PSIHOLOŠKA NEFLEKSIBILNOST KAO MEDIJATOR ODNOSA IZMEĐU RANIH MALADAPTIVNIH SHEMA I MANIFESTACIJA DEPRESIVNOSTI, ANKSIOZNOSTI I STRESA

Igor Krnetić, Lana Vujaković
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Abstract

Although the link between Early Maladaptive Schemas and many psychopathological manifestations has been confirmed, there is still not enough research examining the mechanism by which this link is realized. The aim of this study was to examine whether psychological inflexibility could be a mediator of the relationship between early maladaptive schemas grouped in schema domains and problems in current functioning, manifested through depression, anxiety and stress symptoms. Among the instruments used were the Young’s Schema Questionnaire, the Acceptance and Action Questionnaire and Depression, Anxiety, and Stress Scales. The sample included 320 subjects (Nfemales = 215; M = 33.5; SD = 9.6). The results indicate significant connections of psychological inflexibility with all scheme domains and all criterion variables, with this connection being the strongest in relation to depression (r = .74, p < .01) and autonomy impairment domain (r = .74, p < .01). Schema domains are important predictors of criterion variables, provided that the highest percentage of explained variance is in relation to depression. Psychological inflexibility has been shown to be a partial mediator of all relations between all schema domains and manifestations of depression, anxiety and stress. Although schema domains still have a significant direct effect on psychopathological manifestations, in the case of impaired limits when it comes to anxiety (b = .045; p<.05, 95% BCa CI [.03, .05]) and depression (b = .06, p<.05, 95% BCa CI [.04, .07]) the difference between the indirect and direct effect is most evident, while in the case of stress the greatest difference between the effects is in relation to the domain of autonomy impairment (b = .07, p < .05, 95% BCa CI [.05, .08]). The implications for the integration of schema therapy and third wave cognitive-behavioral therapy are discussed. Keywords: early maladaptive schemas, schema domains, psychological flexibility, depression, stress, anxiety
尽管早期适应不良图式与许多精神病理表现之间的联系已被证实,但对这种联系实现的机制仍缺乏足够的研究。本研究的目的是探讨心理不灵活性是否可能是图式域中早期适应不良图式与当前功能问题(表现为抑郁、焦虑和压力症状)之间关系的中介。使用的工具包括杨氏图式问卷、接受与行动问卷和抑郁、焦虑和压力量表。样本包括320名受试者(nfemale = 215;M = 33.5;Sd = 9.6)。结果表明,心理不灵活性与所有方案域和所有标准变量都有显著的联系,其中与抑郁症(r = 0.74, p < 0.01)和自主性障碍域(r = 0.74, p < 0.01)的联系最强。图式域是标准变量的重要预测因子,前提是解释方差的最高百分比与抑郁有关。心理不灵活性已被证明是所有图式域与抑郁、焦虑和压力表现之间关系的部分中介。尽管图式域仍然对精神病理表现有显著的直接影响,但在涉及焦虑的限制受损的情况下(b = 0.045;p <。05, 95% BCa CI[。][03, .05])和抑郁(b = .06, p<。05, 95% BCa CI[。][04, .07])间接效应和直接效应之间的差异最为明显,而在压力的情况下,影响之间的最大差异是在自主性损害领域(b = .07, p < .05, 95% BCa CI]。05年。08])。讨论了图式疗法与第三波认知行为疗法整合的意义。关键词:早期适应不良图式,图式域,心理灵活性,抑郁,压力,焦虑
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