the effectiveness of schema therapy on primary maladaptive schemas and perceived stress in the elderly of daily centers in Gorgan

Document Type : Original Article


1 Assistant Professor, Department of Psychology, Payame Noor University, Golestan, Iran.

2 Master of Psychology, Payame Noor University, Golestan, Iran.


Introduction: Aging is one of the developmental stages of human life in which the latest human developmental developments take place. The aim of this study was to evaluate the effectiveness of schema therapy on early maladaptive schemas and perceived stress in the elderly of day care centers.
Method: The present study was a quasi-experimental study with a pretest-posttest design with a control group and a follow-up period. The statistical population was all the elderly in the day care centers of Mehr Pouyan in Gorgan. The participants with high levels of perceived stress were selected by purposive sampling and randomly assigned to experimental (n=15) and control (n=15) groups. The experimental group received 10 sessions of schema-therapy intervention, while the control group remained on the waiting list. The research instruments included the initial maladaptive schema questionnaire and perceived stress. Finally, the data were analyzed using the statistical method of analysis of covariance.
Results: The results of this study showed that schematic therapy intervention led to a reduction in cognitive stress and maladaptive schemas in the experimental group (p <0.001). And this effectiveness remained constant in the follow-up phase.
Conclusion: The results showed that the use of schema therapy can be a way to reduce perceived stress and early maladaptive schemas in the elderly


  1. Enette L, Vogel T, Fanon L,& Lang P. Effect of interval and continuous aerobic training on basal serum and plasma brain-derived neurotrophic factor values in seniors: a systematic review of intervention studies. Rejuvenation research, 2017, 20(6), 473- 483.
  2. Zhang Y, Chen Y, Ma L. Depression and cardiovascular disease in elderly: current understanding. Journal of Clinical Neuroscience, 2018, 47(2), 1-5.
  3. Rasooli A, Faraz A. Comparison of quality of life, life satisfaction and death anxiety among introverted and extroverted elderly living in a nursing home in Kermanshah. The Rise of Psychology, 2019, 8 (10), 19-26. [Persian].
  4. Sedighi Arfaee F; Rashidi A., Radiation R. Anxiety tolerance in the elderly: The role of empirical avoidance, rumination and mindfulness. Psychology of Aging, 2021, 7 (1), 12-1. [Persian].
  5. Khodamoradi A; Hasanipour S, Daryabeigi Khutbah Sarar, Ahmadi b. Investigating the aging process and the need to plan health services for the elderly: A review study. Journal of Torbat Heydariyeh University of Medical Sciences, 2018, 6 (3), 81-95. [Persian].
  6. Amiri A, Fatemi Z. Assessing the sense of social status of the elderly: Comparing the elderly living in care centers in Mashhad with non-resident elderly. A Study of Social Issues in Iran, 102019, (1), 165-145. [Persian].
  7. Ali Mohammad F, Sotoudeh Asl N, Karami A. Develop a quality of life model based on metacognitive beliefs mediated by perceived stress in the elderly. Psychology of Aging, 2020; 6 (4): 355-341. [Persian].
  8. Gross J. The Handbook of Emotion Regulation, second edition.Guilford press. ISBN, 2018، 978-1- 4625-0350-6.
  9. Beyrami M, Babapour Khairuddin J, Hashemi T., Khalilzad Behrozian S. Investigating the structural relationship between temperament, alexithymia and perceived stress with addiction in students. Thought and Behavior in Clinical Psychology, 2018, 3 (50): 77-86. [Persian].
  10. Bahramipour L, Naderi F. The effectiveness of schema therapy on perceived stress and mental health of the head of the household. Horizons of Humanities, 2021, 5 (48): 74-59. [Persian].
  11. Yu R. "Stress potentiates decision biases: A stress induced deliberationtointuition IDI) model". Neurobiology of Stress,2016, 3, 83-95.
  12. Fereydounpour, Kalhori P., Mohseni F., Namjoo F. Comparison of the effectiveness of schema therapy and imagotherapy therapy on fear of marriage and attitudes toward choosing a spouse in single girls. Applied Family Therapy, 2020, 1 (1), 100-124. [Persian].
  13. Orang S, Hashemi Razini, Abdullahi M. Investigating the relationship between early maladaptive schemas with the meaning of life and psychological well-being of the elderly. Elderly: Iranian Journal of Aging. 2017; 12 (3): 326-345. [Persian].
  14. Young J, Klosko S. Weishaar E. Translated by Hamidpoor, H & Andoz, Z. Schema Therapy: A Practical Guide, Tehran: Arjmand.2015. (Text in Persian).
  15. Yeganeh Radn, Touzandeh Jani H, Bagherzadeh Golmakani Z. Comparison of the effectiveness of schema therapy and compassion-based therapy on resilience and ambiguity tolerance in women seeking divorce. Journal of Psychological Methods and Models, 2020, 11 (41), 89-112. [Persian].
  16. Karbasdehi F, Abolghasemi AS, Leader of Karbasdehi A. The effectiveness of schema therapy on psychological resilience and social empowerment of students with depressive symptoms. Psychological Studies, 2019, 15 (4), 73-90. [Persian].
  17. Fassbinder E, Schweiger U, Martius D, Brand-de Wilde O, Arntz A. Emotion Regulation in Schema Therapy and Dialectical Behavior Therapy. Front Psychol.;7:1373. doi: 10.3389/fpsyg.2016.01373 pmid: 27683567.
  18. Farrokhzadian AS, Rezaei F, Sadeghi M. The effectiveness of emotional therapy schema combined with metacognitive therapy on reducing the symptoms of generalized anxiety disorder in the elderly. Psychology of Aging, 2018; 4 (2): 83-91. [Persian].
  19. Hemmati Sabet A, Nawabi Nejad, Khalatbari J. Comparison of the effectiveness of schema therapy and group cognitive therapy on depression, anxiety and perceived stress of female clients of Hamadan Health Deputy. Psychology and Cognitive Psychiatry. 2016; 3 (1): 12-25. [Persian].
  20. Panah AS, Shafiabadi AS, Navabi Nejad, Nouranipour R. Evaluation of the effectiveness of group counseling with schema therapy approach on increasing the happiness of the elderly living in Tabriz nursing home. Women and Family Studies. 2013, 5 (19). 93-77. [Persian].
  21. Van Donzel A, Ouwens M, Van alphen S. The effectiveness of adapted schema therapy for cluster C personality disorders in older adults – integrating positive schemas, 2019., 21: 100715.
  22. Cohen S, Kamark T, Mermelstein A global measure of perceived stress. Journal of Health and Social Behavior,1983, 24, 358-396.
  23. Young J. Shema therapy. New York: Guilford; 1988.
  24. Young J. Early Maladaptive Schemas in Chronic Depression. In: Riso(ed.) Chronic Depression Guilford press, New York, USA.2007.
  25. Ahi, Gh. Standardization of the short version of the Young Schema Questionnaire. Master Thesis in General Psychology. Allameh Tabatabai University, Tehran. 2006. [Persian].
  26. Spatola M."The ACTonHEART study: rationale and design of a randomized controlled clinical trial comparing a brief intervention based on Acceptance and Commitment Therapy to usual secondary prevention care of coronary heart disease." Health and quality of life outcomes, 2014, 12.1: 22.
  27. Bahrami Rad M., Rafidi Z. Predicting pain acceptance based on perceived stress and coping strategies in people with rheumatoid arthritis. Journal of Health Psychology, 2018, 7 (28): 151-166. [Persian].
  28. Qaderi F, Kalantari M, Mehrabi H. The effectiveness of group schema therapy on modulating early maladaptive schemas and reducing the symptoms of social anxiety disorder. Clinical Psychology Studies, 2016, 6 (24), 1-28. [Persian].
  29. Nakhaei A, Shamhamudi A, Farnam A. The effectiveness of group schema therapy on early maladaptive schemas of traditional and industrial methadone addicts under treatment, Journal of Psychological Sciences, 2019, 18 (82): 1187-1197. [Persian].
  30. Ball J, Mitchell P, malhi G, Skillecorem A, smith,M. schema focused therapy For borderline disorder: reducing vulnerability to relapse through attitudinal change. Australian & NewZealand. journal of psychiatry,2012, 37(1), 41-55.