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Does Cognitive Therapy Change the Early Maladaptive Schemas in Individuals with Alcohol Dependence? Evidence from a
Geeta Singh1, Gauri Shanker Kaloiya2, Anju Dhawan2
1Dept. of Psychiatry, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
Indian Journal of Psychological Medicine
|March 17, 2023
Summary
Cognitive therapy significantly improved specific early maladaptive schemas (EMSs) in individuals with alcohol dependence (AD). Addressing these schemas in treatment programs is crucial for managing AD effectively.
Area of Science:
- Psychiatry
- Clinical Psychology
- Addiction Medicine
Background:
- Early maladaptive schemas (EMSs) are potential vulnerability markers for alcohol dependence (AD).
- Current substance abuse treatment programs often underemphasize addressing EMSs.
- This study investigates schema changes following cognitive therapy in AD patients.
Purpose of the Study:
- To evaluate the impact of cognitive therapy on early maladaptive schemas in individuals with alcohol dependence.
- To determine if cognitive therapy can modify specific EMSs associated with AD.
- To assess the role of EMSs in AD treatment outcomes.
Main Methods:
- An open-label randomized controlled study involving 84 individuals with alcohol dependence syndrome (ADS).
- Participants were assigned to either cognitive therapy plus treatment as usual (TAU) or TAU alone.
- Assessments included EMSs, alcohol use severity, and perceived stress at baseline and posttreatment.
Main Results:
- The cognitive therapy group showed significant improvement in 5 out of 18 EMSs (emotional deprivation, defectiveness, self-sacrifice, unrelenting standard, negativity).
- A significant between-group effect was observed for perceived stress.
- No significant difference in alcohol use severity was found between the groups.
Conclusions:
- Cognitive therapy can effectively change early maladaptive schemas in individuals with alcohol dependence.
- EMSs represent a critical target for intervention in AD treatment programs.
- Further research with long-term follow-up is recommended to confirm these findings.
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