The Structural Model of Suicidal Ideation in the Depressed Adults: Based on the Schema Therapy Model

Author(s):  
Bo-mi Kim ◽  
Eun-hee Lee
2021 ◽  
Vol 21 (1) ◽  
pp. 21-36
Author(s):  
Paula I. STROIAN

"Grounded in cognitive theory, the schema therapy model of psychopathology proposes a set of maladaptive cognitive structures, called early maladaptive schemas, resulting from the invalidation of emotional needs. More recently, the schema therapy model has been adapted for use with depressed clients. However, the utility of addressing emotional needs in the psychotherapeutic treatment of depression has not been established. The present paper aims to provide a narrative review of the current literature on basic needs as motivational factors in depression and their relation to schematic functioning. Theoretical considerations and practical evidence on the use of constructs related to basic motivation in depression are drawn from the literature on the cognitive and schema therapy-based models of depression. The implications for the theoretical understanding of needs are discussed, as are future directions for the research of schematic functioning in depression."


2020 ◽  
Vol 48 (4) ◽  
pp. 481-491
Author(s):  
Arjan C. Videler ◽  
Rita J.J. van Royen ◽  
Marjolein J.H. Legra ◽  
Machteld A. Ouwens

AbstractBackground:Schema therapy is an effective treatment for borderline personality disorder and other complex disorders. Schema therapy is feasible in older adults, and the first empirical support for its effectiveness in later life was provided in older patients with a cluster C personality disorder. The central concept of the schema therapy model is the early maladaptive schema (EMS). Early adaptive schemas (EAS) give rise to adaptive behaviour, and they also emerge during childhood, when core emotional needs are adequately met by primary caregivers.Aims:To examine the concept of EAS and its application in schema therapy with older adults.Method:Literature review and case example: the role of EAS in schema therapy with older adults is discussed and suggestions for integrating EAS in schema therapy in later life are proposed.Results:Directing attention in therapy to EAS may help strengthen the healthy adult mode, and it might also help change a negative life review. Working with positive schemas may be an important avenue for re-awakening positive aspects of patients, reinforcing the therapeutic relationship, creating a positive working atmosphere, and also for facilitating the introduction of experiential schema therapy techniques.Conclusions:This review suggests that positive schemas may be important vehicles of therapeutic change when working with older people. There is a need for validating the Young Positive Schema Questionnaire (YPSQ) in older adults, and for examining whether integrating EAS in schema therapy with older adults indeed has a positive effect on therapy outcome.


Author(s):  
Jeoung Mi Kim

Purpose: This study developed and examined a structural model and influencing factors of suicidal ideation by path analysis of family violence exposure, school violence exposure, anger, aggression, depression, hopelessness, and ego resilience among adolescents. Methods: A hypothetical model was constructed on the basis of general strain theory developed by Agnew, as well as a review of studies in the literature related to suicidal ideation in adolescents in terms of violence exposure. The subjects were 1150 middle school students located in P city and K province. The model included 8 concepts and 24 paths. Data were collected using self-report questionnaires from September 2 to 20, 2013, and analyzed using the IBM SPSS and AMOS 21.0 programs. Results: Family violence exposure, school violence exposure, anger, depression, hopelessness, and ego resilience showed a direct effect, while aggression showed an indirect effect on suicidal ideation in adolescents. These factors accounted for 45% of the variance of suicidal ideation in middle school students in terms of violence exposure. Conclusions: The results suggest that suicidal ideation of adolescents who are exposed to violence could be decreased by increasing ego resilience and reducing family violence exposure. It is necessary to develop an intervention strategy to prevent suicidal ideation.


2021 ◽  
Vol 93 (suppl 4) ◽  
Author(s):  
OLBER EDUARDO ARANGO-TOBÓN ◽  
ANYERSON STITHS GÓMEZ TABARES ◽  
SILVIA JULIANA OREJARENA SERRANO

Author(s):  
Hyon Joo Hong ◽  
Sung Hee Shin

South Korea’s suicide rate has been ranked second among OECD countries, and the rate of suicidal ideation is the highest among men with alcohol use disorder. To test a hypothetical model of men with alcohol use disorder based on O’Connor’s integrated motivational-volitional model, a study was conducted at a psychiatric outpatient clinic, a community addiction management center, and an Alcoholics Anonymous meeting in South Korea, comprising 203 men with alcohol use disorder. Data were collected using the Scale for Suicide Ideation, Barratt Impulsiveness Scale-11, Childhood Trauma Questionnaire-Short Form, Survey of Recent Life Experiences-Short Form, Defeat Scale and Entrapment Scale. The final model was a good fit to the data (χ2/df = 1.51, comparative fit index = 0.97, normed fit index = 0.92, incremental fit index = 0.97, Tucker–Lewis index = 0.96, and root mean square error of approximation = 0.05). The structural model explained 34.0% of the variance in suicidal ideation; and it validated that impulsivity, stress, defeat, and entrapment were the key factors affecting suicidal ideation. To prevent suicide among men with alcohol use disorder, it is necessary to develop a suicide prevention program that includes men’s feelings of defeat and entrapment.


Author(s):  
Linda C. Sawyer

Recent liquid crystalline polymer (LCP) research has sought to define structure-property relationships of these complex new materials. The two major types of LCPs, thermotropic and lyotropic LCPs, both exhibit effects of process history on the microstructure frozen into the solid state. The high mechanical anisotropy of the molecules favors formation of complex structures. Microscopy has been used to develop an understanding of these microstructures and to describe them in a fundamental structural model. Preparation methods used include microtomy, etching, fracture and sonication for study by optical and electron microscopy techniques, which have been described for polymers. The model accounts for the macrostructures and microstructures observed in highly oriented fibers and films.Rod-like liquid crystalline polymers produce oriented materials because they have extended chain structures in the solid state. These polymers have found application as high modulus fibers and films with unique properties due to the formation of ordered solutions (lyotropic) or melts (thermotropic) which transform easily into highly oriented, extended chain structures in the solid state.


Author(s):  
U. Aebi ◽  
E.C. Glavaris ◽  
R. Eichner

Five different classes of intermediate-sized filaments (IFs) have been identified in differentiated eukaryotic cells: vimentin in mesenchymal cells, desmin in muscle cells, neurofilaments in nerve cells, glial filaments in glial cells and keratin filaments in epithelial cells. Despite their tissue specificity, all IFs share several common attributes, including immunological crossreactivity, similar morphology (e.g. about 10 nm diameter - hence ‘10-nm filaments’) and the ability to reassemble in vitro from denatured subunits into filaments virtually indistinguishable from those observed in vivo. Further more, despite their proteinchemical heterogeneity (their MWs range from 40 kDa to 200 kDa and their isoelectric points from about 5 to 8), protein and cDNA sequencing of several IF polypeptides (for refs, see 1,2) have provided the framework for a common structural model of all IF subunits.


Sign in / Sign up

Export Citation Format

Share Document