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Early maladaptive schemas in eating disorders: A systematic review
Journal article   Peer reviewed

Early maladaptive schemas in eating disorders: A systematic review

Anthea L Maher, Liana Cason, Tyrone Huckstepp, Helen M Stallman, Lee Kannis-Dymand, Prudence Millear, Jonathan Mason, Andrew Wood and Andrew Allen
European Eating Disorders Review, Vol.30(1), pp.3-22
2022
PMID: 34636456
Appears in  Thompson Institute Research Collection
url
https://doi.org/10.1002/erv.2866View
Published Version

Abstract

anorexia nervosa binge eating disorder bulimia nervosa early maladaptive schema eating disorder schema therapy Eating disorders Thompson Institute Special Collection UniSC Diversity Area - Disability and Inclusion
OBJECTIVE: Research and theory suggest the aetiological nature and symptomatic profile of eating disorders (EDs) can be explained by multiple factors, including the development of early maladaptive schemas (EMS). Yet, there is lack of consensus regarding the evidence supporting the relationship between EMS and EDs. Therefore, this systematic review aimed to examine existing literature concerning the relationship between different ED diagnoses and EMS to provide a synthesis and evaluation of relevant research. METHOD: A comprehensive literature search of four electronic databases was conducted and studies were included that examined the association between EMS and EDs. Studies were required to use a variant of Young Schema Questionnaire and establish ED diagnosis or symptomology using self-report questionnaires or clinical interview. RESULTS: A total of 29 studies were included in the review. Compared to healthy controls and varying clinical populations, individuals with EDs generally reported significantly higher scores across all EMS except for Entitlement. Furthermore, Unrelenting Standards consistently appeared as a significant EMS across all ED diagnoses whilst Insufficient Self-Control was significantly lower in ED diagnoses with restrictive behaviour compared to diagnoses with binge eating or purging behaviour. DISCUSSION: Research supports significant associations between EMS and EDs, which may contribute to our understanding of ED aetiology, including different diagnostic categories. This review underscores the need for studies to explore more gender and age diverse samples and highlights important implications for practitioners.

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Psychiatry
Psychology, Clinical

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#3 Good Health and Well-Being
#5 Gender Equality

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