Cited by 259Personality Disorders and PsychopathologyPsychotherapy Techniques and ApplicationsPsychiatric care and mental health services

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Implementation of outpatient schema therapy for borderline personality disorder with versus without crisis support by the therapist outside office hours: A randomized trial

Nadort, Marjon, Arntz, Arnoud, Smit, Johannes H., Giesen-Bloo, Josephine, Eikelenboom, Merijn, Spinhoven, Philip, van Asselt, Thea, Wensing, Michel, van Dyck, Richard·2009·Behaviour Research and Therapy

DOI 10.1016/j.brat.2009.07.013

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Abstract

Objective This study aimed to evaluate the success of implementing outpatient schema focused therapy (ST) for borderline patients in regular mental healthcare and to determine the added value of therapist telephone availability outside office hours in case of crisis (TTA).Methods To enhance the implementation, the following adaptations regarding the original ST protocol were applied: a reduction in the frequency and duration of the therapy; training therapists of eight regular healthcare centers in ST with a structured and piloted program supported by a set of films (DVDs) with examples of ST techniques; training and supervision given by Dutch experts. Telephone availability outside office hours was randomly allocated to 50% of the therapists of each treatment center. Patient's outcome measures were assessed with a semi-structured interview and self-report measures on BPD, quality of life, general psychopathology and an ST questionnaire, before, during and after treatment.Results Data on 62 DSM-IV defined BPD patients were available. Intention-to-treat analyses showed that after 1.5 years of ST 42% of the patients had recovered from BPD. No added value of therapist telephone availability (TTA) was found on the BPDSI score nor on any other measure after 1.5 years of ST.Conclusions ST for BPD can be successfully implemented in regular mental healthcare. Treatment results and dropout were comparable to a previous clinical trail. No additional effect of extra crisis support with TTA outside office hours ST was found.

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Psicoterapia per il disturbo borderline di personalità: revisione della letteratura sull'efficacia di quattro trattamenti manualizzati Psychotherapy for borderline personality disorder: a review of literature on the efficacy of four manualized treatments
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Ivanitska-Diachun, T. (2024) · GRUNDLAGEN DER MODERNEN WISSENSCHAFTLICHEN FORSCHUNG · doi:10.36074/logos-24.05.2024.084 · Cited by 1
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“Originally developed for personality pathology, outcome studies have so far supported its efficacy for borderline personality disorder (Farrell, Shaw, & Webber, 2009; Giesen-Bloo et al., 2006; Nadort et al., 2009), as well as its effectiveness for cluster C, paranoid, histrionic or narcissistic personality disorder (B…”
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Avramchuk, O., & Hlyvanska, O. (2018) · European Journal of Interdisciplinary Studies · doi:10.24818/ejis.2018.04 · Cited by 2
“…diagnostic signs of BPD. DBT (Koons et al., 2001; Bohus et al., 2004; McMain et al., 2009), SFT (Giesen-Bloo et al., 2006, van Asselt et al., 2008, Nadort et al., 2009), and MBT (Bateman and Fonagy, 1999, 2009; Rossouw and Fonagy, 2012; Jørgensen et al., 2013, Laurenssen et al., 2018) have better…”
Background
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Authors: Nadort, M., Arntz, A., Smit, J. H., Giesen-Bloo, J., Eikelenboom, M., Spinhoven, P., van Asselt, T., Wensing, M., & van Dyck, R.
Affiliations: Amsterdam Public Health (NL)
Maastricht University (NL)
Leiden University (NL)
Radboud University Medical Center (NL)
Corresponding author: Nadort, Marjon
ORCID: Arntz, Arnoud
Smit, Johannes H.
Eikelenboom, Merijn
Spinhoven, Philip
Wensing, Michel
Venue: Behaviour Research and Therapy
Publisher: Elsevier BV
Published: 2009-11
Volume: 47
Issue: 11
Pages: 961-973
ISSN: 0005-7967 (ISSN-L)
DOI: 10.1016/j.brat.2009.07.013
OpenAlex: W2019444600
Cited by: 259
References: 54
Citations by year: 2026: 2 · 2025: 5 · 2024: 15 · 2023: 11 · 2022: 16 · 2021: 22 · 2020: 21 · 2019: 9 · 2018: 15 · 2017: 15 · 2016: 19 · 2015: 23 · 2014: 21 · 2013: 17 · 2012: 28
FWCI: 17.01
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Behaviour Research and Therapy (publishedVersion)
PubMed (publishedVersion)
Pure Amsterdam UMC (publishedVersion)
Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
Research Publications (Maastricht University) (submittedVersion)
Digital Academic REpository of VU University Amsterdam (Vrije Universiteit Amsterdam) (submittedVersion)
University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
Radboud Repository (Radboud University) (submittedVersion)
Data Archiving and Networked Services (DANS) (submittedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
Keywords: schema therapy, borderline personality disorder, outpatient care, crisis support, therapist training, treatment implementation, treatment discontinuation, quality of life, psychopathology, long-term treatment outcomes
MeSH terms: Adult, Behavior Therapy, Borderline Personality Disorder, Female, Humans, Male, Outpatients, Treatment Outcome, Remote Consultation

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Implementation of outpatient schema therapy for borderline personality disorder with versus without crisis support by the therapist outside office hours: A randomized trial

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