Treatment for chronic depression using schema therapy (original) (raw)
Related papers
Journal of Affective Disorders, 2013
Background: The efficacy of Cognitive Behavior Therapy (CBT) for depression has been robustly supported, however, up to fifty percent of individuals do not respond fully. A growing body of research indicates Schema Therapy (ST) is an effective treatment for difficult and entrenched problems, and as such, may be an effective therapy for depression. Methods: In this randomized clinical trial the comparative efficacy of CBT and ST for depression was examined. 100 participants with major depression received weekly cognitive behavioral therapy or schema therapy sessions for 6 months, followed by monthly therapy sessions for 6 months. Key outcomes were comparisons over the weekly and monthly sessions of therapy along with remission and recovery rates. Additional analyses examined outcome for those with chronic depression and comorbid personality disorders. Results: ST was not significantly better (nor worse) than CBT for the treatment of depression. The therapies were of comparable efficacy on all key outcomes. There were no differential treatment effects for those with chronic depression or comorbid personality disorders. Limitations: This study needs replication. Conclusions: This preliminary research indicates that ST may provide an effective alternative therapy for depression.
Investigating schema therapy constructs in individuals with depression
Journal of Psychology & Clinical Psychiatry
Background: Schema Therapy (ST) has been applied to several psychological disorders. The aim of this study was to further corroborate Renner's ST model for depression (2012), investigating maladaptive schemas, modes, and avoidant coping styles in a large non-clinical sample and in two subgroups of subjects with high and low depression rates. Descriptive, correlation and multiple regression analyses were run on the whole sample and in the two subgroups , with additional analyses comparing ST constructs in highly depressed versus not depressed individuals. Within the total sample, a positive correlation was observed between levels of depression and most maladaptive schemas, dysfunctional modes and intra-psychic avoidant coping strategies. Significant differences emerged with respect to the two subgroups. Within the depressed group, positive associations occurred between the disconnection and rejection schema domain, the demanding parent mode and dissociative avoidant coping and symptoms severity. Multiple regression analyses also revealed the role of specific predictor variables explaining depression levels. Despite some important caveats, like the recruitment of a non-clinical sample, our data further support Renner's schema model for depression, adding some new evidences about the role of specific modes and avoidant coping strategies that seem to play a role in this psychopathological condition.
Effectiveness of Schema Therapy on the Treatment of Depressive Disorders: A Meta-Analysis
Current Approaches in Psychiatry, 2018
The effectiveness of schema therapy in the treatment of depressive disorders was examined in this meta-analysis study. As a result of the literature review using various databases, a total of 35 studies which were carried out in 2007-2017 were reached, 7 of which included in this metaanalysis. For these 7 experimental studies, the country (culture), the type of depressive disorder, the number of participants, the number of sessions, the type of session (individual or group), the duration of the session (minute), and the whole session process (week) were determined as hypothetic moderator variables. The results of the analysis using the random effect model showed that schema therapy had a high level of efficacy in the treatment of depressive disorders. It had been determined that none of the hypothetic moderator variables had moderator functions.
Iranian Evolutionary Educational Psychology Journal, 2023
This study was undertaken with the primary objective of assessing the efficacy of schema therapy in addressing dysfunctional attitudes and emotional dysregulation among patients diagnosed with persistent depressive disorder. The research methodology employed in this investigation followed a semi-experimental approach, incorporating a pre-test and post-test design encompassing both experimental and control groups. The study's target population consisted of all individuals diagnosed with persistent depressive disorder who sought treatment at psychology and psychiatry clinics in Tehran in 2022. From this population, a sample of 30 participants was selected using an accessible sampling method and Structured Clinical Interview for DSM Disorders (SCID) was taken from the participants. To gather data and evaluate relevant attributes and conditions, a semi-structured clinical interview demographic form and the second version of the Beck Depression Inventory were administered. Moreover, for the analysis of research hypotheses, statistical methods including the ANCOVA analysis test and paired t-tests were applied through the SPSS-16 statistical software. The findings of this study indicated that schema therapy significantly influenced the levels of dysfunctional attitudes and emotional dysregulation in patients with persistent depressive disorder.
Does schema therapy change schemas and symptoms? A systematic review across mental health disorders
Psychology and psychotherapy, 2016
Schema therapy was first applied to individuals with borderline personality disorder (BPD) over 20 years ago, and more recent work has suggested efficacy across a range of disorders. The present review aimed to systematically synthesize evidence for the efficacy and effectiveness of schema therapy in reducing early maladaptive schema (EMS) and improving symptoms as applied to a range of mental health disorders in adults including BPD, other personality disorders, eating disorders, anxiety disorders, and post-traumatic stress disorder. Studies were identified through electronic searches (EMBASE, PsycINFO, MEDLINE from 1990 to January 2016). The search produced 835 titles, of which 12 studies were found to meet inclusion criteria. A significant number of studies of schema therapy treatment were excluded as they failed to include a measure of schema change. The Clinical Trial Assessment Measure was used to rate the methodological quality of studies. Schema change and disorder-specific ...
Summary Review of Schema Therapy Effectiveness Studies in Personality Disorders
2019
Address for Correspondence: Res. Asst. Cansu Alsancak-Akbulut, Ankara University, Department of Psychology, Sihhiye / Ankara E-posta: cansualsancakk@gmail.com Personality Disorders (PD) are complex psychological problems, which were found to be highly prevalent in society (Weissman, 1993). Several psychotherapeutic approaches have been developed in the last decades in order to deal with the problems associated with PD. One of the most commonly used approaches in the treatment of PD is Schema Therapy (ST) (Young & Klosko, 1993; Young, Klosko, & Weishaar, 2003). Schema therapy, which has been influenced by Gestalt therapy and Cognitive-Behavioral Therapy, focuses on unmet psychological needs (connectedness, autonomy, reasonable expectations, realistic limits, worthiness) throughout childhood by the parents and significant others, and the ways of meeting these needs in the supportive and empathetic psychological relationship (Kellog & Young, 2006; Young et al., 2003). The effectiveness...
A Systematic Review of the Evidence Base for Schema Therapy
Cognitive Behaviour Therapy, 2012
Aim: Schema therapy is becoming an increasingly popular psychological model for working with individuals who have a variety of mental health and personality difficulties. The aim of this review is to look at the current evidence base for schema therapy and highlight directions for further research.
Schema Therapy as a Treatment for Chronic Disorders
2014
Young schema therapy is an innovative synthesis of cognitive behavior therapy with Gestalt therapy and the object relation approaches which is similar to other approaches but also this therapy is an integrated and congruent one. This model is mostly based on the therapeutic interaction, emotional experiences and the discussion about the early experiences of life and its main concept is the Early Maladaptive Schemas (EMSs). Young believed that EMSs are the roots of psychological pathology occurrence in persons and they are the earliest cognitive component about ourselves which are being formed during the first years of childhood period. In this article, the different dimensions of schema therapy, the relate studies and also the advantages and disadvantages of this model compared to the other approaches are studied.