Three distinct subtypes of Skin Picking (SP) have been identified in previous research: Focused, Automatic and Mixed. Early Maladaptive Schemas (EMS) were not investigated across the subtypes. Understanding which EMS are associated with the subtypes might suggest the evaluation of Schema Therapy for SP and guide clinicians using it according to subtypes. The current study explored the relationship between EMS and SP subtypes in community adults. Five hundred ninety-six adults [mean age = 35.23 years, 66% females] self-reporting SP behaviours completed the Milwaukee Inventory for Dimensions of Adult Skin Picking and the Young Schema Questionnaire-Long form third version (YSQ-L3). Higher Dependence/Incompetence EMS was a common predictor of both Focused and Automatic subtypes, while lower Emotional Deprivation EMS and younger age predicted all three subtypes. Higher Approval/Recognition Seeking, Mistrust/Abuse and Failure to Achieve were specific predictors of Automatic, Focused and Mixed subtypes, respectively. Lower Social Isolation/Alienation and Enmeshment/Undeveloped Self were specific predictors of Focused subtype. Male gender was a specific predictor of Mixed subtype. The assessment and psychological treatment of individuals with SP behaviour may focus on specific EMS. Future longitudinal studies using clinical samples may clarify this association.

中文翻译：

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早期适应不良模式是皮肤搔抓亚型的常见和特定预测因素。


之前的研究已经确定了三种不同的皮肤搔抓（SP）亚型：集中型、自动型和混合型。早期适应不良图式（EMS）并未在各个亚型中进行调查。了解哪些 EMS 与亚型相关可能会建议评估 SP 的图式疗法，并指导临床医生根据亚型使用它。目前的研究探讨了社区成年人中 EMS 和 SP 亚型之间的关系。 596 名成年人 [平均年龄 = 35.23 岁，66% 女性] 自我报告 SP 行为完成了密尔沃基成人皮肤采摘维度清单和青年图式问卷-长表第三版 (YSQ-L3)。较高的依赖/无能 EMS 是专注型和自动型亚型的常见预测因素，而较低的情绪剥夺 EMS 和较年轻的年龄则预测所有三种亚型。寻求更高的认可/认可、不信任/滥用和未能实现目标分别是自动、专注和混合亚型的具体预测因子。较低的社会孤立/疏远和纠缠/未发展的自我是专注亚型的具体预测因素。男性性别是混合亚型的特定预测因子。 SP行为个体的评估和心理治疗可能侧重于特定的EMS。未来使用临床样本的纵向研究可能会澄清这种关联。