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Original Articles

Early maladaptive schema, social functioning and distress in psychosis: A preliminary investigation

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Pages 135-142 | Received 08 May 2015, Accepted 05 Nov 2015, Published online: 09 Nov 2020
 

Abstract

Background

Cognitive models of psychosis suggest that negative schema confer vulnerability to and maintain psychotic symptoms. However, few studies have investigated schema among individuals with psychotic symptoms, and research has yet to investigate associations between early maladaptive schema and social functioning and distress. The current preliminary study aimed to investigate these issues.

Methods

A cross‐sectional design was utilised. Participants with experience of psychosis (n = 20) completed questionnaires measuring early maladaptive schema, social functioning, and global distress.

Results

Social functioning was significantly associated with two schema: dependency and enmeshment. Eight schema were significantly associated with distress. However, a cross‐sectional design and small sample size limit the generalisability of the results.

Conclusions

These results suggest that early maladaptive schema may have an important role in psychosis, and could be considered as part of psychological therapies that seek to enhance social functioning and reduce distress.

Abstract

Funding: There was no funding for the data collection in this study. Preparation of the article was supported by a National Institute for Health Research (NIHR) Research Fellowship award to Dr Christopher D.J. Taylor (DRF‐2012‐05‐211).

Conflict of interest: The views expressed in this publication are those of the author(s) and not necessarily those of the NHS, the National Institute for Health Research or the Department of Health. The authors are involved with developing and testing psychological therapies and have no conflicts of interest to declare.

Funding: There was no funding for the data collection in this study. Preparation of the article was supported by a National Institute for Health Research (NIHR) Research Fellowship award to Dr Christopher D.J. Taylor (DRF‐2012‐05‐211).

Conflict of interest: The views expressed in this publication are those of the author(s) and not necessarily those of the NHS, the National Institute for Health Research or the Department of Health. The authors are involved with developing and testing psychological therapies and have no conflicts of interest to declare.

Acknowledgements

We would like to thank all the participants who took part in the study and all the staff who helped with referrals and recruitment. We would also like to thank Gillian Haddock, Ian Deary and two anonymous reviewers for helpful comments on an earlier version of this article.

Notes

Funding: There was no funding for the data collection in this study. Preparation of the article was supported by a National Institute for Health Research (NIHR) Research Fellowship award to Dr Christopher D.J. Taylor (DRF‐2012‐05‐211).

Conflict of interest: The views expressed in this publication are those of the author(s) and not necessarily those of the NHS, the National Institute for Health Research or the Department of Health. The authors are involved with developing and testing psychological therapies and have no conflicts of interest to declare.

Additional information

Funding

National Institute for Health Research (NIHR)

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