Early maladaptive schemas in bipolar disorder
Early maladaptive schemas in bipolar disorder
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DOI：
10.1111/j.2044-8341.2011.02037.x
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发表时间：
2012-09-01
影响因子：
3.4
通讯作者：
Turkcapar, Hakan
中科院分区：
文献类型：
--
作者：
Ak, Mehmet;Lapsekili, Nergis;Turkcapar, Hakan
目标。根据抑郁症的认知模型，在生命早期形成的负面图式会增加抑郁的易感性。这项研究的目的是调查有抑郁发作的双相情感障碍患者增加抑郁易感性的方案。方法。根据DSM-IV诊断为双相情感障碍的18名患者和一名健康对照组(N=20)构成了研究样本。采用Beck抑郁量表、Young Mania评定量表和Young图式量表对患者进行评定，以确定症状和图式的程度。结果。两组间Young图式量表得分比较，除遗弃、情绪剥夺、缺陷、易受伤害和寻求认可外，双相情感障碍组与对照组比较，差异均有统计学意义。双相情感障碍患者的负性图式得分显著高于对照组。结论。在Young图式量表所包含的所有图式中，双相组的得分高于对照组。这些发现表明，在双相情感障碍患者基于认知的心理治疗方法中，关注与适当时间感觉的知觉和容忍以及自我知觉的不稳定性有关的图式会更有效。
Objective. According to the cognitive model of depression, negative schemas, formed in early life, increase susceptibility to depression. The objective of this study was to investigate schemas that are proposed to increase susceptibility of depression in bipolar disorder patients who have had depressive episodes. Method. Eighteen patients diagnosed with bipolar disorder according to DSM-IV and a healthy control group (N= 20) constituted the sample of the study. The Beck Depression Inventory, Young Mania Rating Scale, and Young Schema Scale were applied to patients in order to determine the level of symptoms and schemas. Results. When the scores obtained from Young Schema Scale were compared between groups, significant differences were observed between bipolar patients and control group on all the schemas except abandonment, emotional deprivation, defectiveness, vulnerability to harm or illness, and approval seeking. The negative schema scores of bipolar patients were significantly higher than those of the control group. Conclusion. Of all schemas included in the Young Schema Scale, the scores of bipolar group were higher than the scores of the control group. These findings suggest that, in cognitive-based psychotherapeutic approaches for patients with bipolar disorder, it would be more effective to focus on schemas related to the perception and allowance of feelings at the proper time and the instability of self-perceptions.