Data_Sheet_1_Short-term, manualized schema-focused group therapy for patients with CBT-resistant disorders within primary care: a pilot study with a naturalistic pre-treatment and post-treatment design.docx

The aim of this study was to explore the feasibility and preliminary effectiveness of a short-term, manualized schema therapy group for 77 patients with CBT-resistant mood and/or anxiety and/or personality disorders (PDs) in primary care. The primary focus was on the effects of this treatment on Early Maladaptive Schemas (EMS), schema modes, and psychological well-being. These aspects were assessed pre-and post-treatment treatment using the Young Schema Questionnaire (YSQ), the Schema Mode Inventory version 1.1 (SMI), and the Symptom Questionnaire-48 (SQ-48). The treatment consisted of 16 sessions, incorporating cognitive, behavioral, and experiential techniques. EMS significantly decreased from pre-treatment to post-treatment, as along with maladaptive schema modes. Adaptive modes increased, as did psychological wellbeing. There were no significant differences between the DSM-5 classifications regarding changes in the aforementioned measures, except for the maladaptive modes, where the value of the corrected within-subject effect indicated a significant interaction. Post hoc comparisons were therefore conducted which showed that patients with a mood disorder experienced more positive changes in maladaptive modes compared to patients with anxiety disorders and PDs (p

本研究旨在探讨在基层医疗中，针对77名对认知行为疗法（CBT）具有抵抗性的情绪障碍、焦虑障碍以及人格障碍（PDs）患者进行短期、结构化认知疗法团体治疗的可行性与初步有效性。研究的主要焦点在于评估该治疗方案对早期适应性不良模式（EMS）、模式状态以及心理健康的影响。这些方面通过在治疗前后使用杨氏模式问卷（YSQ）、模式状态量表版本1.1（SMI）和症状问卷-48（SQ-48）进行评估。治疗方案包括16个会话，融合了认知、行为和体验性技术。从治疗前到治疗后，早期适应性不良模式（EMS）以及不良模式状态显著减少，适应性模式增加，心理健康水平亦有所提升。在DSM-5分类中，上述指标的变化并无显著差异，除不良模式外，校正后的组内效应值表明存在显著交互作用。因此，进行了事后比较，结果显示，患有情绪障碍的患者在不良模式上的积极变化比患有焦虑障碍和人格障碍的患者更为显著（p