Early Maladaptive Schemas Mediate the Relationship Between Childhood Trauma and Interpersonal Problems in Eating Disorders

IF 3.2 3区 心理学 Q1 PSYCHOLOGY, CLINICAL
Matteo Aloi, Marianna Rania, Elvira Anna Carbone, Renato de Filippis, Daria Quirino, Ettore D'Onofrio, Cristina Segura-Garcia
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Abstract

Recent research highlights the role of childhood trauma in the development of eating disorders (EDs), suggesting that adverse experiences can disrupt emotional and cognitive development, leading to early maladaptive schemas (EMSs) and interpersonal problems. EMSs are psychological structures encompassing cognition, emotions, images, and bodily sensations. These EMSs are hypothesized to mediate the relationship between childhood trauma and ED pathology. This study aimed to extend the investigation of how childhood trauma leads to interpersonal difficulties, mediated by EMSs.

This cross-sectional study recruited 321 patients with EDs: n = 77 Anorexia Nervosa–Restricting (AN-R), n = 26 AN–Binge/Purge (AN-BP), n = 94 Bulimia Nervosa (BN), and n = 124 Binge Eating Disorder (BED). They completed the Eating Disorder Examination (EDE), Inventory of Interpersonal Problems (IIP-32), Young Schema Questionnaire (YSQ-S3), and Childhood Trauma Questionnaire (CTQ-SF). Path analyses were conducted to examine associations between childhood trauma, EMSs, and interpersonal problems.

Results indicated that patients with BED reported the highest levels of sexual abuse. Those with BN exhibited higher scores across all EMS domains. Positive correlations were found between childhood adversities, EMS domains, and interpersonal problems, except for the relationship between sexual abuse and schema domains. Mediation analyses revealed significant indirect effects of emotional abuse on interpersonal problems through disconnection and rejection domain.

This study consolidates the notion that EMSs mediate the relationship between childhood trauma and interpersonal problems in ED patients, highlighting the importance of addressing early trauma and EMSs to improve therapeutic outcomes. Future research should focus on longitudinal analyses to better understand the temporal development of these relationships.

Abstract Image

饮食失调患者童年创伤与人际关系的关系:早期适应不良图式的中介作用
最近的研究强调了童年创伤在饮食失调(EDs)发展中的作用,表明不良经历可以破坏情绪和认知发展,导致早期适应不良图式(EMSs)和人际关系问题。EMSs是包含认知、情感、图像和身体感觉的心理结构。这些EMSs被假设调解儿童创伤和ED病理之间的关系。本研究旨在探讨童年创伤如何导致人际关系困难,并由EMSs介导。本横断面研究招募了321例EDs患者:n = 77例神经性厌食症(AN-R), n = 26例神经性暴食/清除症(AN-BP), n = 94例神经性贪食症(BN), n = 124例暴食症(BED)。完成进食障碍量表(EDE)、人际关系问题量表(IIP-32)、青少年图式问卷(YSQ-S3)和儿童创伤问卷(CTQ-SF)。通过通径分析,研究儿童创伤、EMSs和人际关系问题之间的关系。结果表明,BED患者报告的性侵犯程度最高。那些有BN的人在所有EMS领域都表现出更高的分数。除性虐待与图式域有显著正相关外,童年逆境、心理环境域与人际关系问题呈显著正相关。中介分析显示,情绪虐待通过断连和拒绝域对人际关系问题有显著的间接影响。这项研究巩固了EMSs介导ED患者童年创伤和人际关系问题之间关系的观点,强调了解决早期创伤和EMSs对改善治疗结果的重要性。未来的研究应侧重于纵向分析,以更好地了解这些关系的时间发展。
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来源期刊
Clinical psychology & psychotherapy
Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-
CiteScore
6.30
自引率
5.60%
发文量
106
期刊介绍: Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.
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