Abstract
The aim of the present study was to determine the effect of early maladaptive schemas on the relationship between attachment and mental health symptoms of university students. The study was conducted with 413 students studying in two different universities in Turkey. Data were collected using a Descriptive Information Form, Brief Symptom Inventory, Young Schema Questionnaire and Inventory of Parent Attachment. The obtained data were evaluated by constructing a structural equation model using the AMOS 23 V software. In the present study, it was found that insecure attachment to mothers and disconnection/rejection schema area exert a direct significant positive effect on depression and anxiety symptoms. The disconnection/rejection and impaired autonomy schema areas were observed to significantly and positively mediate insecure attachment to parents in explaining depression and anxiety symptoms. In line with these results, it was suggested that for individuals to establish trust-based relationships and maintain their mental health, replacing maladaptive schemas with realistic beliefs was important in terms of preventing mental illnesses from occurring, as the replacement of these schemas positively affected the mental well-being of university students.
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References
Ahmadpanah, M., Astinsadaf, S., Akhondi, A., Haghighi, M., Sadeghi-Bahmani, D., Nazaribadie, M., et al. (2017). Early maladaptive schemas of emotional deprivation, social isolation, shame and abandonment are related to a history of suicide attempts among patients with major depressive disorders. Comprehensive Psychiatry, 77, 71–79. https://doi.org/10.1016/j.comppsych.2017.05.008.
Armsden, G. C., & Greenberg, M. T. (1987). The inventory of parent and peer attachment: Individual differences and their relationship to psychological well-being in adolescence. Journal of Youth and Adolescence, 16(5), 427–454. https://doi.org/10.1007/BF02202939.
Arnett, J., Žukauskienė, R., & Sugimura, K. (2014). The new life stage of emerging adulthood at ages 18–29 years: Implications for mental health. Lancet Psychiatry, 1, 569–576. https://doi.org/10.1016/S2215-0366(14)00080-7.
Bach, B., Lockwood, G., & Young, J. E. (2018). A new look at the schema therapy model: Organization and role of early maladaptive schemas. Cognitive Behaviour Therapy, 47(4), 328–349. https://doi.org/10.1080/16506073.2017.1410566.
Bakırcıoğlu, R. (2011). Mental health in children and adolescents. Ankara: Anı Publication.
Blomgren, A. S., Svahn, K., Åström, E., & Rönnlund, M. (2016). Coping strategies in late adolescence: Relationships to parental attachment and time perspective. Journal of Genetic Psychology, 177(3), 85–96. https://doi.org/10.1080/00221325.2016.1178101.
Bowlby, J. (1982). Attachment and loss vol. I: Attachment (2nd ed.). New York: Basic Books.
Bowlby, J. (1988). Secure base: Clinical applications of attachment theory. Routledge, London: J.W.Ainsworth Ltd.
Bowlby, J. (2014). Establishing and breaking love ties. Kamer M. (Translator). İstanbul: Psychotherapy Institute Education Publishing, Acar Printer.
Calvete, E. (2014). Emotional abuse as a predictor of early maladaptive schemas in adolescents: Contributions to the development of depressive and social anxiety symptoms. Child Abuse & Neglect, 38(4), 735–746. https://doi.org/10.1016/j.chiabu.2013.10.014.
Calvete, E., Orue, I., & Hankin, B. L. (2013). Early maladaptive schemas and social anxiety in adolescents: The mediating role of anxious automatic thoughts. Journal of Anxiety Disorders, 27(3), 278–288. https://doi.org/10.1016/j.janxdis.2013.02.011.
Demirel, S. A., Eğlence, R., & Kaçmaz, E. (2011). Determination of the mental conditions of the university students. Nevsehir University Journal of Social Science, 1, 18–29.
Derogatis, L. R. (1992). The Brief Symptom Inventory-BSI administration, scoring and procedures manual-II. Baltimore: Clinical Pscyhometric Research Inc.
Fischer, T. D., Smout, M. F., & Delfabbro, P. H. (2016). The relationship between psychological flexibility, early maladaptive schemas, perceived parenting and psychopathology. Journal of Contextual Behavioral Science, 5(3), 169–177. https://doi.org/10.1016/j.jcbs.2016.06.002.
Fouladi, M. (2015). Prediction of depression through early maladaptive schemas. Mediterranean Journal of Social Sciences, 6(1), 602–611. https://doi.org/10.5901/mjss.2015.v6n1s1p602.
Geldard, K., & Geldard, D. (2013). Proactive approach to counseling in adolescents and youth. Pişkin M. (Translator Ed.). Ankara: Nobel Akademik Publication.
Gong, R., & Chan, R. C. K. (2018). Early maladaptive schemas as mediators between childhood maltreatment and later psychological distress among Chinese college students. Psychiatry Research, 259, 493–500. https://doi.org/10.1016/j.psychres.2017.11.019.
Günaydın, G., Selçuk, E., Sümer, N., & Uysal, A. (2005). The psychometric evaluation of the short form of inventory of parent and peer attachment. Turkish Psychological Articles, 8(16), 13–23.
Haspolat, A., & Anafarta-Şendağ, M. (2018). Predicting anger: Early maladaptive schemas as mediators between attachment and anger dimensions. Turkish Journal of Psychology, 33(82), 34–48. https://doi.org/10.31828/tpd.13004433.2018.82.02.03.
İlhan, N., Bahadırlı, S., & Ercan-Toptaner, N. (2014). Determination of the relationship between mental status and health behaviors of university students. Journal of Marmara University Instute of Health Science, 4(4), 207–215. https://doi.org/10.5455/musbed.20140913124019.
Ke, T., & Barlas, J. (2020). Thinking about feeling: Using trait emotional intelligence in understanding the associations between early maladaptive schemas and coping styles. Psychology and Psychotherapy Theory, Research and Practice, 93(1), 1–20. https://doi.org/10.1111/papt.12202.
Keskı̇n, A., Ünlüoğlu, İ., Bı̇lge, U., & Yenı̇lmez, Ç. (2013). The prevalence of psychiatric disorders distribution of subjects gender and its relationship with psychiatric help-seeking. Archives of Neuropsychiatry, 50, 344–351. https://doi.org/10.4274/Npa.y6522.
Langhinrichsen-Rohling, J., Thompson, K., Selwyn, C., Finnegan, H., & Misra, T. (2017). Maladaptive schemas mediate poor parental attachment and suicidality in college students. Death Studies, 41(6), 337–344. https://doi.org/10.1080/07481187.2017.1280714.
Macaskill, A. (2013). The mental health of university students in the United Kingdom. British Journal of Guidance & Counselling, 41(4), 426–441. https://doi.org/10.1080/03069885.2012.743110.
Ministry of Health. (2011). National Mental Health Action Plan (2011–2023). Ankara: Ministry of Health Publications. Resource document. Retrieved February 10, 2019, from https://dosyamerkez.saglik.gov.tr/Eklenti/30333,ulusal-ruh-sagligi-eylem-planipdf.pdf?0.
National Institute of Mental Health (NIMH). (2019). Mental illness. Resource document. Retrieved April 28, 2020, from https://www.nimh.nih.gov/health/statistics/mental-illness.shtml.
Nia, M. K., Soyani, A., & Forooshani, G. R. S. (2014). Exploring correlation between perceived parenting styles, early maladaptive schemas, and depression among women with depressive symptoms in Iran and India- role of early maladaptive schemas as mediators and moderatos. Iran Red Crescent Med J, 16(12), e17492. https://doi.org/10.5812/ircmj.17492.
Orue, I., Calvete, E., & Padilla, P. (2014). Brooding rumination as a mediator in the relation between early maladaptive schemas and symptoms of depression and social anxiety in adolescents. Journal of Adolescence, 37(8), 1281–1291. https://doi.org/10.1016/j.adolescence.2014.09.004.
Öztürk, M. O., & Uluşahin, A. (2008). Mental health and disorders-I. Ankara: Tuna Press.
Paoli, T. D., Fuller-Tyszkiewicz, M., & Krug, I. (2017). Insecure attachment and maladaptive schema in disordered eating: The mediating role of rejection sensitivity. Clinical Psychology Psychotherapy, 24(6), 1273–1284. https://doi.org/10.1002/cpp.2092.
Raja, S. N., McGee, R., & Stanton, W. R. (1992). Perceived attachments to parents and peers and psychological well-being in adolescence. Journal of Youth and Adolescence, 21(4), 471–485. https://doi.org/10.1007/BF01537898.
Rezaei, M., Ghazanfari, F., & Rezaee, F. (2016). The role of childhood trauma, early maladaptive schemas, emotional schemas and experimental avoidance on depression: A structural equation modeling. Psychiatry Research, 246, 407–414. https://doi.org/10.1016/j.psychres.2016.10.037.
Roelofs, J., Lee, C., Ruijten, T., & Lobbestael, J. (2011). The mediating role of early maladaptive schemas in the relation between quality of attachment relationships and symptoms of depression in adolescents. Behavioral and Cognitive Psychoteraphy, 39(4), 471–479. https://doi.org/10.1017/S1352465811000117.
Roelofs, J., Onckels, L., & Muris, P. (2013). Attachment quality and psychopathological symptoms in clinically referred adolescents: The mediating role of early maladaptive schema. Journal of Child and Family Studies, 22(3), 377–385. https://doi.org/10.1007/s10826-012-9589-x.
Şahin, N. H., & Durak, A. (1994). Adaptation of Brief Symptom Inventory for Turkish youth. Turkish Journal of Psychology, 9(31), 44–56.
Salter-Ainsworth, M. D., Blehar, M. C., Waters, E., & Wall, S. (1978). Patterns of attachment a psychological study of the strange situation. New Jersey: Lawrence Erlbaum Associates.
Sarıtaş Atalar, D., & Gençöz, T. (2015). The mediating role of early maladaptive schemas in the relationship between maternal rejection and psychological problems. Turkish Journal of Psychiatry, 26(1), 40–47.
Scanlon, L., Rowling, L., & Weber, Z. (2010). ‘You don’t have an identity … you are just lost in a crowd’: Forming a student identity in the first-year transition to university. Journal of Youth Studies, 10(2), 223–241. https://doi.org/10.1080/13676260600983684.
Schermelleh-Engel, K., Moosbrugger, H., & Muller, H. (2003). Evaluating the fit of structural equation models: Tests of significance and descriptive goodness-of-fit measures. Methods of Psychological Research Online, 8(2), 23–74.
Shrout, P. E., & Bolger, N. (2002). Mediation in experimental and nonexperimental studies: New procedures and recommendations. Psychological Methods, 7(4), 422–445. https://doi.org/10.1037/1082-989X.7.4.422.
Soygüt, G., Karaosmanoğlu, A., & Çakır, Z. (2009). Assessment of early maladaptive schemas: A psychometric study of the Turkish Young Schema Questionnaire-Short Form-3. Turkish Journal of Psychiatry, 20(1), 75–84.
Temel, E., Bahar, A., & Çuhadar, D. (2007). Determination of coping attitude with stress and depression level of nursing students. Journal of Fırat Health Services, 2(5), 107–118.
Thimm, J. C. (2010). Relationships between early maladaptive schemas and psychosocial developmental task resolution. Clinical Psychology Psychotherapy, 17(3), 219–230. https://doi.org/10.1002/cpp.647.
Turner, H. M., Rose, K. S., & Cooper, M. J. (2005). Parental bonding and eating disorder symptoms in adolescents: The meditating role of core beliefs. Eating Behaviors, 6(2), 113–118. https://doi.org/10.1016/j.eatbeh.2004.08.010.
van der Watt, R. (2014). Attachment, parenting styles and bullying during pubertal years. Journal of Child & Adolescent Mental Helath, 26(3), 251–261. https://doi.org/10.2989/17280583.2014.947966.
WHO. (2015). The European Mental Health Action Plan 2013–2020. Resource document. WHO Retrieved April 30, 2019, from https://www.euro.who.int/__data/assets/pdf_file/0020/280604/WHO-Europe-Mental-Health-Acion-Plan-2013-2020.pdf?ua=1.
Wijk-Herbrink, M. F. V., Bernstein, D. P., Broers, N. J., Roelofs, J., Rijkeboer, M. M., & Arntz, A. (2018). Internalizing and externalizing behaviors share a common predictor: The effects of early maladaptive schemas are mediated by coping responses and schema modes. Journal of Abnormal Child Psychology, 46, 907–920. https://doi.org/10.1007/s10802-017-0386-2.
Wright, M. O., Crawford, E., & Castillo, D. D. (2009). Childhood emotional maltreatment and later psychological distress among college students: The mediating role of maladaptive schemas. Child Abuse & Neglect, 33(1), 59–68. https://doi.org/10.1016/j.chiabu.2008.12.007.
Yıldırım, A., Hacıhasanoğlu, R., & Karakurt, P. (2008). The detection of the mental problems of the nursing students and affecting factors. Journal of Atatürk University School of Nursing, 11(2), 1–8.
Young, J. E. (1990). Cognitive therapy for personality disorders: A schema-focused approach. Sarastota, FL: Professional Resource Press.
Young, J. E., Klosko, J. S., & Weishaar, M. E. (2003). Schema therapy: A practitioner's guide. New York: The Guilford Press.
Zafiropoulou, M., Avagianou, P. A., & Vassiliadou, S. (2014). Parental bonding and early maladaptive schemas. Journal of Psychoogical Abnormalites in Children, 3(110), 249–261. https://doi.org/10.4172/2329-9525.1000110.
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The research confirms to the provisions of the Declaration of Helsinki (as revised in Brazil 2013). Ethical committee approval to conduct the study was granted in alignment with the decision of the Sinop University Human Research Ethics Committee (no.2018/26). All participants gave informed consent for the research, and that their anonymity was preserved.
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Kaya, Y., Aydin, A. The Mediating Role of Early Maladaptive Schemas in the Relationship Between Attachment and Mental Health Symptoms of University Students. J Adult Dev 28, 15–24 (2021). https://doi.org/10.1007/s10804-020-09352-2
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DOI: https://doi.org/10.1007/s10804-020-09352-2