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Cognitive Therapy and Research

, Volume 30, Issue 5, pp 571–584 | Cite as

Early Maladaptive Schemas and Social Phobia

  • José Pinto-Gouveia
  • Paula Castilho
  • Ana Galhardo
  • Marina Cunha
Original Article

Abstract

The present study compares core beliefs between a group of patients with social phobia (n = 62), other anxiety disorders (n = 41) and a group of non-psychiatric controls (n = 55). Participants completed measures to assess social anxiety and the Young’s Schema Questionnaire (123-items version) that is designed to assess 15 early maladaptive schemas (EMSs). Results suggest that the schematic structure of patients with social phobia differs from the one of patients with other anxiety disorders and from normal controls’. Patients with social phobia show higher levels of EMSs particularly in the area of disconnection/rejection than patients with other anxiety disorders. Regression analysis identified the EMSs of mistrust/abuse, social undesirability/defectiveness, entitlement, emotional deprivation, unrelenting standards and shame, as the ones that explain most of the variance in our sample subject’s anxiety that they felt in social situations and on fear of negative evaluation.

Keywords

Social phobia Social anxiety Anxiety disorders Schema questionnaire 

Notes

Acknowledgments

This study was supported in part by the CINEICC financed by the FCT. The authors wish to acknowledge the helpful comments and suggestions of the anonymous reviewers on earlier version of this manuscript.

References

  1. American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders: DSM-IV (4th ed.). Washington, DC: American Psychiatric Association.Google Scholar
  2. Beck, A. T., Emery, G., & Greenberg, R. L. (1985). Anxiety disorders and phobias: A cognitive perspective. New York: Basic Books.Google Scholar
  3. Clark, D. M., & Wells, A. (1995). A cognitive model of social phobia. In R. Heimberg, M. Liebowitz, D. A. Hope, & F. R. Schneier (Eds.), Social phobia: Diagnosis, assessment and treatment. New York: Guilford.Google Scholar
  4. Coupland, N. J. (2001). Social phobia: Aetiology, neurobiology, and treatment. The Journal of Clinical Psychiatry, 62(Suppl 1), 25–35.PubMedGoogle Scholar
  5. Gelernter, C. S., Stein, M. B., Tancer, M. E., & Uhde, T. W. (1992). An examination of syndromal validity and diagnostic subtypes in social phobia and panic disorder. The Journal of Clinical Psychiatry, 53(1), 23–27.PubMedGoogle Scholar
  6. Herbert, J. D., Hope, D. A., & Bellack, A. S. (1992). Validity of the distinction between generalized social phobia and avoidant personality disorder. Journal of Abnormal Psychology, 101(2), 332–339.CrossRefPubMedGoogle Scholar
  7. Hudson, J. L., & Rapee, R. M. (2000). The origins of social phobia. Behaviour Modification, 24(1), 102–129.Google Scholar
  8. Marteinsdottir, I., Furmark, T., Tillfors, M., Fredrikson, M., & Ekselius, L. (2001). Personality traits in social phobia. European Psychiatry, 16(3), 143–150.CrossRefPubMedGoogle Scholar
  9. Mattick, R., & Clarke, J. (1998). Development and validation of measures of social phobia scrutiny fear and social interaction anxiety. Behaviour Research and Therapy, 36, 455–470.CrossRefPubMedGoogle Scholar
  10. Neal, J. A., & Edelmann, R. J. (2003). The etiology of social phobia: Toward a developmental profile. Clinical Psychology Review, 23(6), 761–786.CrossRefPubMedGoogle Scholar
  11. Nordahl, H. M., & Nysaeter, T. E. (2005). Schema therapy for patients with borderline personality disorder: A single case series. Journal of Behavior Therapy and Experimental Psychiatry, 36(3), 254–264.CrossRefPubMedGoogle Scholar
  12. Pinto-Gouveia, J., Robalo, M., Cunha, M., & Fonseca, L. (1997). O questionário de esquemas de Young: aferição e utilização na população portuguesa [Young´s Schema Questionnaire: translation and adaptation to the Portuguese population]. Paper presented at the V Latini Dies, Cascais, Portugal.Google Scholar
  13. Pinto-Gouveia, J., Cunha, M. I., & Salvador, M. C. (2003). Assessment of social phobia by self-report questionnaires: The social interaction and performance anxiety and avoidance scale and the social phobia safety behaviour scale. Behavioural and Cognitive Psychotherapy, 31, 291–311.CrossRefGoogle Scholar
  14. Pinto-Gouveia, J., Fonseca, L., Robalo, M., Allen, A., Matos, A. P., & Gil, E. (1986). Ansiedade social: Utilização dos questionários de auto-resposta SAD, FNE e SISST numa população portuguesa [Social anxiety: The utilization of SAD, FNE and SISST in a Portuguese population]. Psiquiatria Clínica, 7, 43–48.Google Scholar
  15. Pinto-Gouveia, J., & Salvador, M. C. (2001). The social interaction anxiety scale and the social phobia scale in the Portuguese population. Paper presented at the XXXI Annual Congress of European Association For Behavioural and Cognitive Therapies, Istambul – Turkey.Google Scholar
  16. Rapee, R. M., & Heimberg, R. G. (1997). A cognitive-behavioral model of anxiety in social phobia. Behaviour Research and Therapy, 35, 741–756.CrossRefPubMedGoogle Scholar
  17. Rapee, R. M., & Spence, S. H. (2004). The aetiology of social phobia: Empirical evidence and an initial model. Clinical Psychology Review, 24(7), 737–767.CrossRefPubMedGoogle Scholar
  18. Schmidt, N. B., Joiner, T. E., Young, J. E., & Telch, M. J. (1995). The schema questionnaire: Investigation of psychometric properties and the hierarchical structure of a measure of maladaptive schemas. Cognitive Therapy and Research, 19, 295–321.CrossRefGoogle Scholar
  19. Shah, R., & Waller, G. (2000). Parental style and vulnerability to depression: The role of core beliefs. The Journal of Nervous and Mental Disease, 188(1), 19–25.CrossRefPubMedGoogle Scholar
  20. Watson, D., & Friend, R. (1969). Measurement of social-evaluative anxiety. Journal of Consulting and Clinical Psychology, 33, 448–457.CrossRefPubMedGoogle Scholar
  21. Welburn, K., Coristine, M., Dagg, P., Pontefract, A., & Jordan, S. (2002). The schema questionnaire-short form: Factor analysis and relationship between schemas and symptoms. Cognitive Therapy and Research, 26, 519–530.CrossRefGoogle Scholar
  22. Williams, J. M., Watts, F. N., Macleod, C., & Mathews, A. (1997). Cognitive psychology and emotional disorders. (2nd ed.). Chichester: Wiley.Google Scholar
  23. Young, J. (1990). Cognitive therapy for personality disorders: A schema-focused approach. Sarasota, FL: Professional Resource Exchange.Google Scholar
  24. Young, J. (1999). Cognitive therapy for personality disorders: A schema-focused approach (3rd ed.). Sarasota, FL: Professional Resource Exchange.Google Scholar
  25. Young, J., & Brown, G. (1989). Schema questionnaire. Unpublished manuscript. Cognitive Therapy Centre of New York.Google Scholar
  26. Young, J. E., Klosko, J. S., & Weishaar, M. E. (2003). Schema therapy: A practitioner’s guide. New York: The Guilford Press.Google Scholar

Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • José Pinto-Gouveia
    • 1
  • Paula Castilho
    • 1
  • Ana Galhardo
    • 2
  • Marina Cunha
    • 2
  1. 1.CINEICC – Faculdade de Psicologia e de Ciências da Educação da Universidade de CoimbraCoimbraPortugal
  2. 2.Instituto Superior Miguel TorgaCoimbraPortugal

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