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Journal of Eating Disorders

, 3:41

First Online: 19 November 2015Received: 10 November 2015Accepted: 15 November 2015DOI: 10.1186-s40337-015-0082-y

Cite this article as: Talbot, D., Smith, E., Tomkins, A. et al. J Eat Disord 2015 3: 41. doi:10.1186-s40337-015-0082-y


BackgroundThe aim of this study was to examine the association between eating disorders ED and schema modes, and identify which specific schema modes are associated with particular eating disorders, including anorexia nervosa AN, bulimia nervosa BN and other specified feeding or eating disorder OSFED.

MethodsA total of forty seven women with eating disorders and 89 women from the community participated in this study. Eating disorder diagnosis was determined by a clinician treating the eating disorder and was confirmed on the basis of Body Mass Index BMI and the Eating Disorder Examination Questionnaire EDE-Q. The Schema Mode Inventory SMI was used to explore the association between schema modes and eating disorder diagnostic status.

ResultsA series t-tests revealed that when compared to the community sample, the ED group scored significantly higher on 10 out of 12 maladaptive schema modes, and significantly lower on both adaptive schema modes. A series of planned contrasts revealed that the AN, BN, and OSFED groups each scored significantly higher than the community sample group in the majority of maladaptive schema modes, with slight variations between groups. Further, AN, BN, and OSFED groups each scored significantly lower than the community sample group for the two SMI scores categorized as adaptive. All Cohen’s d that reached significance ranged 0.55-2.24.

ConclusionsThe current study shows a tendency for females with eating disorders to rely on maladaptive schema modes more frequently, and more adaptive schema modes less frequently compared to a community sample. These findings provide initial empirical support for a schema mode model of eating disorders.

KeywordsSchema mode therapy Eating disorders Schema mode inventory Eating disorder examination questionnaire Female Australia AbbreviationsANAnorexia nervosa

BNBulimia nervosa

EDEating disorder

EDE-QEating disorder examination questionnaire

OSFEDOtherwise specified feeding or eating disorder

SMISchema mode inventory

Daniel Talbot and Evelyn Smith contributed equally to this work.

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Autor: Daniel Talbot - Evelyn Smith - Alethea Tomkins - Robert Brockman - Susan Simpson


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