Relationship between pathogenic beliefs and interpersonal problems: a cross-sectional study of Thai patients with depression

Neelapaijit, Adam; Wongpakaran, Tinakon; Thongpibul, Kulvadee; Wedding, Danny

doi:10.1080/13674676.2018.1469120

Cited by 4 publications

(2 citation statements)

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“…In addition to their relationships with personality pathology, PBs are related to psychopathology and psychiatric disorders such as agoraphobia (Shilkret, 2002), major depressive disorders (Neelapaijit et al, 2017), nightmare disorder (Wongpakaran et al, 2014), low self-esteem, pessimistic attitudes, and emotional instability (Silberschatz and Doorn, 2017). In addition, PBs are significantly correlated with the submissive or hostile quadrant of interpersonal communication, which reflects a negative sense of self and disappointment in one's ability to relate to others (Neelapaijit et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Pathogenic beliefs among patients with schizotypal personality disorder

Pattamanusorn

Wongpakaran

Thongpibul

et al. 2020

Heliyon

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This study aimed to explore the differences in pathogenic beliefs (PBs) between patients with schizotypal personality disorder (PD) and those with other PDs or without any PD. The study was conducted among 212 patients treated with psychotherapy at the Psychotherapy and Personality Disorder Clinic, Chiang Mai University between 2007 and 2019. Collected data included sociodemographic information, psychiatric disorders and personality disorder as determined by the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders, 5 th Edition, and the Pathogenic Belief Scale (PBS). An analysis was conducted to compare three groups, i.e., patients with schizotypal PD, patients with other PDs and patients without any PD. The PBS score was compared by two outcomes: a total score and a categorical score of individual items. The entire sample was predominantly female (62.3%) with a mean age of 31.41 years. Most participants had a bachelor's degree (76.9%), lived alone (72.6%) and received diagnoses of major depressive disorder (45.8%). No significant differences were found in participants' characteristics regarding age, sex, educational level, marital status and psychiatric clinical diagnosis among the three groups. The mean PBS total score was highest for schizotypal PD (mean ¼ 58.74, SD ¼ 11.54), compared with non-schizotypal PD (mean ¼ 46.14, SD ¼ 13.15) and non-PD (mean ¼ 46.07, SD ¼ 11.17). Twenty of 27 items were significantly higher in the schizotypal PD group than in other groups, after adjusting for type I error. The number of PBs was significantly prominent for schizotypal PD. Possible explanations were provided.

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Section: Introductionmentioning

confidence: 99%

Pathogenic beliefs among patients with schizotypal personality disorder

Pattamanusorn

Wongpakaran

Thongpibul

et al. 2020

Heliyon

Self Cite

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“…Higher scores reflect higher levels of pathogenic beliefs, with mean scores ranging from 0 to 4. In previous research, the PBS scores were shown to be reliable ( a = 0.96) and valid (Silberschatz and Aafjes-van Doorn, 2017) in American community samples and a sample of outpatients (Aafjes-van Doorn et al, 2021a); the PBS has also been validated in patients with depressive disorder in Thailand (Neelapaijit et al, 2017, 2018). The 34-item PBS has been shown to have good psychometric properties, including sufficient reliability and concurrent validity (PBS-SF; Aafjes-van Doorn et al, 2021b), and in the present sample demonstrated good internal consistency.…”

Section: Methodsmentioning

confidence: 95%

Interpersonal and Social Functioning Among Psychotherapy Patients

Doorn

McCollum²,

Silberschatz

et al. 2021

J Nerv Ment Dis

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This study examined the mediating role of pathogenic beliefs on the relationship between patients' recollections of experienced adverse parenting in childhood and adult interpersonal and social problems. A total of 210 psychotherapy outpatients rated their experiences of perceived adverse parenting in childhood and completed measures of psychological distress, interpersonal problems and social impairment, and internalized beliefs about self and others. Significant mediation effects were observed for two of the three belief domains: "cannot rely on others" and "undeserving." Although both were significant mediators between adverse parenting and symptom distress, only "cannot rely on others" was a significant mediator predicting interpersonal problems, and only "undeserving" was a significant mediator predicting impaired social functioning. Thus, patients' underlying convictions regarding their self-worth seem to play a role in the ability to develop social roles, whereas the beliefs about the steadfastness of others play an important role in the capacity for interpersonal relating.

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Assessing internalized beliefs: Development of the Pathogenic Belief Scale

et al. 2020

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The way that people internalize adverse experiences plays an important role in the development of psychopathology. The Pathogenic Belief Scale (PBS) is intended to operationalize a transtheoretical understanding of repetitive patterns of emotion-laden beliefs that develop in childhood and continue to influence people's current experience. Using a cross-sectional survey design, we recruited a large heterogeneous sample of 246 clinic outpatients and 732 adults in the community. Besides the PBS, measures of adverse parenting experiences and common psychopathology were administered. An exploratory factor analysis of the total sample of 978 participants was conducted followed by a convergent validity analysis for the 246 clinic outpatients. The three-factor solution included “cannot rely on others,” “undeserving,” and “interpersonal guilt,” and it showed good psychometric properties, including convergent validity with the measures of adverse parenting experiences and psychopathology. The 34-item PBS offers a promising self-report measure that could help delineate and understand the pathogenic beliefs that heterogeneous samples of patients may hold. Pathogenic beliefs may be relevant to the psychotherapy process, regardless of model or theoretical context.

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Relationship between pathogenic beliefs and interpersonal problems: a cross-sectional study of Thai patients with depression

Cited by 4 publications

References 20 publications

Pathogenic beliefs among patients with schizotypal personality disorder

Pathogenic beliefs among patients with schizotypal personality disorder

Interpersonal and Social Functioning Among Psychotherapy Patients

Assessing internalized beliefs: Development of the Pathogenic Belief Scale

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