Carr Steven N, Francis Andrew J P
Division of Psychology, School of Health Sciences, RMIT University, Melbourne, Victoria, AustraliaPrimary Mental Health Services, Mildura Base Hospital, Victoria, Australia.
Psychol Psychother. 2010 Nov;83(4):333-49. doi: 10.1348/147608309X481351.
This study aimed to examine the overall and specific relationship between early maladaptive schemas (EMSs) and personality disorder (PD) symptoms in a non-clinical sample.
While a notable previous study has examined the relationship between EMSs and PD symptoms after statistically controlling for gender and within-cluster PD symptoms, they did not control for comorbid axis I and inter-cluster PD symptoms. Hence, we redressed this methodological problem by statistically controlling for these conditions in a series of multiple regressions.
In a sample of 178 non-clinical participants, we obtained self-reports of PD symptoms, depression, anxiety, eating disorder, and EMSs.
Results of a series of multiple regressions found that EMSs significantly predicted all PD symptoms apart from borderline and antisocial PDs and our hypotheses were largely consistent with hypotheses for cluster A and C PDs. We also found that specific EMSs differentially predicted PD subtypes even after controlling for other PD symptoms, depression, anxiety, and eating disorder symptoms.
This study supports the contention that PDs are related to EMSs and there are specific relationships between particular EMSs and particular PDs.
本研究旨在检验非临床样本中早期适应不良图式（EMSs）与人格障碍（PD）症状之间的总体关系和特定关系。
虽然之前有一项著名研究在对性别和簇内PD症状进行统计控制后，检验了EMSs与PD症状之间的关系，但他们没有对共病的轴I障碍和簇间PD症状进行控制。因此，我们通过在一系列多元回归中对这些情况进行统计控制，纠正了这一方法学问题。
在178名非临床参与者的样本中，我们获取了关于PD症状、抑郁、焦虑、进食障碍和EMSs的自我报告。
一系列多元回归的结果发现，除边缘型和反社会型人格障碍外，EMSs能显著预测所有PD症状，且我们的假设在很大程度上与A簇和C簇人格障碍的假设一致。我们还发现，即使在控制了其他PD症状、抑郁、焦虑和进食障碍症状后，特定的EMSs仍能差异预测PD亚型。
本研究支持以下观点，即人格障碍与早期适应不良图式相关，且特定的早期适应不良图式与特定的人格障碍之间存在特定关系。
