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Core Beliefs and Impulsivity Among a General Psychiatric Population: A Mediating Role for Dissociation?

Published online by Cambridge University Press:  29 November 2004

Samantha Dench ,
Rebecca Murray  and
Glenn Waller
Samantha Dench
Affiliation:
Dorset Healthcare NHS Trust, UK
Rebecca Murray
Affiliation:
Dorset Healthcare NHS Trust, UK
Glenn Waller
Affiliation:
St. George's Hospital Medical School, London, UK
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Abstract

Self-harm and externally-directed impulsive behaviours are relatively common in psychiatric populations. Different explanations have been advanced for the presence of these behaviours, including the suggestion that they are driven by unconditional beliefs (schema-level cognitions) and that they are related to dissociation (a reduction in processing of intolerable cognitions and affect). This brief study begins to test a model based on the hypothesis that unconditional core beliefs are associated with the use of impulsive behaviours, and that dissociation is a key factor that mediates the relationship. An unselected group of 50 psychiatric inpatients completed standardized self-report measures of core beliefs, dissociation and impulsive behaviours. For female patients only, the results of mediational multiple analysis were compatible with a model where the relationship between unconditional abandonment beliefs and self-harming behaviours is perfectly mediated by dissociation. The strengths, limitations and directions for further research are discussed.

Keywords

Core beliefsdissociationimpulsive behaviours
Type
Brief Clinical Report
Information
Behavioural and Cognitive Psychotherapy , Volume 33 , Issue 1 , January 2005 , pp. 111 - 114
Copyright
2005 British Association for Behavioural and Cognitive Psychotherapies

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Footnotes

An extended version of this brief clinical report is available online in the table of contents for this issue: http://journals.cambridge.org/jid_BCP
Supplementary material: File

Dench extended - Feb 2004.doc

Dench supplementary material

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