Effects of the Schema Therapy and Mindfulness on the Maladaptive Schemas Hold by the Psoriasis Patients with the Psychopathology Symptoms

Document Type : Original Article


1 Department of Clinical Psychology, Najafabad Branch, Islamic Azad University, Najafabad, IR Iran

2 Department of Immunology, Faculty of Medicine, Islamic Azad University, Naein, IR Iran

3 Department of Psychology, Naein Branch, Islamic Azad University, Naein, IR Iran

4 Medical Students' Research Committee, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, IR Iran


Background: This study aimed to compare the effects of the schema along with mindfulness-based therapies in the psoriasis patients. Materials and Methods: This semi-experimental study with post- and pre-tests was conducted on the psoriasis patients in the Dermatology Clinic of the Isfahan Alzahra Hospital, Iran using the convenience sampling in 2014. The patients had a low general health score. The experimental groups included two treatment groups of schema-based (n = 8) and mindfulness (n = 8). Both groups received eight 90-min sessions therapy once a week; they were compared with 8 patients in the control group. To evaluate the psoriasis patients' maladaptive schema, Young schema questionnaire was used. Data were analyzed through the covariance analysis test. Results: There was a significant difference between the schema-based therapy and mindfulness groups with the control group. There was also a significant difference between the schema-based therapy groups consisting of the defeated schema, dependence/incompetence schema, devotion schema, stubbornly criteria schema, merit schema, restraint/inadequate self-discipline schema, and the control group. Moreover, a significant difference existed between the maladaptive schema of mindfulness therapy group and the controls. There was a significant difference concerning the improvement of the psychopathologic symptoms between the mindfulness therapy group and the control group. Conclusions: This study showed similar effects of both the schema and mindfulness-based therapies on the maladaptive schemas in improving the psoriasis patients with the psychopathologic symptoms.


Gupta MA, Gupta AK. Quality of life of psoriasis patients. J Eur Acad Dermatol Venereol 2000;14:241-2.  Back to cited text no. 1
Henseler T. The genetics of psoriasis. J Am Acad Dermatol 1997; 37(2 Pt 3):S1-11.  Back to cited text no. 2
Zaragoza V, Pérez A, Sánchez JL, Oliver V, Martínez L, Alegre V. Long-term safety and efficacy of etanercept in the treatment of psoriasis. Actas Dermosifiliogr 2010;101:47-53.  Back to cited text no. 3
Darjani A, Mohtasham-Amiri Z, Mohammad Amini K, Golchai J, Sadre-Eshkevari S, Alizade N. Skin disorders among elder patients in a referral center in Northern Iran (2011). Dermatol Res Pract 2013;2013:193205.  Back to cited text no. 4
Kurd SK, Troxel AB, Crits-Christoph P, Gelfand JM. The risk of depression, anxiety, and suicidality in patients with psoriasis: A population-based cohort study. Arch Dermatol 2010;146:891-5.  Back to cited text no. 5
Rush AJ. At the research front: Cognitive therapy for depression. Aust N Z J Psychiatry 1979;13:13-6.  Back to cited text no. 6
Young JE. Cognitive Therapy for Personality Disorders: A Schema-focused Approach (Rev ed). Practitioner's Resource Series) (3rd Edition): Professional Resource Exchange in; 1999.  Back to cited text no. 7
Turner HM, Rose KS, Cooper MJ. Parental bonding and eating disorder symptoms in adolescents: The meditating role of core beliefs. Eat Behav 2005;6:113-8.  Back to cited text no. 8
Lindeman S. Personality disorders can be treated by a schema focused approach. Duodecim 2004;120:2889-96.  Back to cited text no. 9
Hawke LD, Provencher MD, Parikh SV. Schema therapy for bipolar disorder: A conceptual model and future directions. J Affect Disord 2013; 148:118-22.  Back to cited text no. 10
Teasdale JD, Segal Z, Williams JM. How does cognitive therapy prevent depressive relapse and why should attentional control (mindfulness) training help? Behav Res Ther 1995;33:25-39.  Back to cited text no. 11
Kabat-Zinn J, Hanh TN. Full Catastrophe Living: Using the Wisdom of Your Body and Mind to Face Stress, Pain, and Illness.by unified Buddhist; 2013.  Back to cited text no. 12
Bardacke N, Duncan LG. Mindfulness-based childbirth and parenting: Cultivating inner resources for the transition to parenthood and beyond. Mindfulness-Based Treatment Approaches: Clinician's Guide to Evidence Base and Applications. London: Academic Press; 2014. p. 213.  Back to cited text no. 13
Nanda A, Al-Fouzan AS, El-Kashlan M, Al-Sweih N, Al-Muzairai I. Salient features and HLA markers of childhood psoriasis in Kuwait. Clin Exp Dermatol 2000;147-51.  Back to cited text no. 14
Chen Y, Yang X, Wang L, Zhang X. A randomized controlled trial of the effects of brief mindfulness meditation on anxiety symptoms and systolic blood pressure in Chinese nursing students. Nurse Educ Today 2013;33:1166-72.  Back to cited text no. 15
Davoudi I, Nasimi N. The efficacy of mindfulness-based stress reduction on pain relief and the approach to encounter with devastating factors in women with chronic pains of muscular skeletal. New findings in Psychology 2012;7:45-62.  Back to cited text no. 16
Moghtadaei K. The efficacy of mindfulness based cognitive therapy group training on the physical symptoms of women with irritable bowel syndrome. J Behavioral Sci Res 2012;10:698-708.  Back to cited text no. 17
Bagheri H, Mirzaeayan B, MohammadGhani P, Omrani S. The efficacy of mindfulness-based cognitive therapy (MBCT) on the reduction of depression in patients with multiple sclerosis (MS). Thought and Behavior 2012;6:75-82.  Back to cited text no. 18
Khorshidzadeh MB, A. Sohrabei, F. The effectiveness of schemetherapy on the reduction of early maladaptive schemes in women with social anxiety disorder. Culturecounseling and Psych J 2011;2:1-34.  Back to cited text no. 19
Fordham B, Griffiths CE, Bundy C. A pilot study examining mindfulness-based cognitive therapy in psoriasis. Psychol Health Med 2015;20:121-7.  Back to cited text no. 20
Oei TP, Baranoff J. Young schema questionnaire: Review of psychometric and measurement issues. Aust J Psychol 2007;59:78-86.  Back to cited text no. 21
Segal Z, Williams J, Teasdale J. Mindfulness-based Cognitive Therapy for Depression: A New Approach to Relapse Prevention. New York: Guilford; 2002.  Back to cited text no. 22
Young JE, Weinberger AD, Beck AT. Cognitive therapy for depression. Clinical Handbook of Psychological Disorders: A Step-by-step Treatment Manual. Vol. 3. Guilford; 2014. p. 264-308.  Back to cited text no. 23
Kameli ZG, B. Aghamohamadian, H. The effectiveness of Scheme -Focused Therapy On the adjustment of the basic incompatible scheme ongirls of irresponsible and un supervised. Clinical Psychology Research and Consulting J 2011;1:83-98.  Back to cited text no. 24
Lisa D. Hawke MDP, Sagar V. Schema therapy for bipolar disorder: A conceptual model and future directions. Journal of Affective Disorders. 2013;148:118-22.  Back to cited text no. 25
Baer RA. Mindfulness training as a clinical intervention: A conceptual and empirical review. Clin Psychol 2013;10:125-43.  Back to cited text no. 26
Thimm JC. Personality and early maladaptive schemas: A five-factor model perspective. J Behav Ther Exp Psychiatry 2010;41:373-80.  Back to cited text no. 27
Van Vlierberghe L, Braet C, Bosmans G, Rosseel Y, Bögels S. Maladaptive schemas and psychopathology in adolescence: On the utility of Young's schema theory in youth. Cognit Ther Res 2010;34:316-32.  Back to cited text no. 28
Brown KW, Ryan RM. The benefits of being present: Mindfulness and its role in psychological well-being. J Pers Soc Psychol 2003;84:822-48.  Back to cited text no. 29