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1دورية أكاديمية
المؤلفون: Alba Gabarda-Blasco, Aina Elias, Mariona Mendo-Cullell, Laura Arenas-Pijoan, Carles Forné, David Fernandez-Oñate, Laura Bossa, Aurora Torrent, Xavier Gallart-Palau, Iolanda Batalla
المصدر: Brain Sciences, Vol 14, Iss 3, p 236 (2024)
مصطلحات موضوعية: borderline personality disorder, Adventure Therapy, treatment, clinical trial, longitudinal study, Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571
الوصف: Adventure Therapy (AT) is a therapeutic intervention utilizing the natural environment and adventure activities as tools for psychotherapeutic interventions. It has been demonstrated to be appropriate for the intervention of patients with borderline personality disorder (BPD). This study aims to evaluate the response to AT treatment compared with the response to treatment as usual (TAU), based on cognitive behavioural therapy, in the short and long term, assessing clinical, psychosocial, and functional outcomes; quality of life; and physical health levels. This study extends the sample of and is a follow-up to a pilot study published in 2021, with a sample of 30 patients in the AT group and 10 in the control group. It does not allow us to affirm that AT provides better outcomes than TAU, as the positive effects observed immediately after therapy seem to be attenuated in the long term. Therefore, the effectiveness of long-term psychotherapy did not show differences between AT and TAU therapies in the treatment of BPD patients. However, the effects of intangibles observed during therapy by professionals and patients were not reflected in the measurements collected. Therefore, we believe it is necessary to increase the programme duration, complement treatment with a specific physical health programme, assess results with more specific instruments, and/or move towards a qualitative methodology to measure perceived changes in clinical improvement. New studies are needed to evaluate the results of the proposed changes.
وصف الملف: electronic resource
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المؤلفون: Roberto Palacios, Natalia Ruiz de Cortázar-Gracia, David Fernández-Oñate, Aurora Torrent, Mariona Mendo-Cullell, Carmen Facal, Carles Forné, Laura Arenas-Pijoan, Iolanda Batalla, Josep Pifarré
المصدر: Personality and Mental Health. 15:159-172
مصطلحات موضوعية: 050103 clinical psychology, Adventure therapy, MEDLINE, Pilot Projects, 03 medical and health sciences, 0302 clinical medicine, Quality of life, Borderline Personality Disorder, Intervention (counseling), medicine, Humans, 0501 psychology and cognitive sciences, In patient, Borderline personality disorder, Cognitive Behavioral Therapy, Health Policy, 05 social sciences, medicine.disease, 030227 psychiatry, Clinical trial, Psychiatry and Mental health, Quality of Life, Pshychiatric Mental Health, Lifestyle habits, Psychology, Self-Injurious Behavior, Clinical psychology
الوصف: Adventure therapy (AT) is a therapeutic intervention that has demonstrated effectiveness in different populations, but there are no studies on this therapy in borderline personality disorder (BPD). The objective of this study was to assess the response to AT in comparison with treatment as usual (based on cognitive-behavioural therapy) in patients with BPD. Regarding the comparison of the differences post-therapy-pre-therapy between both groups, some metabolic variables improved more in the AT group, with medium-large effect sizes. Almost all psychometric variables evolved better in the AT group, with negligible effects. AT could be considered in BPD treatment because it results in healthier lifestyle habits and increases functionality and quality of life in patients who are prone to self-destruction. © 2021 John Wiley & Sons, Ltd.
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