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International Journal of Cognitive Therapy

, Volume 12, Issue 1, pp 16–24 | Cite as

The Effectiveness of Group Emotional Schema Therapy on Emotional Regulation and Social Anxiety Symptoms

  • Maryam Morvaridi
  • Ali MashhadiEmail author
  • Zohreh Sepehri Shamloo
  • Robert L. Leahy
Article

Abstract

The purpose of this study was to investigate the effectiveness of group emotional schema therapy on emotional regulation, emotional schemas, and social anxiety. The research was quasi-experimental with a pretest and posttest design with a waiting list control group. The study population included 24 women aged 18 to 35 years old with social anxiety disorder, half of whom were randomly assigned to a treatment group or waiting list control. Ten sessions of group emotional schema therapy were conducted. Measures included an Emotional Regulation Questionnaire, Wells Anxious Thoughts Questionnaire, and the Leahy Emotional Schema Scale. Compared to participants in the control group Emotional Schema Therapy (EST) reduced anxiety symptoms, including health anxiety and social anxiety, increased reappraisal, and decreased suppression. Finally, emotional schema therapy increased the use of positive emotional schemas and decreased the use of negative emotional schemas. These findings support the effectiveness of EST in the treatment of these anxiety disorders.

Keywords

Group emotional schema therapy Social anxiety disorder Emotional regulation Emotional schemas 

Notes

References

  1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author.Google Scholar
  2. Batmaz, S., Kaymak, S. U., Kocbiyik, S., & Turkcapar, M. H. (2014). Metacognitions and emotional schemas: a new cognitive perspective for the distinction between unipolar and bipolar depression. Comprehensive Psychiatry, 55(7), 1546–1555.PubMedGoogle Scholar
  3. Daneshmandi, S., Izadikhah, Z., Kazemi, H., & Mehrabi, H. (2014). The effectiveness of emotional schema therapy on emotional schemas of female victims of child abuse and neglect. The Journal of Shahid Sadoughi University of Medical Sciences, 22(5), 1481–1494.Google Scholar
  4. Fata, L., Moutabi, F., Moloudi, R., & Ziayee, K. (2010). Psychometric properties of Persian version of thought control questionnaire and anxious thought inventory in Iranian students. Journal of Psychological Models and Methods, 1(1), 81–104.Google Scholar
  5. Gross, J. J., & Jazaieri, H. (2014). Emotion, emotion regulation, and psychopathology: an affective science perspective. Clinical Psychological Science: A Journal of the Association for Psychological Science, 2(4), 387–401.Google Scholar
  6. Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being. Journal of Personality and Social Psychology, 85(2), 348.PubMedGoogle Scholar
  7. Hasani, J. (2017). Persian version of the emotion regulation questionnaire: factor structure, reliability and validity. International Journal of Behavioral Sciences, 10(3), 156–161.Google Scholar
  8. Heinrichs, N., & Hofmann, S. G. (2001). Information processing in social phobia: A critical review. Clinical Psychology Review, 21(5), 751–770.PubMedGoogle Scholar
  9. Hofmann, S. G. (2007). Cognitive factors that maintain social anxiety disorder: a comprehensive model and its treatment implications. Cognitive Behaviour Therapy, 36(4), 193–209.  https://doi.org/10.1080/16506070701421313.PubMedGoogle Scholar
  10. Jafari, A., Pouyamanesh, J., Ghorbanian, N., & Kabiri, M. (2014). The effectiveness of schema therapy on moderating early maladaptive schemas and reducing students’ anxiety sensitivity. Journal of Instruction and Evaluation, 6(24), 79–91.Google Scholar
  11. Jazaieri, H., Goldin, P. R., & Gross, J. J. (2017). Treating social anxiety disorder with CBT: impact on emotion regulation and satisfaction with life. Cognitive Therapy and Research, 41(3), 406–416.Google Scholar
  12. Kashdan, T. B., & Breen, W. E. (2008). Social anxiety and positive emotions: a prospective examination of a self-regulatory model with tendencies to suppress or express emotions as a moderating variable. Behavior Therapy, 39(1), 1–12.PubMedGoogle Scholar
  13. Khaleghi, M., Leahy, R. L., Akbari, E., Mohammadkhani, S., Hasani, J., & Tayyebi, A. (2017). Emotional Schema therapy for generalized anxiety disorder: a single-subject design. International Journal of Cognitive Therapy, 10(4), 269–282.Google Scholar
  14. Kocovski, N. L., Fleming, J. E., & Rector, N. A. (2009). Mindfulness and acceptance-based group therapy for social anxiety disorder: an open trial. Cognitive and Behavioral Practice, 16(3), 276–289.  https://doi.org/10.1016/j.cbpra.2008.12.004.Google Scholar
  15. Leahy, R. L. (2002). A model of emotional schemas. Cognitive and Behavioral Practice, 9(3), 177–190.Google Scholar
  16. Leahy, R. L., Tirch, D., & Napolitano, L. A. (2011). Emotion regulation in psychotherapy: A practitioner’s guide. New York: Guilford Press. Retrieved December 05, 2017 from https://goo.gl/nqf57o.
  17. Leahy, R. L. (2015). Emotional schema therapy. New York, NY: Guilford Press.Google Scholar
  18. Leahy, R. L., Tirch, D. D., & Melwani, P. S. (2012). Processes underlying depression: risk aversion, emotional schemas, and psychological flexibility. International Journal of Cognitive Therapy, 5(4), 362–379.Google Scholar
  19. Mashhadi, A., Ghasempour, A., Akbari, E., Ilbaygi, R., & Hassanzadeh, S. (2013). The role of anxiety sensitivity and emotion regulation in prediction of social anxiety disorder in students. JSR, 14(52), 89–99.Google Scholar
  20. Mirzaee Garakani, M., Asgharnejad Farid, A. A., Fathali Lavasani, F., & Ahadian Fard, P. (2014). Comparison of emotional schemas and study of the relationship between anxiety, worry and emotional schema in patients with obsessive-compulsive disorder, social anxiety disorder and in normal group. Research in Psychological Health, 8(1), 21–30.Google Scholar
  21. Naderi, Y., Moradi, A. R., Hasani, J., & Noohi, S. (2015). Effectiveness of emotional schema therapy on cognitive emotion regulation strategies of combat-related post traumatic stress disorder veterans. Iranian Journal of War and Public Health, 7(3), 147–155.Google Scholar
  22. Rezaee, M., Ghazanfari, F., & Reazee, F. (2016). Effectiveness of emotional schema therapy on severity of depression and rumination in people with major depressive disorder. The Journal of Shahid Sadoughi University of Medical Sciences University of Medical Sciences, 24(1), 41–54.Google Scholar
  23. Rezaei, M., Ghadampur, E., & Kazemi, R. (2016). Effectiveness of emotional schema therapy on rumination and severity of depression in patients with major depressive disorder. Journal of Clinical Psychology, 7(4), 45–58.Google Scholar
  24. Rodebaugh, T., & Heimberg, R. (2008). Emotion regulation and the anxiety disorders: adopting a self-regulation perspective. Emotion Regulation, 140–149.  https://doi.org/10.1007/978-0-387-29986-0_9.
  25. Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (Eleventh ed.). Philadelphia: Wolters Kluwer.Google Scholar
  26. Schneir, F., & Goldmark. (2015). Social anxiety disorder. International Publishing Switzerland. 49–67.  https://doi.org/10.1007/978-3-319-13060-6_3.
  27. Tashkeh, M., & Barani, M. (2015). Prediction of social anxiety by cognitive emotional regulation and emotional schema in boys and girls students. Zanko Journal of Medical Sciences, 16(50), 72–83.Google Scholar
  28. Tirch, D. D., Leahy, R. L., Silberstein, L. R., & Melwani, P. S. (2012). Emotional schemas, psychological flexibility, and anxiety: the role of flexible response patterns to anxious arousal. International Journal of Cognitive Therapy, 5(4), 380–391.Google Scholar
  29. Westphal, M., Leahy, R. L., Pala, A. N., & Wupperman, P. (2016). Self-compassion and emotional invalidation mediate the effects of parental indifference on psychopathology. Psychiatry Research, 242, 186–191.PubMedGoogle Scholar

Copyright information

© International Association of Cognitive Psychotherapy 2018

Authors and Affiliations

  • Maryam Morvaridi
    • 1
  • Ali Mashhadi
    • 1
    Email author
  • Zohreh Sepehri Shamloo
    • 1
  • Robert L. Leahy
    • 2
  1. 1.Department of Clinical PsychologyFerdowsi University of MashhadMashhadIran
  2. 2.American Institute for Cognitive TherapyNew YorkUSA

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