Aafjes-van Doorn, Katie ORCID: 0000-0003-2584-5897, Kealy, David, Ehrenthal, Johannes C., 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:
CreatorsEmailORCIDORCID Put Code
Aafjes-van Doorn, KatieUNSPECIFIEDorcid.org/0000-0003-2584-5897UNSPECIFIED
Kealy, DavidUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ehrenthal, Johannes C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ogrodniczuk, John S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Joyce, Anthony S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Weber, RainerUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
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: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
DYNAMIC PSYCHOTHERAPY; TRANSFERENCE INTERPRETATIONS; COGNITIVE THERAPY; DEPRESSION; SEVERITY; DISORDER; SCALE; VULNERABILITY; MECHANISMS; ATTACHMENTMultiple languages
Psychology, ClinicalMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/13480

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