1
|
Moroń M, Niedbała D, Mendrok M, Pach J. How complex are the associations between early maladaptive schemas and obsessive-compulsive symptoms? Commentary on Dostal and Pilkington (2023) meta-analysis. J Affect Disord 2024; 360:1-4. [PMID: 38810777 DOI: 10.1016/j.jad.2024.05.137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/07/2024] [Accepted: 05/26/2024] [Indexed: 05/31/2024]
Affiliation(s)
- Marcin Moroń
- Institute of Psychology, University of Silesia in Katowice, Poland.
| | - Dariusz Niedbała
- Department of Social Sciences, University of Silesia in Katowice, Poland.
| | - Mateusz Mendrok
- Department of Social Sciences, University of Silesia in Katowice, Poland.
| | - Janusz Pach
- Department of Social Sciences, University of Silesia in Katowice, Poland.
| |
Collapse
|
2
|
Tracy M, Sharpe L, Bach B, Tiliopoulos N. Connecting DSM-5 and ICD-11 trait domains with schema therapy and dialectical behavior therapy constructs. Personal Ment Health 2023; 17:208-219. [PMID: 36575608 DOI: 10.1002/pmh.1574] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/09/2022] [Revised: 10/23/2022] [Accepted: 11/30/2022] [Indexed: 12/29/2022]
Abstract
The DSM-5 Section III alternative model of personality disorder (AMPD) and the International Classification of Diseases - 11th Edition's (ICD-11) personality disorder classification allow clinicians to identify individual trait domains in which people score highly. However, how these domains relate to constructs associated with efficacious treatment approaches is unclear. The current study aimed to determine whether constructs from two evidence-based treatments (schema therapy [ST] and dialectical behavior therapy [DBT]) were associated with maladaptive personality traits in a way consistent with underlying theories. We examined associations between ST constructs, DBT skill use and maladaptive coping styles, and personality traits in a sample of 525 adults. Bivariate intercorrelations and a series of multiple regression analyses were conducted to investigate the associations. As hypothesized, maladaptive coping was strongly associated with all trait domains. Surprisingly, poor DBT-skill use was only associated with negative affectivity, detachment, and disinhibition trait domains. Specific schema domains were associated with each personality trait domain, supporting trait domain-schema domain specificity. The current study highlights the potential clinical utility of the AMPD and ICD-11 trait models and ultimately contributes to the dearth of evidence on their likely usefulness for treatment selection, planning, and applications.
Collapse
Affiliation(s)
- Mikaela Tracy
- School of Psychology, Faculty of Science, The University of Sydney, Camperdown, New South Wales, Australia
| | - Louise Sharpe
- School of Psychology, Faculty of Science, The University of Sydney, Camperdown, New South Wales, Australia
| | - Bo Bach
- Center for Personality Disorder Research (CPDR), Psychiatric Research Unit, Mental Health Services, Region Zealand, Denmark
| | - Niko Tiliopoulos
- School of Psychology, Faculty of Science, The University of Sydney, Camperdown, New South Wales, Australia
| |
Collapse
|
3
|
Rocha S, Fernández XM, Castro YR, Ferreira S, Teixeira L, Campos C, Rocha NB. Exploring the associations between early maladaptive schemas and impulsive and compulsive buying tendencies. Front Psychiatry 2023; 14:1157710. [PMID: 37484671 PMCID: PMC10362270 DOI: 10.3389/fpsyt.2023.1157710] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/03/2023] [Accepted: 06/06/2023] [Indexed: 07/25/2023] Open
Abstract
The main purpose of this preliminary study was to investigate a potential relationship between early maladaptive schemas (EMSs) and impulsive and compulsive buying tendencies in a sample of young adults (college students). This research adds to the cognitive perspective of consumer behavior that the cognitive schemas putatively associated with early experiences may have a strong impact on impulsive and compulsive buying. Data was obtained from 365 participants in a cross-sectional study design. Participants completed an online survey with the following instruments: Young Schema Questionnaire; Impulsive Buying Tendency Measurement Scale; Richmond Compulsive Buying Scale; and Hospital Anxiety and Depression Scale. Using multiple linear hierarchical regressions, we confirmed that the domain of over vigilance and inhibition schemas was positively associated with impulsive and compulsive buying tendencies, while an opposite association was found for the domain of impaired limits. Being a female was also a predictor of impulsive buying and compulsive buying. The results were discussed in terms of the coping mechanisms to deal with negative emotions, as a way to obtain rewards, or as a way to escape painful self-awareness. Other mechanisms related to the internalization of perfectionist expectations and the propensity to shame were also explored.
Collapse
Affiliation(s)
- Susana Rocha
- Centre for Social and Organizational Studies (CEOS.PP), ISCAP - Porto Accounting and Business School, Polytechnic University of Porto, Porto, Portugal
- Faculty of Education and Social Work, University of Vigo, Vigo, Spain
| | - Xosé Manuel Fernández
- Centre for Social and Organizational Studies (CEOS.PP), ISCAP - Porto Accounting and Business School, Polytechnic University of Porto, Porto, Portugal
| | - Yolanda Rodríguez Castro
- Centre for Social and Organizational Studies (CEOS.PP), ISCAP - Porto Accounting and Business School, Polytechnic University of Porto, Porto, Portugal
| | - Simão Ferreira
- Center for Translational Health and Medical Biotechnology Research, School of Health, Polytechnic of Porto, Porto, Portugal
| | - Liliana Teixeira
- Center for Translational Health and Medical Biotechnology Research, School of Health, Polytechnic of Porto, Porto, Portugal
- Center for Innovative Care and Health Technology, School of Health Sciences, Polytechnic of Leiria, Leiria, Portugal
| | - Carlos Campos
- Neurocognition Group | LabRP, Center for Rehabilitation Research, School of Health, Polytechnic Institute of Porto, Porto, Portugal
- Digital Human‑Environment Interaction Lab (HEI‑LAB), Lusófona University, Porto, Portugal
| | - Nuno Barbosa Rocha
- Center for Translational Health and Medical Biotechnology Research, School of Health, Polytechnic of Porto, Porto, Portugal
| |
Collapse
|
4
|
Esmaeilian N, Hoorelbeke K, Naderzadeh S, Koster EH. Associations between borderline personality disorder features, early maladaptive schemas, and schema modes: A network analysis in a nonclinical sample. PERSONALITY AND INDIVIDUAL DIFFERENCES 2022. [DOI: 10.1016/j.paid.2022.111674] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
|
5
|
Affective Neuroscience Personality Scales and Early Maladaptive Schemas in Depressive Disorders. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19138062. [PMID: 35805734 PMCID: PMC9265663 DOI: 10.3390/ijerph19138062] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/15/2022] [Revised: 06/22/2022] [Accepted: 06/24/2022] [Indexed: 02/05/2023]
Abstract
Aim: The aim of this study was to assess the interrelationships of Young’s early maladaptive schemas with indicators of specific neural emotional systems conceptualized in Panksepp’s theory in a group of people suffering from depressive disorders. Materials and methods: The Affective Neuroscience Personality Scales (ANPS) v. 2.4. and J. Young’s Early Maladaptive Schema Questionnaire (YSQ-S3-PL) were used. Ninety (90) individuals aged 18–58, including 45 people treated for depression (DD group), were qualified to participate in the experiment. Results: The subjects in the DD group scored statistically significantly lower than the subjects from the control group (CG group) on the three ANPS scale domains, namely SEEKING, PLAY, and ANGER. The subjects with depressive symptoms scored significantly higher in the YSQ-S3-PL questionnaire on two domains of early maladaptive schemas, i.e., “Impaired autonomy and performance” and “Other-directedness”. Regression analysis results indicate that impairment of the emotional SEEKING system explains most of the variability in the following typical domains of depression: “Disconnection and rejection”, “Impaired autonomy and performance”, and “Other-directedness”. For score variability in the domain area of “Impaired limits”, the ANGER system was found to be most significant, and the FEAR system proved the same for “Overvigilance and Inhibition”. Conclusions: 1. Two domains of early maladaptive schemas are significant for the onset of depressive symptoms, namely “Impaired autonomy and performance” and “Other-directedness”, linked to difficulties in engaging in behaviors to meet one’s own needs. 2. Impairment of the neural emotional SEEKING system most significantly explains the variability in depression-typical areas of early maladaptive schemas.
Collapse
|
6
|
Xie T, Wen J, Liu X, Wang J, Poppen PJ. Utilizing network analysis to understand the structure of depression in Chinese adolescents: Replication with three depression scales. CURRENT PSYCHOLOGY 2022; 42:1-12. [PMID: 35669214 PMCID: PMC9157480 DOI: 10.1007/s12144-022-03201-z] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/06/2022] [Indexed: 12/15/2022]
Abstract
Depression involves a heterogenous collection of symptoms. Network perspective views depressive symptoms as an interrelated network. The current study aimed to replicate network analyses on adolescent depression in three samples assessed with three instruments to examine the consistency of network structures and also examine the variance of networks between genders. Three samples of adolescents (total N = 4375, mean age = 15, 49.1% boys) were assessed with PHQ-9, SMFQ and CDI, respectively. Network analyses were carried out on depression symptoms. Network stability, node centrality and network comparisons between genders were examined. Three networks were reliably stable. Sadness and self-hatred were unanimously identified to be central symptoms of adolescent depression in three networks. In addition, fatigue, no good, everything wrong and loneliness also appeared to be central in specific networks. Among three depression networks, PHQ-9 network demonstrated gender difference in network structure. The current study is exploratory in nature. The differences in three networks can be due to various samples or different node inclusions. Further, the study is cross-sectional precluding causal interpretation and the samples are nonclinical. Besides "hallmark" symptom sadness, self-hatred was also identified unanimously in three networks, which demonstrated the significant role self-worth played in adolescent depression. The results also suggested that differences in node inclusion may have influence on the network structure. Supplementary Information The online version contains supplementary material available at 10.1007/s12144-022-03201-z.
Collapse
Affiliation(s)
- Tong Xie
- Beijing Key Laboratory of Applied Experimental Psychology, National Demonstration Center for Experimental Psychology Education (Beijing Normal University), Faculty of Psychology, Beijing Normal University, Beijing, People’s Republic of China
| | - Jun Wen
- Beijing Key Laboratory of Applied Experimental Psychology, National Demonstration Center for Experimental Psychology Education (Beijing Normal University), Faculty of Psychology, Beijing Normal University, Beijing, People’s Republic of China
- Division of Psychopathology and Clinical Intervention, Department of Psychology, University of Zurich, Zurich, Switzerland
| | - Xiaoyan Liu
- Beijing Key Laboratory of Applied Experimental Psychology, National Demonstration Center for Experimental Psychology Education (Beijing Normal University), Faculty of Psychology, Beijing Normal University, Beijing, People’s Republic of China
| | - Jianping Wang
- Beijing Key Laboratory of Applied Experimental Psychology, National Demonstration Center for Experimental Psychology Education (Beijing Normal University), Faculty of Psychology, Beijing Normal University, Beijing, People’s Republic of China
| | - Paul J. Poppen
- Psychological and Brain Sciences, George Washington University, Washington, DC USA
| |
Collapse
|
7
|
Nelson RK, Lass AN, Fanning JR, McCloskey MS, Winer ES, Berman ME. A network model of borderline personality traits, aggression, and self-harm. JOURNAL OF AFFECTIVE DISORDERS REPORTS 2022. [DOI: 10.1016/j.jadr.2022.100330] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
|
8
|
Nicol A, Mak AS, Murray K, Kavanagh PS. The relationship between early maladaptive schemas and the functions of self-injurious behaviour in youth. CLIN PSYCHOL-UK 2022. [DOI: 10.1080/13284207.2022.2046976] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Affiliation(s)
- Annemarie Nicol
- Centre for Applied Psychology, University of Canberra, Canberra, ACT, Australia
| | - Anita S. Mak
- Centre for Applied Psychology, University of Canberra, Canberra, ACT, Australia
| | - Kristen Murray
- Research School of Psychology, Australian National University, Canberra, ACT, Australia
| | - Phillip S. Kavanagh
- Centre for Applied Psychology, University of Canberra, Canberra, ACT, Australia
- Justice and Society, University of South Australia, Adelaide, SA, Australia
| |
Collapse
|
9
|
Panić D, Mitrovic M, Ćirović N. Early Maladaptive Schemas and the Accuracy of Facial Emotion Recognition: A Preliminary Investigation. Psychol Rep 2022:332941221075248. [PMID: 35084239 DOI: 10.1177/00332941221075248] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Different developmental experiences related to deep-rooted beliefs about oneself and others may significantly affect individual social emotional competencies, such as the accuracy of facial emotion recognition and detection. This study presents a preliminary examination of the relationship between early maladaptive schemas (EMSs) and the accuracy of recognizing facial expressions showing basic emotions, neutral faces, and discrimination between neutral and emotional faces. The sample consisted of 138 psychology students (M = 20.33; SD = 1.33, 27 of the respondents were male). JACFEE and JACNeuF (Matsumoto & Ekman, 1988) were used as stimulus material for assessing the facial emotion recognition of seven basic emotions (anger, contempt, disgust, fear, sadness, happiness, and surprise) and neutral faces. The Young Schema Questionnaire - Short Form 3 (YSQ-S3; Young, 2005) was administered as a measure of EMSs. The findings demonstrate that all schema domains affect the accuracy of recognizing facial expressions showing negative emotions (anger, contempt, disgust, fear, and sadness). The Dependence/Incompetence, Entitlement/Grandiosity schemas were significant predictors for detecting neutral faces and discriminating between faces with and without emotion, while the Abandonment/Instability schema additionally proved significant for recognizing neutral faces. Limitations and suggestions for future elaboration are acknowledged.
Collapse
Affiliation(s)
| | | | - Nikola Ćirović
- Department of Psychology186002University of Nis Faculty of Philosophy
| |
Collapse
|
10
|
Svrakic DM, Zorumski CF. Neuroscience of Object Relations in Health and Disorder: A Proposal for an Integrative Model. Front Psychol 2021; 12:583743. [PMID: 33790822 PMCID: PMC8005655 DOI: 10.3389/fpsyg.2021.583743] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2020] [Accepted: 01/08/2021] [Indexed: 11/13/2022] Open
Abstract
Recent advances in the neuroscience of episodic memory provide a framework to integrate object relations theory, a psychoanalytic model of mind development, with potential neural mechanisms. Object relations are primordial cognitive-affective units of the mind derived from survival- and safety-level experiences with caretakers during phase-sensitive periods of infancy and toddlerhood. Because these are learning experiences, their neural substrate likely involves memory, here affect-enhanced episodic memory. Inaugural object relations are encoded by the hippocampus-amygdala synaptic plasticity, and systems-consolidated by medial prefrontal cortex (mPFC). Self- and object-mental representations, extracted from these early experiences, are at first dichotomized by contradictory affects evoked by frustrating and rewarding interactions ("partial object relations"). Such affective dichotomization appears to be genetically hardwired the amygdala. Intrinsic propensity of mPFC to form schematic frameworks for episodic memories may pilot non-conscious integration of dichotomized mental representations in neonates and infants. With the emergence of working memory in toddlers, an activated self- and object-representation of a particular valence can be juxtaposed with its memorized opposites creating a balanced cognitive-affective frame (conscious "integration of object relations"). Specific events of object relations are forgotten but nevertheless profoundly influence the mental future of the individual, acting (i) as implicit schema-affect templates that regulate attentional priorities, relevance, and preferential assimilation of new information based on past experience, and (ii) as basic units of experience that are, under normal circumstances, integrated as attractors or "focal points" for interactive self-organization of functional brain networks that underlie the mind. A failure to achieve integrated object relations is predictive of poor adult emotional and social outcomes, including personality disorder. Cognitive, cellular-, and systems-neuroscience of episodic memory appear to support key postulates of object relations theory and help elucidate neural mechanisms of psychodynamic psychotherapy. Derived through the dual prism of psychoanalysis and neuroscience, the gained insights may offer new directions to enhance mental health and improve treatment of multiple forms of psychopathology.
Collapse
Affiliation(s)
- Dragan M. Svrakic
- Department of Psychiatry, Washington University School of Medicine in St. Louis, St. Louis, MO, United States
| | - Charles F. Zorumski
- Department of Psychiatry, Washington University School of Medicine in St. Louis, St. Louis, MO, United States
- Department of Psychiatry, Taylor Family Institute for Innovative Psychiatric Research, Washington University School of Medicine in St. Louis, St. Louis, MO, United States
| |
Collapse
|
11
|
Bilge Y, Balaban G. The Relationships between Personality Disorders and Early Maladaptive Schemas and the Moderating Role of Gender. ALPHA PSYCHIATRY 2021; 22:12-18. [PMID: 36426207 PMCID: PMC9590611 DOI: 10.5455/apd.114935] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/13/2020] [Accepted: 08/23/2020] [Indexed: 06/16/2023]
Abstract
OBJECTIVE The aims of this study were to examine the relationship between personality disorders (PDs) and early maladaptive schemas, to determine the early maladaptive schemas that predict PDs, and to investigate the moderating role of gender in the relationship between PDs and early maladaptive schemas. METHODS The sample consisted of 654 participants, 368 (56.4%) women and 286 (43.6%) men, aged 18-75 years, determined by the convenience sampling method. Data were collected using Coolidge Axis II Inventory Plus Turkish Short Form and Young Schema Questionnaire-Short Form 3. RESULTS From regression analysis, it was determined that each PD had a specific early maladaptive schema profile. According to the analysis, the schema that predicts the most for paranoid, schizotypal, schizoid, antisocial, borderline, obsessive-compulsive, and avoidant PDs is social isolation/mistrust; for histrionic and narcissistic PDs, the schema is approval seeking, and for dependent PD, it is failure. The analysis related to the moderating role of gender indicated that for women, the emotional deprivation schema is a risk factor for paranoid PD, and the schemas of self-sacrifice, punitiveness, and unrelenting standards are the risk factors for avoidant PD. CONCLUSION This study discovered that some early maladaptive schemas were predictors of PDs and that gender had a moderating role in the relationship between these variables. It is thought that paying attention to the moderating role of gender and considering the specific schema profiles of each PD will be beneficial for intervention programs for early maladaptive schemas and understanding the etiology of PDs.
Collapse
Affiliation(s)
- Yusuf Bilge
- Department of Psychology, İstanbul Sabahattin Zaim University, School of Humanities and Social Sciences,
İstanbul,
Turkey
| | - Gülşah Balaban
- PhD Program, Department of Psychology, İstanbul Sabahattin Zaim University,
İstanbul,
Turkey
| |
Collapse
|
12
|
Ramsewak S, Putteeraj M, Somanah J. Exploring substance use disorders and relapse in Mauritian male addicts. Heliyon 2020; 6:e04731. [PMID: 32904255 PMCID: PMC7452487 DOI: 10.1016/j.heliyon.2020.e04731] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2020] [Revised: 07/03/2020] [Accepted: 08/12/2020] [Indexed: 11/23/2022] Open
Abstract
Background Substance Use Disorder (SUD) places a heavy burden on societal and health systems given its association with high mortality and morbidity rates worldwide, including Mauritius. Illicit substances act as a positive reinforcement and stimulate addiction through its pleasure-seeking attributes. Aim This study focused on identifying the risk factors leading to SUD among Mauritian male addicts as well as examining the potency of those factors in SUD development. The study also aimed at determining the prevalence of relapse and its causation. Research setting A cross-sectional study was conducted over a period of six months using a sample of 180 male addicts registered in a public hospital. A questionnaire investigating dimensions such as risk factors, self-esteem and peer pressure was administered. Findings A high percentage of relapse was noted amongst users within the first year of abstinence. Majority of respondents originated from nuclear or single parents’ family and were deprived of adequate social supports given their marital status. 57.5% of participants had a positive family history of SUD. Cannabis was the most commonly abused substance and 76.2% of the addicts were introduced to drugs through curiosity. Transposing the results against the Gateway Drug Theory showed a constant progression from soft to hard drugs for male addicts, a trend which was consistent with literature. Lastly, a theoretical model was developed based on the strong statistical association found between impulsivity and reduced thought processes prior to relapse; data revealing increased impulsivity which is a common trait in antisocial personality disorder and borderline personality disorder as being largely responsible for relapse. Conclusion The study was successful in bringing out the most common risk factors of SUDs which are linked to low socioeconomic status. The inability of addicts to progress with their rehabilitation given the alarming 92% of relapse was related to social pressure as prime deterrent to successful remission. Programmes involving relapse prevention must implemented in the first year of abstinence to facilitate rehabilitation.
Collapse
Affiliation(s)
- Shalina Ramsewak
- Psychiatry Department, Dr A.G. Jeetoo Hospital, Port-Louis, Mauritius
| | - Manish Putteeraj
- School of Health Sciences, La Tour Koeing, Point aux Sables, 11108, University of Technology, Mauritius
- Corresponding author.
| | - Jhoti Somanah
- School of Health Sciences, La Tour Koeing, Point aux Sables, 11108, University of Technology, Mauritius
| |
Collapse
|
13
|
Nicol A, Mak AS, Murray K, Walker I, Buckmaster D. The Relationships Between Early Maladaptive Schemas and Youth Mental Health: A Systematic Review. COGNITIVE THERAPY AND RESEARCH 2020. [DOI: 10.1007/s10608-020-10092-6] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
|