Exploring the association between early adaptive schemas and self-reported eating disorder symptomatology

Clin Psychol Psychother. 2023 Jan;30(1):152-165. doi: 10.1002/cpp.2789. Epub 2022 Oct 17.

Abstract

Objective: The current study aimed to examine the relationship between early adaptive schemas and eating disorder symptomatology in adults.

Method: A cross-sectional, correlational design was used to collect data from 352 females and 36 males aged between 18 and 49 years (M = 25.70, SD = 7.04). Participants completed an online questionnaire, which included The Young Positive Schema Questionnaire (YPSQ), Eating Disorder Examination-Questionnaire (EDE-Q) and demographic measures.

Results: Four separate hierarchical multiple regression analyses showed that high levels of Healthy Boundaries and low levels of Optimism significantly predicted lower Restraint, Eating Concern, Shape Concern and Weight Concern scores. Additionally, higher scores in Emotional Openness and Social Belonging significantly predicted lower Eating Concern, while higher scores in Self-Care significantly predicted lower levels of Shape Concern.

Conclusion: The findings highlight the protective function that certain early adaptive schemas may play in mitigating eating disorder symptomatology. Moreover, the findings allude to potential modifiable therapy targets in the treatment of eating disorders. Further research is needed to investigate any differences in early adaptive schemas between eating disorder diagnoses.

Keywords: early adaptive schema; early maladaptive schema; eating disorder; schema therapy.

MeSH terms

  • Adolescent
  • Adult
  • Cross-Sectional Studies
  • Feeding and Eating Disorders* / diagnosis
  • Feeding and Eating Disorders* / therapy
  • Female
  • Humans
  • Male
  • Middle Aged
  • Psychometrics
  • Self Report
  • Surveys and Questionnaires
  • Young Adult