Previous research has already shown that schema therapy is highly effective, with a significant possibility of full recovery. However given the long duration and intensity of this therapy (three years of twice-weekly sessions), treatment costs are high. Not only is group therapy cheaper than individual schema therapy but it is also more effective, because the group processes catalyze the recovery process. More people can also be treated with this type of therapy.
The study subsidised by ZonMw, will determine cost effectiveness compared to the ’treatment as usual’ (TUA). 192 patients with Borderline Personality Disorder will be divided into three groups and treated in six Dutch centres (RIAGG Maastricht, Mondriaan Zorggroep Heerlen, G-kracht Delft, GGZ Oost Brabant Helmond, Symfora Hilversum and the Vincent van Gogh Instituut Venray). The project is embedded within an international study in five countries (the Netherlands, Great Britain, the United States and Australia) with a total participation of 448 patients in 14 centres.
Two types of Group Schema Therapy (solely group therapy or group therapy combined with individual sessions) will be compared against a control group receiving the treatment as usual (as there is no single standard therapy for borderline patients in the Netherlands, participating centers decide in their usual manner about the treatment). During and after the treatment, which will last two years, the effect of treatment will be measured (disorder severity, suicidality, social functioning, general psychiatric symptoms and quality of life). Patients and therapists will also be asked to share their experiences in in-depth interviews and focus groups.
In parallel with this study, Maastricht University and the University of Freiburg will also be launching a research project within the same patient population, investigating specific brain responses and brain networks at start, halfway and end of treatment, using neuroimaging techniques (fMRI). This study will be conducted using a European 'Open Research Area' subsidy. Borderline Personality Disorder is characterized by emotional dysregulation and ‘threat bias’ (biased information processing towards threat-signs). This study will investigate how the emotional and impulsive brain response and information processing in the brain during ‘threat bias’ changes during the treatment, compared to psychopathology controls and nonpatients.
Borderline Personality Disorder occurs among between 1 and 2.5% of the population. Characteristics are chronic instability, emotional dysregulation, self-injury, impulsive and suicidal behaviour, separation anxiety, major stress sensitivity and identity problems. The medical and societal costs are considerable, particularly because full participation in the employment process is often impossible for these patients.
Caroline Roulaux | idw
Win-win strategies for climate and food security
02.10.2017 | International Institute for Applied Systems Analysis (IIASA)
The personality factor: How to foster the sharing of research data
06.09.2017 | ZBW – Leibniz-Informationszentrum Wirtschaft
University of Maryland researchers contribute to historic detection of gravitational waves and light created by event
On August 17, 2017, at 12:41:04 UTC, scientists made the first direct observation of a merger between two neutron stars--the dense, collapsed cores that remain...
Seven new papers describe the first-ever detection of light from a gravitational wave source. The event, caused by two neutron stars colliding and merging together, was dubbed GW170817 because it sent ripples through space-time that reached Earth on 2017 August 17. Around the world, hundreds of excited astronomers mobilized quickly and were able to observe the event using numerous telescopes, providing a wealth of new data.
Previous detections of gravitational waves have all involved the merger of two black holes, a feat that won the 2017 Nobel Prize in Physics earlier this month....
Material defects in end products can quickly result in failures in many areas of industry, and have a massive impact on the safe use of their products. This is why, in the field of quality assurance, intelligent, nondestructive sensor systems play a key role. They allow testing components and parts in a rapid and cost-efficient manner without destroying the actual product or changing its surface. Experts from the Fraunhofer IZFP in Saarbrücken will be presenting two exhibits at the Blechexpo in Stuttgart from 7–10 November 2017 that allow fast, reliable, and automated characterization of materials and detection of defects (Hall 5, Booth 5306).
When quality testing uses time-consuming destructive test methods, it can result in enormous costs due to damaging or destroying the products. And given that...
Using a new cooling technique MPQ scientists succeed at observing collisions in a dense beam of cold and slow dipolar molecules.
How do chemical reactions proceed at extremely low temperatures? The answer requires the investigation of molecular samples that are cold, dense, and slow at...
Scientists from the Max Planck Institute of Quantum Optics, using high precision laser spectroscopy of atomic hydrogen, confirm the surprisingly small value of the proton radius determined from muonic hydrogen.
It was one of the breakthroughs of the year 2010: Laser spectroscopy of muonic hydrogen resulted in a value for the proton charge radius that was significantly...
17.10.2017 | Event News
10.10.2017 | Event News
10.10.2017 | Event News
20.10.2017 | Information Technology
20.10.2017 | Materials Sciences
20.10.2017 | Interdisciplinary Research