Early Maladaptive Schemas and Substance Use

Aaron, David

doi:10.1097/adt.0b013e31827d8763

Cited by 9 publications

(4 citation statements)

References 21 publications

(18 reference statements)

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“…[7][8][9] Literature suggests that addressing maladaptive schemas may improve substance use outcomes because of their integrity with personality structure and underlying impact on substance use. [10][11][12] Dual focus schema therapy (DFST) was developed by Ball 11,12 to modify EMSs among chronic substance users with comorbid personality disorders. DFST is a six-month-long treatment that integrates strategies from schema therapy 6 and relapse prevention.…”

Section: Original Articlementioning

confidence: 99%

Does Cognitive Therapy Change the Early Maladaptive Schemas in Individuals with Alcohol Dependence? Evidence from a Randomized Controlled Trial

Singh

Kaloiya

Dhawan

et al. 2022

Indian Journal of Psychological Medicine

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Background: Although early maladaptive schemas (EMSs) have been suggested as potential vulnerability markers for alcohol dependence (AD), there is less emphasis on addressing these schemas in substance abuse treatment programs. We thus aimed to examine the change in schemas in response to cognitive therapy in individuals with AD. Methods: In this an open-label randomized controlled study, individuals with alcohol dependence syndrome (ADS, n = 84) were randomized to the intervention group ( n = 45), which received six cognitive therapy sessions combined with treatment as usual (TAU), or the control group ( n = 39), which was on TAU only. Participants were assessed on the measures of EMSs, alcohol use severity, and perceived stress at baseline and posttreatment. Results: The intervention group showed significant improvement in 5 out of 18 EMSs, that is, emotional deprivation, defectiveness, self-sacrifice, unrelenting standard, and negativity, compared to the control group, at the end of the treatment. There was a significant between-group effect for perceived stress but not for alcohol use severity. Conclusion: EMSs can be changed with cognitive therapy in individuals with AD and could be a crucial area to address in treatment programs. Further studies with long-term follow-up are warranted. The trial was registered with the Clinical Trials Registry—India (CTRI/2015/12/006441) on December 17, 2015.

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Section: Original Articlementioning

confidence: 99%

Does Cognitive Therapy Change the Early Maladaptive Schemas in Individuals with Alcohol Dependence? Evidence from a Randomized Controlled Trial

Singh

Kaloiya

Dhawan

et al. 2022

Indian Journal of Psychological Medicine

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“…Research in the field of 'affective structure' has consistently identified two dominant dimensions (Pourferj Omran et al, 2016). In this context, a two-factor model of affect has been presented, named 'positive affect' and 'negative affect' (Aaron, 2013). Positive and negative affect refers to the extent to which a person feels pleased and happy, or displeased and unhappy.…”

Section: Introductionmentioning

confidence: 99%

“…Various researches have shown that factors of success and achievement in individuals stem from the positive emotions and feelings they generate. Conversely, unsuccessful individuals are those who cultivate negative emotions and feelings within themselves (Aaron, 2013). Positive affect indicates enjoyable interactions of a person with the environment, leading to feelings of activeness and eagerness.…”

Section: Introductionmentioning

confidence: 99%

The relationship between obsession and addiction relapse with the mediation of sensation seeking in methamphetamine dependent patients

Barati,

Safarzadeh Sirzar,

Pakroyan

et al. 2023

JAYPS

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Background and Aim: In addition to the direct effect on the body, substance abuse causes psychiatric disorders such as depression, anxiety, social and economic pressures. The present study was conducted with the aim of determining the relationship between obsession and addiction relapse with the mediation of sensation seeking in self-reported addicts. Methods: The current research design was descriptive and correlational research design of the structural equation model type. The statistical population of the present study was all the methamphetamine addicted patients who were in the process of withdrawal who referred to the substance abuse treatment centers of Tehran city in 2022, out of which 250 people were selected by available sampling method. And they responded to Wright's (1993) Addiction Recurrence Questionnaire, Hodgson and Rachman's (1977) Thought-Practice Obsession and Marvin Zuckerman's (1978) Sensation Seeking Questionnaires. The data were analyzed using structural equation modeling method and Lisrel 8.80 software. Results: The results showed that there is a statistically significant relationship between obsessive thoughts, excitement seeking and addiction relapse (P<0.01). Also, sensation seeking plays a mediating role in the relationship between obsessive thoughts and addiction relapse (P<0.01). Conclusion: It can be concluded that sensation seeking plays a mediating role in the relationship between obsessive thoughts and addiction relapse.

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“…Tal rigidez perpetua indefinidamente o ciclo vicioso: consumo -faltaconsumo (Rocha & Junior, 2010). (Aaron, 2013;Díaz et al, 2011;Shorey et al 2012d;2013b; 2013d), além de diferenças significativas quando comparadas aos escores de amostras não clínicas (Jalali et al, 2011;Shorey et al 2012b;Silva et al, 2012). Resultados de outras pesquisas, ainda, apresentaram correlação significativa entre o uso de substâncias e o domínio Desconexão e Rejeição (Aaron, 2013;Díaz et al, 2011;Shorey et al 2013a) e seu poder em predizer o potencial para adicção (Bojed & Nikmanesh, 2013).…”

Section: Médias De Respostas Dos Eids Na Amostraunclassified

Avaliação da relação entre esquemas iniciais desadaptativos e o coping em indivíduos com transtorno por uso de substâncias

Rocha¹

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The substance use disorder (SUD) is considered complex, whose understanding involves biopsychosocial and environmental factors, and difficult to treat. Studies have demonstrated the efficacy of Cognitive and Behavioral Therapies (CBT) on SUD treatment, such as Dual Focus Schema Therapy (DFST), which combines Schema Therapy (TE) techniques, whose main concept is the early maladaptive schemas (EMS), and Relapse Prevention, focused on coping strategies. EIDs are self-defeating cognitive and emotional patterns that develop as a result of harmful experiences in childhood. In response to them and the associated emotional distress, individuals often develop multiple maladaptive coping mechanisms, such as substance abuse. In this sense, this study aimed to identify the occurrence and prevalence of EMS and coping strategies in outpatients of Oficina de Vida/PADEQ-Treatment Program for Substance Use of Uberlândia Federal University (UFU), and to identify possible correlations between the variables. The study was conducted in a sample of 20 individuals of both sexes (65% male), aged over 18 (55% up to 40 years) and with SUD diagnosis. The instruments used were ASSIST (Alcohol, Smoking and Substance Involvement Screening Test), a sociodemographic questionnaire, the YSQ-S2 (Young Schema Questionnaire-Short Form) and the Folkman and Lazarus Coping Strategies Inventory. Almost the hole sample (95%) presented moderate to severe alcohol consumption levels and harmful consumption patterns to other substances were also observed. The results indicated scores above the overall mean scores in the sample for most of the EMS, with self-sacrifice being the EMS with the highest mean in the sample (M=3.89, SD=1.35), followed by insufficient self-control (M=3.35, SD=1.39) and unrelenting standards (M=3.35, SD=1.31). On the other hand, the coping strategy with the highest score was escape-avoidance (M=2.25, SD=0.94). In terms of the correlations between the two variables, the most significant coefficients were, respectively, between entitlement and confrontive coping (ρ=.513, p<.05), subjugation and confrontive coping (ρ=.473, p<.05), vulnerability and confrontive coping (ρ=.469; p<.05), self-sacrifice and confrontive coping (ρ=.461; p<.05), social isolation and self-control (ρ=.454, p<.05), subjugation and escape-avoidance (ρ=.449, p<.05), unrelenting standards and escape-avoidance (ρ=-.495; p<.05), dependence and planful problem-solving (ρ=-.474; p<.05) and emotional deprivation and seeking social support (ρ=-.447; p<.05). The results indicated correlations between different coping strategies and EMS in all domains, reflecting that individuals with complex disorders such as SUD and comorbid conditions have difficulties in meeting all the basic emotional needs, typical of each schema domain, and present different ways of coping, sometimes more or less adapted. The findings are consistent with the literature, suggesting that, in fact, EMS and maladaptive coping strategies to deal with the associated emotional distress may be important factor...

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Early Maladaptive Schemas and Substance Use

Cited by 9 publications

References 21 publications

Does Cognitive Therapy Change the Early Maladaptive Schemas in Individuals with Alcohol Dependence? Evidence from a Randomized Controlled Trial

Does Cognitive Therapy Change the Early Maladaptive Schemas in Individuals with Alcohol Dependence? Evidence from a Randomized Controlled Trial

The relationship between obsession and addiction relapse with the mediation of sensation seeking in methamphetamine dependent patients

Avaliação da relação entre esquemas iniciais desadaptativos e o coping em indivíduos com transtorno por uso de substâncias

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