Inpatient Schema Therapy: Results of a Multiple Baseline Case Series Study

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Main Authors: Matias Valente, Ilona An Voort, Lisa Mazurczyk, Thomas Müller‐Tasch, Eckhard Roediger, Stefan Smesny, Charlotte van den Hengel, Arnoud Arntz
Format: Artículo Open Access
Published: Wiley 2026
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author Matias Valente
Ilona An Voort
Lisa Mazurczyk
Thomas Müller‐Tasch
Eckhard Roediger
Stefan Smesny
Charlotte van den Hengel
Arnoud Arntz
author_facet Matias Valente
Ilona An Voort
Lisa Mazurczyk
Thomas Müller‐Tasch
Eckhard Roediger
Stefan Smesny
Charlotte van den Hengel
Arnoud Arntz
Matias Valente
Ilona An Voort
Lisa Mazurczyk
Thomas Müller‐Tasch
Eckhard Roediger
Stefan Smesny
Charlotte van den Hengel
Arnoud Arntz
collection Wiley Open Access
contents Inpatient Schema Therapy: Results of a Multiple Baseline Case Series Study Matias Valente Ilona An Voort Lisa Mazurczyk Thomas Müller‐Tasch Eckhard Roediger Stefan Smesny Charlotte van den Hengel Arnoud Arntz Clinical Psychology & Psychotherapy ABSTRACT This study tested a 10‐week multidisciplinary schema therapy inpatient treatment protocol for patients with personality disorders, including two individual and two group sessions per week, supportive sessions with nurse cotherapists, as well as art, music, sports group and individual body therapy. Twenty patients with specific or mixed PD participated. A concurrent multiple baseline design was used with randomly assigned baselines between 4 and 10 weeks. After baseline and admission, a 2‐week attention control phase without interventions was followed by a 10‐week treatment protocol and a 3‐month follow‐up without treatment. The primary outcomes were three dysfunctional negative idiosyncratic beliefs (NIB) as well as two positive beliefs regarding emotional‐acceptance and self‐acceptance (PB) assessed daily. The secondary outcomes were standard psychometric instruments assessed five times during the trial: a symptom checklist (SCL90R), a depression inventory (BDI2), a questionnaire to assess life satisfaction (FLZ), the number of PD‐diagnoses (SCID2) as well as Young's Schema Questionnaire (YSQ3) and the Schema Mode Inventory (SMI). Data were analysed with mixed regression. The primary outcomes confirmed that treatment brought substantial improvements (NIB d  = 1.36; PB d  = 1.29) and that these improved further (NIB d  = 1.63; PB d  = 2.19) at follow‐up. Similarly, the secondary outcomes showed that treatment led to substantial improvements both in negative (depression, symptom severity in general as well as PD symptoms, dysfunctional schemas and modes) and in positive (life satisfaction, functional modes) domains. This indicates that the ST programme did not only bring about a reduction of problems but also an increase in adaptive functioning and happiness. 10.1002/cpp.70236 http://creativecommons.org/licenses/by-nc-nd/4.0/
doi_str_mv 10.1002/cpp.70236
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id wiley_oa_10_1002_cpp_70236
institution Wiley Open Access
license_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
publishDate 2026
publisher Wiley
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spellingShingle Inpatient Schema Therapy: Results of a Multiple Baseline Case Series Study
Matias Valente
Ilona An Voort
Lisa Mazurczyk
Thomas Müller‐Tasch
Eckhard Roediger
Stefan Smesny
Charlotte van den Hengel
Arnoud Arntz
Clinical Psychology & Psychotherapy
Inpatient Schema Therapy: Results of a Multiple Baseline Case Series Study Matias Valente Ilona An Voort Lisa Mazurczyk Thomas Müller‐Tasch Eckhard Roediger Stefan Smesny Charlotte van den Hengel Arnoud Arntz Clinical Psychology & Psychotherapy ABSTRACT This study tested a 10‐week multidisciplinary schema therapy inpatient treatment protocol for patients with personality disorders, including two individual and two group sessions per week, supportive sessions with nurse cotherapists, as well as art, music, sports group and individual body therapy. Twenty patients with specific or mixed PD participated. A concurrent multiple baseline design was used with randomly assigned baselines between 4 and 10 weeks. After baseline and admission, a 2‐week attention control phase without interventions was followed by a 10‐week treatment protocol and a 3‐month follow‐up without treatment. The primary outcomes were three dysfunctional negative idiosyncratic beliefs (NIB) as well as two positive beliefs regarding emotional‐acceptance and self‐acceptance (PB) assessed daily. The secondary outcomes were standard psychometric instruments assessed five times during the trial: a symptom checklist (SCL90R), a depression inventory (BDI2), a questionnaire to assess life satisfaction (FLZ), the number of PD‐diagnoses (SCID2) as well as Young's Schema Questionnaire (YSQ3) and the Schema Mode Inventory (SMI). Data were analysed with mixed regression. The primary outcomes confirmed that treatment brought substantial improvements (NIB d  = 1.36; PB d  = 1.29) and that these improved further (NIB d  = 1.63; PB d  = 2.19) at follow‐up. Similarly, the secondary outcomes showed that treatment led to substantial improvements both in negative (depression, symptom severity in general as well as PD symptoms, dysfunctional schemas and modes) and in positive (life satisfaction, functional modes) domains. This indicates that the ST programme did not only bring about a reduction of problems but also an increase in adaptive functioning and happiness. 10.1002/cpp.70236 http://creativecommons.org/licenses/by-nc-nd/4.0/
title Inpatient Schema Therapy: Results of a Multiple Baseline Case Series Study
topic Clinical Psychology & Psychotherapy
url https://onlinelibrary.wiley.com/doi/10.1002/cpp.70236