The Effectiveness of a Creative Arts en Psychomotor Therapy Intervention for People With Personality Disorders. From Negative Thinking to Positive Acting.

NCT06219122 | Completed

• 1 other identifier: NDPD - SU1606
• Study Type: interventional
• Target: 37
• Locations: 1 country
• Sites: 1

Brief Summary

Mental health consists of the absence of mental disorders and the presence of mental well-being. However; mental health care currently focuses mainly on mental disorders and less on promoting mental well-being. And yet people with personality problems often score very low on well-being. In order to work on sustainable mental health, attention is needed for both mental complaints and well-being and this is achieved through promoting psychological adaptation. Psychological adaptation is the process in which a person deals in a healthy way with their own needs, emotions and inner signals (such as stress) as well as the smaller or larger challenges in life. For people with personality problems psychological adaptation is also low, they mainly react in rigid patterns. Creative arts and psychomotor therapies (CAPTS) are a non-verbal form of therapy in which various creative methods, such as theater, sports, dance, music and sports methods, are used to make contact with emotions and to practice healthier ways of dealing with them. This is very suitable for working on promoting psychological adaptivity, within a safe and playful context. It's about doing and experiencing, and discovering what works for you personally, more than talking and understanding. That this is effective is endorsed by professionals and clients in mental health care, but scientific evidence is still scarce. That is why a specially developed, CAPTS module for people with personality problems will be investigated in a mixed methods design. We focus on both effectiveness and working mechanisms in a Multiple Baseline Single Case Experimental Design and a qualitative approach.

Conditions

Personality Disorders

Keywords

Personality Disorders; Mental wellbeing; Creative arts and Psychomotor therapies

Outcome Measures

Primary Outcomes (1)

• Generic sense of ability to adapt scale (GSAAS)

  Assessment of the ability to adapt with 10 5-point scale items.

  Up to 23 repeated measures, i.e. weekly over the course of 23 weeks (5-8 weeks control period + 10 weeks intervention + 5 weeks follow-up)

Secondary Outcomes (5)

• Self-expression and Emotion Regulation in Art Therapy Scale (SERATS)

  Up to 23 repeated measures, i.e. weekly over the course of 23 weeks (5-8 weeks control period + 10 weeks intervention + 5 weeks follow-up)

• Schema Modes Questionnaire, Healthy adult and Happy Child Subscale. (SMI)

  Up to 23 repeated measures, i.e. weekly over the course of 23 weeks (5-8 weeks control period + 10 weeks intervention + 5 weeks follow-up)

• Schema Modes Questionnaire, maladaptive schemamodes. (SMI)

  2 repeated measures of the SMI the maladaptive modes, at the start of the control period and at the end of the follow up period, max. 23 weeks apart]

• Mental Health Continuum- short form (MHC-sf).

  2 repeated measures of the MHC-sf for Mental wellbeing, at the start of the control period and at the end of the follow up period, max. 23 weeks apart]

• Brief Symptom Inventory (BSI).

  2 repeated measures of the BSI for, at the start of the control period and at the end of the follow up period, max. 23 weeks apart]

Other Outcomes (1)

• Interviews with the participants and therapists

  Once 3 weeks after the intervention

Study Arms (1)

A CAPTS intervention for people with personality disorders.

EXPERIMENTAL

Experimental: Control Period - Intervention Period Multiple baseline single case experimental design wherein all patients are first assigned to the control condition (or control period) are then assigned to the intervention condition (or intervention period) and finally to the follow-up period (control period). Patients are randomized for the time (t) at which they start with the intervention.

Behavioral: Creative arts and psychomotor therapies intervention for people with personality disorders

Interventions

Creative arts and psychomotor therapies intervention for people with personality disorders BEHAVIORAL

a Group (max of 9 participants) Creative arts and psychomotor therapies (CAPTS) intervention for people with personality disorders. Consisting of 10 sessions, where two CAPTS disciplines and therapists are represented each session. Each session lasts 90 minutes. Sessions are aimed at psychological adativity thru=ough the CAPTS. The sessions cover warming up in one of the CAPTS, short psycho education and a longer assigment focusing on the session goal. The first half of the interventions focusses mainly on listening to body signals, emotions and emotional needs and dealing in a healthy way with these. The second half will be more complex when dealing with challenges and adapting tot he context in a healthy way are goals of the sessions.

A CAPTS intervention for people with personality disorders.

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• being diagnosed with one or more PD according to the DSM-V criteria
• being motivated for CAPTs
• able to participate in group therapy

You may not qualify if:

• acute psychosis or crisis
• prominent PTSD symptoms which require specialised trauma treatment
• a suspected eating disorder defined as a BMI lower than 18,
• an IQ below 85,
• insufficient command of the Dutch language.

Sponsors & Collaborators

• Suzanne Haeyen: lead
• University of Twente: collaborator

Study Sites (1)

HAN University of Applied Sciences

Nijmegen, Gelderland, Netherlands

Location

Related Publications (4)

• Franken K, Schuffelen P, Ten Klooster P, van Doesum K, Westerhof G, Bohlmeijer E. Introduction of the generic sense of ability to adapt scale and validation in a sample of outpatient adults with mental health problems. Front Psychol. 2023 Mar 29;14:985408. doi: 10.3389/fpsyg.2023.985408. eCollection 2023.

  PMID: 37063565 BACKGROUND

• Bohlmeijer E, Westerhof G. The Model for Sustainable Mental Health: Future Directions for Integrating Positive Psychology Into Mental Health Care. Front Psychol. 2021 Oct 21;12:747999. doi: 10.3389/fpsyg.2021.747999. eCollection 2021.

  PMID: 34744925 BACKGROUND

• Franken, C.P.M., Vos, J.A. de, Westerhof, G.J., & Bohlmeijer, E. (2019). De Mental Health Continuum Short Form (MHC-SF), een handleiding voor behandelaren in de geestelijke gezondheidszorg voor het interpreteren en bespreken van scores met patiënten. Enschede; Universiteit Twente.

  BACKGROUND

• Wiersma IC, Wouters H, Timmerman K, Heijman J, Westerhof GJ, Radstaak M, Haeyen S. Promoting psychological adaptability and well-being of patients with personality disorders with creative arts and psychomotor therapies: protocol of an intervention mapping study. BMJ Open. 2024 Dec 31;14(12):e090275. doi: 10.1136/bmjopen-2024-090275.

  PMID: 39740945 DERIVED

MeSH Terms

Conditions

Personality Disorders

Condition Hierarchy (Ancestors)

Mental Disorders

Study Officials

• Christine de Vries, MSc

  HAN University of Applied Sciences

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: dr. Suzanne Haeyen, professor of arts and psychomotor therapies

Model Details: Multiple baseline single case experimental design wherein all patients are first assigned to the control condition (or control period) and are then assigned to the intervention condition (or intervention period) and finally the follow-up period (control period). Patients are randomized for the time (t) at which they start with the intervention. CONSORT recognizes this design as an N=1 Trial, please refer to https://www.consort-statement.org/extensions/overview/n-of-1

Study Record Dates

• First Submitted: December 22, 2023
• First Posted: January 23, 2024
• Study Start: January 31, 2024
• Primary Completion: November 30, 2024
• Study Completion: February 1, 2025
• Last Updated: July 1, 2025

Record last verified: 2025-06

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP
• Time Frame: After publication of the main paper until 10 years after this publication.
• Access Criteria: The principal investigator will investigate whether requests are reasonable and feasible and adhere to ethical considerations.

Locations

NL (1)