The Relationship Between Early Maladaptive Schemas and Cluster C Personality Disorder Traits: A Systematic Review and Meta-Analysis.

IF 5.5 2区医学 Q1 PSYCHIATRY

Current Psychiatry Reports Pub Date : 2023-10-01 Epub Date: 2023-10-23 DOI:10.1007/s11920-023-01439-3

Angelos Panagiotopoulos, Akylina Despoti, Christina Varveri, Marie C A Wiegand, Jill Lobbestael

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Abstract

Purpose of review: We systematically reviewed and meta-analyzed the literature on the relationship between early maladaptive schemas (EMSs) and Cluster C personality disorders (PDs). Our aim was to clarify which of the 18 EMSs exhibit the strongest associations and are most frequently endorsed in clinical and non-clinical samples with Cluster C PDs and traits.

Recent findings: After initially screening 2622 records, 12 studies were selected with 5310 participants. Meta-analyses of the raw correlation coefficients for each EMS-Cluster C PD link (3-8 studies per meta-analysis) indicated that the 18 EMSs were significantly related to all three Cluster C PDs with r's ranging from .13 to .63. However, when considering endorsement rates among multiple regression studies that controlled for the EMSs intercorrelations and the effects of other PD traits and demographics, specific EMS constellations emerged for each Cluster C PD. Overall, the findings of the current paper suggest that Cluster C PDs might be conceptualized on the basis of a hybrid EMS model, in which all EMSs contribute to global personality dysfunction whereas specific EMS patterns reflect unique personality disorder style expressions. Longitudinal research with appropriate methodology is needed to draw more definite conclusions on the EMSs-Cluster C PDs relationships.

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早期适应不良图式与C类人格障碍特征的关系：系统综述和荟萃分析。

综述目的：我们系统地回顾并荟萃分析了早期适应不良图式（EMS）与C类人格障碍（PD）之间关系的文献。我们的目的是澄清18个EMS中哪一个表现出最强的相关性，并且在具有C类PD和特征的临床和非临床样本中最常见。最近的发现：在最初筛选了2622份记录后，选择了12项研究，共5310名参与者。对每个EMS聚类C PD链接的原始相关系数的荟萃分析（每次荟萃分析3-8项研究）表明，18个EMS与所有三个聚类C PD显著相关，r值在.13至.63之间。然而，当考虑到控制EMS相互关联以及其他PD特征和人口统计学影响的多元回归研究中的支持率时，每个聚类C PD都出现了特定的EMS星座。总体而言，当前论文的研究结果表明，聚类C PD可能是在混合EMS模型的基础上概念化的，其中所有EMS都会导致整体人格功能障碍，而特定的EMS模式反映了独特的人格障碍风格表达。需要采用适当方法进行纵向研究，以对EMS-集群C-PDs关系得出更明确的结论。

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来源期刊

Current Psychiatry Reports PSYCHIATRY-

CiteScore

11.30

自引率

3.00%

发文量

审稿时长

6-12 weeks

期刊介绍： This journal aims to review the most important, recently published research in psychiatry. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care of those affected by psychiatric disorders. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as anxiety, medicopsychiatric disorders, and schizophrenia and other related psychotic disorders. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.

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