Early Maladaptive Schemas in the risk for bipolar spectrum disorders
Early Maladaptive Schemas in the risk for bipolar spectrum disorders
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DOI：
10.1016/j.jad.2011.04.040
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发表时间：
2011-10-01
影响因子：
6.6
通讯作者：
Arntz, Arnoud
中科院分区：
文献类型：
--
作者：
Hawke, Lisa D.;Provencher, Martin D.;Arntz, Arnoud
背景资料：轻躁狂人格类型是双相谱系障碍的一个危险因素，与双相谱系障碍有许多认知和情感特征。图式理论可以作为一个统一的理论来解释许多这些特征。本研究采用Young图式问卷、轻躁狂人格量表和患者健康问卷对966名被试进行了早期适应不良图式（EMSs）与轻躁狂人格和双相情感障碍的关系的探索性研究。协会是。使用单变量和多变量分析进行研究。被认为有发展为双相情感障碍风险的参与者（N= 107）与低风险对照组（N= 681）进行了比较。结果：权利/宏伟和自我控制/自律不足积极预测发展为双相情感障碍的风险，而情绪抑制消极预测风险。高风险的参与者表现出较高的平均分数，所有的EMS除了情绪抑制。这三个EMS，与伤害或疾病的脆弱性相结合，显着预测组membership.Conclusions：一个双极频谱EMS配置文件被确定，由权利/宏伟，自我控制不足/自律和情绪抑制的情况下。这些EMS与双极频谱的特征高度一致。本研究支持图式理论在轻躁狂人格和双相人格中的应用。未来的研究应探讨EMS，生活事件和情感症状之间的可能的相互作用和图式治疗的双相频谱的适用性。皇冠版权所有（C）2011由Elsevier B. V.出版。保留所有权利。
Background: The hypomanic personality style is a risk factor for bipolar spectrum disorders and shares many cognitive and affective features with the bipolar spectrum. Schema theory may serve as a unifying theory that would explain many of these features. This study is an exploratory investigation of Early Maladaptive Schemas (EMSs) in association with the hypomanic personality and bipolar spectrum risk.Methods: A sample of 966 participants completed the Young Schema Questionnaire, the Hypomanic Personality Scale and the Patient Health Questionnaire. Associations were. investigated using univariate and multivariate analyses. Participants deemed at risk of developing a bipolar disorder (N= 107) were compared to low-risk controls (N= 681).Results: The Entitlement/Grandiosity and Insufficient Self-Control/Self-Discipline positively predicted the risk of developing a bipolar disorder, while Emotional Inhibition negatively predicted risk. High-risk participants demonstrated higher mean scores on all EMSs exceptEmotional Inhibition. These three EMSs, combined with Vulnerability to Harm or Illness, significantly predicted group membership.Conclusions: A bipolar spectrum EMS profile was identified, consisting of Entitlement/Grandiosity, Insufficient Self-Control/Self-Discipline and the absence of Emotional Inhibition. These EMSs are highly consistent with characteristics of the bipolar spectrum. This study supports the application of schema theory to the hypomanic personality and bipolar spectrum. Future research should explore the possible interaction between EMSs, life events and affective symptoms and the applicability of schema therapy to the bipolar spectrum. Crown Copyright (C) 2011 Published by Elsevier B.V. All rights reserved.