Institute of Sport and Human Science, University of Wolverhampton, Wolverhampton, UK.
School of Social Sciences, Leeds Beckett University, Leeds, UK.
J Clin Psychol. 2018 Dec;74(12):2287-2301. doi: 10.1002/jclp.22690. Epub 2018 Aug 13.
One potential mechanism that has received limited attention in psychosis research is early maladaptive schemas (EMS). Our aim was to examine whether EMS acts as a potential mediating pathway between early trauma and psychotic symptomology.
A quantitative survey was conducted online. N = 302 participants took part. The analysis used a multiple mediation framework.
Analysis demonstrated significant specificity effects. Different forms of child maltreatment were significantly associated with psychosis experiences through specific dimensions of maladaptive schemas.
Results indicated specificity effects in that specific types of maltreatment are associated with specific maladaptive schemas. From a practitioner's perspective, these findings offer credence to cognitive theories of psychopathology, and support the validity of EMS identification and modification among clients with psychotic symptomology both as a fundamental component of traditional CBT and within specialized schema-focused therapy.
在精神分裂症研究中，有一种潜在的机制受到的关注有限，即早期适应不良模式（EMS）。我们的目的是检验 EMS 是否可以作为早期创伤与精神症状之间的潜在中介途径。
采用定量调查的方式在线进行。共有 302 名参与者参与。分析采用多重中介框架。
分析显示出了特定的效应。不同形式的儿童虐待通过特定的适应不良模式维度与精神症状显著相关。
结果表明存在特异性效应，即特定类型的虐待与特定的适应不良模式相关。从从业者的角度来看，这些发现为精神病理学的认知理论提供了依据，并支持在有精神症状的患者中识别和修正 EMS，这既是传统认知行为疗法的基本组成部分，也是专门的模式聚焦疗法的一部分。
