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A Schema Therapy–Based eHealth Program for Patients with Borderline Personality Disorder (priovi): Naturalistic Single-Arm Observational Study

机译:基于图式疗法的边缘性人格障碍患者的电子健康计划(priovi):自然主义单臂观察性研究

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Background Electronic health (eHealth) programs have been found to be effective in treating many psychological conditions. However, regarding borderline personality disorder (BPD), only a few eHealth programs have been tested, involving small interventions based on the dialectical behavior therapy treatment approach. We investigated priovi, a program based on the schema therapy (ST) approach. priovi is considerably more comprehensive than prior programs, offering broad psychoeducation content and many therapeutic exercises. Objective We tested the acceptability and feasibility of priovi in 14 patients with BPD as an add-on to individual face-to-face ST. Methods Patients received weekly individual ST and used priovi over a period of 12 months. We assessed BPD symptom severity using self-reported and interview-based measures. Qualitative interviews were conducted with both patients and therapists to assess their experiences with priovi. Results BPD symptoms improved significantly (Cohen d =1.0). Overall, qualitative data showed that priovi was positively received by both patients and therapists. Some exercises provoked mild anxiety; however, no serious threat to safety was detected. Conclusions priovi is a potentially helpful and safe tool that could support individual ST. It needs to be further tested in a randomized controlled study.
机译:背景技术已经发现电子健康(eHealth)程序可以有效地治疗许多心理疾病。但是,关于边缘性人格障碍(BPD),仅测试了少数eHealth程序,其中涉及基于辩证行为疗法治疗方法的小型干预措施。我们研究了priovi,这是一种基于模式疗法(ST)方法的程序。 priovi比以前的程序要全面得多,提供了广泛的心理教育内容和许多治疗方法。目的我们测试了14例BPD患者作为个人面对面ST的附加药物时priovi的可接受性和可行性。方法患者接受每周一次的个人ST治疗,并在12个月内使用priovi。我们使用自我报告和基于访谈的方法评估了BPD症状的严重程度。对患者和治疗师进行了定性访谈,以评估他们对priovi的经历。结果BPD症状明显改善(Cohen d = 1.0)。总体而言,定性数据显示,患者和治疗师均积极接受priovi。一些运动引起轻度焦虑。但是,没有发现对安全的严重威胁。结论priovi是一种潜在的有用且安全的工具,可以支持单个ST。需要在随机对照研究中对其进行进一步测试。

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