scholarly journals PSIHOLOŠKA NEFLEKSIBILNOST KAO MEDIJATOR ODNOSA IZMEĐU RANIH MALADAPTIVNIH SHEMA I MANIFESTACIJA DEPRESIVNOSTI, ANKSIOZNOSTI I STRESA

2021 ◽  
Vol 18 (1) ◽  
pp. 9-25
Author(s):  
Igor Krnetić ◽  
Lana Vujaković
Keyword(s):  
Direct Effect ◽  
Behavioral Therapy ◽  
Early Maladaptive Schemas ◽  
Third Wave ◽  
Maladaptive Schemas ◽  
Psychological Inflexibility ◽  
Stress Symptoms ◽  
Acceptance And Action Questionnaire ◽  
The Difference ◽  
Criterion Variables

Although the link between Early Maladaptive Schemas and many psychopathological manifestations has been confirmed, there is still not enough research examining the mechanism by which this link is realized. The aim of this study was to examine whether psychological inflexibility could be a mediator of the relationship between early maladaptive schemas grouped in schema domains and problems in current functioning, manifested through depression, anxiety and stress symptoms. Among the instruments used were the Young’s Schema Questionnaire, the Acceptance and Action Questionnaire and Depression, Anxiety, and Stress Scales. The sample included 320 subjects (Nfemales = 215; M = 33.5; SD = 9.6). The results indicate significant connections of psychological inflexibility with all scheme domains and all criterion variables, with this connection being the strongest in relation to depression (r = .74, p < .01) and autonomy impairment domain (r = .74, p < .01). Schema domains are important predictors of criterion variables, provided that the highest percentage of explained variance is in relation to depression. Psychological inflexibility has been shown to be a partial mediator of all relations between all schema domains and manifestations of depression, anxiety and stress. Although schema domains still have a significant direct effect on psychopathological manifestations, in the case of impaired limits when it comes to anxiety (b = .045; p<.05, 95% BCa CI [.03, .05]) and depression (b = .06, p<.05, 95% BCa CI [.04, .07]) the difference between the indirect and direct effect is most evident, while in the case of stress the greatest difference between the effects is in relation to the domain of autonomy impairment (b = .07, p < .05, 95% BCa CI [.05, .08]). The implications for the integration of schema therapy and third wave cognitive-behavioral therapy are discussed. Keywords: early maladaptive schemas, schema domains, psychological flexibility, depression, stress, anxiety

scholarly journals Early maladaptive schemas impact on long-term outcome in patients treated with group behavioral therapy for obsessive-compulsive disorder

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Tor Sunde ◽  
Benjamin Hummelen ◽  
Joseph A. Himle ◽  
Liv Tveit Walseth ◽  
Patrick A. Vogel ◽  
...  
Keyword(s):  
Behavioral Therapy ◽  
Early Maladaptive Schemas ◽  
Maladaptive Schemas ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Long Term Follow Up ◽  
Pre Treatment ◽  
Over Time

Abstract Background Some studies have previously found that certain elevated early maladaptive schemas (EMSs) are negative predictors for outcome for patients with obsessive-compulsive disorder (OCD) treated with Cognitive-Behavioral Therapy (CBT) or Exposure and Response Prevention (ERP). The current study explores whether EMS were related to reductions in OCD symptom severity at long-term follow-up (Mean = 8 years) after group ERP for patients with OCD. The central hypothesis was that patients with no response to treatment or patients who relapsed during the follow-up period were more likely to have elevated pre-treatment EMSs compared to those who responded to initial treatment and maintained gains over time. We also investigated whether there were any differences in change over time of overall EMS between patients who were recovered versus patients who were not recovered at extended follow-up. Methods Young Schema Questionnaire –Short Form (YSQ-SF), Yale-Brown Obsessive-Compulsive Scale (Y-BOCS), Beck Depression Inventory (BDI) were measured in 40 OCD patients in a general outpatient clinic before and after group ERP, after 12-months and at extended follow-up. To analyze the predictors, a multiple regression analyses was conducted. Changes in overall EMS was analyzed by mixed models procedures. Results The major finding is that patients with high pre-treatment YSQ-SF total scores were less likely to respond to initial treatment or were more likely to relapse between post-treatment and the extended follow-up. The YSQ-SF total score at pre-treatment explained 10.5% of the variance of extended long-term follow-up outcome. The entire sample experienced a significant reduction in overall EMS over time with largest reduction from pre- to post-test. There were no statistically significant differences in total EMS change trajectories between the patients who were recovered at the extended follow-up compared to those who were not. Conclusion The results from the present study suggest that patients with higher pre-treatment EMSs score are less likely to recover in the long-term after receiving group ERP for OCD. A combined treatment that also targets early maladaptive schemas may be a more effective approach for OCD patients with elevated EMS who don’t respond to standard ERP.

New Research on Early Maladaptive Schemas

1995 ◽  
Author(s):  
N. B. Schmidt ◽  
T. E. Joiner ◽  
J. E. Young ◽  
M. J. Telch
Keyword(s):  
Early Maladaptive Schemas ◽  
Maladaptive Schemas ◽  
New Research

Relationships between early maladaptive schemas and hope

2004 ◽  
Author(s):  
Bradley Green ◽  
Randolph Arnau ◽  
Timothy Parrish ◽  
David Rosen
Keyword(s):  
Early Maladaptive Schemas ◽  
Maladaptive Schemas

Early Maladaptive Schemas Are Highly Indicative of Compulsive Sexual Behavior

2020 ◽  
pp. 016327872098342
Author(s):  
Yaniv Efrati ◽  
Ortal Shukron ◽  
Robert Epstein
Keyword(s):  
Sexual Behavior ◽  
Sex Offenders ◽  
Cognitive Distortions ◽  
Early Maladaptive Schemas ◽  
Sexual Deviance ◽  
Compulsive Sexual Behavior ◽  
Maladaptive Schemas

Unlike the consequences of compulsive sexual behavior (CSB) and the profile of people with CSB that were extensively studied, the cognitive distortions that might be responsible to the development and maintenance of CSB are less understood. In Study 1 ( n = 68), we examined intercorrelations between CSB and early maladaptive schemas among a sample with clinical CSB (Sexaholic Anonymous; SAs). In Study 2 (sex offenders; n = 103, and violence offenders; n = 81), we examined the intercorrelations between CSB and early maladaptive schemas among a sample with a sexual deviance but non-clinical levels of CSB. Results revealed that early maladaptive schemas are highly indicative of CSB severity. We discuss the implication of the study for the study and therapy of CSB.

Sign in / Sign up

Export Citation Format

Share Document