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Recollections of Parental Mental Illness and Substance Use and Early Maladaptive Schemas in Adulthood

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Abstract

Several adverse childhood experiences, such as abuse and neglect, are established risk factors for early maladaptive schemas in adulthood. The aim of this study was to examine the associations between adults’ recollections of caregiver mental illness and substance use in childhood and current early maladaptive schemas. A total of 404 participants residing in Western countries (M age = 40.69 years, SD = 15.68; 45.8% female) completed the Young Schema Questionnaire – Short Form Version 3 and items from the Adverse Childhood Experiences International Questionnaire via an online survey. Regression analyses indicated that having a caregiver who was too drunk or high to take care of the family, showed small to moderate associations with all five schema domain scores, whilst controlling for covariates. Caregiver mental illness showed small associations with disconnection rejection and impaired autonomy and competence domain scores, but not when parental substance use was included in the models. The finding that parental substance use that impacted caregiving was more strongly associated with schemas is consistent with Young’s theory that thwarted emotional needs are fundamental to schema formation.

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References

  • Aafjes-van Doorn, K., Kamsteeg, C., & Silberschatz, G. (2020, Aug). Cognitive mediators of the relationship between adverse childhood experiences and adult psychopathology: a systematic review. Development and Psychopathology, 32(3), 1017–1029. https://doi.org/10.1017/S0954579419001317.

  • Aafjes-van Doorn, K., McCollum, J., Silberschatz, G., Kealy, D., & Snyder, J. (2021a, Mar 1). Perceived adverse parenting in childhood and psychological distress among psychotherapy patients: The mediating role of pathogenic beliefs. Journal of Nervous and Mental Disease, 209(3), 181–187. https://doi.org/10.1097/NMD.0000000000001274

  • Aafjes-van Doorn, K., McCollum, J., Silberschatz, G., & Snyder, J. (2021b, Feb). Assessing internalized beliefs: development of the pathogenic belief Scale. Development and Psychopathology, 33(1), 96–108. https://doi.org/10.1017/S0954579419001615.

  • Alaftar, Ä., & Uzer, T. (2022). Understanding intergenerational transmission of early maladaptive schemas from a memory perspective: moderating role of overgeneral memory on adverse experiences. Child Abuse & Neglect, 127, 105539.

    Article  Google Scholar 

  • Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: a meta-analytic review. Clinical Psychology Review, 30(2), 217–237. https://www.sciencedirect.com/science/article/abs/pii/S0272735809001597?via%3Dihub.

    Article  PubMed  Google Scholar 

  • Arria, A. M., Mericle, A. A., Meyers, K., & Winters, K. C. (2012). Parental substance use impairment, parenting and substance use disorder risk. Journal of Substance Abuse Treatment, 43(1), 114–122.

    Article  PubMed  Google Scholar 

  • Bach, B., & Farrell, J. M. (2018). Schemas and modes in borderline personality disorder: the mistrustful, shameful, angry, impulsive, and unhappy child. Psychiatry Research, 259, 323–329. https://doi.org/10.1016/j.psychres.2017.10.039.

    Article  PubMed  Google Scholar 

  • Barazandeh, H., Kissane, D. W., Saeedi, N., & Gordon, M. (2016). A systematic review of the relationship between early maladaptive schemas and borderline personality disorder/traits. Personality and Individual Differences, 94, 130–139. https://doi.org/10.1016/j.paid.2016.01.021.

    Article  Google Scholar 

  • Barnard, M., & McKeganey, N. (2004). The impact of parental problem drug use on children: what is the problem and what can be done to help? Addiction, 99(5), 552–559.

    Article  PubMed  Google Scholar 

  • Beck, A. T. (1964). Thinking and depression: II. Theory and therapy. Archives of General Psychiatry, 10(6), 561–571. https://doi.org/10.1001/archpsyc.1964.01720240015003.

    Article  CAS  PubMed  Google Scholar 

  • Beck, A. T. (1993). Cognitive therapy: past, present, and future. Journal of Consulting and Clinical Psychology, 61(2), 194–198. https://doi.org/10.1037/0022-006X.61.2.194.

    Article  CAS  PubMed  Google Scholar 

  • Bergin, C., & McCollough, P. (2009). Attachment in substance-exposed toddlers: the role of caregiving and exposure. Infant Mental Health Journal: Official Publication of The World Association for Infant Mental Health, 30(4), 407–423.

    Article  Google Scholar 

  • Bishop, A., Younan, R., Low, J., & Pilkington, P. D. (2021). Early maladaptive schemas and depression in adulthood: A systematic review and meta-analysis. Clinical Psychology & Psychotherapy, 29, 111-130. https://doi.org/10.1002/cpp.2630

  • Dickinson, T., Becerra, R., & Coombes, J. (2017). Executive functioning deficits among adults with bipolar disorder (types I and II): a systematic review and meta-analysis. Journal of Affective Disorders, 218, 407–427. https://www.sciencedirect.com/science/article/abs/pii/S0165032716324077?via%3Dihub.

    Article  PubMed  Google Scholar 

  • Dong, M., Anda, R. F., Felitti, V. J., Dube, S. R., Williamson, D. F., Thompson, T. J., Loo, C. M., & Giles, W. H. (2004). The interrelatedness of multiple forms of childhood abuse, neglect, and household dysfunction. Child Abuse & Neglect, 28(7), 771–784. https://doi.org/10.1016/j.chiabu.2004.01.008.

    Article  Google Scholar 

  • Dube, S. R., Anda, R. F., Felitti, V. J., Croft, J. B., Edwards, V. J., & Giles, W. H. (2001). Growing up with parental alcohol abuse: exposure to childhood abuse, neglect, and household dysfunction. Child Abuse & Neglect, 25(12), 1627–1640. https://doi.org/10.1016/s0145-2134(01)00293-9.

    Article  CAS  Google Scholar 

  • Duke, A. A., Smith, K. M., Oberleitner, L., Westphal, A., & McKee, S. A. (2018). Alcohol, drugs, and violence: a meta-meta-analysis. Psychology of Violence, 8(2), 238-249. 

  • Felitti, V. J., Anda, R. F., Nordenberg, D., & Williamson, D. F. (1998). Adverse childhood experiences and health outcomes in adults: the ACE study. Journal of Family and Consumer Sciences, 90(3), 31.

    Google Scholar 

  • Gillath, O., Karantzas, G. C., & Fraley, R. C. (2016). Adult attachment: a concise introduction to theory and research. Academic Press.

  • Goodkind, M., Eickhoff, S. B., Oathes, D. J., Jiang, Y., Chang, A., Jones-Hagata, L. B., Ortega, B. N., Zaiko, Y. V., Roach, E. L., & Korgaonkar, M. S. (2015). Identification of a common neurobiological substrate for mental illness. JAMA Psychiatry, 72(4), 305–315. https://jamanetwork.com/journals/jamapsychiatry/articlepdf/2108651/yoi140096.pdf.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hardt, J., & Rutter, M. (2004, Feb). Validity of adult retrospective reports of adverse childhood experiences: review of the evidence. Journal of Child Psychology And Psychiatry, 45(2), 260–273. https://doi.org/10.1111/j.1469-7610.2004.00218.x.

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

    Article  Google Scholar 

  • Hatzis, D., Dawe, S., Harnett, P., & Barlow, J. (2017). Quality of caregiving in mothers with illicit substance use: a systematic review and meta-analysis. Substance abuse: research and treatment, 11, 1178221817694038.

    Article  PubMed  Google Scholar 

  • Haugland, S. H., Carvalho, B., Stea, T. H., Strandheim, A., & Vederhus, J. K. (2021, Jun 7). Associations between parental alcohol problems in childhood and adversities during childhood and later adulthood: a cross-sectional study of 28047 adults from the general population. Substance Abuse Treatment, Prevention, & Policy, 16(1), 47. https://doi.org/10.1186/s13011-021-00384-9

  • Hirst, R. B., Beard, C. L., Colby, K. A., Quittner, Z., Mills, B. M., & Lavender, J. M. (2017). Anorexia nervosa and bulimia nervosa: a meta-analysis of executive functioning. Neuroscience & Biobehavioral Reviews, 83, 678–690.

    Article  Google Scholar 

  • Hodgins, D. C., Maticka-Tyndale, E., El-Guebaly, N., & West, M. (1993). The CAST-6: development of a short-form of the children of alcoholics screening test. Addictive Behaviors, 18(3), 337–345.

    Article  CAS  PubMed  Google Scholar 

  • Hoffart, A., Sexton, H., Hedley, L. M., Wang, C. E., Holthe, H., Haugum, J. A., Nordahl, H. M., Hovl, Johan, O., & Holte, A. (2005). The structure of maladaptive schemas: a confirmatory factor analysis and a psychometric evaluation of factor-derived Scales. Cognitive Therapy and Research, 29(6), 627–644. 

    Article  Google Scholar 

  • Holden, G. W., Gower, T., & Chmielewski, M. (2020). Methodological considerations in ACEs research. Adverse childhood experiences (pp. 161–182). Elsevier.

  • Hughes, K., Bellis, M. A., Hardcastle, K. A., Sethi, D., Butchart, A., Mikton, C., Jones, L., & Dunne, M. P. (2017). The effect of multiple adverse childhood experiences on health: a systematic review and meta-analysis. The Lancet Public Health, 2(8), e356–e366. https://doi.org/10.1016/s2468-2667(17)30118-4.

    Article  PubMed  Google Scholar 

  • Hyysalo, N., Gastelle, M., & Flykt, M. (2021). Maternal pre-and postnatal substance use and attachment in young children: A systematic review and meta-analysis. Development and Psychopathology, 1–18. https://www.doi.org/10.1017/S0954579421000134

  • Jacques, D. T., Sturge-Apple, M. L., Davies, P. T., & Cicchetti, D. (2021). Parsing alcohol-dependent mothers’ insensitivity to child distress: longitudinal links with children’s affective and anxiety problems. Developmental Psychology, 57(6), 900.

    Article  PubMed  PubMed Central  Google Scholar 

  • Janovsky, T., Rock, A. J., Thorsteinsson, E. B., Clark, G. I., & Murray, C. V. (2020). The relationship between early maladaptive schemas and interpersonal problems: a meta-analytic review. Clinical Psychology & Psychotherapy, 27(3), 408–447. https://doi.org/10.1002/cpp.2439.

    Article  Google Scholar 

  • Kachadourian, L. K., Eiden, R. D., & Leonard, K. E. (2009). Paternal alcoholism, negative parenting, and the mediating role of marital satisfaction. Addictive Behaviors, 34(11), 918–927.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kelley, M. L., French, A., Bountress, K., Keefe, H. A., Schroeder, V., Steer, K., Fals-Stewart, W., & Gumienny, L. (2007). Parentification and family responsibility in the family of origin of adult children of alcoholics. Addictive Behaviors, 32(4), 675–685.

    Article  PubMed  Google Scholar 

  • Kelley, M. L., Lawrence, H. R., Milletich, R. J., Hollis, B. F., & Henson, J. M. (2015). Modeling risk for child abuse and harsh parenting in families with depressed and substance-abusing parents. Child Abuse & Neglect, 43, 42–52.

    Article  Google Scholar 

  • Loveday, S., Hall, T., Constable, L., Paton, K., Sanci, L., Goldfeld, S., & Hiscock, H. (2022, Feb 1). Screening for adverse childhood experiences in children: A systematic review. Pediatrics, 149(2). https://doi.org/10.1542/peds.2021-051884

  • Maher, A., Cason, L., Huckstepp, T., Stallman, H., Kannis-Dymand, L., Millear, P., Mason, J., Wood, A., & Allen, A. (2022). Early maladaptive schemas in eating disorders: a systematic review. European Eating Disorders Review, 30(1), 3–22. https://doi.org/10.1002/erv.2866.

    Article  PubMed  Google Scholar 

  • Maliken, A. C., & Katz, L. F. (2013, Jun). Exploring the impact of parental psychopathology and emotion regulation on evidence-based parenting interventions: a transdiagnostic approach to improving treatment effectiveness. Clinical Child And Family Psychology Review, 16(2), 173–186. https://doi.org/10.1007/s10567-013-0132-4.

  • Maybery, D. J., Reupert, A. E., Patrick, K., Goodyear, M., & Crase, L. (2009). Prevalence of parental mental illness in australian families. Psychiatric Bulletin, 33(1), 22–26. https://doi.org/10.1192/pb.bp.107.018861.

    Article  Google Scholar 

  • McLennan, J. D., MacMillan, H. L., & Afifi, T. O. (2020, Mar). Questioning the use of adverse childhood experiences (ACEs) questionnaires. Child Abuse & Neglect, 101, 104331. https://doi.org/10.1016/j.chiabu.2019.104331.

  • Merrick, M. T., Ports, K. A., Ford, D. C., Afifi, T. O., Gershoff, E. T., & Grogan-Kaylor, A. (2017, Jul). Unpacking the impact of adverse childhood experiences on adult mental health. Child Abuse & Neglect, 69, 10–19. https://doi.org/10.1016/j.chiabu.2017.03.016.

  • Mitchell, K. J., Turner, H. A., Gewirtz-Meydan, A., & Jones, L. M. (2022). Relationships between caregiver substance use disorder and child maltreatment in the context of non-victimization life adversities: findings from a nationally representative sample of youth. International Journal on Child Maltreatment: Research Policy and Practice, 5(1), 197–214.

    Article  Google Scholar 

  • Panagou, C., & MacBeth, A. (2022). Deconstructing pathways to resilience: A systematic review of associations between psychosocial mechanisms and transdiagnostic adult mental health outcomes in the context of Adverse Childhood Experiences (ACEs). Clinical Psychology & Psychotherapy, 29, 1626-654. https://www.doi.org/10.1002/cpp.2732.

  • Pat-Horenczyk, R., Rabinowitz, R. G., Rice, A., & Tucker-Levin, A. (2008). The search for risk and protective factors in childhood PTSD: from variables to processes. Treating traumatized children (pp. 69–89). Routledge.

  • Petruccelli, K., Davis, J., & Berman, T. (2019, Nov). Adverse childhood experiences and associated health outcomes: a systematic review and meta-analysis. Child Abuse & Neglect, 97, 104127. https://doi.org/10.1016/j.chiabu.2019.104127.

  • Pilkington, P., Younan, R., & Bishop, A. (2021a). Early maladaptive schemas, suicidal ideation, and self-harm: a meta-analytic review. Journal of Affective Disorders Reports, 3, 100051.

    Article  Google Scholar 

  • Pilkington, P. D., Bishop, A., & Younan, R. (2021b, May). Adverse childhood experiences and early maladaptive schemas in adulthood: a systematic review and meta-analysis. Clinical Psychology & Psychotherapy, 28(3), 569–584. https://doi.org/10.1002/cpp.2533.

  • Reupert, A., & Maybery, D. (2016). What do we know about families where parents have a mental illness? A systematic review. Child & Youth Services, 37(2), 98–111. https://doi.org/10.1080/0145935X.2016.1104037.

    Article  Google Scholar 

  • Rijkeboer, M. M., van den Bergh, H., & van den Bout, J. (2005). Stability and discriminative power of the Young Schema-Questionnaire in a dutch clinical versus non-clinical population. Journal of Behavior Therapy and Experimental Psychiatry, 36(2), 129–144.

    Article  PubMed  Google Scholar 

  • Sahle, B. W., Reavley, N. J., Li, W., Morgan, A. J., Yap, M. B. H., Reupert, A., & Jorm, A. F. (2021). Feb 27). The association between adverse childhood experiences and common mental disorders and suicidality: an umbrella review of systematic reviews and meta-analyses. European Child & Adolescent Psychiatry. https://doi.org/10.1007/s00787-021-01745-2.

    Article  Google Scholar 

  • Schafer, J. L., & Graham, J. W. (2002). Missing data: our view of the state of the art. Psychological Methods, 7(2), 147–177. https://doi.org/10.1037/1082-989X.7.2.147.

    Article  PubMed  Google Scholar 

  • Shainheit, C. R., & O’Dougherty Wright, M. (2012). Parental alcoholism and gender as moderators of maladaptive schema endorsement following childhood emotional maltreatment. Journal of Aggression Maltreatment & Trauma, 21(4), 403–421. https://doi.org/10.1080/10926771.2012.669822.

    Article  Google Scholar 

  • Shorey, R. C., Anderson, S., & Stuart, G. L. (2012). An examination of early maladaptive schemas among substance use treatment seekers and their parents. Contemporary Family Therapy, 34(3), 429–441.

    Article  PubMed  PubMed Central  Google Scholar 

  • Silberschatz, G. (2013). Transformative relationships: the control mastery theory of psychotherapy. Routledge. https://doi.org/10.4324/9780203955963.

  • Silberschatz, G., & -van Aafjes, K. (2016). Pathogenic beliefs mediate the relationship between perceived negative parenting and psychopathology symptoms. Journal of Aggression Maltreatment & Trauma, 26(3), 258–275. https://doi.org/10.1080/10926771.2016.1259279.

    Article  Google Scholar 

  • Sundag, J., Zens, C., Ascone, L., Thome, S., & Lincoln, T. M. (2018, Nov). Are schemas passed on? A study on the association between early maladaptive schemas in parents and their offspring and the putative translating mechanisms. Behavioural and Cognitive Psychotherapy, 46(6), 738–753. https://doi.org/10.1017/S1352465818000073.

  • Weiss, N. H., Kiefer, R., Goncharenko, S., Raudales, A. M., Forkus, S. R., Schick, M. R., & Contractor, A. A. (2022). Emotion regulation and substance use: a meta-analysis. Drug and Alcohol Dependence, 230, 109131.

    Article  PubMed  Google Scholar 

  • World Health Organization (2018). Adverse childhood experiences international questionnaire. Adverse childhood experiences international questionnaire (ACE-IQ).

  • Yalcin, O., Lee, C., & Correia, H. (2020). Factor structure of the Young Schema Questionnaire (Long Form-3). Australian Psychologist, 55(5), 546–558.

    Article  Google Scholar 

  • Yamamoto, R., & Keogh, B. (2018). Children’s experiences of living with a parent with mental illness: a systematic review of qualitative studies using thematic analysis. Journal of Psychiatric & Mental Health Nursing, 25(2), 131–141. https://doi.org/10.1111/jpm.12415.

    Article  Google Scholar 

  • Young, J., Klosko, J., & Weishaar, M. (2003). Schema therapy: a practitioners guide. Guilford.

  • Young, J. E. (1999). Cognitive therapy for personality disorders: a schema-focused approach. Professional Resource Press/Professional Resource Exchange.

  • Young, J. E., & Brown, G. (2005). Young Schema Questionnaire-Short Form; Version 3 (YSQ-S3, YSQ) [Database record]. APA PsycTests. https://doi.org/10.1037/t67023-000

  • Zarse, E. M., Neff, M. R., Yoder, R., Hulvershorn, L., Chambers, J. E., Chambers, R. A., & Schumacher, U. (2019). The adverse childhood experiences questionnaire: two decades of research on childhood trauma as a primary cause of adult mental illness, addiction, and medical diseases. Cogent Medicine, 6(1), 1581447. https://doi.org/10.1080/2331205x.2019.1581447.

    Article  Google Scholar 

  • Zimmer-Gembeck, M. J., Rudolph, J., Kerin, J., & Bohadana-Brown, G. (2021). Parent emotional regulation: A meta-analytic review of its association with parenting and child adjustment. International Journal of Behavioral Development, 46, 63-82. https://www.doi.org/10.1177/01650254211051086

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Correspondence to Pamela D. Pilkington.

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All authors contributed to the study conception and design. Data collection was performed by Gery Karantzas and Pamela Pilkington. Analyses were performed by Pamela Pilkington. The first draft of the manuscript was written by Pamela Pilkington and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

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Pilkington, P.D., May, T. & Karantzas, G. Recollections of Parental Mental Illness and Substance Use and Early Maladaptive Schemas in Adulthood. Int J Ment Health Addiction (2022). https://doi.org/10.1007/s11469-022-00969-w

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