New Approach to Early Maladaptive Schemas and its Relationship with Alcohol use Disorder. Role of Psychopathology and Prognostic Variables.

IF 2.9 4区 心理学 Q1 PSYCHOLOGY Spanish Journal of Psychology Pub Date : 2024-09-25 DOI:10.1017/SJP.2024.22
Enrique Rubio-Escobar, Ana Sión, Laura Esteban Rodríguez, Rosa Jurado-Barba, Daniel Maldonado Sánchez, Víctor Armada, Bárbara Osset, Francisco Arias Horcajadas, Gabriel Rubio Valladolid
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Abstract

Early maladaptive schemas (EMS), dysfunctional patterns of thought and emotions originated during childhood, latent in most mental disorders, might play a role in the onset of alcohol use disorder (AUD), although their impact on prognosis remains unknown. Our aim is to determine the presence of EMS in patients with AUD and their role in the psychopathology and course of addiction (relapse and withdrawal time). The sample included 104 patients and 100 controls. The diagnosis of AUD was made according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria, EMS were determined with the Young Schema Questionnaire in its Spanish version (YSQ-S3) and psychopathology with Symptom Checklist-27 (SCL-27). AUD group showed significantly higher scores in emotional deprivation, confused attachment, emotional inhibition and failure schemas. In addition, vulnerability schema correlated (> 0.500) with all subscales of SCL-27. Whereas social isolation, insufficient self-control and grandiosity schemas correlated with a higher number of relapses. But it was the grandiosity and punishment schemas that correlated with shorter abstinence time. These findings suggest that EMS are overrepresented in the AUD population and some correlate with psychopathology and worse AUD outcomes.

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早期适应不良模式及其与酒精使用障碍关系的新方法。心理病理学和预后变量的作用。
早期适应不良图式(EMS)是童年时期产生的思维和情感障碍模式,潜伏于大多数精神障碍中,可能在酒精使用障碍(AUD)的发病过程中起作用,但其对预后的影响尚不清楚。我们的目的是确定 EMS 在 AUD 患者中的存在情况及其在精神病理学和成瘾过程(复发和戒断时间)中的作用。样本包括 104 名患者和 100 名对照组。根据《精神疾病诊断与统计手册》(DSM-5)的标准对 AUD 进行了诊断,并使用西班牙文版 Young Schema Questionnaire(YSQ-S3)和 Symptom Checklist-27 (SCL-27) 对 EMS 进行了测定。AUD 组在情感剥夺、困惑依恋、情感抑制和失败图式方面的得分明显较高。此外,脆弱性模式与 SCL-27 的所有分量表都有相关性(> 0.500)。而社会隔离、自我控制能力不足和自大模式与较高的复发次数相关。而自大心理和惩罚心理则与较短的戒断时间相关。这些研究结果表明,EMS在AUD人群中的比例过高,其中一些与精神病理学和更差的AUD结果相关。
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来源期刊
Spanish Journal of Psychology
Spanish Journal of Psychology Arts and Humanities-Language and Linguistics
CiteScore
3.60
自引率
0.00%
发文量
44
期刊介绍: The Spanish Journal of Psychology is published with the aim of promoting the international dissemination of relevant empirical research and theoretical and methodological proposals in the various areas of specialization within psychology. The first Spanish journal with an international scope published entirely in English.
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