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01-08-2010 | Original Article

Maladaptive Schemas and Psychopathology in Adolescence: On the Utility of Young’s Schema Theory in Youth

Auteurs: Leen Van Vlierberghe, Caroline Braet, Guy Bosmans, Yves Rosseel, Susan Bögels

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 4/2010

Abstract

The present article reports on two studies that investigated the utility of Young’s cognitive theory Young et al. (Schema therapy: A practitioner’s guide, Guilford Publications, New York, 2003) in adolescents. Study 1 focused on the factorial validity of the Young Schema Questionnaire (YSQ) in youth. In Study 2, the dimensionality of Young’s schemas and their (content-specific) association with psychopathology were investigated. In Study 1, 635 adolescents were asked to complete the YSQ. In Study 2, participants were 112 non-referred and 104 referred adolescents. They were interviewed with the Structured Clinical Interview for DSM-IV–Child edition and completed the YSQ and the Youth Self Report. Their parents were asked to fill out the Child Behavior Checklist. It was demonstrated that Young’s theoretically proposed taxonomy of schemas and domains can be retrieved in adolescents. Referred youth displayed a higher severity of maladaptive schemas as compared with non-referred adolescents. A content-specific association of schemas and psychopathology was established. Young’s schema theory might constitute a valuable framework to understand psychopathology in youth.

vorige artikel Anxiety Sensitivity in Childhood and Adolescence: Parent Reports and Factors that Influence Associations with Child Reports

volgende artikel Dimensions of Negative Thinking and the Relations with Symptoms of Depression and Anxiety in Children and Adolescents

The DSM-oriented scales were used to investigate the cognitive content-specificity hypothesis. Particularly the subscales ‘affective problems’, anxiety problems’ oppositional defiant problems’ and ‘conduct problems’ were selected, because for these four forms of psychopathology we were able to formulate literature-based (Beck 1976; Beck et al. 1985; Clark et al. 1999) concrete hypotheses on content specificity.

One could argue that we should have controlled for comorbidity by including only cases of ‘pure’ mood, anxiety, oppositional defiant or conduct disorder. However, only 8 adolescents fulfilled criteria for ‘pure’ mood disorder, only 13 adolescents fulfilled criteria for ‘pure’ anxiety disorder, only 8 adolescents fulfilled criteria for ‘pure’ oppositional defiant disorder and only 12 adolescents fulfilled criteria for ‘pure’ conduct disorder. As we were concerned with the power and hence the reliability of analyses with that few cases in one of both categories, we decided to include comorbid cases in the categorical analyses.

Tables with a complete account of correlations between schemas, and correlations between schemas and dimensional psychopathology measures are available from the authors upon request.

Abela, J. R. Z., Auerbach, R. P., Sarin, S., & Lakdawalla, Z. (2009). Beck’s cognitive theory of depression: An examination of the schematic content in the life stories of university students. Cognitive Therapy and Research, 33, 50–58.CrossRef

Achenbach, T. M., & Rescorla, L. A. (2001). Manual for ASEBA School-Age Forms & Profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth & Families.

Beck, A. T. (1967). Depression: Causes and treatment. Philadelphia: University of Pennsylvania Press.

Beck, A. T. (1976). Cognitive therapy and the emotional disorders. New York: Meridian.

Beck, J. S. (1995). Cognitive Therapy: Basics and beyond. New York: The Guilford Press.

Beck, A. T., Emery, G., & Greenberg, R. L. (1985). Anxiety disorders and phobias: A cognitive perspective. New York: Basic Books.

Beck, R., & Perkins, T. S. (2001). Cognitive content-specificity for anxiety and depression: A meta-analysis. Cognitive Therapy and Research, 25, 651–663.CrossRef

Brotchie, J., Meyer, C., Copello, A., Kidney, R., & Waller, G. (2004). Cognitive representations in alcohol and opiate abuse: The role of core beliefs. British Journal of Clinical Psychology, 43, 337–342.CrossRefPubMed

Brown, T. A. (2006). Confirmatory factor analysis for applied research. New York: The Guilford Press.

Browne, M. W., & Cudeck, R. (1992). Alternative ways of assessing model fit. Sociological Methods & Research, 21, 230–258.CrossRef

Calvete, E., Estevez, A., de Arroyabe, E. L., & Ruiz, P. (2005). The schema questionnaire–Short form–Structure and relationship with automatic thoughts and symptoms of affective disorders. European Journal of Psychological Assessment, 21, 90–99.CrossRef

Clark, D. A., Beck, A. T., & Alford, B. A. (1999). Scientific foundations of cognitive theory and therapy of depression. New York: John Wiley & Sons.

Cole, D. A., Ciesla, J. A., Dallaire, D. H., Jacquez, F. M., Pineda, A. Q., LaGrange, B., et al. (2008). Emergence of attributional style and its relation to depressive symptoms. Journal of Abnormal Psychology, 117, 16–31.CrossRefPubMed

Cooper, M. J., Rose, K. S., & Turner, H. (2005). Core beliefs and the presence or absence of eating disorder symptoms and depressive symptoms in adolescent girls. International Journal of Eating Disorders, 38, 60–64.CrossRefPubMed

Dreessen, L., Stroux, A., & Weckx, M. (1998). Nederlandse vertaling van het Gestructureerd Klinisch Interview voor DSM-IV–kind versie (KID-SCID; Versie 1.0). [Dutch translation of the Structured Clinical Interview for DSM-IV–Child edition]. Maastricht: Maastricht University, author.

Ford, T., Goodman, R., & Meltzer, H. (2003). The British child and adolescent mental health survey 1999: The prevalence of DSM-IV disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 1203–1211.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–Randomized trial of schema-focused therapy vs transference-focused psychotherapy. Archives of General Psychiatry, 63, 649–658.CrossRefPubMed

Grant, K. E., Compas, B. E., Stuhlmacher, A. F., Thurm, A. E., McMahon, S. D., & Halpert, J. A. (2003). Stressors and child and adolescent psychopathology: Moving from markers to mechanisms of risk. Psychological Bulletin, 129, 447–466.CrossRefPubMed

Hien, D., Matzner, F. J., First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1994). Structured Clinical Interview for DSM-IV - Child Edition (Version 1.0). New York: Columbia University.

Hoffart, A., Sexton, H., Hedley, L. M., Wang, C. E., Holthe, H., Haugum, J. A., et al. (2005). The structure of maladaptive schemas: A confirmatory factor analysis and a psychometric evaluation of factor-derived scales. Cognitive Therapy and Research, 29, 627–644.CrossRef

Hollingshead, A. (1975). Four factor index of social status. New Haven, CT: Yale University Press.

Hu, L., & Bentler, P. (1999). Cutoff criteria for fit indices in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55.CrossRef

Jovev, M., & Jackson, H. J. (2004). Early maladaptive schemas in personality disordered individuals. Journal of Personality Disorders, 18, 467–478.CrossRefPubMed

Kline, R. B. (1998). Principles and practice of structural equation modeling. New York: Guilford Press.

Lee, C. W., Taylor, G., & Dunn, J. (1999). Factor structure of the schema questionnaire in a large clinical sample. Cognitive Therapy and Research, 23, 441–451.CrossRef

Leung, N., Waller, G., & Thomas, G. (1999). Core beliefs in anorexic and bulimic women. Journal of Nervous and Mental Disease, 187, 736–741.CrossRefPubMed

Lumley, M. N., & Harkness, K. L. (2007). Specificity in the relations among childhood adversity, early maladaptive schemas, and symptom profiles in adolescent depression. Cognitive Therapy and Research, 31, 639–657.CrossRef

Matzner, F. (1994). Videotapes as training tools for the development of the KID-SCID. Paper presented at the American Academy of Child and Adolescent Psychiatry, 42nd Annual Meeting, Washington DC.

Matzner, F., Silva, R. R., Silvan, M., Chowdhury, M., & Nastasi, L. (1997). Preliminary test-retest reliability of the KID-SCID. Paper presented at the American Psychiatric Association Meeting.

Muris, P. (2006a). Maladaptive schemas in non-clinical adolescents: Relations to perceived parental rearing behaviours, big five personality factors and psychopathological symptoms. Clinical Psychology & Psychotherapy, 13, 405–413.CrossRef

Muris, P. (2006b). The pathogenesis of childhood anxiety disorders: Considerations from a developmental psychopathology perspective. International Journal of Behavioral Development, 30, 5–11.CrossRef

Muris, P., Meesters, C., & van Brakel, A. (2003). Assessment of anxious rearing behaviors with a modified version of “Egna Minnen Betraffande Uppfostran” questionnaire for children. Journal of Psychopathology and Behavioral Assessment, 25, 229–237.CrossRef

Muthén, L. K., & Muthén, B. (2007). Mplus user’s guide (Version 5). Los Angeles, CA: Muthén & Muthén.

Petrocelli, J. V., Glaser, B. A., Calhoun, G. B., & Campbell, L. F. (2001). Early maladaptive schemas of personality disorder subtypes. Journal of Personality Disorders, 15, 546–559.CrossRefPubMed

Pinto-Gouveia, J., Castilho, P., Galhardo, A., & Cunha, M. (2006). Early maladaptive schemas and social phobia. Cognitive Therapy and Research, 30, 571–584.CrossRef

Rijkeboer, M. M., & van den Bergh, H. (2006). Multiple group confirmatory factor analysis of the young schema-questionnaire in a dutch clinical versus non-clinical population. Cognitive Therapy and Research, 30, 263–278.CrossRef

Rijkeboer, M. M., van den Bergh, H., & van den Bout, J. (2005). Stability and discriminative power of the Young Schema Questionnaire in a Dutch clinical versus non-clinical population. Journal of Behavior Therapy and Experimental Psychiatry, 36, 129–144.CrossRefPubMed

Riso, L. P., & McBride, C. (2007). Introduction: A return to a focus on cognitive schemas. In L. P. Riso, P. L. du Toit, D. J. Stein, & J. E. Young (Eds.), Cognitive schemas and core beliefs in psychological problems: A scientist-practitioner guide (pp. 3–9). Washington, DC: American Psychological Association.CrossRef

Sarin, S., & Abela, J. R. Z. (2003). The relationship between core beliefs and a history of eating disorders: An examination of the life stories of university students. Journal of Cognitive Psychotherapy, 17, 359–374.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

Shah, R., & Waller, G. (2000). Parental style and vulnerability to depression–The role of core beliefs. Journal of Nervous and Mental Disease, 188, 19–25.CrossRefPubMed

Smith, D. C., Huber, D. L., & Hall, J. A. (2005). Psychometric evaluation of the Structured Clinical Interview for DSM-IV Childhood Diagnoses (KID-SCID). Journal of Human Behavior in the Social Environment, 11, 23–40.CrossRef

Spitzer, R. L., Williams, J. B. W., & Gibbon, M. (1986). Structured Clinical Interview for DSM-III-R. New York: New York State Psychiatric Institute, Biometrics Research.

Spitzer, R. L., Williams, J. B. W., Gibbon, M., & First, M. B. (1992). The Structured Clinical Interview for DSM-III-R (SCID).1. History, Rationale, and Description. Archives of General Psychiatry, 49, 624–629.PubMed

Sterk, F., & Rijkeboer, M. M. (1997). Schema-Vragenlijst [Schema-Questionnaire]. Utrecht: Ambulatorium Utrecht University.

Timbremont, B., Braet, C., & Dreessen, L. (2004). Assessing depression in youth: Relation between the Children’s Depression Inventory and a structured interview. Journal of Clinical Child and Adolescent Psychology, 33, 149–157.CrossRefPubMed

Turner, J. E., & Cole, D. A. (1994). Developmental differences in cognitive diatheses for child depression. Journal of Abnormal Child Psychology, 22, 15–32.CrossRefPubMed

Turner, H. M., Rose, K. S., & Cooper, M. J. (2005). Schema and parental bonding in overweight and nonoverweight female adolescents. International Journal of Obesity, 29, 381–387.CrossRefPubMed

Unoka, Z., Tolgyes, T., & Czobor, P. (2007). Early maladaptive schemas and body mass index in subgroups of eating disorders: a differential association. Comprehensive Psychiatry, 48, 199–204.CrossRefPubMed

Van Leeuwen, K. G., Mervielde, I., De Clercq, B. J., & De Fruyt, F. (2007). Extending the spectrum idea: Child personality, parenting and psychopathology. European Journal of Personality, 21, 63–89.CrossRef

Van Vlierberghe, L., & Braet, C. (2007). Dysfunctional schemas and psychopathology in referred obese adolescents. Clinical Psychology & Psychotherapy, 14, 342–351.CrossRef

Van Vlierberghe, L., Braet, C., Goossens, L., & Mels, S. (2009). Psychiatric disorders and symptom severity in referred versus non-referred overweight children and adolescents. European Child and Adolescent Psychiatry, 18, 164–173.CrossRefPubMed

Waller, G., Meyer, C., & Ohanian, V. (2001a). Psychometric properties of the long and short versions of the young schema questionnaire: Core beliefs among bulimic and comparison women. Cognitive Therapy and Research, 25, 137–147.CrossRef

Waller, G., Ohanian, V., Meyer, C., & Osman, S. (2000). Cognitive content among bulimic women: The role of core beliefs. International Journal of Eating Disorders, 28, 235–241.CrossRefPubMed

Waller, G., Shah, R., Ohanian, V., & Elliott, P. (2001b). Core beliefs in bulimia nervosa and depression: The discriminant validity of Young’s Schema Questionnaire. Behavior Therapy, 32, 139–153.CrossRef

Welburn, K., Coristine, M., Dagg, P., Pontefract, A., & Jordan, S. (2002). The schema questionnaire–Short form: Factor analysis and relationship between schemas and symptoms. Cognitive Therapy and Research, 26, 519–530.CrossRef

Williams, J. B. W., Gibbon, M., First, M. B., Spitzer, R. L., Davies, M., Borus, J., et al. (1992). The structured clinical interview for dsm-IIIi-R (Scid).2. Multisite test-retest reliability. Archives of General Psychiatry, 49, 630–636.PubMed

Williams, J. M. G., Watts, F. N., MacLeod, C., & Mathews, A. (1997). Cognitive psychology and emotional disorders. Chichester: Wiley.

Young, J. E., & Brown, G. (1990). Young schema questionnaire. New York: Cognitive Therapy Center of New York.

Young, J. E., Klosko, J. S., & Weishaar, M. (2003). Schema therapy: A practitioner’s guide. New York: Guilford Publications.

Titel: Maladaptive Schemas and Psychopathology in Adolescence: On the Utility of Young’s Schema Theory in Youth
Auteurs: Leen Van Vlierberghe
Caroline Braet
Guy Bosmans
Yves Rosseel
Susan Bögels
Publicatiedatum: 01-08-2010
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 4/2010
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-009-9283-5

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