{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T21:15:31Z","timestamp":1785014131358,"version":"3.55.0"},"reference-count":62,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T00:00:00Z","timestamp":1770768000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T00:00:00Z","timestamp":1770768000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychol Psychother"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To coproduce an evaluation of the effectiveness cognitive analytic therapy (CAT) for emotionally unstable personality disorder (EUPD) conducted during a psychiatric inpatient admission.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A four\u2010phase mixed methods single\u2010case experimental design (i.e. A\u2010B\u2010C\u2010FU design). The first three phases (A\u2010B\u2010C) were conducted on an inpatient ward and the follow\u2010up phase (1 month) coincided with discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The intervention was a protocol\u2010driven eight\u2010session CAT. Intervention competency was assessed using the CCAT measure. Recognition and revision of three target problems (TPs) and associated target problem procedures (TPPs) were rated at each session. Five idiographic measures (i.e., anxiety, connecting to others, manic mood, obsessional intensity and people\u2010pleasing) were rated daily across all phases. Nomothetic outcomes (i.e., PHQ\u20109 and GAD\u20107) were completed at assessment, termination and follow\u2010up. A change interview with the patient participant was conducted at discharge and follow\u2010up. The patient participant provides a commentary on the process and outcome of the therapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>CAT was delivered competently. Change in TP and TPPs synchronized with CAT phases. Most change in idiographic outcomes occurred during the follow\u2010up, with discharge being associated with deterioration. There was a reliable improvement to PHQ\u20109 and GAD\u20107 scores. Changes were rated by the patient as being personally important, impactful and unlikely without CAT. The patient participant\u2019s account of the therapy noted the importance of the inpatient psychological help, the tools of CAT being useful and the ending being painful.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Brief CAT can be competently delivered on inpatient wards and appeared an acceptable and effective intervention for this EUPD admission. Research directions are provided.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/papt.70038","type":"journal-article","created":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T07:36:06Z","timestamp":1770881766000},"page":"543-561","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Inpatient cognitive analytic therapy for emotionally unstable personality disorder: A co\u2010produced and mixed methods single case experimental design"],"prefix":"10.1111","volume":"99","author":[{"given":"Helena","family":"France","sequence":"first","affiliation":[{"name":"Service user"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isobella","family":"Rychlinski","sequence":"additional","affiliation":[{"name":"Rotherham Doncaster and South Humber NHS Foundation Trust  Rotherham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Gaskell","sequence":"additional","affiliation":[{"name":"North Staffordshire Combined NHS Foundation Trust  Staffordshire UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melanie","family":"Simmonds\u2010Buckley","sequence":"additional","affiliation":[{"name":"Rotherham Doncaster and South Humber NHS Foundation Trust  Rotherham UK"},{"name":"Clinical and Applied Psychology Unit University of Sheffield  Sheffield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6034-4495","authenticated-orcid":false,"given":"Stephen","family":"Kellett","sequence":"additional","affiliation":[{"name":"Rotherham Doncaster and South Humber NHS Foundation Trust  Rotherham UK"},{"name":"Clinical and Applied Psychology Unit University of Sheffield  Sheffield UK"},{"name":"University of Exeter  Exeter UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,11]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/papt.12326"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptr\/kph016"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordhb\/9780198866572.013.16"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1352465812001002"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/000486748902300320"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/23311908.2018.1518687"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordhb\/9780198866572.001.0001"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordhb\/9780198866572.013.2"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordhb\/9780198866572.013.24"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888\u2010020\u201002846\u2010z"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjc.12424"},{"key":"e_1_2_12_14_1","unstructured":"Gilburt H. &Mallorie S.(2024 February 21).Mental health 360: acute mental health care for adults. 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