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Maladaptive Cognitive Schemas in Alcohol Dependence: Changes Associated with a Brief Residential Abstinence Program

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Abstract

Previous research has suggested that alcohol dependency may be associated with particular cognitive schemas. The objective of this study was to examine the severity of reported maladaptive schemas, and of anxiety and depression levels of an alcohol dependent group prior to and following a period of abstinence, and in comparison with a non-clinical sample. A total of 100 participants, comprising an alcohol dependent clinical (ADC) group (n = 50) and a non-clinical group (n = 50), were recruited. Data were collected on demographic characteristics, drinking patterns, severity of alcohol dependence, depression, anxiety, and maladaptive schemas. ADC participants reported higher levels of depression and anxiety than did the non-clinical group immediately before a period of abstinence. The groups differed significantly on 6 of 15 schema beliefs. Following a brief (3-week) period of abstinence and participation in a psycho-educational program, the ADC group demonstrated significant improvements in relation to depression, anxiety, and 13 out of 15 maladaptive schema beliefs. Further research is required to understand the association and potential relevance of particular schemas to alcohol dependency.

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References

  • Ball, S. A. (1998). Manualized treatment for substance abusers with personality disorders: Dual focus schema therapy. Addictive Behaviors, 23, 883–891. doi:10.1016/S0306-4603(98)00067-7.

    Article  CAS  PubMed  Google Scholar 

  • Ball, S. A. (2007). Cognitive-behavioural and schema-based models for the treatment of substance use disorders. In L. P. Riso, P. L. du Toit, D. J. Siein, & J. E. Young (Eds.), Cognitive schemas and core beliefs in psychological problems: A scientist practitioner guide. Washington, DC: American Psychological Association.

    Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

  • Ball, S. A., & Young, J. E. (2000). Dual focus schema therapy for personality disorders and substance dependence: Case study results. Cognitive and Behavioral Practice, 7, 270–281. doi:10.1016/S1077-7229(00)80083-8.

    Article  Google Scholar 

  • Beck, A. T. (1967). Depression: Clinical, experimental, and theoretical aspects. London: Staples Press.

    Google Scholar 

  • Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56, 893–897. doi:10.1037/0022-006X.56.6.893.

    Article  CAS  PubMed  Google Scholar 

  • Beck, A. T., & Steer, R. A. (1993). Manual for the Beck anxiety inventory. San Antonio, TX: The Psychological Corporation.

    Google Scholar 

  • Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck depression inventory-II. San Antonio, TX: The Psychological Corporation.

    Google Scholar 

  • Booth, P. G., Jones, A., Taylor, N., & Murphy, D. (1998). Treatment setting and treatment outcome in alcohol dependency: Residential and day-care options compared. Health & Social Care in the Community, 6, 251–259. doi:10.1046/j.1365-2524.1998.00125.x.

    Article  Google Scholar 

  • Brotchie, J., Hanes, J., Wendon, P., & Waller, G. (2006). Emotional avoidance among alcohol and opiate abusers: The role of schema-level cognitive processes. Behavioural and Cognitive Psychotherapy, 35, 231–236. doi:10.1017/S1352465806003511.

    Article  Google Scholar 

  • Brotchie, J., Meyer, C., Copello, A., Kidney, R., & Waller, G. (2004). Cognitive representations in alcohol and opiate abuse: The role of core beliefs. The British Journal of Clinical Psychology, 43, 337–342. doi:10.1348/0144665031752916.

    Article  PubMed  Google Scholar 

  • Brown, S. A., Irwin, M., & Schuckit, M. A. (1991). Changes in anxiety among abstinent male alcoholics. Journal of Studies on Alcohol, 52, 55–61.

    CAS  PubMed  Google Scholar 

  • Calvete, E., Estévez, A., Lopez de Arroyabe, E., & Ruiz, P. (2005). The schema questionnaire-short form: Structure and relationship with automatic thoughts and symptoms of affective disorders. European Journal of Psychological Assessment, 21, 90–99. doi:10.1027/1015-5759.21.2.90.

    Article  Google Scholar 

  • Decouvelaere, F., Graziani, P., Gackiere-Eraldi, D., Rusinek, S., & Hautekeete, M. (2002). Hypothesis of existence and development of early maladaptive schemas in alcohol-dependent patients. Journal de Thérapie Comportementale et Cognitive, 12, 43–48.

    Google Scholar 

  • Del Boca, F. K., & Noll, J. A. (2000). Truth or consequences: The validity of self-report in health services research on addictions. Addiction (Abingdon, England), 95, 347–360.

    Google Scholar 

  • Department of Health. (1992). The health of the nation: A strategy for health in England. London: Her Majesty’s Stationery Office.

    Google Scholar 

  • Dozois, D. J. A. (2007). Stability of negative self-structures: A longitudinal comparison of depressed, remitted and nonpsychiatric controls. Journal of Clinical Psychology, 63, 319–338. doi:10.1002/jclp.20349.

    Article  PubMed  Google Scholar 

  • Ford, P. (2003). An evaluation of the Dartmouth assessment of lifestyle inventory, and the Leeds dependence questionnaire for use among detained psychiatric inpatients. Addiction (Abingdon, England), 98, 111–118. doi:10.1046/j.1360-0443.2003.00313.x.

    Google Scholar 

  • Hedley, L. M., Hoffart, A., & Sexton, H. (2001). Early maladaptive schemas in patients with panic disorder with agoraphobia. Journal of Cognitive Psychotherapy, 15, 131–142.

    Google Scholar 

  • Liappas, J., Paparrigopoulos, T., Tzavellas, E., & Christodoulou, G. (2002). Impact of alcohol detoxification on anxiety and depressive symptoms. Drug and Alcohol Dependence, 68, 215–220. doi:10.1016/S0376-8716(02)00195-3.

    Article  CAS  PubMed  Google Scholar 

  • McGinn, L. K., & Young, J. E. (1996). Schema-focused therapy. In P. M. Salkovskis (Ed.), Frontiers of cognitive therapy (pp. 182–207). New York: Guilford.

    Google Scholar 

  • Raistrick, D., Bradshaw, J., Tober, G., Weiner, J., Allison, J., & Healey, C. (1994). Development of the Leeds dependence questionnaire (LDQ): A questionnaire to measure alcohol and opiate dependence in the context of a treatment evaluation package. Addiction (Abingdon, England), 89, 563–572. doi:10.1111/j.1360-0443.1994.tb03332.x.

    CAS  Google Scholar 

  • Riso, L. P., Froman, S. E., Raouf, M., Gable, P., Maddux, R. E., Turini-Santorelli, N., et al. (2006). The long-term stability of early maladaptive schemas. Cognitive Therapy and Research, 30, 515–529. doi:10.1007/s10608-006-9015-z.

    Article  Google Scholar 

  • Roth, A., & Fonagy, P. (2005). What works for whom? A critical review of psychotherapy Research (2nd ed.). New York and London: The Guilford Press.

    Google Scholar 

  • Schmidt, N. B., Schmidt, K. L., & Young, J. E. (1999). Schematic and interpersonal conceptualizations of depression: An integration. In T. E. Joiner & J. C. Coyne (Eds.), The interactional nature of depression: Advances in interpersonal approaches (pp. 127–148). Washington, DC: American Psychological Association.

    Chapter  Google Scholar 

  • Shah, R., & Waller, G. (2000). Parental style and vulnerability to depression: The role of core beliefs. The Journal of Nervous and Mental Disease, 188, 19–25. doi:10.1097/00005053-200001000-00004.

    Article  CAS  PubMed  Google Scholar 

  • Sheppard, L. C., & Teasdale, J. D. (2004). How does dysfunctional thinking decrease during recovery from major depression? Journal of Abnormal Psychology, 113, 64–71. doi:10.1037/0021-843X.113.1.64.

    Article  PubMed  Google Scholar 

  • Young, J. E. (1994). Cognitive therapy for personality disorders: A schema focused approach. Sarasota, FL: Professional Resource Exchange.

    Google Scholar 

  • Young, J. E. (1998). The young schema questionnaire: Short form. Available at: http://www.schematherapy.com/id54.htm.

  • Young, J. E., & Brown, G. (1994). Young schema questionnaire. In J. E. Young (Ed.), Cognitive therapy for personality disorders: A schema focused approach (2nd ed.). Sarasota, FL: Professional Resource Exchange.

    Google Scholar 

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

    Google Scholar 

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Acknowledgments

We wish to thank the staff at the recruitment sites for their assistance and support, and all participants who took part in the study for their time.

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Correspondence to James McGuire.

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Roper, L., Dickson, J.M., Tinwell, C. et al. Maladaptive Cognitive Schemas in Alcohol Dependence: Changes Associated with a Brief Residential Abstinence Program. Cogn Ther Res 34, 207–215 (2010). https://doi.org/10.1007/s10608-009-9252-z

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  • DOI: https://doi.org/10.1007/s10608-009-9252-z

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