Skip to main content
Log in

Do Early Maladaptive Schemas Mediate the Relationship Between Childhood Experiences and Avoidant Personality Disorder Features? A Preliminary Investigation in a Non-Clinical Sample

  • Original Article
  • Published:
Cognitive Therapy and Research Aims and scope Submit manuscript

Abstract

The current study tested the hypothesis that early maladaptive schemas (EMSs) mediate the relationship between retrospectively reported childhood experiences and avoidant personality disorder (AVPD) symptoms. One hundred and seventy-eight non-clinical participants completed questionnaires measuring retrospectively reported childhood experiences, a measure of EMSs, and AVPD symptoms. Path analyses showed that the EMSs of subjugation, abandonment, and emotional inhibition fully mediated the relationship between retrospectively reported childhood experiences (specifically mother overprotection & family sociability) and AVPD symptoms. The abandonment and subjugation EMSs were found to fully mediate the relationship between family sociability and AVPD symptoms while the subjugation and emotional inhibition EMSs fully mediated the relationship between mother (but not father) overprotection and AVPD symptoms. Finally, retrospective reports of childhood maltreatment were found to be associated with all EMSs within the disconnection/rejection domain apart from the abandonment EMS although these EMSs did not significantly account for AVPD symptoms. These results are consistent with cognitive-behavioural formulations of personality disorders and this study is the first to show that EMSs mediate the relationship between childhood factors and AVPD features.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  • Alden, L. E., Laposa, J. M., Taylor, C. T., & Ryder, A. G. (2002). Avoidant personality disorder: Current status and future directions. Journal of Personality Disorders, 16, 1–29. doi:10.1521/pedi.16.1.1.22558.

    Article  PubMed  Google Scholar 

  • APA. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: American Psychiatric Association.

    Google Scholar 

  • APA. (2000). Diagnostic and statistical manual of mental disorders (4th text revision ed.). Washington, D.C.: American Psychiatric Association.

    Google Scholar 

  • Armstrong, M. I., Birnie-Lefcovitch, S., & Ungar, M. T. (2005). Pathways between social support, family well being, quality of parenting, and child resilience: What we know. Journal of Child and Family Studies, 14(2), 269–281. doi:10.1007/s10826-005-5054-4.

    Article  Google Scholar 

  • Arntz, A. (1999). Do personality disorders exist? On the validity of the concept and its cognitive-behavioral formulation and treatment. Behaviour Research and Therapy, 37, s97–s134. doi:10.1016/S0005-7967(99)00052-2.

    Article  PubMed  Google Scholar 

  • Arntz, A., Dietzel, R., & Dreessen, L. (1999). Assumptions in borderline personality disorder: Specificity, stability, and relationship with etiological factors. Behaviour Research and Therapy, 37, 545–557. doi:10.1016/S0005-7967(98)00152-1.

    Article  PubMed  CAS  Google Scholar 

  • Bagby, M., & Farvolden, P. (2003). The personality diagnostic questionnaire-4 (PDQ-4). In M. J. Hilsenroth, D. L. Segal, & M. Hersen (Eds.), Comprehensive handbook of psychological assessment: volume 2, Personality assessment (pp. 122–133). USA: Wiley.

    Google Scholar 

  • Ball, S. A., & Cecero, J. J. (2001). Addicted patients with personality disorders: Traits, schemas and presenting problems. Journal of Personality Disorders, 15(1), 72–83. doi:10.1521/pedi.15.1.72.18642.

    Article  PubMed  CAS  Google Scholar 

  • Barber, B. K., & Buehler, C. (1996). Family cohesion and enmeshment: Different constructs, different effects. Journal of Marriage and the Family, 58(2), 433–441. doi:10.2307/353507.

    Article  Google Scholar 

  • Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182. doi:10.1037/0022-3514.51.6.1173.

    Article  PubMed  CAS  Google Scholar 

  • Battle, C. L., Shea, T., Johnson, D. M., Yen, S., Zlotnick, C., Zanarini, M., et al. (2004). Childhood maltreatment associated with adult personality disorders: Findings from the collaborative longitudinal personality disorder study. Journal of Personality Disorders, 18(2), 193–211. doi:10.1521/pedi.18.2.193.32777.

    Article  PubMed  Google Scholar 

  • Beck, A. T., Freeman, A., Davis, D. D., Pretzer, J., Fleming, B., Arntz, A., et al. (2004). Cognitive therapy of personality disorders. New York: The Guilford Press.

    Google Scholar 

  • Bernstein, D. P. (2002). Cognitive therapy of personality disorders in patients with histories of emotional abuse or neglect. Psychiatric Annals, 32(10), 618–628.

    Google Scholar 

  • Bernstein, D. P., & Fink, L. (1998). Childhood trauma questionnaire: A retrospective self-report. San Antonio: Psychological Corporation.

    Google Scholar 

  • Bernstein, D. P., Stein, J. A., & Handelsman, L. (1998). Predicting personality pathology among adult patients with substance use disorders: Effects of childhood maltreatment. Addictive Behaviors, 23(6), 855–868. doi:10.1016/S0306-4603(98)00072-0.

    Article  PubMed  CAS  Google Scholar 

  • Bloom, B. L. (1985). A factor analysis of self-report measures of family functioning. Family Process, 24(2), 225–239. doi:10.1111/j.1545-5300.1985.00225.x.

    Article  PubMed  CAS  Google Scholar 

  • Bögels, S. M., van Oosten, A., Muris, P., & Smulders, D. (2001). Familial correlates of social anxiety in children and adolescents. Behaviour Research and Therapy, 39, 273–287. doi:10.1016/S0005-7967(00)00005-X.

    Article  PubMed  Google Scholar 

  • Brewin, C. R., Andrews, B., & Gotlib, I. H. (1993). Psychopathology and early experience: A reappraisal of retrospective reports. Psychological Bulletin, 113, 82–98. doi:10.1037/0033-2909.113.1.82.

    Article  PubMed  CAS  Google Scholar 

  • Brook, C. A., & Schmidt, L. A. (2008). Social anxiety disorder: A review of environmental risk factors. Neuropsychiatric Disease and Treatment, 4(1), 123–143.

    PubMed  Google Scholar 

  • Bruch, M. A., & Heimberg, R. G. (1994). Differences in perceptions of parental and personal characteristics between generalized and nongeneralised social phobics. Journal of Anxiety Disorders, 8(2), 155–168. doi:10.1016/0887-6185(94)90013-2.

    Article  Google Scholar 

  • Carr, S., & Francis, A. (2009). Childhood familial environment, maltreatment and borderline personality disorder symptoms in a non-clinical sample: A cognitive behavioural perspective. Clinical Psychologist, 13(1), 28–37. doi:10.1080/13284200802680476.

    Article  Google Scholar 

  • Chambless, D. L., Fydrich, T., & Rodebaugh, T. L. (2006). Generalized social phobia and avoidant personality disorder: Meaningful distinction or useless duplication? Depression and Anxiety, 0, 1–12.

    Google Scholar 

  • Chorpita, B. F., & Barlow, D. H. (1998). The development of anxiety: The role of control in the early environment. Psychological Bulletin, 124, 3–21.

    Google Scholar 

  • Cramer, V., Torgersen, S., & Kringlen, E. (2006). Personality disorders and quality of life: A population study. Comprehensive Psychiatry, 47, 178–184. doi:10.1016/j.comppsych.2005.06.002.

    Article  PubMed  Google Scholar 

  • Davison, S., Leese, M., & Taylor, P. J. (2001). Examination of the screening properties of the personality diagnostic questionnaire 4+ (PDQ4+) in a prison population. Journal of Personality Disorders, 15(2), 180–194. doi:10.1521/pedi.15.2.180.19212.

    Article  PubMed  CAS  Google Scholar 

  • Davison, S., & Taylor, P. J. (2001). Psychological distress and severity of personality disorder symptomatology in prisoners convicted of violent and sexual offences. Psychology, Crime & Law, 7, 263–273. doi:10.1080/10683160108401797.

    Article  Google Scholar 

  • Dolan, B., Evans, C., & Norton, K. (1995). Multiple axis-II diagnoses of personality disorder. The British Journal of Psychiatry, 166(1), 107–112. doi:10.1192/bjp.166.1.107.

    Article  PubMed  CAS  Google Scholar 

  • Dunsmore, J. C., & Halberstadt, A. G. (1997). How does family emotional expressiveness affect children’s schemas? New Directions for Child Development, 77, 45–68.

    PubMed  Google Scholar 

  • Ekselius, L., Tillfors, M., Furmark, T., & Fredrickson, M. (2001). Personality disorders in the general population: DSM-IV and ICD-10 defined prevalence as related to sociodemographic profile. Personality and Individual Differences, 30, 311–320. doi:10.1016/S0191-8869(00)00048-9.

    Article  Google Scholar 

  • Fossati, A., Maffei, C., Bagnato, M., Donati, D., Fiorilli, M., Novella, L., et al. (1998). Brief communication: Criterion validity of the personality diagnostic questionnaire-4+ (PDQ-4+) in a mixed psychiatric sample. Journal of Personality Disorders, 12, 172–178.

    PubMed  CAS  Google Scholar 

  • Gibb, B. E., Wheeler, R., Alloy, L. B., & Abramson, L. Y. (2001). Emotional, physical, and sexual maltreatment in childhood versus adolescence and personality dysfunction in young adulthood. Journal of Personality Disorders, 15, 505–515. doi:10.1521/pedi.15.6.505.19194.

    Article  PubMed  CAS  Google Scholar 

  • Glaser, B. A., Campbell, L. F., Calhoun, G. B., Bates, J. M., & Petrocelli, J. V. (2002). The early maladaptive schema questionnaire-short form: A construct validity study. Measurement & Evaluation in Counseling & Development, 35, 2–13.

    Google Scholar 

  • Grilo, C. M., & Masheb, R. M. (2002). Childhood maltreatment and personality disorders in adult patients with binge eating disorder. Acta Psychiatrica Scandinavica, 106(3), 183–188. doi:10.1034/j.1600-0447.2002.02303.x.

    Article  PubMed  CAS  Google Scholar 

  • Hair, J. F. J., Anderson, R. E., Tatham, R. L., & Black, W. C. (1998). Multivariate data analysis (5th ed.). New Jersey: Prentice-Hall.

    Google Scholar 

  • Harter, S., & Vanecek, R. J. (2000). Cognitive assumptions and long-term distress in survivors of childhood abuse, parental alcoholism, and dysfunctional family environments. Cognitive Therapy and Research, 24(4), 445–472. doi:10.1023/A:1005531803919.

    Article  Google Scholar 

  • Henry, B., Moffitt, T. E., Caspi, A., Langley, J., & Silva, P. A. (1994). On the “remembrance of things past”: A longitudinal evaluation of the retrospective method. Psychological Assessment, 6, 92–101. doi:10.1037/1040-3590.6.2.92.

    Article  Google Scholar 

  • Hoffart, A., Sexton, H., Hedley, L. M., Wang, C. E., Holthe, H., Haugman, J. A., et al. (2006). The structure of maladaptive schemas: A confirmatory factor analysis and a psychometric valuation of factor-derived scales. Cognitive Therapy and Research, 29(6), 627–644. doi:10.1007/s10608-005-9630-0.

    Article  Google Scholar 

  • Hyler, S. E. (1994). Personality diagnostic questionnaire 4+ (PDQ-4+). New York: New York State Psychiatric Institute.

    Google Scholar 

  • Jackson, H. J., & Burgess, P. M. (2000). Personality disorders in the community: A report from the Australian national survey of mental health and well-being. Social Psychiatry and Psychiatric Epidemiology, 35, 531–538. doi:10.1007/s001270050276.

    Article  PubMed  CAS  Google Scholar 

  • Johnson, J. G., Cohen, P., Brown, J., Smailes, E. M., & Bernstein, D. P. (1999). Childhood maltreatment increases risk for personality disorders during early adulthood. Archives of General Psychiatry, 56, 600–606. doi:10.1001/archpsyc.56.7.600.

    Article  PubMed  CAS  Google Scholar 

  • Johnson, J. G., Smailes, E. M., Cohen, P., Brown, J., & Bernstein, D. P. (2000). Associations between four types of childhood neglect and personality disorder symptoms during adolescence and early adulthood: Findings of a community-based longitudinal study. Journal of Personality Disorders, 14(2), 171–187.

    PubMed  CAS  Google Scholar 

  • Jovev, M., & Jackson, H. J. (2004). Early maladaptive schemas in personality disordered individuals. Journal of Personality Disorders, 18(5), 467–478. doi:10.1521/pedi.18.5.467.51325.

    Article  PubMed  Google Scholar 

  • Joyce, P. R., McKenzie, J. M., Luty, S. E., Mulder, R. T., Carter, J. D., Sullivan, P. F., et al. (2003). Temperament, childhood environment and psychopathology as risk factors for avoidant and borderline personality disorders. The Australian and New Zealand Journal of Psychiatry, 37, 756–764. doi:10.1111/j.1440-1614.2003.01263.x.

    PubMed  Google Scholar 

  • Lee, C. W., Taylor, G., & Dunn, J. (1999). Factor structure of the schema questionnaire in a large clinical sample. Cognitive Therapy and Research, 23, 441–451. doi:10.1023/A:1018712202933.

    Article  Google Scholar 

  • Little, R. J. A., & Rubin, D. B. (1987). Statistical analysis with missing data. New York: Wiley.

    Google Scholar 

  • Lizardo, H., & Klein, D. N. (2005). Long-term stability of parental representations in depressed outpatients utilizing the parental bonding instrument. The Journal of Nervous and Mental Disease, 193(3), 183–188. doi:10.1097/01.nmd.0000154838.16100.36.

    Article  Google Scholar 

  • MacKinnon, D. P., Fairchild, A. J., & Fritz, M. S. (2007). Mediation analysis. Annual Review of Psychology, 58, 593–614. doi:10.1146/annurev.psych.58.110405.085542.

    Article  PubMed  Google Scholar 

  • MacKinnon, A. J., Henderson, A. S., Scott, R., & Duncan-Jones, P. (1989). The parental bonding instrument (PBI): An epidemiological study in a general population sample. Psychological Medicine, 19, 1023–1034.

    Article  PubMed  CAS  Google Scholar 

  • MacMillan, H. L., Fleming, J. E., Streiner, D. L., Lin, E., Boyle, M. H., Jamieson, E., et al. (2001). Childhood abuse and lifetime psychopathology in a community sample. The American Journal of Psychiatry, 158(11), 1878–1883. doi:10.1176/appi.ajp.158.11.1878.

    Article  PubMed  CAS  Google Scholar 

  • Manassis, K., Owens, M., Adam, K. S., West, M., & Sheldon-Keller, A. E. (1999). Assessing attachment: Convergent validity of the adult attachment interview and the parental bonding instrument. The Australian and New Zealand Journal of Psychiatry, 33, 559–567. doi:10.1046/j.1440-1614.1999.00560.x.

    PubMed  CAS  Google Scholar 

  • Mendlowicz, M. V., Braga, R. J., Cabizuca, M., Land, M. G., & Figueira, I. L. (2006). A comparison of publication trends on avoidant personality disorder and social phobia. Psychiatry Research, 144, 205–209. doi:10.1016/j.psychres.2004.06.024.

    Article  PubMed  Google Scholar 

  • Meyer, B. (2002). Personality and mood correlates of avoidant personality disorder. Journal of Personality Disorders, 16, 174–188. doi:10.1521/pedi.16.2.174.22546.

    Article  PubMed  Google Scholar 

  • Meyer, B., & Carver, C. S. (2000). Negative childhood accounts, sensitivity, and pessimism: A study of avoidant personality disorder features in college students. Journal of Personality Disorders, 14, 233–248.

    PubMed  CAS  Google Scholar 

  • Nakao, K., Gunderson, J. G., Phillips, K. A., Tanaka, N., Yorifuji, K., Takaishi, J., et al. (1992). Functional impairment in personality disorders. Journal of Personality Disorders, 6, 24–33.

    Google Scholar 

  • Nash, M. R., Hulsey, T. L., Sexton, M. C., Harralson, T. L., & Lambert, W. (1993). Long-term sequelae of childhood sexual abuse: Perceived family environment, psychopathology, and dissociation. Journal of Consulting and Clinical Psychology, 61, 276–283. doi:10.1037/0022-006X.61.2.276.

    Article  PubMed  CAS  Google Scholar 

  • Noyes, R., Woodman, C. L., Holt, C. S., Reich, J. H., & Zimmerman, M. B. (1995). Avoidant personality traits distinguish social phobia and panic disorder subjects. The Journal of Nervous and Mental Disease, 183, 145–153. doi:10.1097/00005053-199503000-00004.

    Article  PubMed  Google Scholar 

  • Paivo, S. C., & Cramer, K. M. (2004). Factor structure and reliability of the childhood trauma questionnaire in a Canadian undergraduate student sample. Child Abuse & Neglect, 28, 889–904. doi:10.1016/j.chiabu.2004.01.011.

    Article  Google Scholar 

  • Paris, J. (1998). Does childhood trauma cause personality disorders in adults? Canadian Journal of Psychiatry, 43(2), 148–153.

    CAS  Google Scholar 

  • Parker, G. (1989). The parental bonding instrument: Psychometric properties reviewed. Psychiatric Developments, 4, 317–335.

    Google Scholar 

  • Parker, G., Tupling, H., & Brown, L. B. (1979). A parental bonding instrument. The British Journal of Medical Psychology, 52, 1–10.

    Google Scholar 

  • Rapee, R. M., & Spence, S. H. (2004). The etiology of social phobia: Empirical evidence and an initial model. Clinical Psychology Review, 24, 737–767. doi:10.1016/j.cpr.2004.06.004.

    Article  PubMed  Google Scholar 

  • Reeves, M., & Taylor, J. (2007). Specific relationships between core beliefs and personality disorder symptoms in a non-clinical sample. Clinical Psychology & Psychotherapy, 14, 96–104. doi:10.1002/cpp.519.

    Article  Google Scholar 

  • Rettew, D. C. (2000). Avoidant personality disorder, generalized social phobia, and shyness: Putting the personality back in to personality disorders. Harvard Review of Psychiatry, 8, 283–297. doi:10.1093/hrp/8.6.283.

    PubMed  CAS  Google Scholar 

  • Rettew, D. C., Zanarini, M. C., Yen, S., Grilo, C. M., Skodol, A. E., Shea, M. T., et al. (2003). Childhood antecedents of avoidant personality disorder: A retrospective study. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 1122–1130. doi:10.1097/01.CHI.0000070250.24125.5F.

    Article  PubMed  Google Scholar 

  • Samuels, J., Eaton, W. W., Bienvenu, O. J., Brown, C. H., Costa, P. T., Jr, & Nestadt, G. (2002). Prevalence and correlates of personality disorders in a community sample. The British Journal of Psychiatry, 180, 536–542. doi:10.1192/bjp.180.6.536.

    Article  PubMed  Google Scholar 

  • Sansone, R. A., & Levitt, J. L. (2005). Borderline personality and eating disorders. Eating Disorders, 13, 71–83. doi:10.1080/10640260590893665.

    Article  PubMed  Google Scholar 

  • Schafer, J. L., & Graham, J. W. (2002). Missing data: Our view of the state of the art. Psychological Methods, 7, 147–177. doi:10.1037/1082-989X.7.2.147.

    Article  PubMed  Google Scholar 

  • Schmidt, N. B., Joiner, T. E., Young, J. E., & Telch, M. J. (1995). The schema questionnaire: Investigation of psychometric properties and the hierarchical structure of a measure of maladaptive schemas. Cognitive Therapy and Research, 19(3), 295–321. doi:10.1007/BF02230402.

    Article  Google Scholar 

  • Shrout, P. E., & Bolger, N. (2002). Mediation in experimental and nonexperimental studies: New procedures and recommendations. Psychological Methods, 7(4), 422–445. doi:10.1037/1082-989X.7.4.422.

    Article  PubMed  Google Scholar 

  • Skodol, A. E., Oldham, J. M., Bender, D. S., Dyck, I. R., Stout, R. L., Morey, L. C., et al. (2005). Dimensional representations of DSM-IV personality disorders: Relationships to functional impairment. The American Journal of Psychiatry, 162(10), 1919–1925. doi:10.1176/appi.ajp.162.10.1919.

    Article  PubMed  Google Scholar 

  • Stravynski, A., Elie, R., & Franche, R. L. (1989). Perceptions of early parenting by patients diagnosed with avoidant personality disorder: A test of the overprotection hypothesis. Acta Psychiatrica Scandinavica, 80, 415–420. doi:10.1111/j.1600-0447.1989.tb02999.x.

    Article  PubMed  CAS  Google Scholar 

  • Sturrock, B.A., Francis, A.J.P., & Carr, S.N. (2009). Avoidance of affect mediates the effect of invalidating childhood environments on borderline personality symptomatology in a non-clinical sample. Clinical Psychologist (in press).

  • Sullivan, P. F., Bulik, C. M., Carter, F. A., & Joyce, P. R. (1995). The significance of a history of childhood sexual abuse in bulimia nervosa. The British Journal of Psychiatry, 167, 679–682. doi:10.1192/bjp.167.5.679.

    Article  PubMed  CAS  Google Scholar 

  • Suveg, C., Sood, E., Barmish, A., Tiwari, S., Hudson, J. L., & Kendall, P. C. (2008). “I’d rather not talk about it”: Emotion parenting in families of children with an anxiety disorder. Journal of Family Psychology, 22(6), 875–884. doi:10.1037/a0012861.

    Article  PubMed  Google Scholar 

  • Taylor, C. T., Laposa, J. M., & Alden, L. E. (2004). Is avoidant personality disorder more than just social avoidance. Journal of Personality Disorders, 18(6), 571–594. doi:10.1521/pedi.18.6.571.54792.

    Article  PubMed  Google Scholar 

  • Torgersen, S., Kringlen, E., & Cramer, V. (2001). The prevalence of personality disorders in a community sample. Archives of General Psychiatry, 58(6), 590–596. doi:10.1001/archpsyc.58.6.590.

    Article  PubMed  CAS  Google Scholar 

  • Trull, T. J. (1993). Temporal stability and validity of two personality disorder inventories. Psychological Assessment, 5(1), 11–18. doi:10.1037/1040-3590.5.1.11.

    Article  Google Scholar 

  • Uehara, T., Sakado, K., & Sato, T. (1997). Test-retest reliability of the personality diagnostic questionnaire-revised. Psychiatry and Clinical Neurosciences, 51, 369–372. doi:10.1111/j.1440-1819.1997.tb02601.x.

    Article  PubMed  CAS  Google Scholar 

  • van Velzen, C. J. M., Emmelkamp, P. M. G., & Scholing, A. (2000). Generalized social phobia versus avoidant personality disorder: Differences in psychopathology, personality traits, and social and occupational functioning. Journal of Anxiety Disorders, 14, 395–411. doi:10.1016/S0887-6185(00)00030-X.

    Article  PubMed  Google Scholar 

  • Waller, G., Meyer, C., & Ohanian, V. (2001). Psychometric properties of the long and short versions of the Young Schema Questionnaire: Core beliefs among bulimic and comparison women. Cognitive Therapy and Research, 25(2), 137–147. doi:10.1023/A:1026487018110.

    Article  Google Scholar 

  • Welburn, K., Coristine, M., Dagg, P., Pontefract, A., & Jordan, S. (2002). The schema questionnaire-short form: Factor analysis and relationship between schemas and symptoms. Cognitive Therapy and Research, 26, 519–530. doi:10.1023/A:1016231902020.

    Article  Google Scholar 

  • Westen, D., & Shedler, J. (1999). Revising and assessing axis II, part II: Toward an empirically based and clinically useful classification of personality disorders. The American Journal of Psychiatry, 156(2), 273–285.

    PubMed  CAS  Google Scholar 

  • Weston, R., & Gore, P. A., Jr. (2006). A brief guide to structural equation modeling. The Counseling Psychologist, 34(5), 719–751. doi:10.1177/0011000006286345.

    Article  Google Scholar 

  • Widom, C. S., & Morris, S. (1997). Accuracy of adult recollections of childhood victimization: Part 2. Childhood sexual abuse. Psychological Assessment, 9(1), 34–46. doi:10.1037/1040-3590.9.1.34.

    Article  Google Scholar 

  • Widom, C. S., & Shepard, R. L. (1996). Accuracy of adult recollections of childhood victimization: Part 1. Childhood physical abuse. Psychological Assessment, 8, 412–421. doi:10.1037/1040-3590.8.4.412.

    Article  Google Scholar 

  • Wiggins, J. S., & Pincus, A. L. (1989). Conceptions of personality disorders and dimensions of personality. Psychological Assessment. Journal of Consulting and Clinical Psychology, 1(4), 305–316.

    Article  Google Scholar 

  • Wilberg, T., Dammen, T., & Friis, S. (2000). Comparing personality diagnostic questionnaire-4+ with a longitudinal, expert, all data (LEAD) standard diagnoses in a sample with a high prevalence of axis I and axis II disorders. Comprehensive Psychiatry, 41(4), 295–302. doi:10.1053/comp.2000.0410295.

    Article  PubMed  CAS  Google Scholar 

  • Willinger, U., Diendorfer-Radner, G., Willnauer, R., Jörgl, G., & Hager, V. (2005). Parenting stress and parental bonding. Behavioral Medicine (Washington, D.C.), 31(2), 63. doi:10.3200/BMED.31.2.63-72.

    Google Scholar 

  • Yang, J., Bagby, M., Costa, P. T., Jr, Ryder, A. G., & Herbst, J. H. (2002). Assessing the DSM-IV structure of personality disorder with a sample of Chinese psychiatric patients. Journal of Personality Disorders, 16(4), 317–331. doi:10.1521/pedi.16.4.317.24127.

    Article  PubMed  Google Scholar 

  • Young, J.E., & Brown, G.K. (2003). Young schema questionnaire-short form, from www.schematherapy.com.

  • Young, J. E., Klosko, J. S., & Weishaar, M. E. (2003). Schema therapy: A practitioner’s guide. New York: The Guilford Press.

    Google Scholar 

  • Zimmerman, M. (1994). Diagnosing personality disorders: A review of issues and research methods. Archives of General Psychiatry, 51, 225–245.

    PubMed  CAS  Google Scholar 

  • Zimmerman, M., Rothschild, L., & Chelminski, I. (2005). The prevalence of DSM-IV personality disorders in psychiatric outpatients. The American Journal of Psychiatry, 162, 1911–1918. doi:10.1176/appi.ajp.162.10.1911.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Steven N. Carr.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Carr, S.N., Francis, A.J.P. Do Early Maladaptive Schemas Mediate the Relationship Between Childhood Experiences and Avoidant Personality Disorder Features? A Preliminary Investigation in a Non-Clinical Sample. Cogn Ther Res 34, 343–358 (2010). https://doi.org/10.1007/s10608-009-9250-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10608-009-9250-1

Keywords

Navigation