Elucidating the role of Early Maladaptive Schemas for psychotic symptomatology
Elucidating the role of Early Maladaptive Schemas for psychotic symptomatology
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阐明早期适应不良图式在精神病症状学中的作用
DOI：
10.1016/j.psychres.2016.02.008
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发表时间：
2016
影响因子：
11.3
通讯作者：
Lincoln
中科院分区：
文献类型：
--
作者：
Sundag;Ascone;de Matos Marques;Moritz;Lincoln
虽然认知帐户假定消极的自我概念作为一个因果因素出现的精神病症状，很少有人知道的作用，具体的自我图式精神病的精神病学。建立在一个有区别的和治疗知情的图式模型，我们的目的是阐明早期适应不良图式（EMS）的作用，精神病患者的精神病学，特别是他们的特异性，他们与阳性和阴性症状。我们使用Young图式问卷对精神病患者（n = 81）、抑郁症患者（n = 28）以及健康参与者（n = 60）进行了EMS评估。在精神病样本中，使用阳性和阴性症状量表对症状进行评级。与健康参与者相比，精神病或抑郁症患者表现出更高的EMS总数和强度，而精神病和抑郁症样本没有显着差异。EMS的总体数量和强度与阳性症状显著相关，但与阴性症状无关。与以前的研究结果相反，精神病患者和抑郁症患者在EMS子量表不信任/滥用方面没有差异。结果表明EMS与阳性症状特别相关。我们的研究结果表明，解决适应不良的图式精神病患者利用图式概念具有潜力。
Although cognitive accounts postulate negative self-concepts as a causal factor in the emergence of psychotic symptoms, little is known about the role of specific self-schemas for psychotic symptomatology. Building on a differentiated and treatment-informed schema model, we aimed to elucidate the role of Early Maladaptive Schemas (EMS) for psychotic symptomatology, particularly their specificity to patients with psychosis and their association with positive versus negative symptoms. We assessed EMS with the Young Schema Questionnaire in patients with psychosis (n=81), patients with depression (n=28) as well as healthy participants (n=60). In the psychosis sample symptoms were rated using the Positive and Negative Syndrome Scale. In comparison to healthy participants, patients with either psychosis or depression showed a higher overall number and intensity of EMS whereas the psychosis and the depression sample did not significantly differ. The overall number and intensity of EMS were significantly associated with positive but not with negative symptoms. Contrary to previous findings, patients with psychosis and patients with depression did not differ in the EMS subscale Mistrust/Abuse. The results suggest that EMS are particularly relevant to positive symptoms. Our findings imply that addressing maladaptive schemas in patients with psychosis by making use of the schema-concept holds potential.
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10.1016/j.encep.2011.01.001
发表时间：
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影响因子：
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作者：
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影响因子：
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作者：
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