FATMA NUR KARAKAYA UBUR, BETÜL GÜZELCEOĞLU AYGÜN, GÜLİZ ŞENORMANCI, ÖMER ŞENORMANCI
Journal of Cognitive-Behavioral Psychotherapy and Research - 2023;12(3):254-263
The aim of our study is to examine the relationship of emotional schemas and metacognitions with mixed symptoms in Major Depressive Disorder (MDD). Our study included 95 MDD patients who applied to the adult psychiatry outpatient clinic of University of Health Sciences Bursa Yüksek Ihtisas Training and Research Hospital. The patients were divided into the mixed-featured group and the pure depression group according to the Hypomania Checklist-32 (HSL-32) scale and were evaluated with the Metacognition Scale-30 (MCS-30) and the Leahy Emotional Schemas Scale (LESS). A statistically significant correlation was found between HSL-32 scores and LESS-“Control” and LESS “Nickness” subscale scores. According to logistic regression analysis, MCQ-“Cognitive Confidence” factor was found as a predictor of mixed symptoms. In the study, it was found that numbness and low control emotional schemas were more prominently activated in the mixed-specific depression group compared to the pure depression group, and there was a relationship between mixed features and numbness and control emotional schemas. Rigid emotional schemas, adaptive emotional schemas, and negative beliefs about emotions scored similarly in the two groups. Although unhelpful metacognitive factors were found to be higher in both groups, they were higher in the pure depression group than in the mixed-featured group. Cognitive lack of confidence was found to be higher in the pure depression group. High cognitive confidence may be a predictor of mixed traits.
