Schema therapy for patients with chronic depression: a single case series study
Abstract
Background and objectives This study tested the effectiveness of schema therapy (ST) for patients with chronic depression. Methods Twelve patients with a diagnosis of chronic depression participated. The treatment protocol consisted of 60 sessions, with the first 55 sessions offered weekly and the last five sessions on a biweekly basis. A single case series A-B-C design, with 6 months follow-up was used. Baseline (A) was a wait period of 8 weeks. Baseline was followed by introduction to ST and bonding to therapist (phase B) with individually tailored length of 12-16 sessions, after which further ST was provided (phase C) up to 60 sessions (included the sessions given as introduction). Patients were assessed with Hamilton Rating Scale for Depression three times during baseline, at the end of phase B, then every 12 weeks until the end of treatment and at 6 months follow-up. Secondary outcome measures were the Hamilton Rating Scale for Anxiety and the Young Schema Questionnaire. Results At the end of treatment 7 patients (approximately 60%) remitted or satisfactorily responded. The mean HRSD dropped from 21.07 during baseline to 9.40 at post-treatment and 10.75 at follow-up. The effects were large and the gains of treatment were maintained at 6-month follow-up. Only one patient dropped out for reasons not related to treatment. Limitations The lack of control group, the small sample and the lack of a multiple baseline case series. Conclusions This preliminary study supports the u…
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Promising results are reported for ST in depression.
“Promising results are also reported for depression (Malogiannis et al., 2014; Renner et al., 2016).”
From Emotion regulation in schema therapy and dialectical behavior therapy. (2016) · cites this paper as Malogiannis et al., 2014
Cites
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Self-citationThe Course of Depression in Adult Outpatients: Results From the Medical Outcomes Study
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Mental Imagery in Depression: Phenomenology, Potential Mechanisms, and Treatment Implications
Holmes, E. A., Blackwell, S. E., Burnett Heyes, S., Renner, F., & Raes, F. (2016) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-021815-092925 · Cited by 325 · see citing works
Emotion regulation in schema therapy and dialectical behavior therapy.
Fassbinder, E., Schweiger, U., Martius, D., Brand-de Wilde, O., & Arntz, A. (2016) · Frontiers in Psychology · doi:10.3389/fpsyg.2016.01373 · Cited by 163 · see citing works
Self-citationEarly Maladaptive Schemas and Schema Modes in clinical disorders: A systematic review
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- Authors
- Malogiannis, I. A., Arntz, A., Spyropoulou, A., Tsartsara, E., Aggeli, A., Karveli, S., Vlavianou, M., Pehlivanidis, A., Papadimitriou, G. N., & Zervas, I.
- Venue
- Journal of Behavior Therapy and Experimental Psychiatry
- Publisher
- Elsevier BV
- Published
- 2014-09
- Volume
- 45
- Issue
- 3
- Pages
- 319-329
- ISSN
- 0005-7916
- Cited by
- 88
- References
- 11
- Language
- en
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