Early maladaptive schemas and addictive behaviours: A systematic review and meta-analysis

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL Clinical psychology & psychotherapy Pub Date : 2023-07-18 DOI:10.1002/cpp.2882

Chaiyun Sakulsriprasert, Ratipan Thawornwutichat, Darunee Phukao, Thomas E. Guadamuz

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Abstract

Background

Recently, early maladaptive schemas have been increasingly focused as the underlying factor of several psychopathologies. The primary objective is to systematically review and meta-analytically analyse the evidence on the relationship between early maladaptive schemas and types of addictive behaviours. Additionally, the secondary objective was to examine potential moderators of the effect sizes.

Methods

The systematic search was conducted on three databases including ‘Scopus’, ‘Web of Science’ and ‘PubMed’. They were searched for quantitative studies investigating the relationship between early maladaptive schemas and addictive behaviours. The studies that were non-English and had insufficient information to calculate effect sizes were excluded. The random-effect model was utilized to estimate the pool effect sizes, and the meta-regression was used for moderation analysis.

Results

Thirty-three studies with 12,577 participants were included for analyses. Most of included studies were conducted in the United States (k = 12, 36.36%). The mean ages of participants varied from 13.32 to 46.09 years. The findings indicated that all of early maladaptive schemas and schema domains positively correlated with addictive behaviours. The disconnection and rejection, impaired limits and impaired autonomy were the domains with the highest association with substance addictions (pool r = 0.338, 3.26 and 3.16, respectively). Furthermore, disconnection and rejection and impaired autonomy were the schema domains with the highest association with behavioural addictions (0.310 and 0.304, respectively). The moderation analysis demonstrated that study design was the factor affecting the effect sizes between schema domain and addictive behaviours.

Limitation

All included studies were from peer-reviewed journals in English. Moreover, the number of research examining the relationship between early maladaptive schemas and behavioural addictions was limited.

Conclusion

The findings provide evidence supporting the idea that substance addictions and behavioural addictions have shared risk factors, supporting the validity of the schema model, which can be applied for targeting and preventing addictive behaviours.

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早期适应不良图式与成瘾行为：系统回顾和荟萃分析。

背景：近来，早期适应不良模式作为多种精神病理学的潜在因素越来越受到关注。本研究的主要目的是对早期适应不良图式与成瘾行为类型之间关系的证据进行系统回顾和元分析。此外，次要目标是研究效应大小的潜在调节因素：系统性检索在三个数据库中进行，包括 "Scopus"、"Web of Science "和 "PubMed"。在这些数据库中搜索了调查早期适应不良图式与成瘾行为之间关系的定量研究。非英语研究和信息不足无法计算效应大小的研究被排除在外。采用随机效应模型估算总体效应大小，并使用元回归进行调节分析：共纳入了 33 项研究，12,577 人参与了分析。大部分研究在美国进行（k = 12，36.36%）。参与者的平均年龄从 13.32 岁到 46.09 岁不等。研究结果表明，所有早期适应不良图式和图式域都与成瘾行为呈正相关。其中，断裂与排斥、限制受损和自主受损与药物成瘾的关联度最高（池r分别为0.338、3.26和3.16）。此外，断裂和排斥以及自主性受损是与行为成瘾关联度最高的模式域（分别为 0.310 和 0.304）。调节分析表明，研究设计是影响模式域与成瘾行为之间效应大小的因素：局限性：所有纳入的研究均来自同行评审的英文期刊。此外，研究早期适应不良图式与行为成瘾之间关系的研究数量有限：结论：研究结果提供了支持药物成瘾和行为成瘾具有共同风险因素这一观点的证据，支持模式模型的有效性，该模型可用于针对和预防成瘾行为。

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来源期刊

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.