Comparison of Early Maladaptive Schemas in Patients with Obsessive-Compulsive Disorder, Patients with Obsessive-Compulsive Personality Disorder with Healthy Individuals

Abstract

Objective: Early maladaptive schemas (EMSs) fundamental beliefs that underpin stable and trait-like psychological disorders are chronic and relapsing. In our research, active schemas in Obssessive-Compulsive patients with Obssessive Compulsive Pesrsonality patients have been compared with healthy individuals.The purpose of this study was to compare early maladaptive schemas Young (2003, 1990) in OCD patients with OCPD patients and healthy subjects. Method: For this study, 38 patients with Obssessive Compulsive disorder and 44 patients with Obssessive Compulsive Personality disorder during the year who referred to medical centers and clinics in Kermanshah city were selected through structured interviews and the Yele Braown Obssessive Compulsive Scale (Y-BOCS), and 63 patients from diagnosis for mild problems who referred to the clinic were considered as controls. 15 early maladaptive schemas through Young Schema Questionnaire-Short Form (YSQ-SF) were measured. Results: Analysis of variance showed that maladaptive schemas are different in the three groups. All maladaptive schemas except Self-sacrifice, and insufficient self-control in both group of patients were significantly higher than in healthy individuals. The results indicate that differences between individuals with obssessive-compulsive disorder and healthy control in schemas of emotional deprivation, mistrust, social isolation, Failure to achieve, Dependence, Vulnerability to harm, Subjugation, Emotional inhibition, and Unrelenting standards were statistically significant. The obssessive compulsive personality disorder group significantly obtained higher scores than the obssessive compulsive disorder group in 13 schemes. Also the obssessive compulsive personality disorder group obtained higher scores compared to the healthy control group in the total score of schemas. Conclusion: The findings of the present study suggest that, in the OCD and OCPD patients, all maladaptive schemas except Self-sacrifice, and insufficient self-control indicated higher scores. The effect size in this study shows that in both disorders schemas and schemas of vulnerability to harm and illness to have the greatest impact.

DOI: 10.5901/mjss.2015.v6n4s2p171