Early maladaptive schemas and asthma: disconnection and rejection domains may have an effect on the severity of asthma.

INTRODUCTION: Early maladaptive schemas (EMSs) that are being shaped through the early period of development of humans have been reported to affect the functions of asthmatic patients. This study focuses on the probable relationship between the personality schemas and areas with severity of asthma.

MATERIAL AND METHODS: Fifty asthmatic patients were entered this descriptive cross-sectional study in Tabriz University of Medical Sciences from March to August, 2016. We measured the personality schema of patients by using the Young Schema Questionnaire - Short Form (YSQ-SF; Young, 1994). On the other hand, patients' clinical findings and severity of asthma were assessed by spirometry and the Asthma Control Test (ACT) questionnaire.

RESULTS: Uncontrolled (ACT score < 20) and controlled (ACT score ≥ 20) asthma had significant defect in 'Disconnection domain' (p = 0.001). Also, significant reverse linear correlation was found between FEV₁ and 'Disconnection domain', 'Rejection' schema area (r = -0.29, p = 0.03), and 'Over vigilance domain' (r = -0,36, p = 0.01). Whereas, significant reverse linear correlation was revealed between FEV₁/FVC and Over vigilance domain (r = -0.41, p = 0.003).

CONCLUSION: EMSs possibly have potential effects on clinical characteristics and severity of asthma in asthmatic patients.