The predictive value of early maladaptive schemas in paranoid responses to social stress.
The predictive value of early maladaptive schemas in paranoid responses to social stress.
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早期适应不良模式对社会压力偏执反应的预测价值
DOI：
10.1002/cpp.2128
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发表时间：
2018
影响因子：
3.6
通讯作者：
Tania M.
中科院分区：
文献类型：
--
作者：
Sundag;Johanna;Ascone;Leonie;Lincoln;Tania M.
背景社会压力和消极评价的自我认知表征（自我图式）在妄想的形成中起着重要作用。然而，还没有研究是否以及哪些自我图式解释了对社会压力的偏执反应。建立在图式理论的框架下，本研究的目的是探讨是否更明显的早期适应不良图式（EMS）与社会应激诱导后增加偏执狂性妄想（PD）患者（n= 20）和健康对照组（n= 40）进行了评估EMS与年轻的图式问卷。然后，他们被暴露在一个社会压力的情况下，他们被社会排斥在一个赛博球范例。之前和之后的社会压力感应，偏执症状进行了assessed. ResultsPD患者的反应与更强的增加偏执，并透露了一个显着较高的EMS总评分相比，健康对照组。正如预期的那样，社会压力后偏执狂的增加是由于EMS总分较高所致。探索性分析表明，特别是特定的EMS缺陷/羞耻和陷入/未开发的自我与增加paranoias. ConclusionsEMS与压力相关的症状增加PD患者。因此，进一步研究偏执狂的特定图式的相关性似乎是值得的。研究结果还表明，在PD患者的心理治疗中解决EMS具有潜力。
BackgroundSocial stress and negatively valenced cognitive representations of the self (self‐schemas) play an important role in the formation of delusions. However, it has not been investigated whether and which self‐schemas explain paranoid responses to social stress. Building on the framework of schema theory, the aim of this study was thus to investigate whether more pronounced early maladaptive schemas (EMSs) were associated with increased paranoid ideation after a social stress induction in patients with persecutory delusions (PD).MethodPatients with PD (n= 20) and healthy controls (n= 40) were assessed for EMSs with the Young Schema Questionnaire. They were then exposed to a social stress situation in which they were socially excluded in a Cyberball paradigm. Prior to and after the social stress induction, paranoid symptoms were assessed.ResultsPatients with PD responded with a stronger increase in paranoia and revealed a significantly higher EMS total score compared to the healthy controls. As expected, higher increases in paranoia following the social stress were accounted for by higher EMS total scores. Exploratory analyses showed that particularly the specific EMSs Defectiveness/Shame and Enmeshment/Undeveloped Self were associated with the increase in paranoia.ConclusionsEMSs are associated with stress‐related symptom increases in patients with PD. It thus seems worthwhile to further investigate the relevance of specific schemas for paranoia. The findings also suggest that addressing EMSs in psychological treatment of patients with PD holds potential.
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DOI：
10.1016/j.jbtep.2012.07.010
发表时间：
2013-03
影响因子：
1.8
作者：
Marie-Luise Kesting;Marcel Bredenpohl;J. Klenke;S. Westermann;T. Lincoln
通讯作者：
Marie-Luise Kesting;Marcel Bredenpohl;J. Klenke;S. Westermann;T. Lincoln
恶棍面具
DOI：
--
发表时间：
1993
期刊：
影响因子：
--
作者：
L. Wurmser
通讯作者：
L. Wurmser
影响因子：
6.6
作者：
NUECHTERLEIN, KH;DAWSON, ME
通讯作者：
DAWSON, ME
精神病中的偏执和自我概念：文献的系统回顾
影响因子：
11.3
作者：
Bridget Tiernan;Rebecca Tracey;Ciaran Shannon
通讯作者：
Ciaran Shannon
影响因子：
0.7
作者：
A. Beck;N. Rector
通讯作者：
N. Rector