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Gepubliceerd in: Cognitive Therapy and Research 1/2011

01-02-2011 | Original Article

A Study of Maladaptive Schemas and Borderline Personality Disorder in Young People

Auteurs: Katherine A. Lawrence, J. Sabura Allen, Andrew M. Chanen

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 1/2011

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Abstract

Maladaptive schemas are hypothesized to play a significant role in the development and maintenance of Borderline Personality Disorder (BPD). This study investigates which maladaptive schemas are present early in the course of BPD and whether specific maladaptive schemas are associated with particular BPD diagnostic criteria during this phase. Thirty outpatients (aged 15–24) diagnosed with BPD and 28 community controls completed the Young Schema Questionnaire—Short Form. Compared to controls, the BPD group had significantly higher scores for most maladaptive schemas and their scores were clinically elevated across all schema domains. BPD diagnostic criteria and schema profiles showed substantial heterogeneity and were not related to one another. These findings do not support the association of specific maladaptive schemas with BPD and emphasize the importance of individual case formulation of diagnostic and schema features in the early phase of BPD.
Voetnoten
1
As there was a significant difference in gender ratio between the two groups, all analyses were re-computed excluding males from the sample. The overall pattern of results, as presented in Table 1, remained unchanged when based on female participants only.
 
Literatuur
go back to reference Arntz, A., Dietzel, R., & Dreessen, L. (1999). Assumptions in borderline personality disorder: Specificity, stability and relationship with etiological factors. Behaviour Research and Therapy, 37, 545–557. CrossRefPubMed Arntz, A., Dietzel, R., & Dreessen, L. (1999). Assumptions in borderline personality disorder: Specificity, stability and relationship with etiological factors. Behaviour Research and Therapy, 37, 545–557. CrossRefPubMed
go back to reference Asnani, A., Chelminski, I., Young, D., & Zimmerman, M. (2007). Heterogeneity of borderline personality disorder: Do the number of criteria met make a difference? Journal of Personality Disorders, 21, 615–625. CrossRef Asnani, A., Chelminski, I., Young, D., & Zimmerman, M. (2007). Heterogeneity of borderline personality disorder: Do the number of criteria met make a difference? Journal of Personality Disorders, 21, 615–625. CrossRef
go back to reference Ball, S. A., & Cecero, J. J. (2001). Addicted patients with personality disorders: Traits, schemas, and presenting problems. Journal of Personality Disorders, 15, 72–83. CrossRefPubMed Ball, S. A., & Cecero, J. J. (2001). Addicted patients with personality disorders: Traits, schemas, and presenting problems. Journal of Personality Disorders, 15, 72–83. CrossRefPubMed
go back to reference Beck, A. T., Freeman, A., et al. (1990). Cognitive therapy for personality disorders. New York: Guilford Press. Beck, A. T., Freeman, A., et al. (1990). Cognitive therapy for personality disorders. New York: Guilford Press.
go back to reference Butler, A. C., Brown, G. K., Beck, A. T., & Grisham, J. R. (2002). Assessment of dysfunctional beliefs in borderline personality disorder. Behaviour Research and Therapy, 40, 1231–1240. CrossRefPubMed Butler, A. C., Brown, G. K., Beck, A. T., & Grisham, J. R. (2002). Assessment of dysfunctional beliefs in borderline personality disorder. Behaviour Research and Therapy, 40, 1231–1240. CrossRefPubMed
go back to reference Chanen, A. M., & McCutcheon, L. K. (2008). Personality disorder in adolescence: The diagnosis that dare not speak its name. Personality and Mental Health, 2, 35–41. CrossRef Chanen, A. M., & McCutcheon, L. K. (2008). Personality disorder in adolescence: The diagnosis that dare not speak its name. Personality and Mental Health, 2, 35–41. CrossRef
go back to reference Chanen, A. M., Jovev, M., & Jackson, H. J. (2007). Adaptive functioning and psychiatric symptoms in adolescents with borderline personality disorder. Journal of Clinical Psychiatry, 68, 297–306. CrossRefPubMed Chanen, A. M., Jovev, M., & Jackson, H. J. (2007). Adaptive functioning and psychiatric symptoms in adolescents with borderline personality disorder. Journal of Clinical Psychiatry, 68, 297–306. CrossRefPubMed
go back to reference Chanen, A. M., Jovev, M., McCutcheon, L. K., Jackson, H. J., & McGorry, P. D. (2008a). Borderline personality disorder in young people and the prospects for prevention and early intervention. Current Psychiatry Review, 4, 48–57. CrossRef Chanen, A. M., Jovev, M., McCutcheon, L. K., Jackson, H. J., & McGorry, P. D. (2008a). Borderline personality disorder in young people and the prospects for prevention and early intervention. Current Psychiatry Review, 4, 48–57. CrossRef
go back to reference Chanen, A. M., Velakoulis, D., Carison, K., Gaunson, K., Wood, S. J., Yuen, H. P., et al. (2008b). Orbitofrontal, amygdala and hippocampal volumes in teenagers with first-presentation borderline personality disorder. Psychiatry Research: Neuroimaging, 163, 116–125. CrossRefPubMed Chanen, A. M., Velakoulis, D., Carison, K., Gaunson, K., Wood, S. J., Yuen, H. P., et al. (2008b). Orbitofrontal, amygdala and hippocampal volumes in teenagers with first-presentation borderline personality disorder. Psychiatry Research: Neuroimaging, 163, 116–125. CrossRefPubMed
go back to reference Chanen, A. M., McCutcheon, L. K., Germano, D., Nistico, H., Jackson, H. J., & McGorry, P. D. (2009). The HYPE clinic: An early intervention service for borderline personality disorder. Journal of Psychiatric Practice, 15, 163–172. CrossRefPubMed Chanen, A. M., McCutcheon, L. K., Germano, D., Nistico, H., Jackson, H. J., & McGorry, P. D. (2009). The HYPE clinic: An early intervention service for borderline personality disorder. Journal of Psychiatric Practice, 15, 163–172. CrossRefPubMed
go back to reference First, M. B., Gibbon, M., Spitzer, R. L., & Williams, J. B. W. (1996a). Structured clinical interview for DSM-IV axis I disorders-patient version (SCID-I/P). New York: Biometrics Research Department, New York State Psychiatric Institute. First, M. B., Gibbon, M., Spitzer, R. L., & Williams, J. B. W. (1996a). Structured clinical interview for DSM-IV axis I disorders-patient version (SCID-I/P). New York: Biometrics Research Department, New York State Psychiatric Institute.
go back to reference First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1996b). Structured clinical interview for DSM-IV axis I disorders, research version, non-patient edition (SCID-I/NP). New York: Biometrics Research, New York State Psychiatric Institute. First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1996b). Structured clinical interview for DSM-IV axis I disorders, research version, non-patient edition (SCID-I/NP). New York: Biometrics Research, New York State Psychiatric Institute.
go back to reference First, M. B., Gibbon, M., Spitzer, R. L., Williams, J. B. W., & Smith, B. L. (1997). Structured clinical interview for DSM-IV personality disorders. New York: American Psychiatric Press. First, M. B., Gibbon, M., Spitzer, R. L., Williams, J. B. W., & Smith, B. L. (1997). Structured clinical interview for DSM-IV personality disorders. New York: American Psychiatric Press.
go back to reference Giesen-Bloo, J., van Dyck, R., Spinhoven, P., van Tilburg, W., Dirksen, C., van Asselt, T., et al. (2006). Outpatient psychotherapy for borderline personality disorder. Archives of General Psychiatry, 63, 649–658. CrossRefPubMed Giesen-Bloo, J., van Dyck, R., Spinhoven, P., van Tilburg, W., Dirksen, C., van Asselt, T., et al. (2006). Outpatient psychotherapy for borderline personality disorder. Archives of General Psychiatry, 63, 649–658. CrossRefPubMed
go back to reference Jovev, M., & Jackson, H. J. (2004). Early maladaptive schemas in personality disordered individuals. Journal of Personality Disorders, 18, 467–478. CrossRefPubMed Jovev, M., & Jackson, H. J. (2004). Early maladaptive schemas in personality disordered individuals. Journal of Personality Disorders, 18, 467–478. CrossRefPubMed
go back to reference Lawrence, K. A., Allen, J. S., & Chanen, A. M. (in press). Impulsivity in borderline personality disorder: Reward-based decision-making and its relationship to emotional distress. Journal of Personality Disorders. Lawrence, K. A., Allen, J. S., & Chanen, A. M. (in press). Impulsivity in borderline personality disorder: Reward-based decision-making and its relationship to emotional distress. Journal of Personality Disorders.
go back to reference Livesley, W. J. (2008). Research trends and directions in the study of personality disorder. Psychiatric Clinics of North America, 31, 545–559. CrossRefPubMed Livesley, W. J. (2008). Research trends and directions in the study of personality disorder. Psychiatric Clinics of North America, 31, 545–559. CrossRefPubMed
go back to reference Miller, D., Muehlenkamp, J. J., & Jacobson, C. M. (2008). Fact or fiction: Diagnosing borderline personality disorder in adolescents. Clinical Psychology Review, 28, 969–981. CrossRefPubMed Miller, D., Muehlenkamp, J. J., & Jacobson, C. M. (2008). Fact or fiction: Diagnosing borderline personality disorder in adolescents. Clinical Psychology Review, 28, 969–981. CrossRefPubMed
go back to reference Muris, P. (2006). Maladaptive schemas in non-clinical adolescents: Relations to perceived parental rearing behaviours, big five personality factors and psychopathological symptoms. Clinical Psychology and Psychotherapy, 13, 405–413. CrossRef Muris, P. (2006). Maladaptive schemas in non-clinical adolescents: Relations to perceived parental rearing behaviours, big five personality factors and psychopathological symptoms. Clinical Psychology and Psychotherapy, 13, 405–413. CrossRef
go back to reference Nordahl, H. M., Holthe, H., & Haugum, J. A. (2005). Early maladaptive schemas in patients with or without personality disorders: Does schema modification predict symptomatic relief? Clinical Psychology and Psychotherapy, 12, 142–149. CrossRef Nordahl, H. M., Holthe, H., & Haugum, J. A. (2005). Early maladaptive schemas in patients with or without personality disorders: Does schema modification predict symptomatic relief? Clinical Psychology and Psychotherapy, 12, 142–149. CrossRef
go back to reference Nurnberg, H. G., Hurt, S. W., Feldman, A., & Suh, R. (1988). Evaluation of diagnostic criteria for borderline personality disorder. The American Journal of Psychiatry, 145, 1280–1283. PubMed Nurnberg, H. G., Hurt, S. W., Feldman, A., & Suh, R. (1988). Evaluation of diagnostic criteria for borderline personality disorder. The American Journal of Psychiatry, 145, 1280–1283. PubMed
go back to reference Reeves, M., & Taylor, C. (2007). Specific relationships between core beliefs and personality disorder symptoms in a non-clinical sample. Clinical Psychology and Psychotherapy, 14, 96–104. CrossRef Reeves, M., & Taylor, C. (2007). Specific relationships between core beliefs and personality disorder symptoms in a non-clinical sample. Clinical Psychology and Psychotherapy, 14, 96–104. CrossRef
go back to reference Schmidt, N. B., Joiner, T. E., Young, J. E., & Telch, M. J. (1995). The schema questionnaire: Investigation of psychometric properties and the hierarchical structure of a measure of maladaptive schemas. Cognitive Therapy and Research, 19, 295–321. CrossRef Schmidt, N. B., Joiner, T. E., Young, J. E., & Telch, M. J. (1995). The schema questionnaire: Investigation of psychometric properties and the hierarchical structure of a measure of maladaptive schemas. Cognitive Therapy and Research, 19, 295–321. CrossRef
go back to reference Skodol, A. E., Gunderson, J. G., Pfohl, B., Widiger, T. A., Livesley, W. J., & Siever, L. J. (2002). The borderline diagnosis I: Psychopathology, comorbidity and personality structure. Biological Psychiatry, 51, 936–950. CrossRefPubMed Skodol, A. E., Gunderson, J. G., Pfohl, B., Widiger, T. A., Livesley, W. J., & Siever, L. J. (2002). The borderline diagnosis I: Psychopathology, comorbidity and personality structure. Biological Psychiatry, 51, 936–950. CrossRefPubMed
go back to reference WHO ASSIST Working Group. (2002). The alcohol, smoking and substance involvement screening test (ASSIST): Development, reliability and feasibility. Addiction, 97, 1183–1194. CrossRef WHO ASSIST Working Group. (2002). The alcohol, smoking and substance involvement screening test (ASSIST): Development, reliability and feasibility. Addiction, 97, 1183–1194. CrossRef
go back to reference Young, J. E. (1990). Cognitive therapy for personality disorders: A schema-focused approach. England: Professional Resource Exchange. Young, J. E. (1990). Cognitive therapy for personality disorders: A schema-focused approach. England: Professional Resource Exchange.
go back to reference Zanarini, M. C., Frankenberg, F. R., Sickel, A. E., & Yong, L. (1996). The diagnostic interview for DSM-IV personality disorders (DIPD-IV). Belmont MA: McLean Hospital. Zanarini, M. C., Frankenberg, F. R., Sickel, A. E., & Yong, L. (1996). The diagnostic interview for DSM-IV personality disorders (DIPD-IV). Belmont MA: McLean Hospital.
Metagegevens
Titel
A Study of Maladaptive Schemas and Borderline Personality Disorder in Young People
Auteurs
Katherine A. Lawrence
J. Sabura Allen
Andrew M. Chanen
Publicatiedatum
01-02-2011
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 1/2011
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-009-9292-4