Develop a schema therapy protocol to reduce anxiety in children aged 8 to 13 years and compare its effectiveness with cognitive-behavioral therapy

Document Type : Research Paper


1 PhD student General Psychology , Department of Psychology, Qom Branch , Islamic Azad University,Qom ,Iran.

2 Assistant Professor ، Department of Psychology , Qom Branch, Islamic Azad University, Qom, Iran. )Corresponding author(

3 Associate Professor ، Department of Psychology , Qom Branch, Islamic Azad University, Qom, Iran.


Anxiety is a general term that refers to two separate concepts, namely anxiety-causing factors (environmental features or thoughts that cause an unpleasant reaction in a person) and pressure (a person's unpleasant reaction to anxiety-causing factors). The present study was conducted with the aim of reducing anxiety in children
Materials and method
The study method was semi-experimental with a pre-test-post-test design with a control group. The statistical sample of this research includes 31 students aged 8 to 13 years old in a two-shift school in a district of Qom in 2018, who were tested in 3 groups for 4 months. After the completion of the post-test sessions, a follow-up test was conducted after 4 months. The groups included the group of students with anxiety symptoms with the schema-therapy approach, the group of students with anxiety symptoms with the cognitive-behavioral therapy approach and the control group that did not receive any treatment. They were randomly selected and included in the study. In this research, Doseldev Schema Illustrated Questionnaire for Children (DISC) 2017) and Spence Form Veldin Children's Anxiety Scale (SCAS (1977)) were used. Data analysis was done using analysis of variance with repeated measures in the software SPSS-23 was used.


  1. Grist R, Croker A, Denne M, Stallard P.
    Technology delivered interventions for
    depression and anxiety in children and
    adolescents: a systematic review and
    meta-analysis. Clinical Child and
    Family Psychology Review. 2019;
  2. 2. Cobham VE, Hickling A, Kimball H,
    Thomas HJ, Scott JG, Middeldorp CM.
    Systematic review: anxiety in children
    and adolescents with chronic medical
    conditions. Journal of the American
    Academy of Child & Adolescent
    Psychiatry. 2020; 1:59(5):595-618.
    3. Palmer S, Cooper C, Thomas K. Model
    of organisational stress for use within
    an occupational health
    education/promotion or wellbeing
    programme-A short communication.
    Health Education Journal. 2001;
    4. Hashemi, M., and A. Garshad.
    "Assesment job stress it in nursing
    personal in a selected teaching hospital
    of North Khorasan University of
    Medical Sciences 2008; (2012): 95-
    103. (in Persian)
    5. Bahrami M, Khayatan F, Farhadi H,
    Aghaei A. The Effectiveness of
    Cognitive-Behavioral Therapy on
    Children's Anxiety in Restructured
    Families. Community Health Journal.
    2019; 13(4):44-53. (in Persian)
    6. Hudson JL, Rapee RM, Lyneham HJ,
    McLellan LF, Wuthrich VM,
    Schniering CA. Comparing outcomes
    for children with different anxiety
    disorders following cognitive
    behavioural therapy. Behaviour
    Research and Therapy. 2015;1:72:30-7.
    7. Kellogg SH, Young JE. Schema
    therapy for borderline personality
    disorder. Journal of clinical
    psychology. 2006; 62(4):445-58.
    8. Peeters N, van Passel B, Krans J. The
    effectiveness of schema therapy for
    patients with anxiety disorders, OCD,
    or PTSD: A systematic review and
    research agenda. British Journal of
    Clinical Psychology. 2021;23: 543-549
    9. Morvaridi M, Mashhadi A, Shamloo
    ZS, Leahy RL. The effectiveness of
    group emotional schema therapy on
    emotional regulation and social anxiety
    symptoms. International Journal of
    Cognitive Therapy. 2019; 12(1):16-24.
    (in Persian)
    10. Emam Zamani Z, Mashhadi A, Sepehri
    Shamloo Z. The Effectiveness of Group
    Therapy Based on Emotional Schema
    Therapy on Anxiety and emotional
    schemas on Women with Generalized
    Anxiety Disorder. Research in Clinical
    Psychology and Counseling.
    2019:23;9(1):5-24. (in Persian)
    11. Dadomo H, Panzeri M, Caponcello D,
    Carmelita A, Grecucci A. Schema
    therapy for emotional dysregulation in
    personality disorders: A review.
    Current opinion in psychiatry.
    12. Young JE, Klosko JS, Weishaar ME.
    Schema therapy. New York: Guilford.
    2003; 254: 653-658
    13. Khasho DA, Van Alphen SP, HeijnenKohl SM, Ouwens MA, Arntz A,
    Videler AC. The effectiveness of
    individual schema therapy in older
    adults with borderline personality
    disorder: Protocol of a multiplebaseline study. Contemporary Clinical
    Trials Communications. 2019;1: 124-
    14. Heimberg RG. Cognitive-behavioral
    therapy for social anxiety disorder:
    current status and future directions.
    Biological psychiatry. 2002;51(1):101-
    15. Cuijpers P, Cristea IA, Karyotaki E,
    Reijnders M, Huibers MJ. How effective are cognitive behavior
    therapies for major depression and
    anxiety disorders? A meta‐ analytic
    update of the evidence. World
    psychiatry. 2016;15(3):245-58.
    16. Alavi SS, Ghanizadeh M, Mohammadi
    MR, Jannatifard F, Esmaili Alamuti S,
    Farahani M. The effects of cognitivebehavioral group therapy for reducing
    symptoms of internet addiction disorder
    and promoting quality of life and
    mental health. Trends in psychiatry and
    psychotherapy. 2021;43:47-56. (in
    17. Berardelli I, Bloise MC, Bologna M,
    Conte A, Pompili M, Lamis DA,
    Pasquini M, Fabbrini G. Cognitive
    behavioral group therapy versus
    psychoeducational intervention in
    Parkinson’s disease. Neuropsychiatric
    Disease and Treatment. 2018;14:399.
    18. Spence M. Consumer misperceptions,
    product failure and producer liability.
    The Review of Economic Studies.
    19. Spence SH, Barrett PM, Turner CM.
    Psychometric properties of the Spence
    Children’s Anxiety Scale with young
    adolescents. Journal of anxiety
    disorders. 2003;17(6):605-25.
    20. Mousavi R, Moradi A, Mahdavi Hersini
    E. The Effectiveness of Structural
    Family Therapy on Treating Children's
    Separation Anxiety Disorder. Journal of
    Psychological Studies. 2007;3(2):7-28.
    21. Lozova O, Lytvynenko O. Narrative
    Indicators of Adolescents’ Maladaptive
    Cognitive Schemas.
    22. Loose C, Meyer F, Pietrowsky R. The
    Dusseldorf Illustrated Schema
    Questionnaire for Children (DISC).
    Psicologia: Reflexão e Crítica.
    23. Jacob GA, Hauer A, Köhne S, Assmann
    N, Schaich A, Schweiger U, Fassbinder
    E. A schema therapy–based eHealth
    program for patients with borderline
    personality disorder (priovi):
    naturalistic single-arm observational
    study. JMIR Mental Health.
    24. Karimipour A, Asgari P, Makvandi B,
    Fard RJ. Effects of Schema Therapy for
    Children and Adolescents on the
    Externalizing Behaviors of the
    Adolescents Referred to the Counseling
    Centers in Ahvaz, Iran. International
    Journal of Health and Life Sciences.
    25. Lebowitz ER, Marin C, Martino A,
    Shimshoni Y, Silverman WK. Parentbased treatment as efficacious as
    cognitive-behavioral therapy for
    childhood anxiety: A randomized
    noninferiority study of supportive
    parenting for anxious childhood
    emotions. Journal of the American
    Academy of Child & Adolescent
    Psychiatry. 2020;1;59(3):362-72.
    26. Villabø MA, Narayanan M, Compton
    SN, Kendall PC, Neumer SP.
    Cognitive–behavioral therapy for youth
    anxiety: An effectiveness evaluation in
    community practice. Journal of
    consulting and clinical psychology.
    27. Muris P. Maladaptive schemas in nonclinical adolescents: Relations to
    perceived parental rearing behaviours,
    big five personality factors and
    psychopathological symptoms. Clinical Psychology and Psychotherapy 2006;
    13: 405-13.
    28. Khodapanahi.m.k, ghanbari.s,
    nadeali,h. mosavi, The quality of
    Mother- Child relationships and
    Anxiety Symptos in Preschool children.
    Quarterly Journal of Transformational
    Psychology, Iranian
    Psychologists.2012: 33(9). (in Persian)