Mental Health Sciences 4.
Pribula, Viktória
Semmelweis University
pribula.viktoria@semmelweis.hu
The relationship between schema domain I. and interpersonal dysfunction in personality disorders
Pribula Viktória1,2, Tomay Adorjani3, Eszter Adel Toth4, Nikolett Marko4, Flora Fuge4, Noemi Vamos4, Kinga Fabian-Ovari3, Fanni Sandor4, Sara Gubanyi5, Gabriella Vizin6, Xenia Gonda1,2
1: Semmelweis University, Department of Psychiatry and Psychotherapy, Budapest
2: Semmelweis University, Department of Clinical Psychology, Budapest
3: Semmelweis University, Faculty of Medicine, Budapest
4: Eotvos Lorand University, Institute of Psychology, Budapest
5: Eotvos Lorand University, Faculty of Education and Psychology, Institute of Psychology, Budapest
6: Eotvos Lorand University, Institute of Psychology, Department of Clinical Psychology and Addiction, Budapest
Szóbeli
Mental Health Sciences 4.
English
Introduction
Studies on schema theory and personality functioning suggest that early maladaptive schemas are associated with the severity of personality pathology. Research has also indicated a correlation between schema domain I. (Disconnection and Rejection) and interpersonal problems, as schemas in this domain are linked to unmet basic emotional needs for relationships. The therapeutic rescripting of early maladaptive schemas has been shown to significantly predict symptom relief in response to schema therapy.
Aim
The study examined whether activation or inactivation of the 5 schema domains identified by the Young’s Schema Questionnaire, and maladaptive schemas within schema domain I., predict interpersonal dysfunction measured by the SCID-5-AMPD Module I. and a PDS-ICD-11 subscale.
Methods
The sample consisted of 102 patients with personality disorders treated in an acute psychiatric ward. Measures included the SCID-5-AMPD Module I. interpersonal dysfunction subscale (Empathy and Intimacy), the PDS-ICD-11 interpersonal dysfunction subscale, and the Young’s Schema Questionnaire. Linear regression analyses were performed.
Results
Four linear regressions were conducted. The first model, using schema domains to predict AMPD interpersonal dysfunction, was non-significant, F(5,121)=2.09, p=.071. The second model predicting PDS-ICD-11 interpersonal dysfunction was significant, F(5,96)=6.31, p<.001, R²=.247; only Overvigilance and Inhibition significantly predicted interpersonal dysfunction (negative direction). The third model, examining maladaptive schemas in schema domain I. as predictors of AMPD interpersonal dysfunction, was significant, F(6,120)=5.76, p<.001, R²=.473. Emotional deprivation, Abandonment/Instability and Social isolation/Alienation were significant predictors. The fourth model predicting PDS-ICD-11 interpersonal dysfunction was also significant, F(6,95)=6.81, p<.001, R²=.548; only Mistrust/Abuse was a significant positive predictor.
Conclusions
Interpersonal dysfunction can be partially predicted by schema domains and individual maladaptive schemas. Schemas within schema domain I. consistently predicted interpersonal impairment. These findings may contribute to evidence supporting schema therapy for individuals with interpersonal problems.
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