Cíl: Cílem této studie bylo zjistit efektivitu šestitýdenního terapeutického programu, který kombinuje prvky schématerapie a kognitivně-behaviorální terapie (KBT), pro pacienty s hraniční poruchou osobnosti (HPO). Metoda: Studie zahrnovala 51 pacientů s diagnózou HPO, kteří absolvovali program mezi lednem a zářím 2024. Efektivita léčby byla hodnocena pomocí několika sebeposuzovacích metod: Borderline Symptom List 23 (BSL-23), Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7) a Positive Self-Relation Scale (PSRS). Zacvičení psychologové administrovali na začátku a konci hospitalizace posuzovací stupnici Clinical Global Impression for Borderline Personality Disorder (CGI-BPD). Výsledky: Výsledky ukázaly statisticky významné zlepšení v oblasti příznaků HPO hodnocené psychologem (CGI-BPD: p < 0,05) i pacientem (BSL-23: p < 0,05), depresivních příznaků (PHQ-9: p < 0,001) a úzkostných symptomů (GAD-7: p < 0,05) i ke zvýšení pozitivního vztahu k sobě (PSRS; p < 0,001). Závěr: Výsledky této pilotní studie naznačují, že šestitýdenní program kombinující schematerapii a KBT je účinný při snižování hraničních, depresivních a úzkostných příznaků a zvyšování pozitivního vztahu k sobě. Program se jeví jako efektivní intervence pro pacienty s HPO, přičemž zjištění dlouhodobé účinnosti vyžaduje další výzkum
Objective: This study aimed to assess the effectiveness of a six-week therapeutic program combining elements of schema therapy and cognitive-behavioral therapy (CBT) for patients with borderline personality disorder (BPD). Method: The study included 51 patients diagnosed with BPD who participated in the program between January and September 2024. Treatment effectiveness was evaluated using several self-report measures: Borderline Symptom List 23 (BSL-23), Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7) and Positive Self-Relation Scale (PSRS). Trained psychologists administered a rating scale Clinical Global Impression for Borderline Personality Disorder (CGI-BPD) at the start and in the end of the hospitalization. Results: The results demonstrated statistically significant improvements in BPD symptoms as rated by psychologists (CGI-BPD: p < 0.05) and patients (BSL-23: p < 0.05) as well as in depressive symptoms (PHQ-9: p < 0.001), anxiety symptoms (GAD-7: p < 0.05), and positive self-relations (PSRS; p < 0.001). Conclusion: The results of this pilot study suggest that the six-week inpatient program combining schema therapy and CBT may be effective in reducing borderline, depressive, and anxiety symptoms while also enhancing positive self-relation. The program appears to be an effective intervention for patients with BPD, although further research is required to evaluate its long-term effects.
- MeSH
- depresivní poruchy terapie MeSH
- dospělí MeSH
- hospitalizace MeSH
- hraniční porucha osobnosti * farmakoterapie psychologie MeSH
- kognitivně behaviorální terapie MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- pilotní projekty MeSH
- psychometrie MeSH
- schematerapie MeSH
- úzkost terapie MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
OBJECTIVE: This article focuses on utilizing therapeutic letters within group schema therapy-an innovative therapeutic approach that integrates elements from various therapeutic disciplines. The primary aim is to explore how therapeutic letters can enhance the therapeutic process and support the treatment of patients. METHODS: To achieve this objective, we conducted a narrative literature review centred on schema therapy and using therapeutic letters as a therapeutic strategy. We systematically searched databases (PubMed, PsycINFO, and Google Scholar) using the keywords "schema therapy," "therapy letters," "group," "therapeutic strategies," and "adult psychotherapy." Additionally, we gathered clinical insights from schema therapists through interviews to gain a practical perspective. RESULTS: Group schema therapy primarily targets identifying and modifying early maladaptive schemas and maladaptive schema modes that originate during childhood and persist into adulthood. Within this context, therapeutic letters are an effective tool, allowing individuals to process intense emotions stemming from their formative years. Individuals complete these letters as homework assignments and then, divided into small groups, read them aloud while receiving emotional support and encouragement from their peers. This process enables individuals to explore their thoughts and feelings, potentially reframe their life narratives, seek forgiveness, and ultimately progress. Various types of therapeutic letters are discussed, including the "uncensored letter", "letter from the other shore", "letter to an adult child", "business card", and "letter from the future". DISCUSSION: The article provides an in-depth overview of the techniques and exercises employed in group schema work when using letters. It also addresses potential challenges, such as difficulties with visualization, resistance to change, and trust issues. CONCLUSION: Therapeutic letters emerge as a valuable tool in group schema therapy, enhancing the therapeutic process and supporting individual treatment. However, further research is necessary to comprehend and fully maximize their potential.
This article describes using imagery approaches during group schema therapy (GST). Imagery approaches are an important tool for identifying and changing maladaptive schema modes and early maladaptive schemas. It summarises the theoretical background of the group imagery method and practical case vignettes. The text describes methods for using imagery in therapeutic groups, building a safe place, imagery rescribing painful experiences, and dialogue between schema modes. It also stresses challenging matters, like problems with imagery, difficulties trusting another person, and resistance to change. Using imagery in GST is a powerful approach to increase patient results during the therapy.
- MeSH
- imaginativní postupy v psychoterapii * metody MeSH
- lidé MeSH
- skupinová psychoterapie * metody MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
