title: Maladaptive schemas in adolescent females with anorexia nervosa and implications for treatment.
abstract: Recent research has highlighted the presence of Young's Early Maladaptive Schemas (EMSs) in individuals with an eating disorder (ED). This study assessed the EMSs reported by adolescent females with Anorexia Nervosa (AN) compared with a community group. Thirty-six adolescent females diagnosed with AN or subthreshold AN and 111 female secondary school students completed a questionnaire that included the Young Schema Questionnaire, the Behavior Assessment System for Children Self-report of Personality, and the Eating Disorder Screen for Primary Care. Two independent AN subtypes and two community subtypes were derived from responses to the questionnaire, and significant differences between the four comparison groups were found. High Pathology AN participants reported the highest level of psychological maladjustment. Social Isolation and Emotional Inhibition appeared to be most characteristic of adolescent AN in this sample. The results suggest that EMSs may require attention in the treatment of AN in adolescent females, and that different AN subtypes may require individualized treatment approaches.
authors.affiliation: Discipline of Psychology, RMIT University, Bundoora 3083, Australia; Murdoch Childrens Research Institute, Royal Children's Hospital, Parkville 3052, Australia; School of Psychological Science, La Trobe University, Melbourne 3086, Australia. Electronic address: stephanie.damiano@gmail.com.
authors.forename: Stephanie R
authors.initials: SR
authors.lastname: Damiano
authors.affiliation: Discipline of Psychology, RMIT University, Bundoora 3083, Australia.
authors.forename: John
authors.initials: J
authors.lastname: Reece
authors.affiliation: Murdoch Childrens Research Institute, Royal Children's Hospital, Parkville 3052, Australia.
authors.forename: Sophie
authors.initials: S
authors.lastname: Reid
authors.affiliation: Hope Family Clinic, Bluff Road, Hampton 3188, Australia.
authors.forename: Linsey
authors.initials: L
authors.lastname: Atkins
authors.affiliation: Murdoch Childrens Research Institute, Royal Children's Hospital, Parkville 3052, Australia.
authors.forename: George
authors.initials: G
authors.lastname: Patton
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000856:Anorexia Nervosa / Q000523:psychology* / Q000628:therapy; D004644:Emotions; D005260:Female; D006801:Humans; D007266:Inhibition, Psychological; D010551:Personality; D012934:Social Isolation; D011795:Surveys and Questionnaires
keywords: Adolescent; Anorexia nervosa; Cognitions; Maladaptive schemas; Schema