Group schema-focused therapy enriched with psychomotor therapy versus treatment as usual for older adults with cluster B and/or C personality disorders: a randomized trial

Authors: S. D. M. van Dijk, M. S. Veenstra, R. Bouman, J. Peekel, D. H. Veenstra, P. J. van Dalen, A. D. I. van Asselt, M. L. Boshuisen, S. P. J. van Alphen, R. H. S. van den Brink, R. C. Oude Voshaar

Published in: BMC Psychiatry | Issue 1/2019

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Abstract

Background

Several types of psychotherapy have been proven successful in the treatment of personality disorders in younger age groups, however studies among older patients are lacking. We developed a group schema-focused therapy (SFT) enriched with psychomotor therapy (PMT) for older adults with cluster B and/or C personality disorders. This paper describes the design of a randomized controlled trial (RCT). We will evaluate the (cost-)effectiveness of this therapy protocol in specialized mental health care. We hypothesize that our treatment program is cost-effective and superior to treatment as usual (TAU) in reducing psychological distress and improving quality of life in older adults treated to specialized mental healthcare.

Methods

A multicenter RCT with a one-year follow-up comparing group schema-focused therapy enriched with psychomotor therapy (group SFT + PMT) and TAU for adults aged 60 years and older who suffer from either a cluster B and/or C personality disorder. The primary outcome is general psychological distress measured with the 53-item Brief Symptom Inventory. Secondary outcomes are the Schema Mode Inventory (118-item version) and the Young Schema Questionnaire. Cost-effectiveness analysis will be performed from a societal perspective with the EuroQol five dimensions questionnaire and structured cost-interviews.

Discussion

This study will add to the knowledge of psychotherapy in later life. The study specifically contributes to the evidence on (cost-) effectiveness of group SFT enriched with PMT adapted to the needs of for older adults with cluster b and/or c personality.

Trial registration

Netherlands Trial Register NTR 6621. Registered on 20 August 2017.
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Metadata
Title
Group schema-focused therapy enriched with psychomotor therapy versus treatment as usual for older adults with cluster B and/or C personality disorders: a randomized trial
Authors
S. D. M. van Dijk
M. S. Veenstra
R. Bouman
J. Peekel
D. H. Veenstra
P. J. van Dalen
A. D. I. van Asselt
M. L. Boshuisen
S. P. J. van Alphen
R. H. S. van den Brink
R. C. Oude Voshaar
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2019
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-018-2004-4

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