Investigating the correlation between early maladaptive schemas and clinical symptoms in patients with major depressive disorder with and without psychotic feature

Aim and background: Numerous studies have been so far conducted on the relationship between early maladaptive schemas and clinical symptoms. Considering this issue, the present study aimed to compare early maladaptive schemas in major depressive disorder with and without psychotic feature. Methods and Materials: The statistical population of this research comprised the patients with major depressive disorder in specialized psychiatric hospital in Arak in the year 2014-15. To this end, 60 patients suffering from major depressive disorder and 30 patients with major depressive disorder with psychotic feature were selected through simple random sampling method. For data collection, Young Schema Questionnaire and clinical symptoms checklist were applied. To analyze the research data, diagnosis function and ANOVA tests were used. Further, Kolmogorov – Smirnov test was employed to examine the normality of data and also Levene test was applied to assess the homogeneity of variances, using Spss software Findings: The results indicated that clinical symptoms and maladaptive schemas can predict the individuals’ affliction by major depressive disorder with psychotic feature and major depressive disorder. In the present study, lambda value is significant at the level of 05/0. As a result, the research hypothesis stating that the combination of maladaptive schemas and clinical symptoms is a predictor of major depressive disorder with psychotic feature and major depressive disorder was confirmed. Other obtained results of the study demonstrated that maladaptive schemas of defectiveness/shame, failure, social isolation, dependence/ incompetence, obedience and self-control/ inadequate self-discipline in patients with major depressive disorder with psychotic feature are more than in patients suffering from major depressive disorder without psychotic feature (P<0/01). Conclusion: With regard to the relationship between early maladaptive schemas and clinical symptoms in major depressive disorder, it can be mentioned that maladaptive schemas are effective in the formation of psychopathology in individuals

کلیدواژه ها:

Schema ، clinical symptoms ، maladaptive ، major depressive disorder ، psychotic feature