Early Maladaptive Schemas in The Relationship Between Adverse Childhood Experiences and Transdiagnostic Somatic Symptoms: Subjugation and Self-sacrifice

The current study investigated the role of early maladaptive schema (EMS), particularly the schemas subjugation and self-sacrifice in mediating the relationship between adverse childhood experiences (ACE) and transdiagnostic somatic symptoms. Through convenience sampling, participants’ demographic data, EMS score (YSQ-3), ACE score (ACE questionnaire), and presence of transdiagnostic somatic symptoms (DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure) were measured. The total scores of subjugation and self-sacrifice, ACE, and transdiagnostic somatic symptoms were respectively summated, then analysed through mediation analysis. Participants were (N = 131) students of Leiden University from the age of 18 years old (M = 19, IQR = 2), comprising of 91.2% female and 8.8% male. Through the analysis, it was found that subjugation and self-sacrifice together significantly mediate the relationship between ACE and transdiagnostic somatic symptoms (b = .314, p = .003). The indirect effect...Show moreThe current study investigated the role of early maladaptive schema (EMS), particularly the schemas subjugation and self-sacrifice in mediating the relationship between adverse childhood experiences (ACE) and transdiagnostic somatic symptoms. Through convenience sampling, participants’ demographic data, EMS score (YSQ-3), ACE score (ACE questionnaire), and presence of transdiagnostic somatic symptoms (DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure) were measured. The total scores of subjugation and self-sacrifice, ACE, and transdiagnostic somatic symptoms were respectively summated, then analysed through mediation analysis. Participants were (N = 131) students of Leiden University from the age of 18 years old (M = 19, IQR = 2), comprising of 91.2% female and 8.8% male. Through the analysis, it was found that subjugation and self-sacrifice together significantly mediate the relationship between ACE and transdiagnostic somatic symptoms (b = .314, p = .003). The indirect effect was found to have mediated 55.6% (b = .175, p = .002) of the relationship. Moreover, exploratory analyses indicated that individually, subjugation and self-sacrifice also successfully mediated this relationship. This finding further strengthens the existing argument that following ACE, particular behavioral stress-response may lead to transdiagnostic somatic symptoms in later life. In this case, the schemas subjugation and self-sacrifice were found to be crucial in this relationship. Thus, providing a deeper look into the developmental trajectory of the ACE, EMS, and transdiagnostic domains and may aid clinicians in recognizing and targeting schemas related to transdiagnostic somatic symptoms.Show less

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Early Maladaptive Schemas in The Relationship Between Adverse Childhood Experiences and Transdiagnostic Somatic Symptoms: Subjugation and Self-sacrifice