E-ISSN 2636-8765 | ISSN 2146-9490
 

Original Research 


Early Maladaptive Schemas Related To Unipolar and Bipolar Depression: Similarities and Differences

Nergis LAPSEKİLİ, Mehmet AK.

Abstract
Objective and methodology: Cognitive theory of depression has begun to examine the difference between bipolar and unipolar depression in the context of thinking features. Yet, little is known about the same and seperated points of bipolar and unipolar depression. The objective was evaluating relationship between cognitive schemas of bipolar and unipolar patients. Bipolar and unipolar depression patients and a control group were enrolled in the study. Beck Depression Inventory, Young Mania Scale and Young Schema Questionnaire were administered to the groups.
Results: There was significant difference between unipolar and control groups in “Abandonment/instability”. In “mistrust/abuse” significant difference was between unipolar and bipolar and between unipolar and control groups. ln “entitlement/self-centeredness” difference was between unipolar and control groups. In all other schemas, difference was between unipolar and control and bipolar and control groups. In these schemas, control group had significantly lower scores than others. Unipolar and bipolar groups were similar.
Conclusion: In patient groups, schemas like defectiveness, incompetence, failure, vulnerability to danger and undeveloped self were indicative of low self-perception. This case draws attention to distortions in self-perception. When the absence of difference between bipolar and controls in “mistrust/abuse” and “abandonment/instability” schemas is evaluated in terms of cognitive triad, it is suggested that environmental perspective in this group of patients did not exhibit pessimistic features. The only significantly different schema between unipolar and bipolar groups was “mistrust/abuse”. This suggests that bipolar group didn’t have negative thoughts like unipolar patients about the perception of the enviroment.

Key words: Unipolar Depression, Bipolar Disorder, Self-Schema



Bipolar ve Unipolar Depresyonda Erken Dönem Uyumsuz Şemalar: Benzerlikler ve Farklılıklar

Ozet
Amaç ve Yöntem: Depresyonun bilişsel modeli, unipolar ve bipolar depresyon arasındaki fakları düşünme özellikleri bağlamında incelemiştir. Halen unipolar ve bipolar depresyonun benzeşen ve farklılaşan özellikleri hakkında bilgimiz yetersizdir. Amaç, bipolar ve unipolar depresyonda, bilişsel şemalar arasındaki ilişki bağlamında benzerlik ve farklılıkları değerlendirmektir. Unipolar depresyon, bipolar bozukluk hastaları ve kontrol grubu çalışmaya alınmıştır. Beck Depresyon, Young Mani ve Young Şema ölçekleri uygulanmıştır.
Bulgular: Terk edilme şeması açısından unipolar ve kontrol grubu arasındaki fark anlamlıydı. Güvensizlik/suistimal edilme şemasında unipolar ve bipolar grup arasında ve yine unipolar grupla kontrol grubu arasında fark vardı. Hak görme/büyüklük şemasında ise anlamlı farklılık unipolar ve kontrol grupları arasındaydı. Diğer şemalarda, farklılık unipolar grupla kontrol grubu ve bipolar grupla kontrol grubu arasındaydı. Bu şemalarda, kontrol grubunun puanları diğer iki gruba göre daha düşüktü. Unipolar ve bipolar gruplarının puanları ise benzerdi.
Sonuç: Hasta gruplarında; kusurluluk, yetersizlik, başarısızlık, gelişmemiş benlik, dayanıksızlık gibi şemalar düşük kendilik algısına işaret etmektedir. Güvensizlik ve terk edilme şemaları açısından bipolar ve kontrol grupları arasında farkın olmaması kognitif triad açısından değerlendirildiğinde, bipolar grupta insanlara bakış açısının olumsuz olmadığını düşündürmektedir. Unipolar ve bipolar gruplar arasında anlamlı farklılık gözlenen tek şema, Güvensizlik/suistimal edilme şemasıydı. Bu durum, bipolar grupta olan hastaların, çevreyle ilgili olumsuz algılarının olmadığına işaret etmektedir.

Anahtar Kelimeler: Unipolar Depresyon, Bipolar Bozukluk, Bilişsel Şema


 
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REFERENCES
Alloy L, Reilly-Harrington N, Fresco D ve ark (1999) Cognitive styles and life events in sub-syndromal unipolar and bipolar mood disorders: stability and prospective prediction of depressive and hypomanic mood swings. J Cogn Psychother, 13:21–40
Ball J, Mitchell P, Malhi G ve ark (2003) Schema-focused cognitive therapy for bipolar disorder: reducing vulnerability to relapse through attitudinal change. Aust N Z J Psychiatry, 37(1):41-48
Beck AT (1997) Cognitive Therapy of Depression, Guilford Pres, s. 265-84
First MB, Spitzer RL, Gibbon M ve ark (1997) Structured Clinical Interview for DSM–IV Axis I Disorders-Clinician Version (SCID-CV). Washington, DC: American Psychiatric Press
Goldberg JF, Gerstein RK, Wenze SJ ve ark (2008) Dysfunctional Attitudes and Cognitive Schemas in Bipolar Manic and Unipolar Depressed Outpatients. J Nerv Ment Dis, 196(3):207-210
Halvorsen M, Wang CE, Richter J ve ark (2009) Early maladaptive schemas, temperament and character traits in clinically depressed and previously depressed subjects. Clinical Psychology and Psychotherapy, 16:394-407
Hisli N (1998) Beck Depresyon Envanterinin Üniversite Öðrencileri için Geçerliði, Güvenirliði. Psikoloji Dergisi, 7(23):3-13
Hoffart A, Sexton H, Hedley LM ve ark (2005) The structure of maladaptive schemas: A confi rmatory factor analysis and a psychometric evaluation of factor-derived scales. Cognitive Therapy and Research, 29:627–644
Lam D, Wright K, Smith N (2004) Dysfunctional assumptions in bipolar disorder. J Affect Disord, 79:193–199
Leahy RL (1999) Decision making and mania. J Cogn Psychother. 13:83–105
McGinn LK, Young J (1996) Schema Focused Therapy, Salkovskis PM (Ed), Frontiers of cognitive therapy , NY, Guilford Pres, s.182-207.
Özkürkçügil A, Aydemir Ö, Yýldýz M ve ark (1999) DSM-IV Eksen I Bozukluklarý için Yapýlandýrýlmýþ Klinik Görüþmenin Türkçe'ye Uyarlanmasý ve Güvenirlik Çalýþmasý. Ýlaç ve Tedavi Dergisi, 12;233-236
Ratto CL, Capitano DL (1999) New directions for cognitive therapy: a schema-focused approach. Cognitive and Behavioral Practice, 6:68–73
Reilly-Harrington NA, Alloy LB, Fresco DM ve ark (1999) Cognitive styles and life events interact to predict bipolar and unipolar symptomatology. J Abnorm Psychol, 108:567–578.
Scott J, Stanton B, Garland A ve ark (2000) Cognitive vulnerability in patients with bipolar disorder. Psychol Med, 30:467–472
Scott J (2001) Cognitive therapy as an adjunct to medication in bipolar disorder. Br J Psychiatry, 178:164–168
Scott J, Garland A, Moorhead S (2001) A pilot study of cognitive therapy in bipolar disorders. Psychol Med 31:459–467
Scott J, Pope M (2003) Cognitive styles in individuals with bipolar disorders. Psychol Med, 6:1081–1088
Sheppard LC, Teasdale JD (2000) Dysfunctional thinking in major depressive disorder: A deficit in metacognitive monitoring?. J Abnorm Psychol, 109:768–776
Shaw BF, Segal ZV ve ark (1988) Introduction to cognitive therapy. Review of psychiatry. Vol 7. Frances AJ (Eds) Washington DC: Am. Psych. Pres, 538-553
Solomon DA, Keller MB, Leon AC ve ark (2000) Multiple recurrences of major depressive disorder. Am J Psychiatry, 157:229–233
Soygüt G, Karaosmanoðlu A, Çakýr Z (2009) Assessment of Early Maladapti ve Schemas: A Psychometric Study of the Turkish Young Schema Questionnaire-Short Form-3. Turkish Journal of Psychiatry, 20(1):75-84
Young, JE, Brown G (1990) Young Schema Questionnaire. New York: Cognitive Therapy Center of New York.
Young JE, Lindemann MD (1992) An integrative shema focus model for personality disorders. J Cogn Psychother, 6:11-24
Young JE (1994) Cognitive therapy for personality disorders:a schema–focused approch. Sarasota, FL: Professional resource exchange)
Young JE, Klasko J (2003) Schema therapy for practitioner's guide , Guilford Press 5-15

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Nergis LAPSEKILI, Mehmet AK. [Early Maladaptive Schemas Related To Unipolar and Bipolar Depression: Similarities and Differences]. JCBPR. 0; 0(0): -. Turkish.


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Nergis LAPSEKILI, Mehmet AK. [Early Maladaptive Schemas Related To Unipolar and Bipolar Depression: Similarities and Differences]. http://www.jcbpr.org/?mno=26616 [Access: March 29, 2020]. Turkish.


AMA (American Medical Association) Style

Nergis LAPSEKILI, Mehmet AK. [Early Maladaptive Schemas Related To Unipolar and Bipolar Depression: Similarities and Differences]. JCBPR. 0; 0(0): -. Turkish.



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Nergis LAPSEKILI, Mehmet AK. [Early Maladaptive Schemas Related To Unipolar and Bipolar Depression: Similarities and Differences]. JCBPR. (0), [cited March 29, 2020]; 0(0): -. Turkish.



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Nergis LAPSEKILI, Mehmet AK (0) [Early Maladaptive Schemas Related To Unipolar and Bipolar Depression: Similarities and Differences]. JCBPR, 0 (0), -. Turkish.



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Nergis LAPSEKILI, Mehmet AK. 0. [Early Maladaptive Schemas Related To Unipolar and Bipolar Depression: Similarities and Differences]. Journal of Cognitive-Behavioral Psychotherapy and Research, 0 (0), -. Turkish.



Chicago Style

Nergis LAPSEKILI, Mehmet AK. "[Early Maladaptive Schemas Related To Unipolar and Bipolar Depression: Similarities and Differences]." Journal of Cognitive-Behavioral Psychotherapy and Research 0 (0), -. Turkish.



MLA (The Modern Language Association) Style

Nergis LAPSEKILI, Mehmet AK. "[Early Maladaptive Schemas Related To Unipolar and Bipolar Depression: Similarities and Differences]." Journal of Cognitive-Behavioral Psychotherapy and Research 0.0 (0), -. Print.Turkish.



APA (American Psychological Association) Style

Nergis LAPSEKILI, Mehmet AK (0) [Early Maladaptive Schemas Related To Unipolar and Bipolar Depression: Similarities and Differences]. Journal of Cognitive-Behavioral Psychotherapy and Research, 0 (0), -. Turkish.