Latent Profiles of Early Maladaptive Schemas and Their Associations With Suicide Risk Factors in Patients With Mood Disorders

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical psychology & psychotherapy Pub Date : 2025-03-29 DOI:10.1002/cpp.70069

Chanhee Park, C. Hyung Keun Park

{"title":"Latent Profiles of Early Maladaptive Schemas and Their Associations With Suicide Risk Factors in Patients With Mood Disorders","authors":"Chanhee Park, C. Hyung Keun Park","doi":"10.1002/cpp.70069","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Purpose</h3>\n \n <p>Although early maladaptive schemas (EMSs) have been linked to suicidal ideation, their heterogeneous nature has not been fully explored in this relationship. This study sought to identify distinct latent profiles based on 18 EMSs in a clinical sample and examine how these profiles differ in relation to suicidal ideation and suicide risk factors, such as perceived burdensomeness, thwarted belongingness and fearlessness about death.</p>\n </section>\n \n <section>\n \n <h3> Method</h3>\n \n <p>Data from routine clinical assessments of 799 outpatients with mood disorders (aged 18–49 years, 513 female, 286 male, <i>M</i><sub><i>age</i></sub> = 28.71) were analysed. Latent profile analysis was performed to identify distinct EMS profiles, and their associations with suicide risk factors were examined using the Bolck–Croon–Hagenaars method.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Five distinct EMS profiles emerged: <i>Low</i>, <i>Below Average</i>, <i>Above Average</i>, <i>Specific Elevation</i> and <i>High Risk</i>. The <i>Specific Elevation</i> profile demonstrated specifically elevated levels of social isolation/alienation, defectiveness/shame, failure, dependence/incompetence and insufficient self-control/self-discipline, while the levels of most other schemas were similar to the <i>Above Average</i> profile. The <i>High Risk</i> profile showed elevated levels across all schemas. Both the <i>Specific Elevation</i> profile and the <i>High Risk</i> profile exhibited the highest levels of perceived burdensomeness, thwarted belongingness and suicidal ideation, with no significant differences between them. Fearlessness about death did not differ among the profiles.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>The identified EMS profiles offer unique utility in predicting perceived burdensomeness, thwarted belongingness and suicidal ideation. The specific schemas that showed elevation in the <i>Specific Elevation</i> profile may serve as promising targets for mitigating suicide risk in patients with mood disorders.</p>\n </section>\n </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 2","pages":""},"PeriodicalIF":3.2000,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70069","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical psychology & psychotherapy","FirstCategoryId":"102","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/cpp.70069","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose

Although early maladaptive schemas (EMSs) have been linked to suicidal ideation, their heterogeneous nature has not been fully explored in this relationship. This study sought to identify distinct latent profiles based on 18 EMSs in a clinical sample and examine how these profiles differ in relation to suicidal ideation and suicide risk factors, such as perceived burdensomeness, thwarted belongingness and fearlessness about death.

Method

Data from routine clinical assessments of 799 outpatients with mood disorders (aged 18–49 years, 513 female, 286 male, M_age = 28.71) were analysed. Latent profile analysis was performed to identify distinct EMS profiles, and their associations with suicide risk factors were examined using the Bolck–Croon–Hagenaars method.

Results

Five distinct EMS profiles emerged: Low, Below Average, Above Average, Specific Elevation and High Risk. The Specific Elevation profile demonstrated specifically elevated levels of social isolation/alienation, defectiveness/shame, failure, dependence/incompetence and insufficient self-control/self-discipline, while the levels of most other schemas were similar to the Above Average profile. The High Risk profile showed elevated levels across all schemas. Both the Specific Elevation profile and the High Risk profile exhibited the highest levels of perceived burdensomeness, thwarted belongingness and suicidal ideation, with no significant differences between them. Fearlessness about death did not differ among the profiles.

Conclusion

The identified EMS profiles offer unique utility in predicting perceived burdensomeness, thwarted belongingness and suicidal ideation. The specific schemas that showed elevation in the Specific Elevation profile may serve as promising targets for mitigating suicide risk in patients with mood disorders.

Abstract Image

查看原文本刊更多论文

情绪障碍患者早期适应不良图式的潜在特征及其与自杀危险因素的关系

虽然早期适应不良图式（EMSs）与自杀意念有关，但其异质性尚未在这种关系中得到充分探讨。本研究试图根据临床样本中的18个EMSs识别不同的潜在特征，并检查这些特征与自杀意念和自杀风险因素（如感知负担、受挫的归属感和对死亡的无所畏惧）之间的差异。方法对799例情绪障碍门诊患者的常规临床评估资料进行分析，其中18 ~ 49岁，女性513例，男性286例，年龄28.71岁。进行潜在特征分析以确定不同的EMS特征，并使用Bolck-Croon-Hagenaars方法检查其与自杀风险因素的关联。结果出现了5种不同的EMS特征：低、低于平均、高于平均、特定海拔高度和高风险。“特定提升”表现出社会孤立/疏离、缺陷/羞耻、失败、依赖/无能和自我控制/自律不足的水平，而大多数其他图式的水平与“高于平均水平”相似。在所有模式中，高风险概况显示出较高的水平。特定海拔剖面和高风险剖面均表现出最高水平的感知负担、受挫的归属感和自杀意念，两者之间无显著差异。对死亡的无畏在不同的人物形象中没有区别。结论识别的EMS特征在预测感知负担、受挫归属感和自杀意念方面具有独特的效用。在特定升高谱中显示出升高的特定图式可能作为减轻情绪障碍患者自杀风险的有希望的目标。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

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.