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Schema in older adults: does the schema mode model apply?

Published online by Cambridge University Press:  31 October 2019

Katelyn Phillips
Affiliation:
Discipline of Clinical Psychology, Graduate School of Health, University of Technology Sydney, Ultimo, NSW, Australia and Centre for Developmental Psychiatry and Psychology, Department of Psychiatry, School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia
Robert Brockman
Affiliation:
Institute for Positive Psychology and Education, Australian Catholic University, Strathfield, NSW, Australia
Phoebe E. Bailey
Affiliation:
School of Social Sciences and Psychology, Western Sydney University, Penrith, NSW, Australia
Ian I. Kneebone*
Affiliation:
Discipline of Clinical Psychology, Graduate School of Health, University of Technology Sydney, Ultimo, NSW, Australia
*
*Corresponding author. Email: [email protected]

Abstract

Background:

The relevance of schema theory to psychopathology, in particular personality disorder, in younger adults is established. Investigations into the relevance of schema theory to older adults, however, is highly limited.

Aims:

To consider the relationship of schema modes to psychopathology in older adults and establish whether maladaptive schema modes are associated with unmet needs and that this relationship is mediated by the healthy adult mode of responding in this population.

Method:

One hundred and four older adults were recruited from an established database. Participants completed questionnaires assessing psychopathology, schema modes (YAMI: Young-Atkinson Mode Inventory) and basic psychological needs (BPNS: Basic Psychological Needs Scale – autonomy, competence and relatedness). Ninety-four responses were included after applying exclusion criteria.

Results:

The healthy adult schema mode was found to be associated with reduced psychopathology, and maladaptive child modes (angry and vulnerable child) to increased psychopathology. The healthy adult schema mode mediated the relationship between maladaptive child modes and needs satisfaction.

Conclusions:

As predicted by schema theory, the presence of one of the maladaptive child modes makes it difficult for an older individual to have their needs met, but the presence of healthy adult mode works to support this process.

Type
Main
Copyright
© British Association for Behavioural and Cognitive Psychotherapies 2019

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References

Arntz, A., Klokman, J., & Sieswerda, S. (2005). An experimental test of the schema mode model of borderline personality disorder. Journal of Behavior Therapy and Experimental Psychiatry, 36, 226239. doi: 10.1016/j.jbtep.2005.05.005CrossRefGoogle ScholarPubMed
Bamelis, L.L., Renner, F., Heidkamp, D., & Arntz, A. (2011). Extended schema mode conceptualizations for specific personality disorders: an empirical study. Journal of Personality Disorders, 25, 4158. doi: 10.1521/pedi.2011.25.1.41CrossRefGoogle Scholar
Basile, B., Tenore, K., Luppino, O. I., & Mancini, F. (2017). Schema therapy mode model applied to OCD. Clinical Neuropsychology, 14, 407414.Google Scholar
Britton, P. C., Van Orden, K. A., Hirsch, J.K., & Williams, G. C. (2014). Basic psychological needs, suicidal ideation, and risk for suicidal behavior in young adults. Suicide and Life-threatening Behavior, 44, 362371. doi: 10.1111/sltb.12074CrossRefGoogle ScholarPubMed
Deci, E. L., & Ryan, R. M. (1985). Intrinsic Motivation and Self-Determination in Human Behavior. Boston, MA, USA: Springer. doi: 10.1007/978-1-4899-2271-7CrossRefGoogle Scholar
Deci, E. L., & Ryan, R. M. (2000). The ‘what’ and ‘why’ of goal pursuits: human needs and the self-determination of behavior. Psychological Inquiry, 11, 227268. doi: 10.1207/S15327965PLI1104_01CrossRefGoogle Scholar
First, M. B., Spitzer, R. L., Gibbon, M., Williams, J. B., Davies, M., Borus, J., … & Rounsaville, B. (1995). The structured clinical interview for DSM-III-R personality disorders (SCID-II). Part II: Multi-site test-retest reliability study. Journal of Personality Disorders, 9, 92104. doi: 10.1521/pedi.1995.9.2.92CrossRefGoogle Scholar
Flanagan, C. M. (2010). The case for needs in psychotherapy. Journal of Psychotherapy Integration, 20, 136. doi: 10.1037/a0018815CrossRefGoogle Scholar
Gagné, M. (2003). The role of autonomy support and autonomy orientation in prosocial behavior engagement. Motivation & Emotion, 27, 199223. doi: 10.1023/A:1025007614869CrossRefGoogle Scholar
Gauthier, L., Guay, F., Senécal, C., & Pierce, T. (2010). Women’s depressive symptoms during the transition to motherhood: the role of competence, relatedness, and autonomy. Journal of Health Psychology, 15, 11451156. doi: 10.1177/1359105310364170CrossRefGoogle ScholarPubMed
Germans, S., Van Heck, G. L., Masthoff, E. D., Trompenaars, F. J. W. M., & Hodiamont, P. P. G. (2010). Diagnostic efficiency among psychiatric outpatients of a self-report version of a subset of screen items of the Structured Clinical Interview for DSM–IV–TR Personality Disorders (SCID-II). Psychological Assessment, 22, 945952. doi: 10.1037/a0021047CrossRefGoogle Scholar
Giesen-Bloo, J., Van Dyck, R., Spinhoven, P., Van Tilburg, W., Dirksen, C., Van Asselt, T., … & Arntz, A. (2006). Outpatient psychotherapy for borderline personality disorder: randomized trial of schema-focused therapy vs transference-focused psychotherapy. Archives of General Psychiatry, 63, 649658. doi: 10.1001/archpsyc.63.6.649CrossRefGoogle ScholarPubMed
Hayes, A. F. (2013). Introduction to Mediation, Moderation, and Conditional Process Analysis: A Regression-Based Approach. New York, NY, USA: Guilford Press.Google Scholar
Hsieh, S., McGrory, S., Leslie, F., Dawson, K., Ahmed, S., Butler, C. R., … & Hodges, J. R. (2015). The Mini-Addenbrooke’s Cognitive Examination: a new assessment tool for dementia. Dementia and Geriatric Cognitive Disorders, 39, 111. doi: 10.1159/000366040CrossRefGoogle ScholarPubMed
Hsieh, S., Schubert, S., Hoon, C., Mioshi, E., & Hodges, J. R. (2013). Validation of the Addenbrooke’s Cognitive Examination III in frontotemporal dementia and Alzheimer’s disease. Dementia and Geriatric Cognitive Disorders, 36, 242250. doi: 10.1159/000351671CrossRefGoogle ScholarPubMed
Johnco, C., Knight, A., Tadic, D., & Wuthrich, V. (2015). Psychometric properties of the Geriatric Anxiety Inventory (GAI) and its short-form (GAI-SF) in a clinical and non-clinical sample of older adults. International Psychogeriatrics, 27, 10891097. doi: 10.1017/S1041610214001586CrossRefGoogle Scholar
Johnston, C., Dorahy, M. J., Courtney, D., Bayles, T., & O’Kane, M. (2009). Dysfunctional schema modes, childhood trauma and dissociation in borderline personality disorder. Journal of Behavior Therapy and Experimental Psychiatry, 40, 248255. doi: 10.1016/j.jbtep.2008.12.002CrossRefGoogle ScholarPubMed
Kashdan, T. B., Mishra, A., Breen, W. E., & Froh, J. J. (2009). Gender differences in gratitude: examining appraisals, narratives, the willingness to express emotions, and changes in psychological needs. Journal of Personality, 77, 691730. doi: 10.1111/j.1467-6494.2009.00562.xCrossRefGoogle ScholarPubMed
Lobbestael, J., Arntz, A., & Sieswerda, S. (2005). Schema modes and childhood abuse in borderline and antisocial personality disorders. Journal of Behavior Therapy and Experimental Psychiatry, 36, 240253. doi: 10.1016/j.jbtep.2005.05.006CrossRefGoogle ScholarPubMed
Lobbestael, J., Van Vreeswijk, M. F., & Arntz, A. (2008). An empirical test of schema mode conceptualizations in personality disorders. Behaviour Research and Therapy, 46, 854860. doi: 10.1521/pedi.2011.25.1.41CrossRefGoogle ScholarPubMed
Lockwood, G., & Perris, P. (2012). A new look at core emotional needs. In van Vreeswijk, M., Broersen, J. & Nadort, M. (eds), The Wiley-Blackwell Handbook of Schema Therapy: Theory, Research, and Practice (pp. 4168). Hoboken, NJ, USA: John Wiley & Sons. doi: 10.1002/9781119962830.ch3CrossRefGoogle Scholar
Lu, Q., Uysal, A., & Teo, I. (2011). Need satisfaction and catastrophizing: Explaining the relationship among emotional ambivalence, pain, and depressive symptoms. Journal of Health Psychology, 16, 819827. doi: 10.1177/1359105310392092Google ScholarPubMed
Meyer, B., Enstrom, M. K., Harstveit, M., Bowles, D. P., & Beevers, C. G. (2007). Happiness and despair on the catwalk: need satisfaction, well-being, and personality adjustment among fashion models. The Journal of Positive Psychology, 2, 217. doi: 10.1080/17439760601076635CrossRefGoogle Scholar
Niemiec, C. P., Lynch, M. F., Vansteenkiste, M., Bernstein, J., Deci, E. L., & Ryan, R. M. (2006). The antecedents and consequences of autonomous self-regulation for college: a self-determination theory perspective on socialization. Journal of Adolescence, 29, 761775. doi: 10.1016/j.adolescence.2005.11.009CrossRefGoogle ScholarPubMed
Ng, J. Y., Ntoumanis, N., Thøgersen-Ntoumani, C., Deci, E. L., Ryan, R. M., Duda, J. L., & Williams, G. C. (2012). Self-determination theory applied to health contexts: a meta-analysis. Perspectives on Psychological Science, 7, 325340. doi: 10.1177/1745691612447309CrossRefGoogle ScholarPubMed
Pachana, N. A., Byrne, G. J., Siddle, H., Koloski, N., Harley, E., & Arnold, E. (2006). Development and validation of the Geriatric Anxiety Inventory. International Psychogeriatrics, 19, 103. doi: 10.1017/s1041610206003504CrossRefGoogle Scholar
Phillips, K., Brockman, R., Bailey, P. E. and Kneebone, I. I. (2017). Young Schema Questionnaire–Short Form Version 3 (YSQ-S3): preliminary validation in older adults. Aging and Mental Health. Advance online publication: doi: 10.1080/13607863.2017.1396579.CrossRefGoogle Scholar
Sempertegui, G. A., Karreman, A., Arntz, A., & Bekker, M. H. (2013). Schema therapy for borderline personality disorder: a comprehensive review of its empirical foundations, effectiveness and implementation possibilities. Clinical Psychology Review, 33, 426447. doi: 10.1016/j.cpr.2012.11.006CrossRefGoogle ScholarPubMed
Stiles, P. G., & McGarrahan, J. F. (1998). The Geriatric Depression Scale: a comprehensive review. Journal of Clinical Geropsychology, 4, 89110. doi: 10.1037/t00930-000Google Scholar
Talbot, D., Smith, E., Tomkins, A., Brockman, R., & Simpson, S. (2015). Schema modes in eating disorders compared to a community sample. Journal of Eating Disorders, 3, 41. doi: 10.1186/s40337-015-0082-yCrossRefGoogle ScholarPubMed
van Genderen, H., Rijkeboer, M., & Arntz, A. (2012). Theoretical model. In van Vreeswijk, M., Broersen, J. & Nadort, M. (eds), The Wiley-Blackwell Handbook of Schema Therapy: Theory, Research, and Practice (pp. 2740). Hoboken, NJ, USA: John Wiley & Sons. doi: 10.1002/9781119962830.ch2CrossRefGoogle Scholar
van Vreeswijk, M. F., Spinhoven, P., Eurelings-Bontekoe, E. H. M., & Broersen, J. (2012). Changes in symptom severity, schemas and modes in heterogeneous psychiatric patient groups following short-term schema cognitive-behavioural group therapy: a naturalistic pre-treatment and post-treatment design in an outpatient clinic. Clinical Psychology & Psychotherapy, 21, 2938. doi: 10.1002/cpp.1813CrossRefGoogle Scholar
van Wijk-Herbrink, M. F., Bernstein, D. P., Broers, N. J., Roelofs, J., Rijkeboer, M. M., & Arntz, A. 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, 907920. doi: 10.1007/s10802-017-0386-2CrossRefGoogle Scholar
Videler, A. C., Rossi, G., Schoevaars, M., van der Feltz-Cornelis, C. M., & van Alphen, S. P. J. (2014). Effects of schema group therapy in older outpatients: a proof of concept study. International Psychogeriatrics, 26, 17091717. doi: 10.1017/s1041610214001264CrossRefGoogle ScholarPubMed
Videler, A. C., van Alphen, S. P., van Royen, R. J., van der Feltz-Cornelis, C. M., Rossi, G., & Arntz, A. (2017). Schema therapy for personality disorders in older adults: a multiple-baseline study. Aging & Mental Health, 22, 738747. doi: 10.1080/13607863.2017.1318260CrossRefGoogle ScholarPubMed
Voderholzer, U., Schwartz, C., Thiel, N., Kuelz, A. K., Hartmann, A., Scheidt, C. E., … & Zeeck, A. (2014). A comparison of schemas, schema modes and childhood traumas in obsessive-compulsive disorder, chronic pain disorder and eating disorders. Psychopathology, 47, 2431.CrossRefGoogle ScholarPubMed
Wei, M., Philip, A. S., Shaffer, A., Young, S. K., & Zakalik, R. A. (2005). Adult attachment, shame, depression, and loneliness: the mediation role of basic psychological needs satisfaction. Journal of Counseling Psychology, 52, 591601.CrossRefGoogle Scholar
Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M., & Leirer, V. O. (1982). Development and validation of a geriatric depression screening scale: a preliminary report. Journal of Psychiatric Research, 17, 3749. doi: 10.1016/0022-3956(82)90033-4CrossRefGoogle ScholarPubMed
Young, J. E. (1990). Cognitive Therapy for Personality Disorders: A Schema-Focused Approach. Sarasota, FL, USA: Professional Resource Press.Google Scholar
Young, J. E., Atkinson, T., Arntz, A., Engels, I., & Weishaar, M. (2005). The Young Atkinson Mode Inventory (YAMI-PM,1B). New York, NY, USA: Schema Therapy Institute.Google Scholar
Young, J. E., Klosko, J. S., & Weishaar, M. E. (2003). Schema Therapy: A Practitioner’s Guide. New York, NY, USA: Guilford Press.Google Scholar
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