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espanolRESUMEN La identificacion de procesos mediadores transdiagnosticos intervinientes en el cambio terapeutico y su relacion con la personalidad puede contribuir a un mejor ajuste de la tecnica terapeutica, potenciando su eficacia. En una muestra de 158 adultos diagnosticados de trastorno de personalidad inscritos en un programa de comunidad terapeutica hospitalaria durante 6 meses se pone a prueba la hipotesis de una reduccion diferencial de laintensidad sintomatologica segun la tipologia externalizador/internalizador y se exploran las variables cognitivas mediadoras del cambio. Se observa un cambio pre-post (p = .000, ηp2 = .50), la diferencia entre externalizadores e internalizadores (p = .002, ηp2 = .06) y el efecto de interaccion (p = .037, ηp2 = .03). El efecto del tipo de personalidad sobre el cambio en los sintomas (β = .43, p = .009) deja de ser significativo cuando se consideran los pensamientos automaticos negativos y las actitudes disfuncionales (β = .06, p = .549) como mediadores. Se discuten los resultados desde la perspectiva del trastorno de personalidad como factor de vulnerabilidad. EnglishABSTRACT The identification of transdiagnostic mediating processes involved in a therapeutic change and their relationship with personality can contribute to a better adjustment of a therapeutic technique, enhancing its effectiveness. In a sample of 158 adults diagnosed with personality disorder who complete an inpatient therapeutic community program for 6 months, the hypothesis of a differential reduction in symptom intensity according to the externalizer/internalizer typology is tested, and cognitive variables mediating change are explored. A pre-post change (p = .000, ηp2 = .50) is observed, along with a difference between externalizers and internalizers (p = .002, ηp2 = .06), and an interaction effect (p = .037, ηp2 = .03). The effect of personality type on symptom change (β = .43, p = .009) is no longer significant when negative automatic thoughts and dysfunctional attitudes are considered as mediators (β = .06, p = .549). Findings are discussed from the perspective of personality disorder as a vulnerability factor.

clínica y salud/clínica y salud

Differential Outcome of a Therapeutic Community Program for Internalizing and Externalizing Personality Disorders: A Change in Cognitive Processes Mediates Symptom Improvement