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Schema therapy for borderline personality disorder: a comprehensive review of its empirical foundations, effectiveness and implementation possibilities

Sempértegui, Gabriela A., Karreman, Annemiek, Arntz, Arnoud, Bekker, Marrie H.J.·2013·Clinical Psychology Review
DOI 10.1016/j.cpr.2012.11.006
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Abstract

Borderline personality disorder is a serious psychiatric disorder for which the effectiveness of the current pharmacotherapeutical and psychotherapeutic approaches has shown to be limited. In the last decades, schema therapy has increased in popularity as a treatment of borderline personality disorder; however, systematic evaluation of both effectiveness and empirical evidence for the theoretical background of the therapy is limited. This literature review comprehensively evaluates the current empirical status of schema therapy for borderline personality disorder. We first described the theoretical framework and reviewed its empirical foundations. Next, we examined the evidence regarding effectiveness and implementability. We found evidence for a considerable number of elements of Young's schema model; however, the strength of the results varies and there are also mixed results and some empirical blanks in the theory. The number of studies on effectiveness is small, but reviewed findings suggest that schema therapy is a promising treatment. In Western-European societies, the therapy could be readily implemented as a cost-effective strategy with positive economic consequences.

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  • Empirical studies indicate high effectiveness of ST in the treatment of BPD regarding decreases in all nine BPD symptoms, improvements in quality of life and high treatment retention rate.

    “Empirical studies indicate high effectiveness of ST in the treatment of BPD regarding decreases in all nine BPD symptoms, improvements in quality of live and high treatment retention rate (Jacob and Arntz, 2013; Sempértegui et al., 2013).”

    From Emotion regulation in schema therapy and dialectical behavior therapy. (2016) · cites this paper as Sempértegui et al., 2013

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Authors
Sempértegui, G. A., Karreman, A., Arntz, A., & Bekker, M. H. J.
Venue
Clinical Psychology Review
Publisher
Elsevier BV
Published
2013-04
Volume
33
Issue
3
Pages
426-447
ISSN
0272-7358
DOI
10.1016/j.cpr.2012.11.006
Cited by
122
References
18
Language
en
Licence

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