Nilsson Kristine Kahr, Nielsen Straarup Krista, Halvorsen Marianne
Center for Developmental and Applied Psychological Science (CeDAPS), the Department of Communication and Psychology, Aalborg University, Denmark.
Mood Disorders Clinic, Aarhus University Hospital, Risskov, Denmark.
Clin Psychol Psychother. 2015 Sep-Oct;22(5):387-91. doi: 10.1002/cpp.1896. Epub 2014 Mar 19.
It is still unclear how bipolar disorder (BD) differentiates from major depressive disorder (MDD) outside major mood episodes. To further elucidate this area, the present study compared the two mood disorders in terms of early maladaptive schemas (EMSs) during remission.
The sample consisted of 49 participants with BD and 30 participants with MDD who were currently in remission. The participants completed the Young Schema Questionnaire.
The BD group scored significantly higher than the MDD group on seven EMSs: abandonment, failure to achieve, insufficient self-control, subjugation, unrelenting standards, enmeshment and entitlement.
By suggesting that EMSs are more severe in BD compared with MDD, the findings highlight potential vulnerabilities in BD, which merit further examination in terms of their underlying causes and potential treatment implications.
Early maladaptive schemas are relevant psychological dimensions to consider in remitted phases of major mood disorders. Findings from the current study suggest that early maladaptive schemas are more prevalent in adults with bipolar disorder compared to adults with major depressive disorder when measured during remission. Interventions targeting early maladaptive schemas may be valuable in treatment of bipolar disorder.
双相情感障碍（BD）在非主要情绪发作期如何与重度抑郁症（MDD）相区分仍不清楚。为了进一步阐明这一领域，本研究在缓解期对这两种情绪障碍的早期适应不良图式（EMSs）进行了比较。
样本包括49名处于缓解期的双相情感障碍患者和30名处于缓解期的重度抑郁症患者。参与者完成了杨氏图式问卷。
双相情感障碍组在七种早期适应不良图式上的得分显著高于重度抑郁症组，这七种图式分别是：被抛弃、未能实现目标、自我控制不足、屈服、严苛标准、纠结和特权感。
研究结果表明，与重度抑郁症相比，双相情感障碍患者的早期适应不良图式更为严重，这凸显了双相情感障碍潜在的易损性，其潜在原因和对治疗的潜在影响值得进一步研究。
早期适应不良图式是在主要情绪障碍缓解期需要考虑的相关心理维度。当前研究结果表明，在缓解期进行测量时，与患有重度抑郁症的成年人相比，早期适应不良图式在患有双相情感障碍的成年人中更为普遍。针对早期适应不良图式的干预措施可能对双相情感障碍的治疗有价值。
