Group schema therapy: The temporal relationship between early maladaptive schemas and global psychological distress.

IF 2.6 1区心理学 Q2 PSYCHOLOGY, CLINICAL Psychotherapy Research Pub Date : 2025-02-01 Epub Date: 2023-12-18 DOI:10.1080/10503307.2023.2292151

Marianne van Tatenhove, David Koppers, Jaap Peen, Jack J M Dekker

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Abstract

Schema therapy is an effective treatment for personality disorders (PDs). The theory of schema therapy assumes that the decrease of global psychological distress is mediated by change in Early Maladaptive Schemas. The few studies that have investigated a temporal relationship have produced contradictory results. This study examined the temporal relationship between changes in Early Maladaptive Schemas and global psychological distress in Group Schema Therapy (GST) for patients with personality disorders.

Assessments were made of 115 patients at baseline, after 20, 40 and after 60 sessions of treatment. We used the Young Schema Questionnaire (YSQ) to measure the severity of Early Maladaptive Schemas and the Symptom Check List-90 Revisited (SCL-90R) to measure global psychological distress. Linear mixed model analyzes were used to examine the temporal relationship between the initial phase (0-20 and 0-40 sessions) and the later phase (40-60 sessions).

Change in Early Maladaptive Schemas does not precede change in global psychological distress. Conversely, global psychological distress does not precede change in Early Maladaptive Schemas; the improvement in both indicators is concurrent.

In this study, we could not confirm that the decrease of Early Maladaptive Schemas precedes decrease of global psychological distress. We found a concurrent relationship.

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团体模式疗法：早期适应不良模式与整体心理困扰之间的时间关系。

模式疗法是治疗人格障碍（PDs）的一种有效方法。模式疗法理论认为，整体心理压力的减轻是通过早期适应不良模式的改变来实现的。对时间关系进行调查的少数研究得出了相互矛盾的结果。本研究探讨了人格障碍患者在接受团体模式疗法（GST）治疗时，早期适应不良模式的变化与总体心理压力之间的时间关系。我们使用青年模式问卷（YSQ）来测量早期适应不良模式的严重程度，并使用症状检查表-90重访（SCL-90R）来测量总体心理压力。线性混合模型分析用于研究初始阶段（0-20 次和 0-40 次治疗）与后期阶段（40-60 次治疗）之间的时间关系。反之，整体心理困扰也不会先于早期适应不良方案的变化；这两个指标的改善是同时发生的。在这项研究中，我们无法证实早期适应不良方案的减少先于整体心理困扰的减少。我们发现两者之间存在并发关系。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

7.80

自引率

10.30%

发文量

期刊介绍： Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.