Maladaptive schemas, behavioral activation-inhibition systems, and experiential avoidance in patients with chronic somatic symptom disorders and healthy people
DOI:
https://doi.org/10.22122/cdj.v9i2.598Keywords:
Body Schema, Behavioral Control, InhibitionAbstract
BACKGROUND: Somatic symptom disorders have relation with mental health. Hence, this study aimed to compare early maladaptive schemas (EMSs), behavioral activation system/behavioral inhibition system (BAS/BIS), and experiential avoidance in patients with chronic somatic symptom disorders and healthy people.
METHODS: This was a casual-comparative study. Of patients with psychosomatic disorders referring to the Palliative Medicine Center and Educational and Medical Center of Shahid Sayyad Shirazi in Gorgan, Iran, 120 eligible patients were selected through convenience sampling, then were compared with 120 normal individuals (without psychosomatic disorders) who had been matched with patient group in terms of age, sex, education, and marital status. Brain Behavioral System Questionnaire (BAS/BIS Questionnaire), Young Schema Questionnaire-Short Form (YSQ-SF), and Acceptance and Action Questionnaire-II (AAQ-II) were used. The data were analyzed by multivariate analysis of variance (MANOVA) and SPSS software.
RESULTS: Demographic information of patient and healthy groups indicated that in patient group, 36.7% were single and 63.3% were married, 1.7% had elementary education, 10.0% had secondary school education, 45.0% had diploma, and 43.3% had higher education degree. In normal group, 60.0% were single and 40.0% were married, 3.3% had secondary school degree, 51.7% had diploma, and 45.0% had higher education degree. The results indicated a significant difference between EMSs, behavioral systems, and experiential avoidance in patients with somatic symptom disorders and normal people in Iran (P < 0.001).
CONCLUSION: Patients with somatic symptom disorders have more active BAS-BIS, high EMSs, and more experimental avoidance than normal people.
References
Stubbs B, Koyanagi A, Thompson T, Veronese N, Carvalho AF, Solomi M, et al. The epidemiology of back pain and its relationship with depression, psychosis, anxiety, sleep disturbances, and stress sensitivity: Data from 43 low- and middle-income countries. Gen Hosp Psychiatry 2016; 43: 63-70.
Jensen MP, Ehde DM, Day MA. The behavioral activation and inhibition systems: Implications for understanding and treating chronic pain. J Pain 2016; 17(5): 529.
Young JE, Klosko JS, Weishaar ME. Schema therapy: A practitioner's guide. New York, NY: Guilford Publications; 2003.
Manavipour D, Miri L S. Early maladaptive schemas in patients with psychosomatic disorder and
multiple sclerosis. Shefaye Khatam 2017; 5(1): 40-7. [In Persian].
Saariaho THJ, Saariaho ASI, Karila IA, Joukamaa MI. Early maladaptive schemas in Finnish adult chronic male and female pain patients. Scand J Pain 2010; 1(4): 196-202.
Jensen MP, Tan G, Chua SM. Pain intensity, headache frequency, and the behavioral activation and inhibition systems. Clin J Pain 2015; 31(12): 1068-74.
Jensen MP, Sole E, Castarlenas E, Racine M, Roy R, Miro J, et al. Behavioral inhibition, maladaptive pain cognitions, and function in patients with chronic pain. Scand J Pain 2017; 17: 41-8.
Hundt NE, Nelson-Gray RO, Kimbrel NA, Mitchell JT, Kwapil TR. The interaction of reinforcement sensitivity and life events in the prediction of anhedonic depression and mixed anxiety-depression symptoms. Personality and Individual Differences 2007; 43(5): 1001-12.
Eifert GH, McCormack ELLE, Zvolensky MJ. Somatoform and dissociative disorders. Psychopathology 2012; 347-71.
Pickett SM, Bardeen JR, Orcutt HK. Experiential avoidance as a moderator of the relationship between behavioral inhibition system sensitivity and posttraumatic stress symptoms. J Anxiety Disord 2011; 25(8): 1038-45.
Kmpfe CK, Gloster AT, Wittchen HU, Helbig-Lang S, Lang T, Gerlach AL, et al. Experiential avoidance and anxiety sensitivity in patients with panic disorder and agoraphobia: Do both constructs measure the same? Int J Clin Health Psychol 2012; 12(1): 1-19.
Carver CS, White TL. Behavioral inhibition, behavioral activation, and affective responses to impending reward and punishment: The BIS/BAS Scales. J Pers Soc Psychol 1994; 67(2): 319-33.
Muris P, Meesters C, Spinder M. Relationships between child- and parent-reported behavioural inhibition and symptoms of anxiety and depression in normal adolescents. Pers Individ Dif 2013; 34(5): 759-71.
Abdollahi R, Bakhshipour R, Mahmoodaliloo M. Validity and reliability of behavioral inhibition and activation systems (BIS/BAS) scales among Tabriz university students. Journal of Modern Psychological Researches 2013; 7(28): 123-39. [In Persian].
Basharpoor S, Molavi P, Barahmand U, Mousavi SA. The relationship between behavioral activation/inhibition systems (BAS/BIS) and bullying/ victimization behaviors among male adolescents. Iran J Psychiatry 2013; 8(3): 118-23. [In Persian].
Lee CW, Taylor G, Dunn J. Factor structure of the schema questionnaire in a large clinical sample. Cognit Ther Res 1999; 23(4): 441-51.
Yousefi R. The comparison of early maladaptive schemas and cognitive emotion regulation styles in patient with functional gastrointestinal disorders (FGID) and normal group. Govaresh 2014; 19(4): 257-64. [In Persian].
Yang W, Cui C, Xu W, Fu Z, Wang J. Reliability and validity of the young schema questionnaire in Tibetan adolescents. Chineses J Clin Psychol 2017; 25(1): 101-4.
Bond FW, Hayes SC, Baer RA, Carpenter KM, Guenole N, Orcutt HK, et al. Preliminary Psychometric Properties of the Acceptance and Action QuestionnaireII: A Revised Measure of Psychological Inflexibility and Experiential Avoidance. Behav Ther 2011; 42(4): 676-88.
Abasi E, Fata L, Molodi R, Zarabi H. Psychometric properties of Persian version of acceptance and action questionnaire-II. Journal of Psychological Models and Methods 2013; 3(10): 65-80. [In Persian].
Amiri S, Ghasemi Gheshlagh M, Gharewisi S. A comparative study of personality traits and brain behavioral activation systems and inhibition in women with cancer, cardiovascular diseases and normal women. Qom Univ Med Sci J 2017; 11(2): 46-55. [In Persian].
Ly C, Gomez R. Unique associations of reinforcement sensitivity theory dimensions with social interaction anxiety and social observation anxiety. Pers Individ Dif 2014; 60: 20-4.
Yousefi Kalekhane Z, Hashemi Nosratabad T, Mahmoud A. The role of brain-behavioral systems and stressful experiences in symptoms of social. Journal of Thought & Behavior in Clinical Psychology 2017; 11(44): 77-86. [In Persian].
Atadokht A, Einy S, Tagavy R. Relationship between behavioral activation and inhibition systems with experiential avoidance and impulsivity of veterans with post-traumatic stress disorder. Iran J War Public Health 2018; 10(2): 69-74.
Pirani Z. The role of behavioral activation/inhibition systems and emotional, cognitive and behavioral engagement in prediction of educational exhaustion. Journal of School Psychology 2015; 4(3): 7-22. [In Persian].
