Supplementary Material for: A Comparison of Schemas, Schema Modes and Childhood Traumas in Obsessive-Compulsive Disorder, Chronic Pain Disorder and Eating Disorders

<b><i>Background:</i></b> In this study, we investigated early maladaptive schemas (EMS), schema modes and childhood traumas in patients suffering from obsessive-compulsive disorder (OCD) in contrast to patients with other Axis I disorders. Based on cognitive theories on OCD, our main research question was whether schemas belonging to the domain of ‘impaired autonomy and performance' are more prevalent in OCD than in both eating disorders (ED) and chronic pain disorder (CPD). <b><i>Sampling and Methods:</i></b> EMS, schema modes and traumatic childhood experiences were measured in 60 patients with OCD, 41 with ED, 40 with CPD and 142 healthy controls. To analyze differences between the groups, MANCOVAs were conducted followed by deviation contrasts. Depression level, age and gender were considered as possible covariates. <b><i>Results:</i></b> OCD patients scored higher on 4 EMS, 2 of which belong to the domain ‘impaired autonomy and performance'. ED patients had higher scores in the EMS ‘emotional inhibition' and CPD patients on the Childhood Trauma Questionnaire subscale ‘physical neglect'. <b><i>Conclusions:</i></b> These results suggest that there might be typical schema patterns associated with OCD and ED. We can also conclude that a higher prevalence of traumatic experiences does not necessarily coincide with more EMS and schema modes.

**研究背景**：本研究对比强迫症（obsessive-compulsive disorder, OCD）患者与其他轴I型精神障碍患者，探讨其早期适应不良图式（early maladaptive schemas, EMS）、图式模式及童年创伤特征。基于强迫症的认知理论，本研究的核心研究问题为：属于「自主与功能受损」领域的早期适应不良图式，在强迫症患者中的患病率是否高于进食障碍（eating disorders, ED）与慢性疼痛障碍（chronic pain disorder, CPD）患者。
**样本与研究方法**：本研究对60名强迫症患者、41名进食障碍患者、40名慢性疼痛障碍患者及142名健康对照者的早期适应不良图式、图式模式与童年创伤经历进行测评。为分析组间差异，本研究采用多元协方差分析（MANCOVAs），随后进行偏差对比检验，并将抑郁水平、年龄及性别作为潜在协变量。
**研究结果**：强迫症患者在4项早期适应不良图式上得分更高，其中2项属于「自主与功能受损」领域。进食障碍患者在「情感抑制」这一早期适应不良图式上得分更高，慢性疼痛障碍患者则在童年创伤问卷的「躯体忽视」子量表上得分更高。
**研究结论**：上述结果提示，强迫症与进食障碍可能存在特异性的图式模式。本研究同时证实，童年创伤经历的高发率并不必然伴随更多的早期适应不良图式与图式模式。