The Role of Sex in the Relationship Between Adverse Childhood Experiences and Early Maladaptive Schemas

Adverse Childhood Experiences (ACE), such as abuse, neglect, and household dysfunction have consistently been associated with the development of dysfunctional thinking patterns, known as Early Maladaptive Schemas (EMS). This study aimed to investigate the relationship between ACE and the EMS Impaired Limits domain, while exploring the potential moderating role of sex assigned at birth in this relationship. We expected that more adverse experiences would predict more severe difficulties in controlling impulses and following rules and that sex assigned at birth would moderate this relationship. A cross-sectional design with convenience sampling was implemented, and self-report online questionnaires were completed by 131 Leiden University students, who volunteered to participate in the study. The Adverse Childhood Experiences Questionnaire (ACE-Q) and the Young Schema Questionnaire-Short Form; version 3 (YSQ-S3) were used to measure ACE and the EMS Impaired Limits domain respectively....Show moreAdverse Childhood Experiences (ACE), such as abuse, neglect, and household dysfunction have consistently been associated with the development of dysfunctional thinking patterns, known as Early Maladaptive Schemas (EMS). This study aimed to investigate the relationship between ACE and the EMS Impaired Limits domain, while exploring the potential moderating role of sex assigned at birth in this relationship. We expected that more adverse experiences would predict more severe difficulties in controlling impulses and following rules and that sex assigned at birth would moderate this relationship. A cross-sectional design with convenience sampling was implemented, and self-report online questionnaires were completed by 131 Leiden University students, who volunteered to participate in the study. The Adverse Childhood Experiences Questionnaire (ACE-Q) and the Young Schema Questionnaire-Short Form; version 3 (YSQ-S3) were used to measure ACE and the EMS Impaired Limits domain respectively. Demographic information was collected, regarding participants’ sex assigned at birth, gender identity, country of origin, years lived in the Netherlands and cumulative GPA. The final sample consisted of 125 participants, out of which 114 were female (91.2%) and 11 (8.8%) were male. The average age of the participants was 19 years. To examine the relationship between ACE and the EMS Impaired Limits domain, linear regression analysis was conducted. The findings revealed that ACE score significantly predicted participants’ scores in the EMS Impaired Limits domain, (β = 1.66, p < .001, 95% CI [20.63, 24.02]), explaining 10.5% of the variance (R2 = 0.105). Moderation analysis to explore the role of sex assigned at birth did not yield reliable results, due to the disproportionate representation of male participants in the sample. The findings underscore the importance of ACE in understanding the development of the EMS Impaired Limits domain, highlighting the need for early and tailored interventions for individuals with a history of ACE. Future studies could further investigate additional factors influencing the development of this EMS domain, including a nuanced exploration of both sex assigned at birth and gender identity, utilizing more balanced and representative samples.Show less

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The Role of Sex in the Relationship Between Adverse Childhood Experiences and Early Maladaptive Schemas