Universität zu Köln

Aafjes-van Doorn, Katie ORCID: 0000-0003-2584-5897, Kealy, David, Ehrenthal, Johannes C. ORCID: 0000-0002-9428-3763, Ogrodniczuk, John S., Joyce, Anthony S. and Weber, Rainer (2019). Improving self-esteem through integrative group therapy for personality dysfunction: Investigating the role of the therapeutic alliance and quality of object relations. J. Clin. Psychol., 75 (12). S. 2079 - 2095. HOBOKEN: WILEY. ISSN 1097-4679

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Abstract

Objective We aimed to investigate change in self-esteem through intensive group treatment for personality dysfunction, by exploring: (a) the relationship between patients' experience of therapeutic alliance and improvement in self-esteem during treatment, including patients' quality of object-relations (QOR) as a possible moderator; and (b) the association between improvement in self-esteem during treatment, and depressive symptoms 9 months later. Method Eighty patients with personality dysfunction, consecutively enrolled in a group-oriented treatment program, were assessed at pretreatment, posttreatment, and 9 months follow-up. Results Especially for patients with lower QOR, alliance predicted self-esteem change during treatment. In addition, change in self-esteem during treatment predicted follow-up depression severity, even when controlling for within-treatment symptom change. Conclusions Patients with impoverished inner relational representations may benefit more from a secure alliance in terms of improving their self-esteem. Change in self-esteem may also be important in preventing relapse of depressive symptoms in people with personality dysfunction.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Aafjes-van Doorn, Katie UNSPECIFIED orcid.org/0000-0003-2584-5897 UNSPECIFIED Kealy, David UNSPECIFIED UNSPECIFIED UNSPECIFIED Ehrenthal, Johannes C. UNSPECIFIED orcid.org/0000-0002-9428-3763 UNSPECIFIED Ogrodniczuk, John S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Joyce, Anthony S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Weber, Rainer UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-134809
DOI:	10.1002/jclp.22832
Journal or Publication Title:	J. Clin. Psychol.
Volume:	75
Number:	12
Page Range:	S. 2079 - 2095
Date:	2019
Publisher:	WILEY
Place of Publication:	HOBOKEN
ISSN:	1097-4679
Language:	English
Faculty:	Faculty of Human Sciences
Divisions:	Faculty of Human Sciences > Department Psychologie
Subjects:	Psychology
Uncontrolled Keywords:	Keywords Language DYNAMIC PSYCHOTHERAPY; TRANSFERENCE INTERPRETATIONS; COGNITIVE THERAPY; DEPRESSION; SEVERITY; DISORDER; SCALE; VULNERABILITY; MECHANISMS; ATTACHMENT Multiple languages Psychology, Clinical Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/13480