نوع مقاله : مقاله پژوهشی

نویسندگان

1 PhD Student in Clinical Psychology, Department of Clinical Psychology, Faculty of Humanities, Shahed University, Tehran, Iran

2 Professor, Department of Clinical Psychology, Faculty of Humanities, Shahed University, Tehran, Iran

3 Assistant professor, Department of Psychology, Faculty of Humanities, Tarbiat Modares University, Tehran, Iran

4 Professor, Department of Psychology, Faculty of Education and Psychology, Ferdowsi University of Mashhad, Mashhad, Iran

چکیده

Objective: There is evidence that emotion plays a role in explaining generalized anxiety disorder, and on the other hand, dysfunctional emotional schemas are different in various psychopathological disorders, but few studies have addressed this issue. Therefore, the purpose of this study was to qualitatively investigate emotional schemas in Iranian patients with generalized anxiety disorder.
Research Methodology: For this purpose, 16 patients with generalized anxiety disorder in Mashhad, Iran were interviewed and their responses were qualitatively clustered to extract their emotional schemas and subthemes related to each emotional schema. A semi-structured interview was conducted to investigate patients' perspectives on emotion and their 14 emotional schemas. Patients' statements were transcribed and analyzed through comparative-inductive thematic analysis and coding. They were then categorized into main themes and subtheme naming was done in consultation with experts.
Findings: The findings showed that four emotional schemas of validation, duration, uncontrollability, and extreme rationalization are more involved in patients with generalized anxiety disorder and 12 subthemes including mentalized emotional insecurity, desocialization, somatization, significance, uncertainty intolerance, unpredictability threat, extreme emotional perfectionism, continuity of catastrophic thinking, trait anxiety, superiority of others, emotional avoidance, emotional inflexibility, and extreme approval led to the creation and continuation of generalized anxiety disorder symptoms.
Conclusion: Therefore, addressing these 4 emotional schemas in patients with generalized anxiety disorder with a greater focus on the validation schema, which is more pervasive, can increase treatment efficacy. In addition, we can focus on them in educational and preventive protocols, not just intervention protocols.

کلیدواژه‌ها

عنوان مقاله [English]

Effective Common Emotional Schemas in Iranian Adults with Generalized Anxiety Disorder: A Qualitative Study

نویسندگان [English]

  • Maryam Morvaridi 1
  • Rasoul Roshan Chesli 2
  • Hojjatollah Farahani 3
  • Ali Mashhadi 4

1 PhD Student in Clinical Psychology, Department of Clinical Psychology, Faculty of Humanities, Shahed University, Tehran, Iran

2 Professor, Department of Clinical Psychology, Faculty of Humanities, Shahed University, Tehran, Iran

3 Assistant professor, Department of Psychology, Faculty of Humanities, Tarbiat Modares University, Tehran, Iran

4 Professor, Department of Psychology, Faculty of Education and Psychology, Ferdowsi University of Mashhad, Mashhad, Iran

چکیده [English]

Objective: There is evidence that emotion plays a role in explaining generalized anxiety disorder, and on the other hand, dysfunctional emotional schemas are different in various psychopathological disorders, but few studies have addressed this issue. Therefore, the purpose of this study was to qualitatively investigate emotional schemas in Iranian patients with generalized anxiety disorder.
Research Methodology: For this purpose, 16 patients with generalized anxiety disorder in Mashhad, Iran were interviewed and their responses were qualitatively clustered to extract their emotional schemas and subthemes related to each emotional schema. A semi-structured interview was conducted to investigate patients' perspectives on emotion and their 14 emotional schemas. Patients' statements were transcribed and analyzed through comparative-inductive thematic analysis and coding. They were then categorized into main themes and subtheme naming was done in consultation with experts.
Findings: The findings showed that four emotional schemas of validation, duration, uncontrollability, and extreme rationalization are more involved in patients with generalized anxiety disorder and 12 subthemes including mentalized emotional insecurity, desocialization, somatization, significance, uncertainty intolerance, unpredictability threat, extreme emotional perfectionism, continuity of catastrophic thinking, trait anxiety, superiority of others, emotional avoidance, emotional inflexibility, and extreme approval led to the creation and continuation of generalized anxiety disorder symptoms.
Conclusion: Therefore, addressing these 4 emotional schemas in patients with generalized anxiety disorder with a greater focus on the validation schema, which is more pervasive, can increase treatment efficacy. In addition, we can focus on them in educational and preventive protocols, not just intervention protocols.

کلیدواژه‌ها [English]

  • Generalized anxiety disorder
  • Emotional schema
  • thematic analysis
  • Qualitative
Adams, W. C. (2015). Conducting Semi-Structured Interviews. In K. E. Newcomer, H. P. Hatry & J. S. Wholey (Eds.), Handbook of Practical Program Evaluation (4th ed., pp. 492-505). USA: John Wiley & Sons.
American Psychiatric Association (2019). Diagnostic and statistical manual of mental disorders (5th Ed.). Washington, DC.
Batmaz, S., Kaymak, S. U., Kocbiyik, S., & Turkcapar, M. H. (2014). Metacognitions and emotional schemas: a new cognitive perspective for the distinction between unipolar and bipolar depression. Comprehensive Psychiatry, 55(7), 1546–1555.
  Braun, V., Clarke, V., Hayfield, N., & Terry, G. (2019). Thematic analysis. In P. Liamputtong (Ed.), Handbook of research methods in health social sciences (pp. 843– 860). Sage.
Clarke, V., & Braun, V. (2017). Thematic analysis. J Posit Psychol 12 (3): 297–298. https://doi.org/10.1080/17439760.2016.1262613.
Emam zamani, Zahra, MASHHADI, ALI, & SEPEHRI SHAMLOO, ZOHRE. (2019). The Effectiveness of Group Therapy Based on Emotional Schema Therapy on Anxiety and emotional schemas on Women with Generalized Anxiety Disorder. RESEARCH IN clinical psychology and counseling (studies in education & psychology), 9(1), 5-24. sid. https://sid.ir/paper/204890/en.
Farokhzadian, Ali Asghar, Rezaei, F., Sadeghi, M. (2020). Mediating role of emotional schemas in the relationship between childhood traumas and generalized anxiety disorder, Personality and Clinical Psychology, Volume 17, Number 2 (33); Page(s) 89-101.
Fereday, J., & Muir-Cochrane, E. (2006). Demonstrating Rigor Using Thematic Analysis: A Hybrid Approach of Inductive and Deductive Coding and Theme Development. International Journal of Qualitative Methods, 5(1), 80–92. https://doi.org/10.1177/160940690600500107
Huang, Y. and Zhao, N. (2020). Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Res, 288:112954.
Karami,S.,  Banijamali, S., Khosravi, Z &  Parhoon, H.(2017). The Role of Emotional Schemas in Predicting Anxiety and Depression in Patients with Cancer, Journal of Research in Behavioural Sciences, 15(3), 291-298. URL: http://rbs.mui.ac.ir/article-1-544-fa.html. [In Persian]
Kiger, M. E., & Varpio, L. (2020). Thematic analysis of qualitative data: AMEE Guide No. 131. Medical teacher, 42(8), 846-854. https://doi.org/10.1080/0142159X.2020.1755030 .
Leahy, R. (2015). Emotional schema therapy, New York: The Guilford Press.
Leahy, R. L. (2012b). Leahy Emotional Schema Scale II (LESS II). Unpublished manuscript. American Institute for Cognitive Therapy.
Leahy, R.L. (2019). Introduction: Emotional Schemas and Emotional Schema Therapy, Journal of Cognition Therapy, 12, 1–4. https://doi.org/10.1007/s41811-018-0038-5.
Maguire, M., & Delahunt, B. (2017). Doing a Thematic Analysis: A Practical, Step-by-Step Guide for Learning and Teaching Scholars. AISHE-J, 9, 3351. http://ojs.aishe.org/index.php/aishe-j/article/view/3354.
Mirzaee Garakani, M., Asgharnejad Farid, A ., Fathali Lavasani ,F & Ahadian Fard, P.(2014). Comparison of Emotional Schemas and Study of the Relationship between ‎anxiety, worry and Emotional Schema in Patients with Obsessive-compulsive ‎Disorder, Social Anxiety Disorder and in Normal Group ‎. Journal title; 8 (1):21-30.URL: http://rph.khu.ac.ir/article-1-1910-fa.html. [In Persian]
Morvaridi, M., Mashhadi, A., Shamloo, Z. S., & Leahy, R. L. (2019). The effectiveness of group emotional schema therapy on emotional regulation and social anxiety symptoms. International Journal of Cognitive Therapy, 12(1), 16-24. http://doi.org/10.1007/s41811-018-0037-6.
Morvaridi, M., Mashhadi, A., Shamloo, Z. S. (2018). The effectiveness of group emotional schema therapy on reducing anxiety sensitivity of women with social anxiety   disorder. Journal of Neyshabur University of Medical Sciences. 1 (7).
Riskind, J. H., & Kleiman, E. M. (2012). Looming cognitive style, emotion schemas, and fears of loss of emotional control: Two studies. International Journal of Cognitive Therapy, 5(4), 392–405.
Robichaud, M., & Dugas, M. J. (2009). Psychological treatment of generalized anxiety disorder. Oxford handbook of anxiety and related disorders. Oxford library of psychology. Oxford University Press, Oxford, 364-374.
Roshan Chesli, R., Farahani, H., & Morvaridi, M. (2023). Developing and Evaluating a Structural Model of the Relationship Between Attachment Styles and Emotional Schemas Related to the Desire for Marriage Regarding the Mediating Variable of Emotion Regulation and Cognitive Flexibility. Clinical Psychology and Personality, 21(1), 57-72. doi: 10.22070/cpap.2023.16191.1227.
Shahsavani, S., Mashhadi, A. & Bigdeli, I. The Effect of Group Emotional Schema Therapy on Cognitive Emotion Strategies in Women with Migraine Headaches: a Pilot Study International Journal of Cognitive Therapy, 13, 328–340 (2020). https://doi.org/10.1007/s41811-020-00073-8.
Tirch, D.D., Leahy, R., Silberstein, L., Melwani, P. (2012). Emotional schemas, psychological flexibility, and anxiety: the Role of flexible response patterns to anxious arousal. International Journal of Cognitive Therapy, 5.