A comparative study of early maladaptive schemas in obsessive-compulsive disorder and panic disorder

A comparative study of early maladaptive schemas in obsessive-compulsive disorder and panic disorder

Kwak, K.-H., & Lee, S. J. (2015). A comparative study of early maladaptive schemas in obsessive-compulsive disorder and panic disorder (Version 3). Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/26599390

Schema theory and therapy may be an additional therapeutic approach to identify and treat chronic psychological problems, namely early maladaptive schemas (EMSs), in patients with obsessive-compulsive disorder (OCD) and panic disorder (PAD). In the current study, we investigated the characteristics in EMSs between patients with OCD and PAD. Fifty-one patients with OCD, 46 patients with PAD, and 70 normal controls participated in this study. EMSs and depressive symptoms were measured using the Young Schema Questionnaire and the Beck Depression Inventory (BDI), respectively. Analysis of covariance was conducted with age, sex, BDI score, and education level as covariates to assess group differences. Direct comparisons among the three groups revealed that the defectiveness/shame and social isolation/alienation schemas were prominently activated in patients with OCD, whereas the vulnerability to harm or illness and self-sacrifice were activated in patients with PAD. In subgroup analysis, these differences were observed between subgroups with lower BDI scores, but not between the patient subgroups with higher BDI scores. However, the differences between the patient groups in the defectiveness/shame and vulnerability to harm or illness schemas almost reached significance. Patients with OCD and PAD differed in particular EMS characteristics, which could have potential therapeutic implications.

Cognitive therapy; Core belief; Personality; Schema therapy

Korea

Clinical

Early maladaptive schemas

Comparison between clinical group/s and/or healthy adult controls