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Schema Change Without Schema Therapy: The Role of Early Maladaptive Schemata for a Successful Treatment of Major Depression.

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Title: Schema Change Without Schema Therapy: The Role of Early Maladaptive Schemata for a Successful Treatment of Major Depression.
Authors: Wegener, Ingo, Alfter, Susanne, Geiser, Franziska, Liedtke, Reinhard, Conrad, Rupert
Source: Psychiatry: Interpersonal & Biological Processes. Spring2013, Vol. 76 Issue 1, p1-17. 17p. 5 Charts.
Subjects: Therapeutics, Mental depression, Adaptability (Personality), Analysis of variance, Art therapy, Chi-squared test, Cognitive therapy, Health outcome assessment, Psychological tests, Questionnaires, Regression analysis, Role playing, Scale analysis (Psychology), T-test (Statistics), Treatment effectiveness, Data analysis software, Descriptive statistics
Abstract: Early maladaptive schemata (EMS) have repeatedly been shown to be associated with several psychopathological conditions, including depression. Schema therapy proposes interventions that aim at altering EMS. In the present study, we examined the effect of an integrative psychodynamic inpatient therapy without explicit focus on EMS in a sample with major depression. Forty-seven (38 female, 9 male) patients filled out the Symptom Checklist (SCL-90-R) and the Young Schema Questionnaire (YSQ) at the beginning and end of the treatment. Results revealed that EMS were significantly reduced in three out of five schema domains. Strong endorsement of EMS at the beginning of treatment tended to predict symptom reduction. More importantly, the reduction of symptom distress during treatment was strongly associated with a reduction in EMS of the schema domain Impaired Autonomy/Performance. We discuss that changes in EMS are highly relevant for changes in symptom distress but that EMS can not only be changed by schema therapy but also by other approaches, like psychodynamic therapy. [ABSTRACT FROM AUTHOR]
Copyright of Psychiatry: Interpersonal & Biological Processes is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Schema Change Without Schema Therapy: The Role of Early Maladaptive Schemata for a Successful Treatment of Major Depression.
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  Data: <searchLink fieldCode="AR" term="%22Wegener%2C+Ingo%22">Wegener, Ingo</searchLink><br /><searchLink fieldCode="AR" term="%22Alfter%2C+Susanne%22">Alfter, Susanne</searchLink><br /><searchLink fieldCode="AR" term="%22Geiser%2C+Franziska%22">Geiser, Franziska</searchLink><br /><searchLink fieldCode="AR" term="%22Liedtke%2C+Reinhard%22">Liedtke, Reinhard</searchLink><br /><searchLink fieldCode="AR" term="%22Conrad%2C+Rupert%22">Conrad, Rupert</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Psychiatry%3A+Interpersonal+%26+Biological+Processes%22">Psychiatry: Interpersonal & Biological Processes</searchLink>. Spring2013, Vol. 76 Issue 1, p1-17. 17p. 5 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Therapeutics%22">Therapeutics</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Adaptability+%28Personality%29%22">Adaptability (Personality)</searchLink><br /><searchLink fieldCode="DE" term="%22Analysis+of+variance%22">Analysis of variance</searchLink><br /><searchLink fieldCode="DE" term="%22Art+therapy%22">Art therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Chi-squared+test%22">Chi-squared test</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+therapy%22">Cognitive therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Health+outcome+assessment%22">Health outcome assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+tests%22">Psychological tests</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Regression+analysis%22">Regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Role+playing%22">Role playing</searchLink><br /><searchLink fieldCode="DE" term="%22Scale+analysis+%28Psychology%29%22">Scale analysis (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22T-test+%28Statistics%29%22">T-test (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink>
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  Data: Early maladaptive schemata (EMS) have repeatedly been shown to be associated with several psychopathological conditions, including depression. Schema therapy proposes interventions that aim at altering EMS. In the present study, we examined the effect of an integrative psychodynamic inpatient therapy without explicit focus on EMS in a sample with major depression. Forty-seven (38 female, 9 male) patients filled out the Symptom Checklist (SCL-90-R) and the Young Schema Questionnaire (YSQ) at the beginning and end of the treatment. Results revealed that EMS were significantly reduced in three out of five schema domains. Strong endorsement of EMS at the beginning of treatment tended to predict symptom reduction. More importantly, the reduction of symptom distress during treatment was strongly associated with a reduction in EMS of the schema domain Impaired Autonomy/Performance. We discuss that changes in EMS are highly relevant for changes in symptom distress but that EMS can not only be changed by schema therapy but also by other approaches, like psychodynamic therapy. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Psychiatry: Interpersonal & Biological Processes is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1521/psyc.2013.76.1.1
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      – Code: eng
        Text: English
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        PageCount: 17
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    Subjects:
      – SubjectFull: Therapeutics
        Type: general
      – SubjectFull: Mental depression
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      – SubjectFull: Adaptability (Personality)
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      – SubjectFull: Analysis of variance
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      – SubjectFull: Art therapy
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      – SubjectFull: Chi-squared test
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      – SubjectFull: Health outcome assessment
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      – SubjectFull: Descriptive statistics
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      – TitleFull: Schema Change Without Schema Therapy: The Role of Early Maladaptive Schemata for a Successful Treatment of Major Depression.
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              Text: Spring2013
              Type: published
              Y: 2013
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