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首页> 外文期刊>Psychopathology >A Comparison of Schemas, Schema Modes and Childhood Traumas in Obsessive-Compulsive Disorder, Chronic Pain Disorder and Eating Disorders
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A Comparison of Schemas, Schema Modes and Childhood Traumas in Obsessive-Compulsive Disorder, Chronic Pain Disorder and Eating Disorders

机译:强迫症,慢性疼痛症和进食障碍中的图式,图式模式和儿童创伤的比较

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Background: In this study, we investigated early maladaptive schemas (EMS), schema modes and childhood traumas in patients suffering from obsessive-compulsive disorder (OCD) in contrast to patients with other Axis I disorders. Based on cognitive theories on OCD, our main research question was whether schemas belonging to the domain of 'impaired autonomy and performance' are more prevalent in OCD than in both eating disorders (ED) and chronic pain disorder (CPD). Sampling and Methods: EMS, schema modes and traumatic childhood experiences were measured in 60 patients with OCD, 41 with ED, 40 with CPD and 142 healthy controls. To analyze differences between the groups, MANCOVAs were conducted followed by deviation contrasts. Depression level, age and gender were considered as possible covariates. Results: OCD patients scored higher on 4 EMS, 2 of which belong to the domain 'impaired autonomy and performance'. ED patients had higher scores in the EMS 'emotional inhibition' and CPD pa-tients on the Childhood Trauma Questionnaire subscale 'physical neglect'. Conclusions: These results suggest that there might be typical schema patterns associated with OCD and ED. We can also conclude that a higher prevalence of traumatic experiences does not necessarily coincide with more EMS and schema modes.
机译:背景:在这项研究中,我们调查了强迫症(OCD)患者与其他Axis I疾病患者的早期适应不良方案(EMS),方案模式和儿童期创伤。根据有关强迫症的认知理论,我们的主要研究问题是,强迫症中属于“自主能力和表现受损”领域的图式是否比进食障碍(ED)和慢性疼痛障碍(CPD)更普遍。抽样和方法:对60例强迫症,41例ED,40例CPD和142例健康对照者进行了EMS,模式模式和童年创伤经历的测量。为了分析组之间的差异,先进行了MANCOVA,然后进行偏差对比。抑郁水平,年龄和性别被认为是可能的协变量。结果:强迫症患者在4项EMS上得分更高,其中2项属于“自主能力和表现受损”领域。 ED患者在“儿童创伤问卷”子量表“忽视身体”方面的EMS“情绪抑制”和CPD患者得分较高。结论:这些结果表明,可能存在与OCD和ED相关的典型模式模式。我们还可以得出结论,较高的创伤经历率并不一定与更多的EMS和模式模式相吻合。

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