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Yıl:2010; Cilt: 13; Sayı: 3>> Özet
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Klinik Psikiyatri Dergisi; 2010;13(3):127-136
Aile İşlevi ile Psikolojik Belirtiler Arasındaki İlişki: Erken Dönem Uyum Bozucu Şemaların Aracı Rolü
EG Kapçı, Z Hamamcı
Ankara Üniversitesi
Amaç: Son yıllarda bilişsel terapi yaklaşımında, danışanların değerlendirilmesinde ve tedavisinde, şema ya da temel inanç olarak adlandırılan temel bilişsel yapılar üzerinde durulmaktadır. Şema terapinin kurucusu Young temel bilişsel yapılar olarak "erken dönem uyumsuz şemalar" kavramını önermektedir. Bu araştırmada ise algılanan aile işlevi ile psikolojik belirtiler arasındaki ilişkide erken dönem uyum bozucu şemaların aracı rolü incelenmiştir. Yöntem: Araştırmanın örneklemi 241 kız ve 111 erkek olmak üzere 352 üniversite öğrencisinden oluşmaktadır Veriler Aile Değerlendirme Ölçeği, Kısa Semptom Envanteri ve Young Şema Ölçeği kullanılarak elde edilmiştir. Bulgular: Regresyon analizleri sonucunda, aile işlevlerinin duygusal yalıtılmışlık, zedelenmiş sınırlar, yetersizlik ve adil-sorumlu-kaygılı şema alanlarını yordadığı bulunmuştur. Aile işlevleri kontrol edildiğinde, dört şema alanının her biri psikolojik belirtileri yordamıştır. Young Şema Ölçeği'nin yalnızca duygusal yalıtılmışlık şema alanının algılanan aile işlevi ile psikolojik belirtiler arasındaki ilişkide aracı bir rolü olduğu belirlenmiştir. Sonuç: Sonuçlar, bilişsel terapi ve olumsuz aile işlevleri ile erken dönem uyumsuz şemaların psikolojik belirtilerle ilişkisi açısından tartışılmıştır.
The Relationship Between Family Dysfunction and Psychological Symptomatology: The Meditating Role of Early Maladaptive Schemas
Objectives: In the last decade, identification and modification
of basic cognitive structures which were named
with core beliefs or schemas by different theoreticians,
have been emphasized in cognitive-behavioral therapy.
Young, the founder of schema focused approach, proposed
the Early Maladaptive Schemas as the deepest
level of cognition, and Early Maladaptive Schemas refer
to extremely stable and enduring themes that develop
during childhood and elaborated upon throughout an
individual's lifetime. Young argued that psychopathology
arises from the development and maintenance of the
Early Maladaptive Schemas. Most of chronic patients
have more than one of these core schemas. The present
study aimed to examine the hypothesis that Early
Maladaptive Schemas serve as a mediator variable in the
relationship between family dysfunction and psychological
symptoms. Method: A total of 352 university students
(female=241; male=111) filled in self-report
instruments of the Family Assessment Device, the Brief
Symptom Inventory and the Young Schema
Questionnaire-Short form. Results: Regression analyses
demonstrated that family dysfunction predicted emotional
isolation, impaired limits, insufficiency and fairresponsible-
anxious sub-schemas of the the Young
Schema Questionnaire. In turn, these four schemas were
found to predict psychological symptoms as measured
by the Brief Symptom Inventory. Only the emotional isolation
subscale of the Young Schema Questionnaire was
found to serve as a mediator variable between the family
dysfunction and psychological symptomatology.
Conclusion: Findings were discussed in relation to cognitive
therapy, family dysfuntion and the relationship
between Early Maladaptive Schemas and psychological
symptomatology.

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