The effectiveness of schema therapy on modifying the first maladaptive schemas and reducing mood syndrome in suffers with skin disorders




Background and Purpose: Several psychological treatments were considered for reducing mood problems and modifying maladaptive schemas, and schema therapy is one of these treatments. The aim of this study was to test the effectiveness of schema therapy on modifying the first maladaptive schemas and reducing mood syndrome in patients with skin psychosomatic disorder.

Materials and methods: The research method was semi-experimental with the control and evaluation group as pre-test and post-test. The statistical population of the study consisted of all individuals with mental disorder in the city of Naghade in 1395. The available sampling method was 36 people and randomly assigned to either experimental (18 subjects) or control (18 persons). The experimental group received 11 sessions of schema therapy once a week, and the control group remained without any intervention. To collect information in pre-test and post-test, standard questionnaires were used for positive and negative, and Yang's early maladaptive schemas. The research data were analyzed by ANOVA.

Results: The findings showed that schema therapy significantly reduced the scores of all maladaptive schemas. It also increases the positive mood and decreases the negative mood in people with psychosomatic disorders (p <0.01).

Conclusion: It can be said that the schema therapy is effective in correcting the initial maladaptive schemes and reducing the symptoms of mood disorders in psychosocial disorders of the skin.


1. Bickers, D. R, H. W. Lim, ,D. Margolis, M. A. Weinstock,C. Goodman, ,E. Faulkner. (2006). The burden of skin diseases: 2004. Volume 55, Issue 3, Pages 490–500. 2. 2. American Psychiatric Association. (2013). Diagnostic and Emergency Guide to Psychiatric Disorders. Translation by Seyyed Mohammadi, Yahya (1393). Publish Ravan 3. Harth W, Gieler U, Kusnir D, Tausk F A. Clinical Management in Psychodermatology. Berlin Heidelberg, Springer-Verlag; 2009. 4. Kovabel H, Dudek D, Jaworek A, Wojas-Pelc A. Psychodermatology: Psychological and psychiatric aspects of dermatology. [Polish] Przegl Lek. 2008;65:244–8. 5. Koo JY, Lee CS. General Approach to evaluating psycho-dermatological disorders. In: Koo JY, Lee CS, editors. Psychocutaneous Medicine. New York, NY: Marcel Dekker Inc; 2003. pp. 1–29 6. Beedie, C., Terry, P., & Lane, A. (2005).Distinctions between emotion and mood. Cognition & Emotion, 19(6), 847-878. 7. Zeljko-Penavić J, Situm M, Babić D, Simić D. Analysis of psychopathological traits in psoriatic patients. Psychiatr Danub. 2013;Suppl 1:56-9. 8. Leahy R L. translate: Fata L. cognitive therapy techniques: a practioners guide. Tehran: danzhe; 2008(persian). 9. Young JE.(1999).Cognitive therapy for personality disorders: A schema focusedapproach. Sarasota FL: Professional Resources Press;23-37. 10. Qaradaghi (2009). Investigating the relationship between Yang's early maladaptive schemas and job adaptability in male employees of Tehran-based mechanized post office in 2009, Allameh Tabatabaei University. 11. Simos, G. (2002) Cognitive behavior therapy: a guide for the practicing clinical. Brunner- Rutledge, New York. 12. Sempértegui, G. A., Karreman, A., Arntz, A., Bekker, M. H. J. (2013). Schema therapy for borderline personality disorder: A comprehensive review of its empirical foundations, effectiveness and implementation possibilities. Clinical Psychology Review, 33: 426-447. 13. Malogiannis, IA., Arntz, A.,Spyropoulou, A., Tsartsara, E., Aggeli A.,Karveli, S., Vlavianou, M., Pehlivanidis,A., Papadimitriou, GN., Zervas, I.(2014).Schema therapy for patients withchronic depression: A single case seriesstudyJournal of Behavior Therapy andExperimental PsychiatryVolume 45, Issue3, Pages 319–32. 14. Hawke LD, Provencher MD, ParikhSV.(2013). Schema therapy for bipolardisorder: a conceptual model and futuredirections. Journal of Affective Disorders.Volume 148, Issue 1, Pages 118–122. 15. Nenadić,L. Lamberth. S, Reiss N.(2017). Group schema therapy for personality disorders: a pilot study for implementation in acute psychiatric in-patient settings, Psychiatry Research,01.093. 16. Ghaderi, Farzad, Kalantari, Mehrdad, Mehrabi, Hossein Ali. (1395). Effect of group schema therapy on modifying early maladaptive schemas and reducing the symptoms of social anxiety disorder. Quarterly Journal of Clinical Psychology, 6: (24), 28-41. 17. Ghadiri, Davood, Maroufi, Mohsen, Ebrahimi, Amraleh (1394). The effectiveness of Schema Therapy on reducing symptoms and modifying the early maladaptive schemas of patients with type I and I-I bipolar disorder. Research in behavioral science, 13: 3, 408-400. 18. Nazari, Ali Mohammad, Ahmadian, Alireza (1393). Effectiveness of allegorical therapies in women with depressive symptoms after divorce (single case experimental design). Institute for Humanities and Cultural Studies, 5,1: 141-159. 19. Jahangiri, Mohammad Mehdi, Salehi, Mahdieh, Ashayeri, Hassan, Hassan, Pasha Sharifi (1394). The Effect of Schematic Therapy on the Adjustment of Maladaptive Scale Scale in Patients with Resistant Ovarian Obsessive Compulsive Disorder. Journal of Psychology and Psychiatry, 2 (2): 27-13. 20. Sadiqi, Venus, Agilar Vafai, Maryam; Rasoulzadeh Tabatabaee, Kazem; and Isfahanian, Aliyah. (1386). Factor Analysis of Short Version of Yang Schema Questionnaire in Iranian Non-Cyclical Sample. Journal of Psychiatry and Clinical Psychology, 4 (2), 214-219. 21. Watson D, Clark LA, Tellegen A. Development and validation of brief measures of positive and negative affect: the PANAS scales. J Pers Soc Psychol 1988; 54(6): 1063-1070. 22. Rafiei Nia, Parvin, Parviz, Azad Fallah, Fathi Ashtiani, Ali and Rasoulzadeh, Kazem. (1386). The role of extraversion, psychosis and positive and negative mood in the processing of emotional information in modern psychological research (Psychology, University of Tabriz), 6 (3), 53-81. 23. Young JE, Klosko JS, Weishaar ME. Schema therapy: A practitioner's guide. New York: The Guilford Press; 2003. 24. McGinn, L. K; & Young, J. E. (1996). Schema-focused therapy. In P. M. Salkovskis (Ed.), Frontiers of cognitive therapy (pp. 182–207). New York: Guilford. 25. Wang CEA, Halvorsen M, Eisemann M,Waterloo K. Stability of dysfunctionalattitudes and early maladaptive schemas: A9-year follow-up study of clinicallydepressed subjects. Journal of BehaviorTherapy andExperimental Psychiatry 2010;41(4): 389–396.