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Title: The relationship between dysfunctional schemata and outcomes from a pain management programme
Author: Dunbar, Martin Gilbert
Awarding Body: University of Edinburgh
Current Institution: University of Edinburgh
Date of Award: 2001
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Psychologists involved in the treatment of chronic pain have increasingly emphasised the importance of cognitive factors (Turk and Rudy, 1986). Most pain management programmes (PMP's) incorporate a cognitive-behavioural component that, for example, teaches patients to identify thoughts that might lower their mood, exacerbate their pain, or interfere with their willingness to engage in rehabilitative behaviours. These treatment elements are derived from the cognitive-behavioural model of depression developed by Beck (1967), which states that depressed mood is maintained by negative automatic thoughts that arise out of the patient's dysfunctional schemata. Schemata are cognitive structures that organise our beliefs, attitudes and assumptions, and help the individual to construe themselves and their world. While there has been some research suggesting that dysfunctional schemata can interfere with outcome in cognitive-behavioural therapy (CBT) for depression (Jarrett et al., 1991) no similar research has been conducted examining their influence on outcome from a PMP. In this study, 70 patients, who were attending seven consecutive pain management groups, were asked to complete two measures of dysfunctional schemata (The Dysfunctional Attitudes Scale, DAS: Weissman and Beck, 1978, and the Young Schema Questionnaire - short form, YSQ-SF: Young, 1990). These measures were supplemented by two sets of informant ratings (provided by a close friend or relative and by the psychologists leading the PMP) of the patients' schemata. Outcome measures used to assess the effectiveness of the PMP include self-reported mood disturbance, disability, self-efficacy, readiness to engage in pain management, and functional ability (as measured by physiotherapist ratings). These outcome measures are collected routinely, at the beginning and end of each PMP. The associations between measures of dysfunctional schemata and the differences between pre- and post-PMP outcome scores were examined. The results are discussed in relation to previous research findings, and conclusions drawn relating to the findings of the study.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psy.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available