Skip to main content

Advertisement

Log in

Emotional and physical maltreatment, early maladaptive schemas, and internalizing disorders in adolescents: a multi-group path model of clinical and non-clinical samples

  • Published:
Current Psychology Aims and scope Submit manuscript

Abstract

Many studies have supported the mediating role of maladaptive schemas in the relationship between early childhood adversity and psychopathology in both clinical and non-clinical adolescent samples. However, to the best of our knowledge, there has been no study to simultaneously test the mediating role of maladaptive schemas in a combined model included in both clinical and non-clinical samples of adolescents. The sample of the study consisted of 132 non-clinical (M = 15.65, SD = 1.15) and 193 clinically referred (M = 15.05, SD = 1.07) adolescents. Criteria for the clinical sample included being diagnosed with generalized anxiety disorder, depressive disorder or mixed anxiety and depressive disorder. Participants were administered The Childhood Trauma Questionnaire, Young Schema Questionnaire, Children’s Depression Inventory, and Spielberger State-Trait Anxiety Inventory. The aim of the present study was to test the hypothesized mediation model that Disconnection/Rejection and Impaired Autonomy schema domains would mediate the relationship between childhood maltreatment and psychological symptoms for clinical and non-clinical adolescent samples, separately. Furthermore, we tested whether structural paths of the model were different across the two samples, using multiple-group path analysis. Results showed that Disconnection/Rejection and Impaired Autonomy emerged as significant mediators in both samples. In addition, only the association between Disconnection/Rejection and depression was stronger in the clinical sample compared to the non-clinical sample.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  • Alloy, L. B., Abramson, L. Y., Smith, J. M., Gibb, B. E., & Neeren, A. M. (2006). Role of parenting and maltreatment histories in unipolar and bipolar mood disorders: Mediation by cognitive vulnerability to depression. Clinical Child and Family Psychology Review, 9(1), 23–64.

    PubMed  Google Scholar 

  • Aslan, S. H., & Alparslan, Z. N. (1999). The reliability, validity and factor structure of the childhood trauma questionnaire among a group of university students. Türk Psikiyatri Dergisi, 10(4), 275–285.

    Google Scholar 

  • Avenevoli, S., Knight, E., Kessler, R. C., & Merikangas, K. R. (2008). Epidemiology of depression in children and adolescents. In J. R. Z. Abela & B. L. Hankin (Eds.), Handbook of depression in children and adolescents (pp. 6–32). New York: Guildford Press.

    Google Scholar 

  • Avenevoli, S., Swendsen, J., He, J. P., Burstein, M., & Merikangas, K. R. (2015). Major depression in the National Comorbidity Survey–Adolescent Supplement: Prevalence, correlates, and treatment. Journal of the American Academy of Child & Adolescent Psychiatry, 54(1), 37–44.

    Google Scholar 

  • Axelson, D. A., & Birmaher, B. (2001). Relation between anxiety and depressive disorders in childhood and adolescence. Depression and Anxiety, 14(2), 67–78.

    PubMed  Google Scholar 

  • Beck, A. T. (1976). Cognitive therapy and the emotional disorders. New York: International Universities Press.

    Google Scholar 

  • Beck, R., & Perkins, T. S. (2001). Cognitive content-specificity for anxiety and depression: A meta-analysis. Cognitive Therapy and Research, 25(6), 651–663.

    Google Scholar 

  • Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive Therapy of Depression. New York: Guilford Press.

    Google Scholar 

  • Beck, A. T., Brown, G., Steer, R. A., Eidelson, J. I., & Riskind, J. H. (1987). Differentiating anxiety and depression: A test of the cognitive content-specificity hypothesis. Journal of Abnormal Psychology, 96(3), 179–183.

    PubMed  Google Scholar 

  • Bernstein, D. P., Fink, L., Handelsman, L., Foote, J., Lovejoy, M., Wenzel, K., Sapareto, E., & Ruggiero, J. (1994). Initial reliability and validity of a new retrospective measure of child abuse and neglect. The American Journal of Psychiatry, 151(8), 1132–1136.

    Google Scholar 

  • Bernstein, D. P., Ahluvalia, T., Pogge, D., & Handelsman, L. (1997). Validity of the childhood trauma questionnaire in an adolescent psychiatric population. Journal of the American Academy of Child & Adolescent Psychiatry, 36(3), 340–348.

    Google Scholar 

  • Brown, J., Cohen, P., Johnson, J. G., & Smailes, E. M. (1999). Childhood abuse and neglect: Specificity and effects on adolescent and young adult depression and suicidality. Journal of the American Academy of Child & Adolescent Psychiatry, 38(12), 1490–1496.

    Google Scholar 

  • Byrne, B. M. (2016). Structural equation modeling with AMOS. Basic concepts, applications, and programming (Third ed.). New York: Routledge.

  • Calvete, E. (2014). Emotional abuse as a predictor of early maladaptive schemas in adolescents: Contributions to the development of depressive and social anxiety symptoms. Child Abuse & Neglect, 38(4), 735–746.

    Google Scholar 

  • Calvete, E., Estévez, A., López de Arroyabe, E., & Ruiz, P. (2005). The schema questionnaire–short form: Structure and relationship with automatic thoughts and symptoms of affective disorders. European Journal of Psychological Assessment, 21(2), 90–99.

  • Calvete, E., Orue, I., & Hankin, B. L. (2015). A longitudinal test of the vulnerability-stress model with early maladaptive schemas for depressive and social anxiety symptoms in adolescents. Journal of Psychopathology and Behavioral Assessment, 37(1), 85–99.

    Google Scholar 

  • Cecen-Erogul, A. R. (2012). Psychometric properties of Turkish version of Childhood Trauma Questionnaire among adolescents with gender differences. Psychology, 3(10), 916–922.

  • Clark, D. A., & Beck, A. T. (1989). Cognitive theory and therapy of anxiety and depression. In P. C. Kendall & D. Watson (Eds.), Personality, psychopathology, and psychotherapy. Anxiety and depression: Distinctive and overlapping features (pp. 379–411). San Diego: Academic Press.

    Google Scholar 

  • Clark, D. A., Beck, A. T., & Brown, G. (1989). Cognitive mediation in general psychiatric outpatients: A test of the content-specificity hypothesis. Journal of Personality and Social Psychology, 56(6), 958–964.

    PubMed  Google Scholar 

  • Clark, D. A., Steer, R. A., & Beck, A. T. (1994). Common and specific dimensions of self-reported anxiety and depression: Implications for the cognitive and tripartite models. Journal of Abnormal Psychology, 103(4), 645–654.

    PubMed  Google Scholar 

  • Clark, D. B., Thatcher, D. L., & Martin, C. S. (2009). Child abuse and other traumatic experiences, alcohol use disorders, and health problems in adolescence and young adulthood. Journal of Pediatric Psychology, 35(5), 499–510.

    PubMed  PubMed Central  Google Scholar 

  • Costello, E. J., Mustillo, S., Erkanli, A., Keeler, G., & Angold, A. (2003). Prevalence and development of psychiatric disorders in childhood and adolescence. Archives of General Psychiatry, 60(8), 837–844.

    PubMed  Google Scholar 

  • Costello, E. J., He, J. P., Sampson, N. A., Kessler, R. C., & Merikangas, K. R. (2014). Services for adolescents with psychiatric disorders: 12-month data from the National Comorbidity Survey–Adolescent. Psychiatric Services, 65(3), 359–366.

    PubMed  Google Scholar 

  • Cougle, J. R., Timpano, K. R., Sachs-Ericsson, N., Keough, M. E., & Riccardi, C. J. (2010). Examining the unique relationships between anxiety disorders and childhood physical and sexual abuse in the National Comorbidity Survey-Replication. Psychiatry Research, 177(1), 150–155.

    PubMed  Google Scholar 

  • Courtney, E. A., Johnson, J. G., & Alloy, L. B. (2008). Associations of childhood maltreatment with hopelessness and depression among adolescent primary care patients. International Journal of Cognitive Therapy, 1(1), 4–17.

    Google Scholar 

  • Feiring, C., & Zielinski, M. (2011). Looking back and looking forward: A review and reflection on research articles published in child maltreatment from 1996 through 2010. Child Maltreatment, 16(1), 3–8.

    PubMed  Google Scholar 

  • Fletcher, J. M. (2009). Childhood mistreatment and adolescent and young adult depression. Social Science & Medicine, 68(5), 799–806.

    Google Scholar 

  • Garber, J., & Flynn, C. (2001). Predictors of depressive cognitions in young adolescents. Cognitive Therapy and Research, 25(4), 353–376.

    Google Scholar 

  • Gibb, B. E., Alloy, L. B., Abramson, L. Y., Rose, D. T., Whitehouse, W. G., Donovan, P., Hogan, M. E., Cronholm, J., & Tierney, S. (2001). History of childhood maltreatment, negative cognitive styles, and episodes of depression in adulthood. Cognitive Therapy and Research, 25(4), 425–446.

    Google Scholar 

  • Gibb, B. E., Abramson, L. Y., & Alloy, L. B. (2004). Emotional maltreatment from parents, verbal peer victimization, and cognitive vulnerability to depression. Cognitive Therapy and Research, 28(1), 1–21.

    Google Scholar 

  • Glaser, B. A., Campbell, L. F., Calhoun, G. B., Bates, J. M., & Petrocelli, J. V. (2002). The early maladaptive schema questionnaire-short form: A construct validity study. Measurement and Evaluation in Counseling and Development, 35(1), 2–13.

    Google Scholar 

  • Greenberg, M. S., & Beck, A. T. (1989). Depression versus anxiety: A test of the content-specificity hypothesis. Journal of Abnormal Psychology, 98(1), 9–13.

    PubMed  Google Scholar 

  • Hamilton, J. L., Shapero, B. G., Stange, J. P., Hamlat, E. J., Abramson, L. Y., & Alloy, L. B. (2013). Emotional maltreatment, peer victimization, and depressive versus anxiety symptoms during adolescence: Hopelessness as a mediator. Journal of Clinical Child & Adolescent Psychology, 42(3), 332–347.

    Google Scholar 

  • Hankin, B. L., Abramson, L. Y., Moffitt, T. E., Silva, P. A., McGee, R., & Angell, K. E. (1998). Development of depression from preadolescence to young adulthood: Emerging gender differences in a 10-year longitudinal study. Journal of Abnormal Psychology, 107(1), 128–140.

    PubMed  Google Scholar 

  • Harris, A. E., & Curtin, L. (2002). Parental perceptions, early maladaptive schemas, and depressive symptoms in young adults. Cognitive Therapy and Research, 26(3), 405–416.

    Google Scholar 

  • Hildyard, K. L., & Wolfe, D. A. (2002). Child neglect: Developmental issues and outcomes. Child Abuse & Neglect, 26(6–7), 679–695.

    Google Scholar 

  • Hoffart, A., Sexton, H., Hedley, L. M., Wang, C. E., Holthe, H., Haugum, J. A., Nordahl, H. M., Hovland, O. J., & Holte, A. (2005). The structure of maladaptive schemas: A confirmatory factor analysis and a psychometric evaluation of factor-derived scales. Cognitive Therapy and Research, 29(6), 627–644.

    Google Scholar 

  • Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6(1), 1–55.

    Google Scholar 

  • Ingram, R. E., Miranda, J., & Segal, Z. V. (1998). Cognitive vulnerability to depression. New York: Guilford.

    Google Scholar 

  • Kaplan, S. J., Pelcovitz, D., & Labruna, V. (1999). Child and adolescent abuse and neglect research: A review of the past 10 years. Part I: Physical and emotional abuse and neglect. Journal of the American Academy of Child and Adolescent Psychiatry, 38(10), 1214–1222.

    PubMed  Google Scholar 

  • Kelloway, E. K. (1998). Using LISREL for structural equation modeling: A researcher’s guide. California: Sage Publications.

    Google Scholar 

  • Kline, R. B. (2005). Principles and practice of structural equation modeling (Second ed.). New York: Guilford Press.

  • Kovacs, M. (1981). Rating scales to assess depression in school-aged children. Acta Paedopsychiatrica: International Journal of Child & Adolescent Psychiatry, 46(5–6), 305–315.

    Google Scholar 

  • Lizardi, H., Klein, D. N., Ouimette, P. C., Riso, L. P., Anderson, R. L., & Donaldson, S. K. (1995). Reports of the childhood home environment in early-onset dysthymia and episodic major depression. Journal of Abnormal Psychology, 104(1), 132–139.

    PubMed  Google Scholar 

  • Lumley, M. N., & Harkness, K. L. (2007). Specificity in the relations among childhood adversity, early maladaptive schemas, and symptom profiles in adolescent depression. Cognitive Therapy and Research, 31(5), 639–657.

    Google Scholar 

  • Mateos-Pérez, E., Calvete, E., & Hankin, B. L. (2015). Negative inferences as mediators of the predictive association between early maladaptive schemas and depressive symptoms in adolescents. Journal of Social and Clinical Psychology, 34(3), 259–276.

    Google Scholar 

  • McGee, R. A., Wolfe, D. A., & Wilson, S. K. (1997). Multiple maltreatment experiences and adolescent behavior problems: Adolescents' perspectives. Development and Psychopathology, 9(1), 131–149.

    PubMed  Google Scholar 

  • McGee, R., Wolfe, D., & Olson, J. (2001). Multiple maltreatment, attribution of blame, and adjustment among adolescents. Development and Psychopathology, 13(4), 827–846.

    PubMed  Google Scholar 

  • Merikangas, K. R., Nakamura, E. F., & Kessler, R. C. (2009). Epidemiology of mental disorders in children and adolescents. Dialogues in Clinical Neuroscience, 11(1), 7–20.

    PubMed  PubMed Central  Google Scholar 

  • Merikangas, K. R., He, J. P., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L., Benjet, C., Georgiades, K., & Swendsen, J. (2010). Lifetime prevalence of mental disorders in US adolescents: Results from the National Comorbidity Survey Replication–Adolescent Supplement (NCS-A). Journal of the American Academy of Child & Adolescent Psychiatry, 49(10), 980–989.

    Google Scholar 

  • Muris, P. (2006). Maladaptive schemas in non-clinical adolescents: Relations to perceived parental rearing behaviours, big five personality factors and psychopathological symptoms. Clinical Psychology & Psychotherapy, 13(6), 405–413.

    Google Scholar 

  • Öner, N., & LeCompte, A. (1985). Durumluk-sürekli kaygı envanteri el kitabı. İstanbul: Boğaziçi Üniversitesi Yayınları.

    Google Scholar 

  • Öy, B. (1991). The children's depression inventory: Validity and reliability study. Türk Psikiyatri Dergisi, 1, 132–136.

    Google Scholar 

  • Paul, E., & Eckenrode, J. (2015). Childhood psychological maltreatment subtypes and adolescent depressive symptoms. Child Abuse & Neglect, 47, 38–47.

    Google Scholar 

  • Pine, D. S., Cohen, P., Gurley, D., Brook, J., & Ma, Y. (1998). The risk for early-adulthood anxiety and depressive disorders in adolescents with anxiety and depressive disorders. Archives of General Psychiatry, 55(1), 56–64.

    PubMed  Google Scholar 

  • Pinto-Gouveia, J., Castilho, P., Galhardo, A., & Cunha, M. (2006). Early maladaptive schemas and social phobia. Cognitive Therapy and Research, 30(5), 571–584.

    Google Scholar 

  • Rafi, M. A., Adibsereshki, N., & Aval, M. H. (2017). The mediating role of early maladaptive schemas in relationships of emotional maltreatment and emotional disorders. European Journal of Mental Health, 12(1), 104–115.

    Google Scholar 

  • Riskind, J. H., & Alloy, L. B. (2006). Cognitive vulnerability to psychological disorders: Overview of theory, design, and methods. Journal of Social and Clinical Psychology, 25(7), 705–725.

    Google Scholar 

  • Roelofs, J., Lee, C., Ruijten, T., & Lobbestael, J. (2011). The mediating role of early maladaptive schemas in the relation between quality of attachment relationships and symptoms of depression in adolescents. Behavioural and Cognitive Psychotherapy, 39(4), 471–479.

    PubMed  Google Scholar 

  • Roelofs, J., Onckels, L., & Muris, P. (2013). Attachment quality and psychopathological symptoms in clinically referred adolescents: The mediating role of early maladaptive schema. Journal of Child and Family Studies, 22(3), 377–385.

    PubMed  Google Scholar 

  • Sarıtaş, D., & Gençöz, T. (2011). Psychometric properties of "young Schema questionnaire-short form 3" in a Turkish adolescent sample. Journal of Cognitive & Behavioral Psychotherapies, 11(1), 83–96.

    Google Scholar 

  • Schmidt, N. B., Joiner, T. E., Young, J. E., & Telch, M. J. (1995). The schema questionnaire: Investigation of psychometric properties and the hierarchical structure of a measure of maladaptive schemas. Cognitive Therapy and Research, 19(3), 295–321.

    Google Scholar 

  • Shrout, P. E., & Bolger, N. (2002). Mediation in experimental and nonexperimental studies: New procedures and recommendations. Psychological Methods, 7(4), 422–445.

    PubMed  Google Scholar 

  • Soygüt, G., Karaosmanoğlu, A., & Çakir, Z. (2009). Assessment of early maladaptive schemas: A psychometric study of the Turkish young Schema questionnaire-short Form-3. Turkish Journal of Psychiatry, 20(1), 75–84.

    PubMed  Google Scholar 

  • Spertus, I. L., Yehuda, R., Wong, C. M., Halligan, S., & Seremetis, S. V. (2003). Childhood emotional abuse and neglect as predictors of psychological and physical symptoms in women presenting to a primary care practice. Child Abuse & Neglect, 27(11), 1247–1258.

    Google Scholar 

  • Spielberger, C. D., Gorsuch, R. L., & Lushene, R. E. (1970). Manual for the state-trait anxiety inventory. Palo Alto, CA: Consulting Psychologists Press.

  • Stallard, P. (2007). Early maladaptive schemas in children: Stability and differences between a community and a clinic referred sample. Clinical Psychology & Psychotherapy, 14(1), 10–18.

    Google Scholar 

  • Steiger, J. H., Shapiro, A., & Browne, M. W. (1985). On the multivariate asymptotic distribution of sequential chi-square statistics. Psychometrika, 50(3), 253–263.

    Google Scholar 

  • Stuewig, J., & McCloskey, L. A. (2005). The relation of child maltreatment to shame and guilt among adolescents: Psychological routes to depression and delinquency. Child Maltreatment, 10(4), 324–336.

    PubMed  Google Scholar 

  • Tabachnick, B. G., & Fidell, L. S. (2001). Using multivariate statistics (Fourth ed.). Needham: Allyn & Bacon.

  • Van Vlierberghe, L., Braet, C., Bosmans, G., Rosseel, Y., & Bögels, S. (2010). Maladaptive schemas and psychopathology in adolescence: On the utility of young’s schema theory in youth. Cognitive Therapy and Research, 34(4), 316–332.

    Google Scholar 

  • Welburn, K., Coristine, M., Dagg, P., Pontefract, A., & Jordan, S. (2002). The Schema questionnaire—Short form: Factor analysis and relationship between schemas and symptoms. Cognitive Therapy and Research, 26(4), 519–530.

    Google Scholar 

  • Woodward, L. J., & Fergusson, D. M. (2001). Life course outcomes of young people with anxiety disorders in adolescence. Journal of the American Academy of Child & Adolescent Psychiatry, 40(9), 1086–1093.

    Google Scholar 

  • Wright, M. O. D., Crawford, E., & Del Castillo, D. (2009). Childhood emotional maltreatment and later psychological distress among college students: The mediating role of maladaptive schemas. Child Abuse & Neglect, 33(1), 59–68.

    Google Scholar 

  • Yiğit, İ., & Erden, G. (2015). The mediating role of early maladaptive schemas in the relationship between childhood abuse experiences and psychological wellbeing. Turkish Journal of Psychology, 30(75), 47–59.

    Google Scholar 

  • Young, J. E. (1999). Cognitive therapy for personality disorders: A schema-focused approach (Third ed.). Rev. Professional Resource Press/Professional Resource Exchange.

  • Young, J. E., Klosko, J. S., & Weishaar, M. E. (2003). Schema therapy: A practitioner's guide. New York, NY: Guilford Press.

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to İbrahim Yiğit.

Ethics declarations

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Yiğit, İ., Kılıç, H., Guzey Yiğit, M. et al. Emotional and physical maltreatment, early maladaptive schemas, and internalizing disorders in adolescents: a multi-group path model of clinical and non-clinical samples. Curr Psychol 40, 1356–1366 (2021). https://doi.org/10.1007/s12144-018-0068-4

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12144-018-0068-4

Keywords

Navigation