Early Maladjustment Schemas in Individuals with and without Type 2 Diabetes Mellitus

Mirdrikvand, Fazlolah; Sepahvandi, Mohamad Ali; Khodarahimi, Siamak; Gholamrezaei, Simin; Bougar, Mojtaba Rahimian; Shafikhani, Pejman

doi:10.22543/7674.61.p150156

Cited by 3 publications

(2 citation statements)

References 23 publications

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“…Mirdrikvand et al 20 compared EMSs between patients with and without T2DM; they found that abandonment, failure, vulnerability, F I G U R E 1 Demographic data of the participants. enmeshment, self-sacrifice, entitlement, and insufficient self-control schemas as well as the over-vigilance and inhibition schematic domains are higher in diabetic patients.…”

Section: Discussionmentioning

confidence: 99%

The association between early maladaptive schemas and glycaemic control in patients with type 2 diabetes mellitus: A cross‐sectional study

Sayyadi,

Maleksaabet,

Gozashti

2023

Endocrino Diabet & Metabol

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IntroductionDiabetes is a disease with high prevalence and causes heavy economic burden. Mental and physical health are tied together and their interaction determines one's health or sickness. Early maladaptive schemas (EMSs) are suitable indicators of mental health. We investigated the association between EMSs and glycaemic control in type 2 diabetes mellitus (T2DM) patients.MethodsWe conducted a cross‐sectional study in 2021 on 150 patients with T2DM. We used two questionnaires a demographic data questionnaire, and a Young Schema Questionnaire 2 – Short Form for gathering the data. We also performed laboratory tests on our participants and used the results of fasting blood sugar and haemoglobin A1c to evaluate glycaemic control.ResultsMost of our participants were females (66%). Most of our patients were 41–60 years old (54%). There were only three single participants, and 86.6% of our individuals did not have a university degree. Total mean ± SD for EMSs score was 192.45 ± 55.66; self‐sacrifice (19.09 ± 4.64) and defectiveness/shame (8.72 ± 4.45) had the highest and lowest EMSs scores, respectively. None of the demographic data had any significant impact on EMSs scores or glycaemic control, but generally, younger patients with higher levels of education had better glycaemic control. Participants with higher scores for defectiveness/shame and insufficient self‐control had significantly worse glycaemic control.ConclusionMental and physical health are tied together, and paying attention to psychological aspects in prevention and management of physical disorders is crucial. EMSs, especially defectiveness/shame and insufficient self‐control are associated with glycaemic control of T2DM patients.

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Section: Discussionmentioning

confidence: 99%

The association between early maladaptive schemas and glycaemic control in patients with type 2 diabetes mellitus: A cross‐sectional study

Sayyadi,

Maleksaabet,

Gozashti

2023

Endocrino Diabet & Metabol

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“…(25) Maladaptive cognitive patterns from childhood and unmet basic needs are correlated with a general propensity for psychosomatic illness. (26) Regarding diabetes and cognitive patterns, the results of a study (27) showed that patients with type 2 diabetes have significantly higher scores on some cognitive patterns such as: abandonment, failure, vulnerability, self-sacrifice than the control group.…”

Section: Introductionmentioning

confidence: 99%

Psychological Characteristics of Patients with Diabetes

Pápai

Cozma

Coșa

et al. 2020

Acta Medica Transilvanica

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The aim of this study is to establish the psychological characteristics of patients with diabetes. In the present study we included subjects with diabetes (n=60), and control group (n=62). In order to study the psychological characteristics of patients with diabetes, we have applied the following tests: Zuckerman-Kuhlman Personality Questionnaire (ZKPQ), Strategic Approach to Coping Scale (SACS), Cognitive Emotion Regulation Questionnaire (CERQ), Young Schema Questionnaire (YSQ-S3), Attitudes and Beliefs Scale (ABS II). The results of this study outlined psychological characteristics of patients with diabetes which consists of neurotic, anxious personality with a high level of activity, dysfunctional coping strategies like: indirect action, antisocial action, aggressive action and catastrophizing, irrational thinking and few maladaptive cognitive patterns. The study highlighted the need to restructure the maladaptive cognitive schemes, irrational beliefs, dysfunctional coping strategies for people with diabetes with a psychological program in order to improve endocrine symptoms and increase quality of life.

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