The effectiveness of emotional schema therapy on cognitive emotion regulation, uncertainty intolerance, and psychological flexibility in male students with social anxiety disorder
Journal of Research in Psychopathology
مقاله 3 ، دوره 7، شماره 3 - شماره پیاپی 25 ، آبان 2026، صفحه 21-28 819.87 K )
نوع مقاله: Original Article
شناسه دیجیتال (DOI): 10.22098/jrp.2025.16829.1286 نویسندگان
Davod Ghaderi* 1 Bahman Kord 2 1 Department of Psychology, Sara.C, Islamic Azad University, Sarab, Iran2 Associate Professor, Department of Psychology, Mah.C., Islamic Azad University, Mahabad, Iranچکیده The purpose of this study was to investigate the effectiveness of emotional schema therapy on cognitive emotion regulation, uncertainty intolerance, and psychological flexibility in male students with social anxiety disorder. The present study employed a quasi-experimental design with pre-test, post-test, and three-month follow-up assessments with control and experimental groups. The study population included all male students with social anxiety disorder in Harris City during the first half of the academic year 2024-2025. Thirty participants were selected through purposive sampling based on inclusion criteria and assigned to experimental and control groups. All participants completed the Cognitive Emotion Regulation Questionnaire, the Intolerance of Uncertainty Scale, and the Cognitive Flexibility Inventory. The experimental group received emotional schema therapy in nine 90-minute sessions. Data were analyzed using multivariate analysis of covariance. The results showed that the experimental group scored lower on maladaptive cognitive strategies and higher on adaptive cognitive strategies, cognitive emotion regulation, psychological flexibility, and uncertainty intolerance compared to the control group. These results were maintained at the three-month follow-up. Based on the findings, emotional schema therapy can be considered an effective therapeutic approach for addressing social anxiety disorder. کلیدواژهها
Cognitive emotion regulation ؛ Emotional schema therapy ؛ Psychological flexibility ؛ Social anxiety ؛ Uncertainty intolerance
مراجع
Abasi, I., Dolatshahi, B., Farazmand, S., Pourshahbaz, A., & Tamanaeefar, S. (2018). Emotion regulation in generalized anxiety and social anxiety: examining the distinct and shared use of emotion regulation strategies. Iranian journal of psychiatry , 13 (3), 160. https://ijps.tums.ac.ir/index.php/ijps/article/view/743
Boogar, I. R., Farahnaz, K., & Tarbaran, F. (2013). Investigating the relationships of emotional schema, cognitive-behavioral avoidance and cognitive-affective system with generalized anxiety disorder and obsessive-compulsive disorder. Pajoohandeh Journal , 18 (5), 267-276. http://pajoohande.sbmu.ac.ir/article-1-1612-en.html
Buhr, K., & Dugas, M. J. (2002). The intolerance of uncertainty scale: Psychometric properties of the English version. Behaviour Research and Therapy , 40 (8), 931-945. doi: 10.1016/s0005-7967(01)00092-4
Charlson, F., van Ommeren, M., Flaxman, A., Cornett, J., Whiteford, H., & Saxena, S. (2019). New WHO prevalence estimates of mental disorders in conflict settings: a systematic review and meta-analysis. The Lancet , 394 (10194), 240-248. doi: 10.1016/S0140-6736(19)30934-1
Chiu, K., Clark, D. M., & Leigh, E. (2021). Cognitive predictors of adolescent social anxiety. Behaviour Research and Therapy , 137 , 103801. doi: 10.1016/j.brat.2020.103801
Connor, K. M., Davidson, J. R., Churchill, L. E., Sherwood, A., Weisler, R. H., & Foa, E. (2000). Psychometric properties of the Social Phobia Inventory (SPIN): New self-rating scale. The British Journal of Psychiatry , 176 (4), 379-386. doi: 10.1192/bjp.176.4.379
Counsell, A., Furtado, M., Iorio, C., Anand, L., Canzonieri, A., Fine, A., Fotinos, K., Epstein, I., & Katzman, M. A. (2017). Intolerance of uncertainty, social anxiety, and generalized anxiety: Differences by diagnosis and symptoms. Psychiatry research , 252 , 63-69. doi: 10.1016/j.psychres.2017.02.046
Dennis, J. P., & Vander Wal, J. S. (2010). The cognitive flexibility inventory: Instrument development and estimates of reliability and validity. Cognitive therapy and research , 34 , 241-253. doi: 10.1007/s10608-009-9276-4
Fernández-Álvarez, J., Colombo, D., Penedo, J. M. G., Pierantonelli, M., Baños, R. M., & Botella, C. (2024). Studies of social anxiety using ambulatory assessment: Systematic review. JMIR Mental Health , 11 (1), e46593. doi: 10.2196/46593
Figueiredo, D. V., Alves, F., & Vagos, P. (2024). Psychological inflexibility explains social anxiety over time: a mediation analyses with a clinical adolescent sample. Current Psychology , 43 (5), 4404-4415. doi: 10.1007/s12144-023-04650-w
Garnefski, N., & Kraaij, V. (2006). Relationships between cognitive emotion regulation strategies and depressive symptoms: A comparative study of five specific samples. Personality and Individual differences , 40 (8), 1659-1669. doi: 10.1016/j.paid.2005.12.009
Gorinelli, S., Gallego, A., Lappalainen, P., & Lappalainen, R. (2022). Psychological processes in the social interaction and communication anxiety of university students: The role of self-compassion and psychological flexibility. International journal of psychology and psychological therapy , 22 (1), 5-19. https://www.ijpsy.com/volumen22/num1/603.html
Hasani, J. (2011). The reliability and validity of the short form of the cognitive emotion regulation questionnaire. doi: 20.1001.1.17352029.1390.9.4.2.5
Hassanvand Amouzadeh, M. (2016). Validity and reliability of social phobia inventory in students with social anxiety. Journal of Mazandaran University of Medical Sciences , 26 (139), 166-177. http://jmums.mazums.ac.ir/article-1-8146-en.html
Jafarzade Jahromi, Z., Bahrainian, A. B., & Shahabizade, F. (2022). The effectiveness of therapeutic schema and therapy on cognitive regulation of emotion, cognitive flexibility and maladaptive strategies of worry in patients with depressive disorder. Pars Journal of Medical Sciences , 20 (3), 9-16. doi: 10.22034/pjms.2022.701639
Jain, T., Shukla, R., & Panwar, N. (2024). Decoding cognitive control and cognitive flexibility as concomitants for experiential avoidance in social anxiety. Psychological Reports , 00332941241268625. doi: 10.1177/00332941241268625
Jystad, I., Bjerkeset, O., Haugan, T., Sund, E. R., & Vaag, J. (2021). Sociodemographic correlates and mental health comorbidities in adolescents with social anxiety: the young-HUNT3 study, Norway. Frontiers in psychology , 12 , 663161. doi: 10.3389/fpsyg.2021.663161
Kohandani, M., & Abolmaali Alhosseini, K. (2017). Factor structure and psychometric properties of Persian version of cognitive flexibility of Dennis, Vander Wal and Jillon. Psychological Models and Methods , 8 (29), 53-70. doi: 20.1001.1.22285516.1396.8.29.3.2
Leahy, R. L. (2019). Introduction: Emotional schemas and emotional schema therapy. International Journal of Cognitive Therapy , 12 (1), 1-4. doi: 10.1007/s41811-018-0038-5
Mohammadkhani, S., Foroutan, A., Akbari, M., & Shahbahrami, M. (2022). Emotional schemas and psychological distress: Mediating role of resilience and cognitive flexibility. Iranian journal of psychiatry , 17 (3), 284. doi: 10.18502/ijps.v17i3.9728
Mousavi, S., Heidari, A., Safarzadeh, S., Asgari, P., & Talebzadeh Shoushtari, M. (2024). The Effectiveness of Emotional Schema Therapy on Self-Regulation and Frustration Tolerance in Female Students with Exam Anxiety. Women’s Health Bulletin , 11 (3), 145-152. doi: 10.30476/whb.2024.101975.1275
Osório, F. L., Loureiro, S. R., Hallak, J. E. C., Machado‐de‐Sousa, J. P., Ushirohira, J. M., Baes, C. V., Apolinario, T. D., Donadon, M. F., Bolsoni, L. M., & Guimarães, T. (2019). Clinical validity and intrarater and test–retest reliability of the Structured Clinical Interview for DSM‐5–Clinician Version (SCID 5 CV). Psychiatry and clinical neurosciences , 73 (12), 754-760. doi: 10.1111/pcn.12931
Pirayeh, L., Bagholi, H., Hoseini, S. E., & Javidi, H. (2023). Comparison of Emotional Schema Therapy and Schema Therapy in Reducing Suicidal Thoughts in Patients with Persistent Depressive Disorder. Preventive Counseling , 4 (4), 87-100. doi: 10.22098/jpc.2022.10922.1115
PourMohammad Ghouchani, K. (2022). The effectiveness of cognitive-analytical therapy on improving uncertainty tolerance and reducing anxiety and avoiding experiences of patients with obsessive-compulsive disorder. Journal of Clinical Psychology , 13 (4), 65-76. doi: 10.22075/jcp.2021.20257.1868
Remmerswaal, K. C., Cnossen, T. E., van Balkom, A. J., & Batelaan, N. M. (2023). Schema therapy with cognitive behaviour day-treatment in patients with treatment-resistant anxiety disorders and obsessive-compulsive disorder: an uncontrolled pilot study. Behavioural and Cognitive Psychotherapy , 51 (2), 174-179. doi: 10.1017/S1352465822000625
Rozen, N., & Aderka, I. M. (2023). Emotions in social anxiety disorder: a review. Journal of anxiety disorders , 95 , 102696. doi: 10.1016/j.janxdis.2023.102696
Sackl-Pammer, P., Jahn, R., Özlü-Erkilic, Z., Pollak, E., Ohmann, S., Schwarzenberg, J., Plener, P., & Akkaya-Kalayci, T. (2019). Social anxiety disorder and emotion regulation problems in adolescents. Child and adolescent psychiatry and mental health , 13 , 1-12. doi: 10.1186/s13034-019-0297-9
Salmani, A., Basharpoor, S., Vaziri, Z., & Salehinejad, M. A. (2025). Repeated prefrontal tDCS improves cognitive emotion regulation and readiness for treatment in substance use disorder: A randomized sham-controlled study. Addictive behaviors reports , 21 , 100614. doi:10.1016/j.abrep.2025.100614
Salmanipoor, R., Pirkhaefi, A., Peymani, J., & Foroghi, A. (2023). Effectiveness of the Therapeutic Reconsolidation Process Model on Executive Functions, Cognitive Flexibility, and Schemas Related to Post-traumatic Stress in Neuropsychiatric Veterans above 25%. Iranian Journal of War and Public Health , 15 (2), 141-149. doi: 10.58209/ijwph.15.2.141
Saraff, P., Shikatani, B., Rogic, A. M., Dodig, E. F., Talluri, S., & Murray-Latin, H. (2023). Intolerance of uncertainty and social anxiety: An experimental investigation. Behaviour Change , 40 (4), 314-327. doi: 10.1017/bec.2022.25
Shao, K., Nicholson, L. J., Kutuk, G., & Lei, F. (2020). Emotions and instructed language learning: Proposing a second language emotions and positive psychology model. Frontiers in psychology , 11 , 2142. doi: 10.3389/fpsyg.2020.02142
Sharifi, V., Asadi, S. M., Mohammadi, M. R., Amini, H., Kaviani, H., Semnani, Y., Shabanikia, A., Shahrivar, Z., Davari Ashtiani, R., & Hakim Shoushtari, M. (2004). Reliability and feasibility of the Persian version of the structured diagnostic interview for DSM-IV (SCID). Advances in cognitive science , 6 (1), 10-22. http://icssjournal.ir/article-1-26-en.html
Shende, S. A., & Mudar, R. A. (2023). Cognitive control in age-related hearing loss: A narrative review. Hearing Research , 436 , 108814. doi: 10.1016/j.heares.2023.108814
Somma, A., De Ciechi, A., Boscaro, L., Arioli, C., Gialdi, G., Mariani, V., & Fossati, A. (2025). Basic Psychometric Properties and Italian Normative Data of the DSM-5 Level 2 Anger, Anxiety, and Depression Scales, and DSM-5 Severity of Dissociative Symptoms Scale. Mediterranean Journal of Clinical Psychology , 13 (3). doi: 10.1007/978-3-031-32035-4_146-1
Stein, D. J., Lim, C. C., Roest, A. M., De Jonge, P., Aguilar-Gaxiola, S., Al-Hamzawi, A., Alonso, J., Benjet, C., Bromet, E. J., & Bruffaerts, R. (2017). The cross-national epidemiology of social anxiety disorder: Data from the World Mental Health Survey Initiative. BMC medicine , 15 , 1-21. doi: 10.1186/s12916-017-0889-2
Tan, X., Yang, Y., & Yu, M. (2023). Longitudinal relationship of empathy and social anxiety among adolescents: the mediation roles of psychological inflexibility and rejection sensitivity. Journal of Affective Disorders , 339 , 867-876. doi: 10.1016/j.jad.2023.07.069
Tör Çabuk, K., & Koç, V. (2024). Cognitive bias modification for perfectionism and intolerance of uncertainty: A randomized controlled trial. PsyCh Journal , 13 (4), 679-691. doi: 10.1002/pchj.742
Yavuz, K. F., Türkçapar, M. H., Demirel, B., & Karadere, E. (2011). Adaptation, validity and reliability of the Leahy Emotional Schema Scale Turkish version based on Turkish university students and workers. Dusunen Adam Journal of Psychiatry and Neurological Sciences , 24 (4), 273. 10.5350/DAJPN2011240403
Yu, M., Wang, H., & Xia, G. (2022). The review on the role of ambiguity of tolerance and resilience on students’ engagement. Frontiers in psychology , 12 , 828894. 10.3389/fpsyg.2021.828894
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