The impact of early maladaptive schemas on anxiety and depression among early-stage breast cancer patients: direct and mediated pathways through illness representations
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View abstract on PubMed
Summary
This summary is machine-generated.Early Maladaptive Schemas (EMSs), like Vulnerability to Harm, directly predict anxiety and depression in breast cancer patients. Illness perceptions also mediate this link, highlighting the importance of addressing these schemas for psychological well-being.
Area Of Science
- Psychology
- Oncology
- Health Psychology
Background
- Early Maladaptive Schemas (EMSs) are vulnerability factors for psychopathology.
- Adverse events like breast cancer diagnosis may trigger EMSs.
- EMSs and illness representations influence emotional self-regulation.
Purpose Of The Study
- To examine the relationship between EMSs and anxiety/depression in breast cancer patients.
- To investigate if illness representations mediate the effect of EMSs on anxiety/depression.
Main Methods
- Prospective study with 95 newly diagnosed breast cancer patients.
- Self-report questionnaires administered at 4 weeks, 4 months, and 12 months post-surgery.
- Validated instruments included the Young Schema Questionnaire (YSQ-S3), Brief Illness Perception Questionnaire (Brief IPQ), and Hospital Anxiety and Depression Scale (HADS).
Main Results
- Vulnerability to Harm EMS directly predicted anxiety at 12 months.
- Vulnerability to Harm EMS also predicted anxiety and depression indirectly through illness representations.
- Enmeshment EMS showed a direct effect on anxiety.
Conclusions
- Vulnerability to Harm and Enmeshment EMSs, related to impaired autonomy, are linked to distress in breast cancer patients.
- Illness representations mediate the impact of Vulnerability to Harm on psychological outcomes.
- Early identification of these schemas is vital for preventing long-term distress.
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