Early maladaptive schemas and behavioural addictions: a systematic literature review

Vieira, C., Kuss, D.J. ORCID: 0000-0001-8917-782X and Griffiths, M.D. ORCID: 0000-0001-8880-6524, 2023. Early maladaptive schemas and behavioural addictions: a systematic literature review. Clinical Psychology Review, 105: 102340. ISSN 0272-7358

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As observed in other mental health difficulties, behavioural addiction is a complex construct with several potential predisposing factors, which include biological factors (e.g., genetic predispositions), psychological factors (e.g., personality traits), and social factors (e.g., family, and social history). One factor that may play a significant role in both developing and perpetuating behavioural addiction is the activation of early maladaptive schemas (EMSs). The aim of the present review was to synthesize the evidence concerning the relationship between behavioural addiction and EMSs. A comprehensive literature search using keywords and subject headings was performed with three electronic databases, resulting in 20 studies that met the inclusion criteria. In relation to specific behavioural addiction, the 20 studies examined: binge-eating/food addiction (n = 6), sexual addiction/compulsive sexual behaviours (n = 3), multiple addictive behaviours (n = 2), internet addiction (n = 2), smartphone addiction (n = 2), social networking/Facebook addiction (n = 2), exercise dependence (n = 1), gambling (n = 1), and videogame addiction (n = 1). The patterns of association between EMS and behavioural addiction were examined in both clinical and non-clinical population. The ‘Disconnection and Rejection’ domain was the most strongly related schema domain across all addictive behaviours, followed by ‘Impaired Limits’. The present review suggests a positive relationship between schema activation and several addictive behaviours, including addictions to gambling, gaming, social media use sex, exercise, and food. The clinical implications of the findings are discussed, but further research is needed to inform treatment plans and interventions for those who struggle with behavioural addictions.

Item Type: Journal article
Publication Title: Clinical Psychology Review
Creators: Vieira, C., Kuss, D.J. and Griffiths, M.D.
Publisher: Elsevier
Date: November 2023
Volume: 105
ISSN: 0272-7358
Rights: This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
Divisions: Schools > School of Social Sciences
Record created by: Jonathan Gallacher
Date Added: 28 Sep 2023 08:23
Last Modified: 28 Sep 2023 08:23
URI: https://irep.ntu.ac.uk/id/eprint/49827

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