a Department of Clinical Psychology, Trinity College , Dublin , Ireland.
Subst Use Misuse. 2018 Dec 6;53(14):2320-2329. doi: 10.1080/10826084.2018.1473438. Epub 2018 Jun 11.
Early Maladaptive Schema (EMS) are self-beliefs regarding oneself, others and the world, developed in childhood as the result of cumulative negative experiences (Young, 1993). High levels of EMS are present in the opioid using population along with high levels of emotional dysregulation and maladaptive coping alongside traits of resilience.
The study explored the associations between EMS in relation to emotional dysregulation, maladaptive coping, adaptive coping and resilience between a clinical group composed of opioid dependent polydrug users attending a facility for opioid substitution treatment (n = 52) and a healthy comparison group (n = 70).
A cross-sectional design was used to compare group differences using MANOVAs, and multiple regression analysis identified associations between EMS and emotional dysregulation, coping and resilience.
The groups significantly differed in relation to emotional dysregulation, maladaptive coping, adaptive coping and resilience. Specific EMS were significant independent predictors in regards to high emotional dysregulation, maladaptive coping, adaptive coping and resilience.
EMS appear to have a significant impact on emotional dysregulation, coping and resilience. Clinical implications suggest that EMS should be addressed when treating opioid dependent polydrug users.
早期适应不良模式（EMS）是一种自我信念，关于自己、他人和世界，是在童年时期由于累积的负面经验而形成的（Young，1993）。在阿片类药物使用者中存在高水平的 EMS，以及高水平的情绪失调和适应不良的应对方式，以及韧性特质。
本研究探讨了在接受阿片类药物替代治疗的机构中接受治疗的阿片类药物依赖多药使用者（n=52）和健康对照组（n=70）中，EMS 与情绪失调、适应不良应对、适应应对和韧性之间的关系。
采用横断面设计，使用 MANOVAs 比较组间差异，多元回归分析确定 EMS 与情绪失调、应对和韧性之间的关系。
两组在情绪失调、适应不良应对、适应应对和韧性方面存在显著差异。特定的 EMS 是高情绪失调、适应不良应对、适应应对和韧性的显著独立预测因子。
EMS 似乎对情绪失调、应对和韧性有重大影响。临床意义表明，在治疗阿片类药物依赖多药使用者时，应考虑 EMS。
