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The Relation between Trait Mindfulness and Early Maladaptive Schemas in Men Seeking Substance Use Treatment

Abstract

Recent research has examined the relation between mindfulness and substance use, demonstrating that lower trait mindfulness is associated with increased substance use and that mindfulness-based interventions help to reduce substance use. Research has also demonstrated that early maladaptive schemas are prevalent among individuals seeking substance use treatment, and that targeting early maladaptive schemas in treatment may improve outcomes. However, no known research has examined the relation between mindfulness and early maladaptive schemas despite theoretical and empirical reasons to suspect their association. Therefore, the current study examined the relation between trait mindfulness and early maladaptive schemas among adult men seeking residential substance abuse treatment (N = 82). Findings demonstrated strong negative associations between trait mindfulness and 15 of the 18 early maladaptive schemas. Moreover, men endorsing multiple early maladaptive schemas reported lower trait mindfulness than men with fewer early maladaptive schemas. The implications of these findings for future research and treatment are discussed.

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References

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: Author.

  • Avants, S. K., & Margolin, A. (2004). Development of spiritual self-schema (3-S) therapy for the treatment of addictive and HIV risk behavior: a convergence of cognitive and buddhist psychology. Journal of Psychotherapy Integration, 14, 253–289.

    Article  Google Scholar 

  • Baer, R. A. (2003). Mindfulness training as a clinical intervention: a conceptual and empirical review. Clinical Psychology: Science and Practice, 10, 125–143.

    Google Scholar 

  • Ball, S. A. (1998). Manualized treatment for substance abusers with personality disorders: dual focus schema therapy. Addictive Behaviors, 23, 883–891.

    Article  PubMed  Google Scholar 

  • Ball, S. A. (2007). Comparing individual therapies for personality disordered opioid dependent patients. Journal of Personality Disorders, 21, 305–321.

    Article  PubMed  Google Scholar 

  • Beitel, M., Ferrer, E., & Cecero, J. J. (2005). Psychological mindedness and awareness of self and others. Journal of Clinical Psychology, 61, 739–750.

    Article  PubMed  Google Scholar 

  • Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., et al. (2004). Mindfulness: a proposed operational definition. Clinical Psychology: Science and Practice, 11(3), 230–241.

    Google Scholar 

  • Bowen, S., Chawla, N., Collins, S. E., Witkiewitz, K., Hsu, S., Grow, J., et al. (2009). Mindfulness-based relapse prevention form substance-use disorders: a pilot efficacy trial. Substance Abuse, 30, 295–305.

    Article  PubMed Central  PubMed  Google Scholar 

  • Brooks, M., Kay-Lambkin, F., Bowman, J., & Childs, S. (2013). Self-compassion amongst clients with problematic alcohol use. Mindfulness.

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

    Article  PubMed  Google Scholar 

  • Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84, 822–848.

    Article  PubMed  Google Scholar 

  • Brown, K. W., West, A. M., Loverich, T. M., & Biegel, G. M. (2011). Assessing adolescent mindfulness: validation of an adapted Mindful Attention Awareness Scale in adolescent normative and psychiatric populations. Psychological Assessment, 23, 1023–1033.

    Article  PubMed  Google Scholar 

  • Cecero, J. J., Beitel, M., & Prout, T. (2008). Exploring the relationships among early maladaptive schemas, psychological mindedness and self‐reported college adjustment. Psychology and Psychotherapy: Theory, Research and Practice, 81, 105–118.

    Article  Google Scholar 

  • Cockram, D. M., Drummond, P. D., & Lee, C. W. (2010). Role and treatment of early maladaptive schemas in Vietnam veterans with PTSD. Clinical Psychology and Psychotherapy, 17, 165–182.

    PubMed  Google Scholar 

  • Cunningham, J. A., & Breslin, F. C. (2004). Only one in three people with alcohol abuse or dependence ever seek treatment. Addictive Behaviors, 29, 221–223.

    Article  PubMed  Google Scholar 

  • Dakwar, E., Mariani, J. P., & Levin, F. R. (2011). Mindfulness impairments in individuals seeking treatment for substance use disorders. The American Journal of Drug and Alcohol Abuse, 37, 165–169.

    Article  PubMed Central  PubMed  Google Scholar 

  • Eberth, J., & Sedlmeier, P. (2012). The effects of mindfulness meditation: a meta-analysis. Mindfulness, 3, 174–189.

    Article  Google Scholar 

  • Germer, C. (2009). Mindful Path to Self-Compassion: Freeing Yourself from Destructive Thoughts and Emotions. Guilford Press.

  • Grant, B. F., Stinson, F. S., Dawson, D. A., Chou, S. P., Ruan, W. J., & Pickering, R. P. (2004). Co-occurrence of 12-month alcohol and drug use disorders and personality disorders in the United States. Archives of General Psychiatry, 61, 361–368.

    Article  PubMed  Google Scholar 

  • Hauke, G. (2006). Self-regulation and mindfulness. European Psychotherapy, 6, 19–52.

    Google Scholar 

  • Hildebrand, D. K. (1986). Statistical thinking for behavioral scientists. Boston: Duxbury.

    Google Scholar 

  • Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness. New York: Dell Publishing.

    Google Scholar 

  • Kabat-Zinn, J. (1994). Wherever you go, there you are. New York: Hyperion.

    Google Scholar 

  • Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: past, present, and future. Clinical Psychology: Science and Practice, 10, 144–156.

    Google Scholar 

  • Keng, S., Smoski, M. J., & Robins, C. J. (2011). Effects of mindfulness on psychological health: a review of empirical studies. Clinical Psychology Review, 31, 1041–1056.

    Article  PubMed Central  PubMed  Google Scholar 

  • Kessler, R. C., Berglund, P., Demler, O., Jin, R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 593–602.

    Article  PubMed  Google Scholar 

  • Marlatt, G. A., & Gordon, J. R. (1985). Relapse prevention. New York: Guilford.

    Google Scholar 

  • McKay, M., Lev, A., & Skeen, M. (2012). Acceptance and Commitment Therapy for Interpersonal Problems: Using Mindfulness, Acceptance, and Schema Awareness to Change Interpersonal Behaviors. New Harbinger Publications.

  • Merikangas, K. R., & McClair, V. L. (2012). Epidemiology of substance use disorders. Human Genetics, 131, 779–789.

    Article  PubMed  Google Scholar 

  • Neff, K. D., & Beretvas, S. N. (2012). The role of self-compassion in romantic relationships. Self and Identity, Online first.

  • Oliver, J. E., O’Connor, J. A., Jose, P. E., McLachlan, K., & Peters, E. (2012). The impact of negative schemas, mood and psychological flexibility on delusional ideation–mediating and moderating effects. Psychosis, 4, 6–18.

    Article  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.

    Article  Google Scholar 

  • Roper, L., Dickson, J. M., Tinwell, C., Booth, P. G., & McGuire, J. (2010). Maladaptive cognitive schemas in alcohol dependence: changes associated with a brief residential abstinence program. Cognitive Therapy and Research, 34, 207–215.

    Article  Google Scholar 

  • Saariaho, T., Saariaho, A., Karila, I., & Joukamaa, M. (2009). The psychometric properties of the Finnish young schema questionnaire in chronic pain patients and a non-clinical sample. Journal of Behavior Therapy and Experimental Psychiatry, 40, 158–168.

    Article  PubMed  Google Scholar 

  • Sedlmeier, P., Eberth, J., Schwarz, M., Zimmermann, D., Haarig, F., Jaeger, S., et al. (2012). The psychological effects of meditation: a meta-analysis. Psychological Bulletin, 138, 1139–1171.

    Article  PubMed  Google Scholar 

  • Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse. New York, NY: Guilford.

    Google Scholar 

  • Shorey, R. C., Anderson, S., & Stuart, G. L. (2011). Early maladaptive schemas in substance use patients and their intimate partners: a preliminary investigation. Addictive Disorders & Their Treatment, 10, 169–179.

    Article  Google Scholar 

  • Shorey, R. C., Stuart, G. L., & Anderson, S. (2012). The early maladaptive schemas of an opioid-dependent sample of treatment seeking young adults: a descriptive investigation. Journal of Substance Abuse Treatment, 42, 271–278.

    Article  PubMed Central  PubMed  Google Scholar 

  • Shorey, R. C., Brasfield, H., Anderson, S., & Stuart, G. L. (2013). Mindfulness deficits in a sample of substance abuse treatment seeking adults: A descriptive investigation. Journal of Substance Use.

  • Shorey, R. C., Stuart, G. L., & Anderson, S. (2013b). Early maladaptive schemas among young adult male substance abusers: a comparison with a non-clinical group. Journal of Substance Abuse Treatment, 44, 522–527.

    Article  PubMed Central  PubMed  Google Scholar 

  • Shorey, R. C., Stuart, G. L., & Anderson, S. (2013c). Differences in early maladaptive schemas in a sample of alcohol and opioid dependent women: do schemas vary across disorders? Addiction Research and Theory, 21, 132–140.

    Article  PubMed Central  PubMed  Google Scholar 

  • Shorey, R. C., Stuart, G. L., & Anderson, S. (2013). Differences in early maladaptive schemas among a sample of young adult female substance abusers and a non-clinical comparison group. Clinical Psychology & Psychotherapy.

  • Shorey, R. C., Stuart, G. L., & Anderson, S. (2013). Do gender differences in depression remain after controlling for early maladaptive schemas? An examination in a sample of opioid dependent treatment seeking adults. Clinical Psychology & Psychotherapy.

  • Shorey, R. C., Stuart, G. L., Anderson, S., & Strong, D. R. (2013). Changes in early maladaptive schemas after residential treatment for substance use. Journal of Clinical Psychology.

  • Stein, K. F. (1996). The self-schema model: a theoretical approach to the self-concept in eating disorders. Archives of Psychiatric Nursing, 10, 96–109.

    Article  PubMed  Google Scholar 

  • Stein, K. F., & Corte, C. (2007). Identity impairment and the eating disorders: Content and organization of the self-concept in women with anorexia nervosa and bulimia nervosa. European Eating Disorders Review, 15, 58–69.

    Article  PubMed  Google Scholar 

  • Walitzer, K. S., & Dearing, R. L. (2006). Gender differences in alcohol and substance use relapse. Clinical Psychology Review, 26, 128–148.

    Article  PubMed  Google Scholar 

  • Young, J. E., & Brown, G. (2003). Young schema questionnaire. 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.

    Google Scholar 

  • Zemore, S. E. (2007). A role for spiritual change in the benefits of 12‐step involvement. Alcoholism, Clinical and Experimental Research, 31, 76–79.

    Article  Google Scholar 

  • Zgierska, A., Rabago, D., Chawla, N., Kushner, K., Koehler, R., & Marlatt, A. (2009). Mindfulness meditation for substance use disorders: a systematic review. Substance Abuse, 30, 266–294.

    Article  PubMed Central  PubMed  Google Scholar 

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Acknowledgments

This work was supported, in part, by grants F31AA020131 and K24AA019707 from the National Institute on Alcohol Abuse and Alcoholism (NIAAA) awarded to the first and last authors, respectively. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIAAA or the National Institutes of Health.

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Correspondence to Ryan C. Shorey.

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Shorey, R.C., Brasfield, H., Anderson, S. et al. The Relation between Trait Mindfulness and Early Maladaptive Schemas in Men Seeking Substance Use Treatment. Mindfulness 6, 348–355 (2015). https://doi.org/10.1007/s12671-013-0268-9

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  • DOI: https://doi.org/10.1007/s12671-013-0268-9

Keywords

  • Mindfulness
  • Early maladaptive schemas
  • Substance use
  • Treatment