{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T17:29:32Z","timestamp":1792690172186,"version":"4.5.0"},"reference-count":73,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T00:00:00Z","timestamp":1784505600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>A compassion-based positive psychology group intervention (CB PPGI) is a promising approach to supporting personal recovery and mental wellbeing in individuals with severe mental health difficulties.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This mixed-methods study examined the preliminary outcomes and acceptability of an 8-week CB PPGI in 18 adults with personality disorders (PD) awaiting intensive treatment. Mental wellbeing, psychological distress, and personality functioning were assessed across five time points up to 3 months post-intervention. Qualitative interviews were conducted with participants (\n                      <jats:italic>n<\/jats:italic>\n                      = 16, including dropouts) and therapists (\n                      <jats:italic>n<\/jats:italic>\n                      = 3) to evaluate acceptability.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Retention at the 3-month follow-up was 67% (12\/18 participants). From baseline to follow-up, participation in the CB PPGI was associated with substantial reductions in psychological distress (BSI,\n                      <jats:italic>d<\/jats:italic>\n                      = \u22121.12) and improvements in personality functioning (SIPP-SF,\n                      <jats:italic>d<\/jats:italic>\n                      = 0.74). Positive mental health showed a moderate but non-significant increase over time (MHC-SF total score,\n                      <jats:italic>d<\/jats:italic>\n                      = 0.50). Emotional wellbeing improved significantly (\n                      <jats:italic>d<\/jats:italic>\n                      = 0.60), and psychological wellbeing showed a similar magnitude of improvement (\n                      <jats:italic>d<\/jats:italic>\n                      = 0.60), whereas social wellbeing did not (\n                      <jats:italic>d<\/jats:italic>\n                      = 0.22). Thematically analyzed qualitative interviews with participants (\n                      <jats:italic>n<\/jats:italic>\n                      = 16, including dropouts) and therapists (\n                      <jats:italic>n<\/jats:italic>\n                      = 3) indicated that the intervention was generally perceived as acceptable. The group format, strengths-based focus, and therapist support were particularly valued, although participants suggested improvements in pacing, session length, and content.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Overall, the CB PPGI appears to be an acceptable and potentially valuable strengths-based intervention for individuals with PD awaiting intensive treatment. However, conclusions regarding effectiveness are limited by the uncontrolled single-arm design. Further controlled studies with larger samples and extended follow-up periods are needed to evaluate effectiveness and broader feasibility.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyg.2026.1843894","type":"journal-article","created":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T21:04:39Z","timestamp":1784667879000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Compassion-based positive psychology group intervention (CB-PPGI) for individuals with personality disorders awaiting intensive treatment: a mixed-methods study of preliminary outcomes and acceptability"],"prefix":"10.3389","volume":"17","author":[{"given":"Amber","family":"Hulskotte","sequence":"first","affiliation":[{"name":"GGNet","place":["Warnsveld, Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katinka","family":"Franken","sequence":"additional","affiliation":[{"name":"GGNet","place":["Warnsveld, Netherlands"]},{"name":"Department of Psychology, Health & Technology, Faculty of Behavioural, Management and Social Sciences, University of Twente","place":["Enschede, Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Klaas","family":"Huijbregts","sequence":"additional","affiliation":[{"name":"GGNet","place":["Warnsveld, Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter M.","family":"ten Klooster","sequence":"additional","affiliation":[{"name":"Department of Psychology, Health & Technology, Faculty of Behavioural, Management and Social Sciences, University of Twente","place":["Enschede, Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerben J.","family":"Westerhof","sequence":"additional","affiliation":[{"name":"GGNet","place":["Warnsveld, Netherlands"]},{"name":"Department of Psychology, Health & Technology, Faculty of Behavioural, Management and Social Sciences, University of Twente","place":["Enschede, Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ernst T.","family":"Bohlmeijer","sequence":"additional","affiliation":[{"name":"Department of Psychology, Health & Technology, Faculty of Behavioural, Management and Social Sciences, University of Twente","place":["Enschede, Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,20]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1037\/a0026455","article-title":"Sudden gains during psychological treatments of anxiety and depression: a meta-analysis","volume":"80","author":"Aderka","year":"2012","journal-title":"J. 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