Schema Questionnaire-Short Form Research Articles

The Role of Social Cognition in Depression and Its Relationship to Early Maladaptive Schemas

Background: Social cognition is the capacity to detect, comprehend, and evaluate environmentally relevant information and serves as a critical skill for effective interpersonal functioning. A significant clinical characteristic of depressive illness is the impairment in social and interpersonal functioning. Given the increasing prevalence of interpersonal difficulties among individuals with depression, it is crucial to get a greater insight into the underlying cognitive mechanisms leading to these social deficits. Alongside, early maladaptive schemas (EMS) also serve as proximal cognitive risk factors for depression. Altered socio-cognitive functioning in individuals with can help to draw a connection between impaired social cognition and EMS. In this context, the present study explores the role of social cognition in individuals with depression in relation to EMS. Methods: In this study, individuals of both genders ( N = 60) were pooled based on the inclusion and exclusion criteria and screened for depression through the Beck Depression Inventory. Emotion Recognition and Theory of Mind (ToM) were assessed using the Reading Mind in the Eyes Test (RMET) and Theory of Mind Assessment Scale (TH.O.M.A.S), respectively. EMS was assessed using the Young Schema Questionnaire-Short Form. Results: Results indicate individuals with depression were found to be impaired in both domains of social cognition-emotion recognition and ToM. Individuals with depression also exhibited a greater number of EMS. A significant association was found between EMS and social cognition in depression. Moreover, few of the EMS emerged as significant predictors for social cognition in depression. Conclusion: Individuals with depression exhibit impairment in “reading” social interactions. Moreover, they exhibit specific EMS that emerges as significant predictors of social cognition. Implications of the study focus on recognizing EMS as a tool for addressing the socio-cognitive impairment in depression.

Early maladaptive schema, attachment style, and parenting style in a clinical population with personality disorder and normal individuals: a discriminant analysis model

IntroductionResearchers have shown various variables’ role in forming personality disorders (PD). This study aimed to assess the role of early maladaptive schema (EMS), attachment style (AS), and parenting style (PS) in discriminating between personality disorders and normal individuals.MethodsIn this study, 78 personality disorder patients and 360 healthy volunteers aged 18–84 were selected using convenience sampling. They completed the Schema Questionnaire-Short Form (SQ-SF), Revised Adult Attachment Scale (RAAS), and Baumrind’s Parenting Styles Questionnaire (PSI). Data were analyzed using discriminant analysis with IBM SPSS 25.ResultsThe results showed higher mean scores in all early maladaptive schema domains, insecure attachment styles, and authoritarian parenting in the personality disorder group than in the normal group. Also, discriminant analyses revealed that the function was statistically significant and could distinguish between the two groups and a compound of essential variables, disconnection, impaired autonomy, and secure attachment, respectively, discriminating two groups. Given that all components were able to distinguish between the two groups.ConclusionTherefore, intervention based on these factors early in life may help reduce the characteristics of personality disorders. Also, considering the role of these factors, treatment protocols can be prepared.

Early Maladaptive Schemas and Their Associations with Perceived Parental Bonding among Adolescents Entering Specialized Health Care

AbstractEarly maladaptive schemas (EMSs) have scarcely been studied in adolescents. The present study investigates EMSs in two clinical samples of 12–22-year-olds recruited from patients entering a specialized adolescent psychiatry clinic [n = 190] or a pediatric clinic [n = 119] in Finland. The endorsement of EMSs was compared between these samples, and the association of EMSs with perceived parental bonding was assessed. EMSs were assessed with the Young Schema Questionnaire-Short Form 2-Extended and particularly affectionless control parenting style with the Parental Bonding Instrument. The main analyses were conducted using general linear modeling. Significant differences existed between the two samples, with most EMSs and EMS domains being stronger in the adolescent psychiatry sample. The Disconnection and Rejection domain was associated with maternal affectionless control in the adolescent psychiatry sample and paternal affectionless control in the pediatric sample. The results provide novel findings of EMSs in adolescents and their links to parenting.

PERCEIVED SOCIAL SUPPORT WITH EARLY MALADAPTIVE SCHEMAS AMONG MALE AND FEMALE EPILEPTICS.

Abstract Background of study: Individuals with epilepsy face number of psychological and physical challenges in their daily life. One of the issues is the faulty thought processes, such as disturbed thinking, holding negative beliefs about their selves, lack of social support from their family. Objectives: To examine (a) Younger epileptics will exhibit more early maladaptive schemas, and perceived low social support as compare to older epileptics.(b) Female epileptics will have more early maladaptive schemas, and perceived more social support as compared to male epileptics. (c) Married epileptics will experience less early maladaptive schemas, and perceived more social support as compared to unmarried epileptics. Methodology: This Correlational study was conducted on epileptic patients from March 2021 to December 2021. Sample of the current study was comprised of 200 epileptic patients. The sample was purposefully selected from hospitals and clinics of Lahore Pakistan. The questionnaire, Urdu version of young schema questionnaire short form (YSQ-SF), Urdu version of the multidimensional scale of perceived social support (MSPSS), were used to analyze the effect of early maladaptive schemas on perceived social support and quality of life among epileptics. Result: Results of the current study concluded that old-aged epileptics have less early maladaptive schemas, and perceived more social support as compared to young-aged epileptic. It is also concluded that female epileptics exhibited more maladaptive schemas, and perceived social support, as compared to male epileptics. Unmarried epileptics suffering from generalized seizure scored higher on early maladaptive schema and perceived low social support. While married epileptics suffering from generalized epileptic seizure and have perceived low social support. Conclusion: The results of study confirm the hypothesis by establishing examine the effect of early maladaptive schemas with perceived social support. Early maladaptive schemas have negative affect with perceived social support. Generalize seizure have high scores on early maladaptive schema and low score on perceived social support as compared to focal seizure epileptics. Key Word: Early Maladaptive Schemas, Perceived Social Support, and Quality of Life.

Early Maladaptive Schemas, Cognitive Fusion, and Anabolic-Androgenic Steroid Use Attitudes: The Mediating Role of Muscle Dysmorphia in Iran

In recent decades, the interest in having an ideal body in men has caused a pathological tendency to be muscular, followed by a tendency to use anabolic-androgenic steroids (AASs). This study was designed to evaluate the mediating role of muscle dysmorphia in the relationship between early maladaptive schemas and body image-related cognitive fusion with the tendency to use AAS in male athletes. Out of the total number of men referring to fitness clubs in Isfahan, Iran, 474 men were evaluated using a multistage random cluster sampling method. The questionnaires used in this research included the Muscle Dysmorphic Disorder Inventory, Cognitive Fusion Questionnaire—Body Image, Young Schema Questionnaire—Short Form, and Prototype Willingness Model Questionnaire. The results demonstrated that the relationship of AAS use with body image-related cognitive fusion and the three maladaptive schemas with the mediation of muscle dysmorphia is significant. The present study provides significant implications in the discussion of prevention and treatment of AAS addiction.

Social Anxiety from an Attachment Theory Perspective: The Mediating Role of Early Maladaptive Schema Domains and Rejection Sensitivity

Social anxiety is a common problem. Several factors play a role in the development and maintenance of social anxiety. Since relationship with parents is specifically an important factor, it is important to examine social anxiety from an attachment theory perspective. Studies indicate that early maladaptive schemas and rejection sensitivity may play a role in the relationship between attachment pattern and psychological distress. Therefore, the aim of the present study is to examine the mediating role of early maladaptive schema domains and rejection sensitivity in the relationship between internal working models of attachment and social anxiety. The sample of the study consisted of 557 university students (199 male, 358 female) between the ages of 17-27 (M = 20.69, SD = 1.79). Liebowitz Social Anxiety Scale, Relationship Scales Questionnaire, Young Schema Questionnaire-Short Form 3, and Rejection Sensitivity Questionnaire were administered to the participants. Results of the mediation analysis with Bootstrapping showed that Impaired Autonomy schema domain and rejection sensitivity mediated the relationships between attachment self-model and social anxiety. Moreover, schema domains of Impaired Autonomy, Impaired Limits and Unrelenting Standards, and rejection sensitivity mediated the relationship between attachment other-model and social anxiety. The current study may contribute to the literature by providing an understanding of how the relationship between attachment and social anxiety may emerge. Clinicians aiming to increase clients’ functionality and quality of life should/could focus on their clinical practice on the above early maladaptive schema domains and rejection sensitivity.

Early maladaptive schemas are associated with self-injury thoughts and behavior in adolescents

BackgroundEarly maladaptive schemas (EMSs) and self-harm have been firmly linked in adults, but research on these associations in adolescents remains scarce. Additionally, the links between EMSs and functions of self-injury has not been previously studied in this age group. Thus, the aim of the present study was to investigate the associations of EMSs with self-harm thoughts and behavior, as well as with self-harm functions, among adolescents in specialized health care.MethodsThe participants were recruited from first-visit 12-22-year-old adolescent patients entering specialized mental health care or pediatric care. For 118 participants, complete data were available for the Young Schema Questionnaire Short Form 2-Extended (YSQ) when entering care and the Ottawa Self-Injury Inventory Functions scale (OSI-F) one year later. YSQ was used to measure the participants’ EMSs and OSI-F their self-harm thoughts and behavior. The associations of EMSs and self-harm were investigated in three groups: no self-harm, self-harm thoughts only, and both self-harm thoughts and behavior. The associations of EMSs with self-injury behavior functions were assessed in four categories: Internal Emotional Regulation, External Emotional Regulation, Social Influence, and Sensation Seeking. Additionally, EMSs’ associations with addictive features of self-injury behavior were assessed. The magnitudes of effect sizes of differences between the self-harm groups were evaluated with Cliff’s Delta. The associations of EMSs with self-injury functions were analyzed with general linear modeling and with self-injury addictive features using logistic regression.ResultsThe differences between the self-harm groups were significant for the majority of the EMSs. The stronger the EMSs were, the more severe the manifestations of self-harm. The effect sizes ranged from small to large depending on the EMS. Considering self-injury functions, Internal Emotional Regulation was associated with Self-Sacrifice EMS (p = 0.021), and External Emotional Regulation both with Abandonment (p = 0.040) and Unrelenting Standards (p = 0.012) EMSs. Being addicted to self-injury was associated with Abandonment (p = 0.043) and Dependence (p = 0.025) EMSs.ConclusionsThe present study shows that significant associations between EMSs and both self-harm thoughts and behavior exist also in adolescents. Stronger EMSs are linked to more severe self-harm. Knowledge of these associations may help to improve the understanding and treatment of adolescents suffering from self-harm.

Cognitive-Affective Risk Factors of Female Intimate Partner Violence Victimization: The Role of Early Maladaptive Schemas and Strategic Emotional Intelligence.

(1) Background: Intimate partner violence (IPV) is a pervasive and destructive phenomenon. There is a need for an integrated and comprehensive approach to IPV in order to align prevention, support and treatment. Still little is known about the cognitive and affective markers of IPV that are modifiable. Such knowledge, therefore, can support the effectiveness of prevention and intervention programs. In this study, we put forward a hypothesis that, after accounting for the influence of sociodemographic variables, the domains of early maladaptive schemas (EMS) and strategic emotional intelligence would provide additional information for predicting female IPV victimization. (2) Methods: 48 female survivors of IPV and 48 age-matched women with no prior experience of IPV completed the Young Schema Questionnaire-Short Form 3 (YSQ-SF3) and The Emotional Understanding Test (TRE). (3) Results: The domains of disconnection and rejection and impaired limits were significant predictors of IPV victimization, but the results did not support the predictive value for impaired autonomy, other-directedness and strategic emotional intelligence. (4) Conclusions: Our findings add to the emerging evidence of a link between disconnection and rejection domain and IPV victimization. As a consequence, maladaptive beliefs that interpersonal relationships are unstable and insecure and expose to the risk of humiliation and harm, and that basic emotional needs cannot be satisfied in close relationships, are associated with a higher risk of intimate partner violence. In this context, schema therapy appears to be a promising support for IPV victims.

Prediction of insomnia severity based on early maladaptive schemas: a logistic regression analysis.

In spite of the major role of early maladaptive schemas in vulnerability to various psychological disorders, studies about the relationship between early maladaptive schemas and insomnia disorder are scarce. Hence, the aim of the current study was to explore the contribution of early maladaptive schemas in insomnia severity by comparing a sample of patients with chronic insomnia and good sleepers. Patients with chronic insomnia and good sleepers were evaluated using Young Schema Questionnaire-Short Form (YSQ-SF), Depression Anxiety and Stress Scale (DASS-21), and Insomnia Severity Index (ISI). The study enrolled 117 patients with chronic insomnia and 76 good sleepers. All early maladaptive schemas (EMSs) except for enmeshment showed significant correlations with insomnia severity. After controlling for depression/anxiety symptoms, logistic regression analysis showed that the EMSs including emotional deprivation, vulnerability to harm, and subjugation schemas were significantly associated with insomnia severity. These preliminary findings suggest that EMSs may constitute a vulnerability factor for developing insomnia. Early maladaptive schemas may require attention in the existing treatments of insomnia.

Early maladaptive schema domains and suicide risk in major depressive disorder: the mediating role of patients’ illness-related self-regulation processes and symptom severity

AbstractEarly maladaptive schemas (EMS), illness representations, and coping are associated with clinical outcomes of patients with major depressive disorder (MDD). However, the pathways that link these factors are largely unknown. The present prospective study aimed at investigating the possible mediating role of illness representations and coping in the associations among schema domains, symptom severity, and suicide risk in MDD. Participants were 135 patients diagnosed with MDD, aged 48.13 ± 14.12 (84.4% females). The Young Schema Questionnaire-Short Form 3 was used to measure schema domains at baseline. Illness representations and coping were measured at approximately five months later (mean = 5.04 ± 1.16 months) with the Illness Perception Questionnaire-Mental Health and the Brief COPE Inventory, respectively. MDD outcomes were measured about 10 months after the baseline assessment (mean = 9.44 ± 2.36 months) with the Beck Depression Inventory and the Risk Assessment Suicidality Scale. SPSS AMOS 27 was used to conduct path analysis. Serial mediation Structural Equation Modelling, controlling for age, education, marital status, working status, MDD duration, pharmacotherapy, and psychotherapy, revealed that Impaired Autonomy and Performance was positively linked to suicide risk. Negative MDD impact representations and symptom severity serially mediated the aforementioned association. Finally, problem-focused coping was negatively related to symptom severity and suicide risk. This study’s main limitation was modest sample size. Representations regarding the impact and severity of MDD mediate the effects of Impaired Autonomy and Performance on future suicide risk in MDD. Healing Impaired Autonomy and Performance domain of EMS, restructuring patients’ representations of high MDD impact, and enhancing problem-focused coping could significantly reduce symptom severity and suicide risk in Schema Therapy with MDD individuals.

Early maladaptive schemas in misophonia

ABSTRACT Objective The study aimed to identify early maladaptive schemas that may be characteristic of individuals with misophonia. Method A sample of 289 individuals were recruited from social media websites. Participants responded to the Young Schema Questionnaire-Short Form, which assesses early maladaptive schemas (EMS), and the New York Misophonia Scale, a two-part self-report instrument rating the severity of emotional distress to misophonic triggers and the nature of behavioural reactions to misophonic triggers. Gender differences in the study variables were first examined using a series of univariate analysis of variance. To test the relationship between features of misophonia and EMS, correlation coefficients were calculated. Multiple regression analyses were then conducted by including age, gender and YSQ-SF scores as predictors and misophonic distress, aggressive reactions, and non-aggressive reactions as outcomes. Results Results revealed that higher insufficient self-control EMS was a common predictor of all aspects of misophonia, while higher age, female gender and higher social isolation/alienation EMS were predictive of the aversive emotional reactions in misophonia. Higher dependence and unrelenting standards EMS were specific predictors of non-aggressive reactions while dependence and vulnerability to harm or illness EMS were specific predictors of aggressive reactions to misophonic triggers. Conclusions Findings imply that schema therapy may be an effective intervention to alleviate misophonic distress.

Five-factor personality dimensions and their associations with early maladaptive schemas in individuals with major depressive disorder

Introduction Major depressive disorder (MDD) is the third leading cause of disease burden, accounting for 4.3% of the global burden of disease. Personality traits, as described in the Five-Factor Model, are consistently associated with individual’s well-being and mental health. Early Maladaptive Schemas (EMS) are self-perpetuating dysfunctional cognitive structures that have been linked with psychological health and play a significant role in developing and maintaining psychological distress. Both personality traits and EMS have been extensively studied as contributors to MDD symptoms. Objectives To our knowledge, very few studies have attempted to link personality to EMS in clinical samples. The present study aimed to investigate the association between EMS with personality traits of Five-Factor Model in a clinical sample of patients with MDD in Crete, Greece. Methods Two hundred and two patients with a clinical diagnosis of MDD (81.7% females, aged 47.75±14.06 years) participated in the study. The Traits Personality Questionnaire was used to measure personality traits in terms of neuroticism, extraversion, openness, agreeableness, and conscientiousness dimensions. The Young Schema Questionnaire-Short Form 3 (YSQ-SF 3) was used to evaluate 18 EMS which are grouped in five domains: disconnection and rejection, impaired autonomy and performance, impaired limits, other-directedness, and overvigilance and inhibition. Results Significant associations between EMS and personality traits were found. Specifically, a higher level of all EMS domains was found in patients with MDD scoring higher in neuroticism and lower in extraversion, conscientiousness and agreeableness (apart from the association of agreeableness with other-directedness which was non-significant). Openness was negatively related to other-directedness. Conclusions Although causal inferences cannot be made due to the cross-sectional design of the present study, our findings are in accordance with Schema Therapy that affirms a relationship between innate temperament and EMS. Future research should examine whether psychological interventions focusing at healing EMS will contribute to alteration of personality traits. Disclosure of Interest None Declared

THE RELATIONSHIP BETWEEN EARLY MALADAPTIVE SCHEMAS, SEPARATION ANXIETY AND EMERGING ADULT INDIVIDUATION LEVEL

The aim of this study is to determine the relationship between early maladaptive schemas, individuation, childhood and adulthood separation anxiety. The sample of the study was consisted of 400 emerging adults, 265 (66.3%) women and 135 (33.8%) men, and determined according to the definition of emerging adulthood so the ages of partipants are between 18-25. Sociodemographic Information Form, Young Schema Questionnaire-Short Form 3 (YSQ-SF3), Separation Anxiety Symptom Inventory (SASI), Adult Separation Anxiety Questionnaire (ASAQ) were given to the participants. The data obtained from the scales were analyzed using Pearson Correlation Analysis and Multiple Linear Regression Analysis Stepwise Method. As a result of the study findings, all schema domains were found to be associated with separation anxiety in both childhood and adulthood. It was determined that childhood separation anxiety predicted adult separation anxiety (R=71, R2=.50, p

Investigation of the relationship between early maladaptive schemas, temperament and eating attitude in adults

BackgroundCurrent research on eating attitude has focused primarily on female perspective (Kapoor et al. in J Educ Health Promot 11(80):1–7, 2022; Piko et al. in J Prev Med Hyg. 63(1):83–89, 2022). To extend cross-gender approaches, this study aimed to examine the relationship between early maladaptive schemas, temperament, and eating attitude and to see whether these three concepts differ between men and women.MethodsThe sample group consists of a total of 308 participants, 206 (66.9%) women and 102 (33.1%) men, living in Bursa and participating in the research voluntarily. In the study, Sociodemographic Data Form was used to obtain personal information of the participants, Young Schema Questionnaire—Short Form 3 was used to evaluate early maladaptive schemas, Temperament Evaluation of Memphis, Pisa, Paris and San-Diego Autoquestionnaire was used to evaluate temperament characteristics and Eating Attitude Test was used to evaluate eating attitudes.ResultsAs a result of the study, a moderate and positive relationship was found between the Defectiveness, Emotional Inhibition, Enmeshment/Dependence, Failure, Abandonment, Vulnerability to Harm or Illness, Negativity/Pessimism schemas and eating attitude. Among these schemas, Defectiveness was found to be the best predictor of deterioration in eating attitude. A weak and positive relationship was found between the scores obtained from the Eating Attitude Test and Cyclothymic and Irritable temperaments, and a moderate positive relationship with Anxious temperament. Among these temperaments, Anxious temperament was found to be the best predictor of deterioration in eating attitude.ConclusionsWhen the results were examined, a relationship was observed between early maladaptive schemas and temperament types, and this relationship was examined in detail. The results obtained at the end of the study were discussed and suggestions were made for future studies.

Drunkorexia Among a Sample of Lebanese Adults: The Role of Early Maladaptive Schemas.

Background: Drunkorexia is a food and alcohol disturbance described as being a range of disordered and compensatory eating behaviors that co-occur with excessive alcohol consumption. The remarkable correlation, highlighted in the literature, between dysfunctional cognitions and both eating disorders and substance use disorders is able to emphasize that cognitive phenomena can be an intrapersonal factor linked to drunkorexia disorder. The aim of this study was to assess the correlation between early maladaptive schemas (EMSs) and drunkorexia among a sample of Lebanese adults.Method: We conducted a cross-sectional study across all the Lebanese governorates (September-December 2020; N = 258). The Drunkorexia Motives and Behaviors Scales, Drunkorexia Fails Scale, Drunkorexia during an Alcohol Consumption Event Scale, and Post-Drinking Compensation Scale were used to assess drunkorexia, whereas the Young Schema Questionnaire-Short Form three was used to measure EMSs.Results: Emotional deprivation and subjugation were significantly associated with more drunkorexia motives, whereas emotional inhibition was significantly associated with less drunkorexia motives. Failure was significantly associated with more drunkorexia behaviors. Abandonment and mistrust were significantly associated with more drunkorexia fails, whereas unrelenting standards was significantly associated with less drunkorexia fails. Subjugation was significantly associated with more drunkorexia during alcohol consumption on events. Social isolation was significantly associated with more post-drinking compensation, whereas unrelenting standards was significantly associated with less post-drinking compensation.Conclusion: Our findings showed that drunkorexia is positively associated with EMSs, delineating as well the specific relationships between dysfunctional cognitive schemas and drunkorexia's maladaptive behavioral aspects. They support the hypothesis that EMSs might play an important role in drunkorexia's development and perpetuation. This study could therefore serve healthcare professionals for the cognitive approach of patients with concomitant alcohol misuse and eating disorders while emphasizing the value of cognitive-behavioral interventions-namely schema therapy.

Psychosocial Predictors and Mediators Relating to the Preventive Behaviors of Hospital Workers During the COVID-19 Pandemic in Turkey.

The aim is to analyze the relation of psychosocial factors to COVID-19 contraction, vaccination, and preventive health behavior in and outside work. The questionnaire data from hospital-workers in Turkey is analyzed using independent-samples t-test, logistic regression, linear regression, and mediation analyses. We developed a questionnaire on mask-hygiene-distance measures and also used previously developed scales including the Big Five Personality Questionnaire, Young Schema Questionnaire Short Form 3, Schwartz's Basic Human Values Scale, Short Dark Triad. The odds of being infected by COVID-19 increases by self-direction. The odds of being vaccinated increases by age and conformity, and decreases by emotional stability. Education predicts certain preventive behaviors at work negatively and outside work positively. Older age, being a woman, having chronic disease, the self-transcendence and conservation values, agreeableness, and conscientiousness predict more preventive behaviors. The self-enhancement and openness to change values, the Dark Triad, and early maladaptive schemas predict more risky behaviors. Designing prohealth policies requires further elaboration on the relation of psychosocial factors to preventive behaviors.

Maladaptive Cognitive Schemas as Predictors of Disordered Eating: Examining the Indirect Pathway through Emotion Regulation Difficulties.

A scarcity of research has looked into the association of maladaptive core beliefs with dysfunctional eating patterns. Moreover, no prior study has considered the potential role of difficulties in negative emotion regulation when disentangling the complex correlations between early maladaptive schemas and disturbed eating habits. Our study aimed at exploring the distinct relationships between early maladaptive schemas and disordered eating, while investigating the indirect role of emotion regulation difficulties within these associations. We collected data from 982 Lebanese young adults (18–30 years old), distributed across the five Lebanese governorates, who completed the Eating Attitudes Test (EAT-26), the Young Schema Questionnaire—Short Form 3 (YSQ-SF3), and the Difficulties in Emotion Regulation Scale—16 Item Version (DERS-16). The results showed that the disconnection and rejection schema domain, under which the early maladaptive schema of mistrust was the most predictive of disordered/inappropriate eating attitudes. All the remaining maladaptive schema domains (i.e., the impaired autonomy/performance, impaired limits, other-directedness, and overvigilance/inhibition schema domains) exerted significant indirect effects on disordered eating attitudes through difficulties in emotion regulation. Our findings gave prominence to a potential intrinsic mechanism through which maladaptive cognitive schemas are linked to disordered eating behaviors, emphasizing the role of emotion dysregulation as a cardinal actor within this model. They sustain the surmise that cognitively and emotionally vulnerable individuals exhibit stronger propensities for inappropriate dietary patterns, as a means to offset their inner weakness. This study broadens the medical community’s insights into the underpinning processes behind eating disorder psychopathology and could therefore make a step towards the adoption of innovative therapeutic approaches that promote emotion regulation skills in the context of schema therapy.

A new complex mental health test in a positive psychological framework.

According to the Maintainable Positive Mental Health Theory (MPMHT), the main pillars of positive mental health are global well-being, efficient coping that enables an individual to maintain positive conditions and functioning, savoring capacity, resilience, and dynamic self-regulation. This study presents the validation of a new five-scale mental health test (MHT), the MHT that operationalizes MPMHT. The methodology comprised two online cross-sectional studies using self-report questionnaires. Participants in Study I (n = 1,736; 448 males, 1,288 females; mean age 51.3 years; SD = 11.6 years) filled in the MHT, the Flow, the Positive emotions, Engagement, Positive Relationship, Meaning, Accomplishment Questionnaire (PERMA-Profiler), and the Flourishing Scale. Participants in Study II (n = 1,083; 233 males, 847 females; mean age 33.9 years; SD = 12.2 years) filled in the MHT, the Shortened Aspiration Index, the short form of the Beck Depression Inventory, the WHO Well-Being Index, the Satisfaction with Life Scale, the Purpose in Life Test, and the Schema Questionnaire–Short Form. Exploratory factor analysis (EFA) identified a five-factor structure with 17 items in Study I that was confirmed with excellent fit measures in confirmatory factor analysis in Study II. Both studies indicated a high level of internal consistency (above 0.70). In each subscale, a minimum part of 44% did not overlap with the set of the other subscales. The content validity of the subscales was confirmed by 10 tests of mental health. We found a positive correlation of the self-regulation and resilience subscales with age, while women showed a higher level of savoring than men at all age levels. When Study I was replicated after 2 weeks and again after 11 months, excellent internal consistency and good test–retest correlation values of the MHT scales were found. The MHT can thus be considered a reliable and valid measurement tool for mental health.

The relationship between cognitive schemas activated in sexual context and early maladaptive schemas among married women of childbearing age

BackgroundHealthy sex can be affected by cognitive schemas activated in the sexual context (CSASCs) and early maladaptive schemas (EMSs). Cognitive schemas are the nuclear structure of the cognitive system which facilitate the interaction between individuals and their environments. CSASCs are emotional and behavioral responses in the sexual context. EMSs are extremely stable, enduring and are developed throughout the life of the individual, beginning in childhood. The present study investigated the relationship between CSASCs and EMSs among married women of childbearing age.MethodsIn a cross-sectional study, 260 married women of childbearing age participated. Using two-stage sampling, ten comprehensive urban health centers were first randomly selected and then 26 individuals from each center were invited to participate. Data collection included demographic variables, the Young Schema Questionnaire-Short Form (YSQ-SF) with 15 EMSs (emotional deprivation, abandonment, mistrust/abuse, social alienation, defectiveness, incompetence, dependency, vulnerability to harm, enmeshment, subjugation of needs, self-sacrifice, emotional inhibition, unrelenting standards, entitlement, and insufficient self-control), and the Cognitive Schema Activation in Sexual Context Questionnaires (CSASCQ) with five subscales (undesirability/rejection, incompetence, self-depreciation, difference/loneliness, and helplessness). Data analysis was performed using a uni-variable and multi-variable linear regression model with a stepwise method at a significance level of 0.05.ResultsThe mean age of the participants was 32.48 years and the average duration of their marriage was 10.34 years. The average score of early maladaptive schemas on the YSQ-SF was 151.5 (out of 450). Higher scores indicate more severe maladaptive schemas, although the total score has no defined cutoff point. Scores greater than 15 on each subscale constitute the internalization of that particular maladaptive schema. The highest average subscale scores were the schemas of self-sacrifice and unrelenting standards (M = 16.12, 15.90, respectively), indicating that these two schemas play important roles in the cognition of the participants. The mean score on the CSASCQ was 34.60 (SD ± 12.59; range: 25–125), with the highest mean reported on the loneliness subscale. Hypoactive sexual desire was the most common unpleasant sexual problem (6.9%) and disillusion was the most dominant feeling experienced by participants (33.3%). The results of the multivariable model showed that the following were significant predictors of the CSASC: three subscales of EMS (emotional deprivation [β = 0.28], social isolation [β = 0.31], and emotional inhibition [β = 0.14]) and two demographic variables (job [β = 0.11] and consanguineous marriage [β = 0.20]). In total, the multi-variable model explained 92% of variance of CSASCs.ConclusionsThe present study found a significant and meaningful association between EMSs and CSASCs adjusting for the effect of socio-demographic characteristics. The findings indicate that the study of schemas and schema therapy should be considered in both premarital and marital counseling.

Associations between borderline personality disorder features, early maladaptive schemas, and schema modes: A network analysis in a nonclinical sample

BackgroundBorderline Personality Disorder (BPD) is a heterogeneous personality disorder. Early Maladaptive Schemas (EMSs) and schema modes are two core concepts of schema theory that play an essential role in understanding BPD symptomatology. MethodsThis study aimed to model the complex associations between key BPD features (e.g., Affective Instability, Identity Problems, Negative Emotions, and Self-Harm), EMSs, and schema modes using network analysis in a sample of undergraduate students (n = 989). The Personality Assessment Inventory-Borderline subscale (PAI-BOR), the Young Schema Questionnaire-Short Form (YSQ-SF), and the Schema Mode Inventory (SMI) were used to assess the severity of BPD features, EMSs, and schema modes, respectively. ResultsThe schema modes were the most central nodes in the model, and the activated EMSs were related to BPD features through schema modes. Distinctive BPD features were also associated with specific schema modes. Interestingly, Affective Instability and Self-Harm features were directly associated with Impulsive Child mode. Identity Problems showed unique associations with the Abandonment schema, Vulnerable Child, and Punitive Parent modes. Finally, Negative Relations were also uniquely connected to the Angry Child mode. ConclusionsThe findings of this study can be helpful for clinicians and researchers to deepen their knowledge about BPD conceptualization.