Prediction of Mental Health on the Basis of Early Maladaptive Schemas Considering Intermediary Role of Worry in Patients with Severe Visual Deficits

Cognitive models emphasize on the role of primary maladaptive schemas to explain psychological disorders. It is important in the context of body defects in a clinical setting. This study was performed to determine early maladaptive schemas in patients with severe visual deficits.
In this cross-sectional study, 300 patients from oculoplastic and cornea clinics of Labbafinejad Medical Center, Tehran, Iran with severe visual deficits were sequentially selected. Severe visual deficit was defined as having one enucleated eye or corrected distant visual acuity less than 20/200 in at least one eye. Informed consent was obtained from all patients. Data were gathered using demographic, Mental Health, and Young Maladaptive Schema questionnaires. Also structured clinical interview was performed. Chi-square and regression tests were used to analyze the data.
A significant correlation was found between the majority of early maladaptive schemas and mental health in these patients. There was a strong negative correlation between psychological well-being and four schemas of vulnerability to harm or illness, dependency, insufficient self-control/self-discipline, and defectiveness/shame (p Early maladaptive schemas destroy psychological well-being and increase psychological distress. Considering these psychological variables may help prevention, diagnosis, and treatment of patients with severe visual deficits.