The Effectiveness of Schema Therapy on Psychological Well-Being and Self-Compassion in Psychosomatic Patients

Authors

    Mohammad Amin Badakhshan Master's degree, Department of Psychology, Shiraz University, Shiraz, Iran
    Atefeh Bidabadi Master's degree, Department of Psychology, Islamic Revolution University, Tehran, Iran
    Arefeh Bordbari Master's degree, Department of Psychology, Bahar Semi-State University, Mashhad, Iran
    Nazanin Haqiqat-Bian * Department of Clinical Psychology, Roudehen Branch, Islamic Azad University, Tehran, Iran. nazanin.haghighatbayan@yahoo.com
    Nazanin Rahmatian Dehkordi Department of Clinical Psychology, Nain Branch, Islamic Azad University, Nain, Iran
    Roxana Nakhaei Moghadam Department of Clinical Psychology, Zahedan Branch, Islamic Azad University, Zahedan, Iran
https://doi.org/10.61838/jcbl.1.4.8

Keywords:

Psychosomatic patients, Schema therapy, Psychological well-being, Self-compassion

Abstract

This study aimed to investigate the effectiveness of schema therapy on psychological well-being and self-compassion in psychosomatic patients. This semi-experimental study employed a pre-test–post-test control group design with a two-month follow-up. The statistical population included psychosomatic patients attending a psychology clinic in Tehran. A total of 30 participants were selected via convenience sampling and randomly assigned to experimental and control groups (15 each). The experimental group received ten 90-minute sessions of schema therapy, while the control group received no intervention. Data were collected using the Keyes and Magyar-Moe Mental Well-Being Scale (2003) and Neff’s Self-Compassion Scale (2003). Data analysis was performed using repeated measures ANOVA. Results revealed significant between-group differences in self-compassion (P = 0.008) and psychological well-being (P = 0.024). Within-group comparisons indicated significant improvements across pre-test, post-test, and follow-up phases for both variables (P < 0.001). Interaction effects of group and time were also significant for both outcomes (P < 0.001). Effect sizes were reported as 0.71 for self-compassion and 0.653 for psychological well-being. Schema therapy significantly enhances self-compassion and psychological well-being in psychosomatic patients by addressing and modifying early maladaptive schemas. It can serve as an effective intervention in clinical treatment for this population.

Downloads

Download data is not yet available.

References

Ayadi, N., Dargahi, S., Ghamari Givi, H., & Abbasi, M. (2016). The impact of job stress on subjective well-being, marital stress and empathy of nurses. Iranian Journal of Medical Ethics and History of Medicine, 9(2), 67-79. https://www.sid.ir/paper/135507/en

Bakos, D. S., Gallo, A. E., & Wainer, R. (2015). Systematic review of the clinical effectiveness of schema therapy. Contemporary Behavioral Health Care, 1, 1-7. https://doi.org/10.15761/CBHC.1000104

Bamelis, L. L. M., Evers, S. M. A. A., Spinhofen, P., & Arntz, A. (2014). Results of a multicenter randomized controlled trial of the clinical effectiveness of schema therapy for personality disorders. American Journal of Psychiatry, 171(3), 305-322. https://doi.org/10.1176/appi.ajp.2013.12040518

Eisa Zadeh, F., Heidari, S., Aghajan Beyglou, S., & Safari Nia, M. (2020). The effectiveness of schema therapy on stress, social adjustment, and psychological cohesion in women with cancer. Modern Psychology Journal, 14(2), 85-102.

Farrell, J. M., Shaw, I. A., & Webber, M. A. (2009). A pilot study of group schema therapy for borderline personality disorder: A randomized controlled trial. Journal of Behavior Therapy and Experimental Psychiatry, 40(2), 317-328. https://doi.org/10.1016/j.jbtep.2009.01.002

Faustino, B., Vasco, A. B., Silva, A. N., & Marques, T. (2020). Relationships between emotional schemas, mindfulness, self-compassion and unconditional self-acceptance on the regulation of psychological needs. Research in Psychotherapy: Psychopathology, Process and Outcome, 23(2). https://pubmed.ncbi.nlm.nih.gov/33024719/

Janbozorgi, F., Darbani, S. A., & Parsakia, K. (2020). The structural model of predicting family health based on communication patterns and self-efficacy with the mediating role of self-compassion in women. Psychology of Woman Journal, 1(3), 66-80. http://psychowoman.ir/article-1-22-en.html

Karimi Mohajeri, Z., Karbalaee Harfteh, F., Khalatbari, J., & Fardin, M. (2025). The effectiveness of integrating schema therapy and acceptance and commitment therapy on subjective well-being and body image concerns in women with breast cancer. Journal of Psychological Sciences, 24(145), 197-220. https://psychologicalscience.ir/browse.php?a_id=2564&sid=1&slc_lang=en

Körük, S., & Özabacı, N. S. (2018). Effectiveness of schema therapy on the treatment of depressive disorders: A meta-analysis. Current Approaches in Psychiatry, 10(4), 452-470. https://doi.org/10.18863/pgy.361790

MacBeth, A., & Gumley, A. (2012). Exploring compassion: A meta-analysis of the association between self-compassion and psychopathology. Clinical psychology review, 32(6), 545-552. https://doi.org/10.1016/j.cpr.2012.06.003

Mamdouhi, Z., Safargholi, H., Houshmandi, S., Demirchi, S., & Tabakh Zadeh, N. (2023). The effectiveness of compassion therapy on psychological well-being of female students at Islamic Azad University, Islamshahr Branch. Applied Psychology Journal, 12(3), 45-58. https://sanad.iau.ir/en/Journal/jhpsy/Article/1193461

Mansouri Kariani, R., Basak Nejad, S., Mehrabizadeh Honarmand, M., & Majdi Nasab, N. (2022). The effectiveness of compassion-focused acceptance and commitment therapy on psychological flexibility and psychological distress in patients with multiple sclerosis. Iranian Journal of Psychiatry and Clinical Psychology, 28(2), 222-235. https://doi.org/10.32598/ijpcp.28.2.3747.1

Nikan, A., Torabi, A., Mohseni Nasab, Z., Bahadori, A., Javanmard, Z., & Hosseini Rad, M. (2023). Comparing the effectiveness of schema therapy and mindfulness-based cognitive therapy on stress, resilience, emotion regulation, and psychological well-being in cardiovascular patients. Research in Psychological Health, 17(1), 46-60. https://rph.khu.ac.ir/article-1-4370-en.html

Renner, F., Arntz, A., Peeters, F., Lobbestael, J., & Huibers, M. (2016). Schema therapy for chronic depression: Results of a multiple single case series. Cognitive therapy and research, 40(4), 482-496. https://pubmed.ncbi.nlm.nih.gov/26780673/

Sefotho, M. M., Serjanaj, B., Karthik, S., & Saadati, S. A. (2024). The Psychosomatic Interface of Stress and Skin Disorders: Patient Experiences and Perceptions. Journal of Personality and Psychosomatic Research (JPPR), 2(2), 26-33. https://doi.org/10.61838/kman.jppr.2.2.5

Tayebmanesh, L., & Saadati, N. (2023). Effectiveness of Integrating Quality of Life-Based Therapy and Phototherapy on Emotion Regulation, Depression, and Anxiety in Psychosomatic Patients. KMAN Counseling & Psychology Nexus, 1(2), 37-43. https://doi.org/10.61838/kman.psychnexus.1.2.7

Thimm, J. C. (2017). Relationships between early maladaptive schemas, mindfulness, self-compassion and psychological distress. International Journal of Psychology & Psychological Therapy, 17(1), 1-15. https://psycnet.apa.org/record/2017-17602-001

Tirch, D. D., Leahy, R. L., Silberstein, L. R., & Melwani, P. S. (2012). Emotional schemas, psychological flexibility, and anxiety: The role of flexible response patterns to anxious arousal. International Journal of Cognitive Therapy, 5(4), 380-391. https://doi.org/10.1521/ijct.2012.5.4.380

Young, J. E., Klosko, J. S., & Weishaar, M. E. (2003). Schema therapy: A practitioner's guide. Guilford Press. https://psycnet.apa.org/record/2003-00629-000

Downloads

Published

2025-03-19

Submitted

2024-11-19

Revised

2025-02-13

Accepted

2025-03-10

Issue

Section

مقالات

How to Cite

Badakhshan, M. A. . ., Bidabadi, A. ., Bordbari, A. ., Haqiqat-Bian, N., Rahmatian Dehkordi, N., & Nakhaei Moghadam, R. . (2025). The Effectiveness of Schema Therapy on Psychological Well-Being and Self-Compassion in Psychosomatic Patients. Journal of Cognition, Behavior, Learning, 1(4), 95-105. https://doi.org/10.61838/jcbl.1.4.8

Similar Articles

1-10 of 26

You may also start an advanced similarity search for this article.