Factor Structure of the Young Positive Schema Questionnaire in an Eating Disorder Sample

Overview

Journal Eat Weight Disord

Publisher Springer

Date 2023 Feb 17

PMID 36800100

Authors

Tyrone J Huckstepp

Andrew Allen

Anthea L Maher

Catherine Houlihan

Jonathan Mason

Affiliations

Soon will be listed here.

Abstract

Purpose: The Young Positive Schema Questionnaire (YPSQ) measures early adaptive schemas (EAS) which could be used to develop positive psychology and schema-based interventions to benefit the treatment of eating disorders (EDs).

Methods: The present study investigated the factor structure of the YPSQ in a sample of 826 participants (18-73 years; n = 753 women) with ED symptomatology (e.g., restricting, binging, and purging). The sample was randomly split into two groups for exploratory and confirmatory factor analyses. Full sample analysis using Pearson correlations was conducted to explore convergent validity of the new YSPQ factor structure with ED symptomatology, emotional regulation, and cognitive flexibility.

Results: A nine-factor model was found, demonstrating good fit indices and internal consistency (α = 0.77-0.92). The YPSQ showed an inverse relationship to ED symptomatology and emotional suppression, and a positive relationship with cognitive flexibility and emotion reappraisal.

Conclusion: Further research is needed to explore the clinical benefits of the YPSQ to identify EAS deficits in individuals with EDs to improve treatment outcomes.

Level Of Evidence: Level V, descriptive study.

Citing Articles

Early adaptive schemas, emotional regulation, and cognitive flexibility in eating disorders: subtype specific predictors of eating disorder symptoms using hierarchical linear regression.

Mitchell J, Huckstepp T, Allen A, Louis P, Anijarv T, Hermens D Eat Weight Disord. 2024; 29(1):54.

PMID: 39210038 PMC: 11362190. DOI: 10.1007/s40519-024-01682-4.

A Model of Core Emotional Needs and Toxic Experiences: Their Links with Schema Domains, Well-Being, and Ill-Being.

Louis J, Lockwood G, Louis K Behav Sci (Basel). 2024; 14(6).

PMID: 38920775 PMC: 11200969. DOI: 10.3390/bs14060443.

References

Strother E, Lemberg R, Stanford S, Turberville D . Eating disorders in men: underdiagnosed, undertreated, and misunderstood. Eat Disord. 2012; 20(5):346-55. PMC: 3479631. DOI: 10.1080/10640266.2012.715512. View

Simpson S, Morrow E, van Vreeswijk M, Reid C . Group schema therapy for eating disorders: a pilot study. Front Psychol. 2011; 1:182. PMC: 3153792. DOI: 10.3389/fpsyg.2010.00182. View

Chesney E, Goodwin G, Fazel S . Risks of all-cause and suicide mortality in mental disorders: a meta-review. World Psychiatry. 2014; 13(2):153-60. PMC: 4102288. DOI: 10.1002/wps.20128. View

Louis J, Wood A, Lockwood G, Ho M, Ferguson E . Positive clinical psychology and Schema Therapy (ST): The development of the Young Positive Schema Questionnaire (YPSQ) to complement the Young Schema Questionnaire 3 Short Form (YSQ-S3). Psychol Assess. 2018; 30(9):1199-1213. DOI: 10.1037/pas0000567. View

Tchanturia K, Davies H, Roberts M, Harrison A, Nakazato M, Schmidt U . Poor cognitive flexibility in eating disorders: examining the evidence using the Wisconsin Card Sorting Task. PLoS One. 2012; 7(1):e28331. PMC: 3257222. DOI: 10.1371/journal.pone.0028331. View

Colli A, Speranza A, Lingiardi V, Gentile D, Nassisi V, Hilsenroth M . Eating Disorders and Therapist Emotional Responses. J Nerv Ment Dis. 2015; 203(11):843-9. DOI: 10.1097/NMD.0000000000000379. View

Federici A, Kaplan A . The patient's account of relapse and recovery in anorexia nervosa: a qualitative study. Eur Eat Disord Rev. 2007; 16(1):1-10. DOI: 10.1002/erv.813. View

Soygut G, Karaosmanoglu A, Cakir Z . [Assessment of early maladaptive schemas: a psychometric study of the Turkish young schema questionnaire-short form-3]. Turk Psikiyatri Derg. 2009; 20(1):75-84. View

Molendijk M, Hoek H, Brewerton T, Elzinga B . Childhood maltreatment and eating disorder pathology: a systematic review and dose-response meta-analysis. Psychol Med. 2017; 47(8):1402-1416. DOI: 10.1017/S0033291716003561. View

10.

Cooper M, Rose K, Turner H . The specific content of core beliefs and schema in adolescent girls high and low in eating disorder symptoms. Eat Behav. 2005; 7(1):27-35. DOI: 10.1016/j.eatbeh.2005.05.007. View

11.

Waller G . Schema-level cognitions in patients with binge eating disorder: a case control study. Int J Eat Disord. 2003; 33(4):458-64. DOI: 10.1002/eat.10161. View

12.

Bardone-Cone A, Wonderlich S, Frost R, Bulik C, Mitchell J, Uppala S . Perfectionism and eating disorders: current status and future directions. Clin Psychol Rev. 2007; 27(3):384-405. DOI: 10.1016/j.cpr.2006.12.005. View

13.

Maher A, Cason L, Huckstepp T, Stallman H, Kannis-Dymand L, Millear P . Early maladaptive schemas in eating disorders: A systematic review. Eur Eat Disord Rev. 2021; 30(1):3-22. DOI: 10.1002/erv.2866. View

14.

Leung N, Price E . Core beliefs in dieters and eating disordered women. Eat Behav. 2006; 8(1):65-72. DOI: 10.1016/j.eatbeh.2006.01.001. View

15.

Mond J, Hay P, Rodgers B, Owen C, Beumont P . Validity of the Eating Disorder Examination Questionnaire (EDE-Q) in screening for eating disorders in community samples. Behav Res Ther. 2004; 42(5):551-67. DOI: 10.1016/S0005-7967(03)00161-X. View

16.

Bentler P . Comparative fit indexes in structural models. Psychol Bull. 1990; 107(2):238-46. DOI: 10.1037/0033-2909.107.2.238. View

17.

Aloi M, Rania M, Caroleo M, Carbone E, Fazia G, Calabro G . How are early maladaptive schemas and DSM-5 personality traits associated with the severity of binge eating?. J Clin Psychol. 2019; 76(3):539-548. DOI: 10.1002/jclp.22900. View

18.

Paxton S, Diggens J . Avoidance coping, binge eating, and depression: an examination of the escape theory of binge eating. Int J Eat Disord. 1997; 22(1):83-7. DOI: 10.1002/(sici)1098-108x(199707)22:1<83::aid-eat11>3.0.co;2-j. View

19.

Shorey R, Anderson S, Stuart G . Gender differences in early maladaptive schemas in a treatment-seeking sample of alcohol-dependent adults. Subst Use Misuse. 2011; 47(1):108-16. PMC: 3382082. DOI: 10.3109/10826084.2011.629706. View

20.

Weltzin T, Cornella-Carlson T, Fitzpatrick M, Kennington B, Bean P, Jefferies C . Treatment issues and outcomes for males with eating disorders. Eat Disord. 2012; 20(5):444-59. DOI: 10.1080/10640266.2012.715527. View