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Schema Modes, Trauma, and Disordered Eating.

Hayley Goddard1, Richard Hammersley2, Marie Reid3

  • 1Leeds and York Partnership NHS Foundation Trust.

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Summary

Maladaptive schema modes significantly predict disordered eating, with total maladaptive modes explaining the most variance. Further research is needed to refine the Schema Mode Inventory for Eating Disorders structure.

Keywords:
disordered eatingschema modesschema therapytrauma

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Area of Science:

  • Psychology
  • Clinical Psychology
  • Eating Disorder Research

Background:

  • Maladaptive schema modes are theorized to link trauma and disordered eating, but empirical evidence is limited.
  • Understanding this relationship is crucial for developing effective interventions for eating disorders.

Purpose of the Study:

  • To investigate the predictive relationship between schema modes, trauma, and disordered eating.
  • To examine the factor structure of the Schema Mode Inventory for Eating Disorders (SMI-ED-SF).

Main Methods:

  • A cross-sectional online survey of 612 participants (aged 18-65) recruited from eating disorder support groups.
  • Utilized sociodemographic variables, SMI-ED-SF, Eating Disorder Examination Questionnaire (EDE-Q), and Trauma History Questionnaire (THQ).
  • Employed confirmatory factor analysis and stepwise linear regression.

Main Results:

  • Confirmatory factor analysis supported a 16-factor structure for the SMI-ED-SF, with some combined factors.
  • Total maladaptive schema mode score significantly predicted disordered eating (EDE-Q scores), accounting for 37.3% of the variance.
  • Other significant predictors included total adaptive mode score (1.5%), Vulnerable Child (2.8%), and Detached Self-Soother (1.5%) modes.

Conclusions:

  • Schema modes are significant predictors of disordered eating, highlighting their potential role in the psychopathology of eating disorders.
  • The discrete, persona-like existence of certain schema modes requires further investigation.
  • Refinement of the SMI-ED-SF structure and exploration of links to interpersonal trauma are recommended.