The Role Of Early Maladaptive Schemas And Coping Strategies In Substance Dependence
Objective: The aim of this study was to evaluate the early maladaptive schemas and coping strategies of substance dependents. We hypothesized that substance dependents would have more maladaptive schemas and would use less adaptive coping strategies than healthy controls. Methods: Thirty-two pati...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Kare Publishing
2014-11-01
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| Series: | Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi |
| Subjects: | |
| Online Access: | http://www.scopemed.org/fulltextpdf.php?mno=164730 |
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| Summary: | Objective: The aim of this study was to evaluate the early maladaptive schemas and coping strategies of substance
dependents. We hypothesized that substance dependents would have more maladaptive schemas and would use less
adaptive coping strategies than healthy controls.
Methods: Thirty-two patients diagnosed with substance dependence and 31 control subjects without any psychiatric
disorders were evaluated via Young Schema Questionnaire-SF, COPE, and Structured Clinical Interview for DSM-IV Axis
I Disorders (SCID-I).
Results: The substance dependents scored significantly higher than the control group in nine out of fourteen early
maladaptive schemas. In terms of coping strategies, the substance dependents scored significantly lower than the control
group in positive reinterpretation and growth, seeking social support for instrumental reasons, active coping, and seeking
social support for emotional reasons, and significantly higher in behavioral disengagement and alcohol-drug disengagement
subscales. Moreover, alcohol-drug disengagement type of coping style was significantly predicted by schemas of emotional
deprivation, emotional inhibition, enmeshment/dependence, entitlement/ insufficient self-control, abandonment/instability,
punitiveness, defectiveness/shame, vulnerability to harm or illness, and unrelenting standards/hypercriticalness.
Discussion: Current study showed that the substance dependents had more maladaptive unhealthy core beliefs and
ineffective coping strategies than a non-clinical control group. These findings support the importance of early maladaptive
schemas which might be the underlying factor for the dependence problem, and might prevent the person to deal with
the problem with more active and problem focused coping strategies. |
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| ISSN: | 2146-9490 2146-9490 |