Previous research had associated early maladaptive schemas, cognitive fusion and psychological needs. However, a deeper understanding of these relationships is needed regarding mediational effects of schemas on psychological needs and symptomatology. We aimed to explore the relationships between schema domains, cognitive fusion, psychological needs and symptoms. Therefore a clinical sample composed of 58 individuals with psychiatric diagnosis, who filled self-reported questionnaires was reanalyzed on a cross-sectional design. Medium to strong correlations between schema domains and dialectical polarities of psychological needs were found. Cognitive fusion mediated the relationship between schema domains with symptomatology. Also, the relationship between psychological needs and disconnection and rejection and overvigilance and inhibition domains was mediated by cognitive fusion. Schema domains are strongly related with the regulation of psychological needs and symptomatology. These results may be important not only to transtheoretical and integrative case conceptualization but also to clinical decision-making tailored to the patient’s characteristics, styles of communication and needs.

中文翻译：

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早期适应不良图式与心理需求调节的认知融合

先前的研究将早期的适应不良图式、认知融合和心理需求联系起来。然而，关于图式对心理需求和症状的中介作用，需要更深入地了解这些关系。我们旨在探索图式域、认知融合、心理需求和症状之间的关系。因此，在横断面设计中重新分析了由 58 名具有精神病诊断的个体组成的临床样本，他们填写了自我报告的问卷。发现图式域与心理需求的辩证极性之间存在中到强的相关性。认知融合介导了模式域与症状学之间的关系。还，心理需求与脱节和拒绝以及过度警惕和抑制域之间的关系是由认知融合介导的。图式域与心理需求和症状的调节密切相关。这些结果可能不仅对跨理论和综合病例概念化很重要，而且对根据患者的特征、沟通方式和需求量身定制的临床决策也很重要。