Yıl: 2022 Cilt: 23 Sayı: 4 Sayfa Aralığı: 157 - 163 Metin Dili: İngilizce DOI: 10.5152/alphapsychiatry.2022.21565 İndeks Tarihi: 16-08-2022

Comparison of Early Maladaptive Schemas in Obsessive-Compulsive Disorder Patients, Their Siblings, and Controls

Öz:
Objective: The aim of this study was to determine the levels of early maladaptive schemas in obsessive-compulsive disorder patients, their siblings, and healthy controls to evalu ate the association between genetic and environmental factors and early maladaptive schemas. Methods: The study group included 42 obsessive-compulsive disorder patients who were admitted to and diagnosed with obsessive-compulsive disorder at the outpatient psychi atry clinic of Karadeniz Technical University Medical School between December 2017 and November 2018 and their 24 siblings who were born to and raised by the same parents and 42 volunteers. Diagnoses were based on the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria. The patients filled out the Young Schema Questionnaire Short Form-3 and the Yale-Brown Obsession Compulsion Scale. Results: The groups were similar in terms of age, sex, marital status, occupation, pres ence of comorbidity, and income level. The comparison of the scores of Young Schema Questionnaire Short Form-3 subscales revealed significant differences among the groups in failure, pessimism, social isolation/alienation, approval-seeking, enmeshment, aban donment, punishment, and defectiveness schemas. The post hoc analysis revealed that pessimism and defectiveness were significantly different between the patient and sib ling groups, and approval-seeking, enmeshment, and abandonment were significantly different between the control and the sibling groups. The comparison of the Yale-Brown Obsession-Compulsion Scale and the Young Schema Questionnaire Short Form-3 results revealed that the subscales of enmeshment, failure, approval-seeking, and unrelenting standards were significantly correlated with the obsession and compulsion subscales and the total score in the Yale-Brown Obsession-Compulsion Scale. Conclusion: We found similarities between early maladaptive schemas in the obsessive compulsive disorder patients and their healthy siblings. We also found differences between the siblings and the healthy controls. These findings suggest a familial and genetic basis for the early maladaptive schemas in obsessive-compulsive disorder patients, which should be further evaluated in future studies with larger samples.
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  • 1. Khosravani V, Bastan FS, Mohammadzadeh A, Amirinezhad A, Ard estani SM. Early maladaptive schemas in patients with obsessive-com pulsive disorder, bipolar disorder, and schizophrenia: a comparative study. Curr Psychol. 2019;88:1-8.
  • 2. Sassano-Higgins SA, Pato MT. Obsessive-compulsive disorder: diagnosis, epidemiology, etiology, and treatment. Focus. 2015;13(2):129-141. [CrossRef]
  • 3. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. American Psychiatric Association; 2013.
  • 4. Steketee G, Pigott T. Obsessive-Compulsive Disorder: The Latest Assign ment and Treatment Strategies. 3rd ed. Compact Clinicals; 2006.
  • 5. De Berardis D, Fornaro M, Valchera A, et al. Eradicating suicide at its roots: preclinical bases and clinical evidence of the efficacy ketamine in the treatment of suicidal behaviors. Int J Mol Sci. 2018;19(10):2888. [CrossRef]
  • 6. Serafini G, Gonda X, Pompili M, Rihmer Z, Amore M, Engel-Yeger B. The relationship between sensory processing patterns, alexithymia, trau matic childhood experiences, and quality of life among patients with unipolar and bipolar disorders. Child Abuse Negl. 2016;62:39-50. [CrossRef]
  • 7. Pudhiyidath A, Roome HE, Coughlin C, Nguyen KV, Preston AR. Develop mental differences in temporal schema acquisition impact reasoning decisions. Cogn Neuropsychol. 2020;37(1-2):25-45. [CrossRef]
  • 8. Young JE, Klosko JS. Reinventing Your Life. Plume; 1994.
  • 9. Lobbestael J, Arntz A, Sieswerda S. Schema modes and childhood abuse in borderline and antisocial personality disorders. J Behav Ther Exp Psy chiatry. 2005;36(3):240-253. [CrossRef]
  • 10. Young JE. Schema applications in borderline and narcissistic personality disorders. Paper presented at: Schema Ther Symposium, Istanbul; 2006.
  • 11. Pajouhinia S, Abavisani Y, Rezazadeh Z. Explaining the obsessive-com pulsive symptoms based on cognitive flexibility and social cognition. J Pract Clin Psychol. 2020;8(3):233-242. [CrossRef]
  • 12. Abramowitz JS, Khandker M, Nelson CA, Deacon BJ, Rygwall R. The role of cognitive factors in the pathogenesis of obsessive-compulsive symptoms: a prospective study. Behav Res Ther. 2006;44(9):1361-1374. [CrossRef]
  • 13. Wolters LH, Prins PJM, Garst GJA, et al. Mediating mechanisms in cogni tive behavioral therapy for childhood OCD: the role of dysfunctional beliefs. Child Psychiatry Hum Dev. 2019;50(2):173-185. [CrossRef]
  • 14. Inouye E. Similar and dissimilar manifestations of obsessive-compulsive neuroses in monozygotic twins. Am J Psychiatry. 1965;121:1171-1175. [CrossRef]
  • 15. Nordsletten AE, Monzani B, de la Cruz LF, et al. Overlap and specificity of genetic and environmental influences on excessive acquisition and dif ficulties discarding possessions: implications for hoarding disorder. Am J Med Genet B Neuropsychiatr Genet. 2013;162B:380-387.
  • 16. Iervolino AC, Rijsdijk FV, Cherkas L, Fullana MA, Mataix-Cols D. A multi variate twin study of obsessive-compulsive symptom dimensions. Arch Gen Psychiatry. 2011;68(6):637-644. [CrossRef]
  • 17. Purty A, Nestadt G, Samuels JF, Viswanath B. Genetics of obsessive com pulsive disorder. Indian J Psychiatry. 2019;61(Suppl 1):S37-S42. [CrossRef]
  • 18. Brakoulias V, Starcevic V, Martin A, Berle D, Milicevic D, Viswasam K. The familiality of specific symptoms of obsessive-compulsive disorder. Psy chiatry Res. 2016;239:315-319. [CrossRef]
  • 19. First MB, Spitzer RL, Gibbon M. Structured Clinical Interview for DSM-IV Clinical Version (SCID-I/CV). Washington: American Psychiatry Press; 1997.
  • 20. Çorapçıoğlu A, Aydemir O, Yıldız M. DSM-IV eksen 1 ruhsal bozukluklarına göre Türkçe yapılandırılmış Klinik değerlendirmenin güvenirliği. İlaç ve Tedavi Derg. 1999;12(4):33-36.
  • 21. First MB, Spitzer RL, Gibbon M, Williams JBW. The structured clinical inter view for DSM-III-R personality disorders (SCID-II). Part I: description. J Personal Disord. 1995;9(2):83-91. [CrossRef]
  • 22. Coşkunol H, Bağdiken I, Sorias S, Saygılı R, SCID II. (Türkçe versiyonu) görüşmesinin kişilik bozukluklarındaki güvenilirliği. Türk Psikhol Derg. 1994;9(32):26-29.
  • 23. Kunst H, Lobbestael J, Candel I, Batink T. Early maladaptive schemas and their relation to personality disorders: a correlational examination in a clinical population. Clin Psychol Psychother. 2020;27(6):837-846. [CrossRef]
  • 24. Goodman WK, Price LH, Rasmussen SA, et al. The Yale-Brown Obsessive Compulsive Scale. I. Development, use, and reliability. Arch Gen Psychia try. 1989;46(11):1006-1011. [CrossRef]
  • 25. Karamustafalıoğlu OK, Üçışık AM, Ulusoy M, Erkmen H. Yale-Brown Obsesyon-Kompülsiyon Derecelendirme Ölçeği’nin geçerlik ve güvenir lik çalışması. Paper presented at: 29. Ulusal Psikiyatri Kongresi. 1993.
  • 26. Young JE, Klosko JS, Weishaar ME. Schema Therapy: A Practitioner’s Guide. New York: Guilford Press; 2003.
  • 27. Welburn K, Coristine M, Dagg P, Pontefract A, Jordan S. The Schema Questionnaire-short form: factor analysis and relationships between schemas and symptoms. Cognit Ther Res. 2002;26(4):519-530. [CrossRef]
  • 28. Soygüt G, Karaosmanoğlu A, Çakır Z. Erken dönem uyumsuz şemaların değerlendirilmesi: YŞÖ.kısa Form-3’ün psikometrik özelliklerine ilişkin bir inceleme. Turk Psikiyatri Derg. 2009;20(1):75-84.
  • 29. Atalay H, Atalay F, Karahan D, Çaliskan M. Early maladaptive schemas activated in patients with obsessive compulsive disorder: a cross-sec tional study. Int J Psychiatry Clin Pract. 2008;12(4):268-279. [CrossRef]
  • 30. Yoosefi A, Esfahani SR, Pourshahbaz A, et al. Early maladaptive schemas in obsessive-compulsive disorder and anxiety disorders. Glob J Health Sci. 2016;8:167-176.
  • 31. Sunde T, Hummelen B, Himle JA, et al. Early maladaptive schemas impact on long-term outcome in patients treated with group behavioral ther apy for obsessive-compulsive disorder. BMC Psychiatry. 2019;19(1):318. [CrossRef]
  • 32. Bolton D, Rijsdijk F, O’Connor TG, Perrin S, Eley TC. Obsessive–compulsive disorder, tics and anxiety in 6-year-old twins. Psychol Med. 2007;37(1):39- 48. [CrossRef]
  • 33. Grabe HJ, Ruhrmann S, Ettelt S, et al. Familiality of obsessive-compulsive disorder in nonclinical and clinical subjects. Am J Psychiatry. 2006;163(11):1986-1992. [CrossRef]
  • 34. Wright MO, Crawford E, Del Castillo D. Childhood emotional maltreat ment and later psychological distress among college students: the medi ating role of maladaptive schemas. Child Abuse Negl. 2009;33(1):59-68. [CrossRef]
  • 35. Khajouei Nia M, Sovani A, Sarami Forooshani GR. Exploring correlation between perceived parenting styles, early maladaptive schemas, and depression among women with depressive symptoms in Iran and India Role of early maladaptive schemas as mediators and moderators. Iran Red Crescent Med J. 2014;16(12):e17492. [CrossRef]
  • 36. Rowland TA, Jainer AK, Panchal R. Living with obsessional personality. BJPsych Bull. 2017;41(6):366-367. [CrossRef]
APA Baz A, özkorumak e (2022). Comparison of Early Maladaptive Schemas in Obsessive-Compulsive Disorder Patients, Their Siblings, and Controls. , 157 - 163. 10.5152/alphapsychiatry.2022.21565
Chicago Baz Ali,özkorumak evrim Comparison of Early Maladaptive Schemas in Obsessive-Compulsive Disorder Patients, Their Siblings, and Controls. (2022): 157 - 163. 10.5152/alphapsychiatry.2022.21565
MLA Baz Ali,özkorumak evrim Comparison of Early Maladaptive Schemas in Obsessive-Compulsive Disorder Patients, Their Siblings, and Controls. , 2022, ss.157 - 163. 10.5152/alphapsychiatry.2022.21565
AMA Baz A,özkorumak e Comparison of Early Maladaptive Schemas in Obsessive-Compulsive Disorder Patients, Their Siblings, and Controls. . 2022; 157 - 163. 10.5152/alphapsychiatry.2022.21565
Vancouver Baz A,özkorumak e Comparison of Early Maladaptive Schemas in Obsessive-Compulsive Disorder Patients, Their Siblings, and Controls. . 2022; 157 - 163. 10.5152/alphapsychiatry.2022.21565
IEEE Baz A,özkorumak e "Comparison of Early Maladaptive Schemas in Obsessive-Compulsive Disorder Patients, Their Siblings, and Controls." , ss.157 - 163, 2022. 10.5152/alphapsychiatry.2022.21565
ISNAD Baz, Ali - özkorumak, evrim. "Comparison of Early Maladaptive Schemas in Obsessive-Compulsive Disorder Patients, Their Siblings, and Controls". (2022), 157-163. https://doi.org/10.5152/alphapsychiatry.2022.21565
APA Baz A, özkorumak e (2022). Comparison of Early Maladaptive Schemas in Obsessive-Compulsive Disorder Patients, Their Siblings, and Controls. Alpha psychiatry (Online), 23(4), 157 - 163. 10.5152/alphapsychiatry.2022.21565
Chicago Baz Ali,özkorumak evrim Comparison of Early Maladaptive Schemas in Obsessive-Compulsive Disorder Patients, Their Siblings, and Controls. Alpha psychiatry (Online) 23, no.4 (2022): 157 - 163. 10.5152/alphapsychiatry.2022.21565
MLA Baz Ali,özkorumak evrim Comparison of Early Maladaptive Schemas in Obsessive-Compulsive Disorder Patients, Their Siblings, and Controls. Alpha psychiatry (Online), vol.23, no.4, 2022, ss.157 - 163. 10.5152/alphapsychiatry.2022.21565
AMA Baz A,özkorumak e Comparison of Early Maladaptive Schemas in Obsessive-Compulsive Disorder Patients, Their Siblings, and Controls. Alpha psychiatry (Online). 2022; 23(4): 157 - 163. 10.5152/alphapsychiatry.2022.21565
Vancouver Baz A,özkorumak e Comparison of Early Maladaptive Schemas in Obsessive-Compulsive Disorder Patients, Their Siblings, and Controls. Alpha psychiatry (Online). 2022; 23(4): 157 - 163. 10.5152/alphapsychiatry.2022.21565
IEEE Baz A,özkorumak e "Comparison of Early Maladaptive Schemas in Obsessive-Compulsive Disorder Patients, Their Siblings, and Controls." Alpha psychiatry (Online), 23, ss.157 - 163, 2022. 10.5152/alphapsychiatry.2022.21565
ISNAD Baz, Ali - özkorumak, evrim. "Comparison of Early Maladaptive Schemas in Obsessive-Compulsive Disorder Patients, Their Siblings, and Controls". Alpha psychiatry (Online) 23/4 (2022), 157-163. https://doi.org/10.5152/alphapsychiatry.2022.21565