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. 2023 Jan;30(1):152-165.
doi: 10.1002/cpp.2789. Epub 2022 Oct 17.

Exploring the association between early adaptive schemas and self-reported eating disorder symptomatology

Anthea L Maher  1 , Andrew Allen  1   2 , Jonathan Mason  1   2 , Catherine Houlihan  3 , Andrew P Wood  1   2 , Tyrone Huckstepp  1   2
Affiliations

Exploring the association between early adaptive schemas and self-reported eating disorder symptomatology

Anthea L Maher et al. Clin Psychol Psychother. 2023 Jan.

Abstract

Objective: The current study aimed to examine the relationship between early adaptive schemas and eating disorder symptomatology in adults.

Method: A cross-sectional, correlational design was used to collect data from 352 females and 36 males aged between 18 and 49 years (M = 25.70, SD = 7.04). Participants completed an online questionnaire, which included The Young Positive Schema Questionnaire (YPSQ), Eating Disorder Examination-Questionnaire (EDE-Q) and demographic measures.

Results: Four separate hierarchical multiple regression analyses showed that high levels of Healthy Boundaries and low levels of Optimism significantly predicted lower Restraint, Eating Concern, Shape Concern and Weight Concern scores. Additionally, higher scores in Emotional Openness and Social Belonging significantly predicted lower Eating Concern, while higher scores in Self-Care significantly predicted lower levels of Shape Concern.

Conclusion: The findings highlight the protective function that certain early adaptive schemas may play in mitigating eating disorder symptomatology. Moreover, the findings allude to potential modifiable therapy targets in the treatment of eating disorders. Further research is needed to investigate any differences in early adaptive schemas between eating disorder diagnoses.

Keywords: early adaptive schema; early maladaptive schema; eating disorder; schema therapy.

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Conflict of interest statement

The authors wish to declare that no conflict of interest exists.

References

    1. Agras, W. S. , Walsh, B. T. , Fairburn, C. G. , Wilson, G. T. , & Kraemer, H. C. (2000). A multicenter comparison of cognitive‐behavioral therapy and interpersonal psychotherapy for bulimia nervosa. Archives of General Psychiatry, 57(5), 459–466. 10.1001/archpsyc.57.5.459 - DOI - PubMed
    1. American Psychiatric Association . (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Author. 10.1176/appi.books.9780890425596 - DOI
    1. Arcelus, J. , Mitchell, A. J. , Wales, J. , & Nielsen, S. (2011). Mortality rates in patients with anorexia nervosa and other eating disorders: A meta‐analysis of 36 studies. Archives of General Psychiatry, 68(7), 724–731. 10.1001/archgenpsychiatry.2011.74 - DOI - PubMed
    1. Arntz, A. , Rijkeboer, M. , Chan, E. , Fassbinder, E. , Karaosmanoglu, A. , Lee, C. W. , & Panzeri, M. (2021). Towards a reformulated theory underlying schema therapy: Position paper of an international workgroup. Cognitive Therapy and Research, 45(6), 1007–1020. 10.1007/s10608-021-10209-5 - DOI
    1. Atwood, M. E. , & Friedman, A. (2020). A systematic review of enhanced cognitive behavioral therapy (CBT‐E) for eating disorders. International Journal of Eating Disorders, 53(3), 311–330. 10.1002/eat.23206 - DOI - PubMed