Early Maladaptive Schemas and High-Risk Behaviors Among Adolescents in Shiraz, Iran: A Cross-Sectional Study

Background: Many high-risk behaviors often co-occur during adolescents’ development and can be linked to their life patterns, beliefs, and early maladaptive schemas (EMS). This research aimed to determine the association between EMS and high-risk behaviors among teenagers in Shiraz, Iran.Methods: Th...

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Main Authors: Hassan Joulaei, Zohre Foroozanfar, Razieh Joulaei, Mohammad Reza Heydari, Sima Afrashteh, Arash Ziaee, Maryam Fatemi
Format: Article
Language:English
Published: Shiraz University of Medical Sciences 2023-10-01
Series:International Journal of School Health
Subjects:
Online Access:https://intjsh.sums.ac.ir/article_49584_400369d856dc9276c752b9de75ea2489.pdf
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author Hassan Joulaei
Zohre Foroozanfar
Razieh Joulaei
Mohammad Reza Heydari
Sima Afrashteh
Arash Ziaee
Maryam Fatemi
author_facet Hassan Joulaei
Zohre Foroozanfar
Razieh Joulaei
Mohammad Reza Heydari
Sima Afrashteh
Arash Ziaee
Maryam Fatemi
author_sort Hassan Joulaei
collection DOAJ
description Background: Many high-risk behaviors often co-occur during adolescents’ development and can be linked to their life patterns, beliefs, and early maladaptive schemas (EMS). This research aimed to determine the association between EMS and high-risk behaviors among teenagers in Shiraz, Iran.Methods: This cross-sectional study was conducted in 2022, involving 348 adolescents aged 13 to 19 selected through a convenience sampling method in Shiraz, Iran. The Young Schema Questionnaire was utilized to assess EMS, and a researcherdeveloped self-reported checklist was used to collect demographic and behavioral data from the adolescents, including smoking, drug usage, alcohol use, and hookah use. Logistic regression assessed the association between behavioral characteristics and adolescents’ EMS aspects.Results: Among the 348 adolescents, 187 (53.7%) were male. The relative frequencies of hookah, alcohol, and drug use among boys were 31.6%, 40.1%, and 10.2%, respectively, whereas among girls, they were 11.2%, 15.5%, and 1.2%, respectively. A significant difference was observed between the two groups in terms of the relative frequencies of hookah (P=0.001), alcohol (P=0.001), and drug usage (P=0.008). A significant association was found between different domains of schemas and high-risk behaviors among the participants.Conclusion: The findings suggested that EMS may predict high-risk behaviors. Therefore, early-life interventions should be considered in line with factors contributing to controlling the negative consequences of EMS among adolescents. Further research is recommended to evaluate this population’s predisposing factors for EMS and preventive interventions.
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spelling doaj.art-3cedbf125def475bb69da0832925b77f2023-10-11T06:01:28ZengShiraz University of Medical SciencesInternational Journal of School Health2345-51522383-12192023-10-0110420621610.30476/intjsh.2023.99629.133149584Early Maladaptive Schemas and High-Risk Behaviors Among Adolescents in Shiraz, Iran: A Cross-Sectional StudyHassan Joulaei0Zohre Foroozanfar1Razieh Joulaei2Mohammad Reza Heydari3Sima Afrashteh4Arash Ziaee5Maryam Fatemi6Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, IranHIV/AIDS Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, IranHealth Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, IranHIV/AIDS Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, IranDepartment of Biostatistics and Epidemiology, Faculty of Health and Nutrition, Bushehr University of Medical Sciences, Bushehr, IranDepartment of Neuroscience, School of Medicine, Mashhad University of Medical Sciences, Mashhad, IranHIV/AIDS Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, IranBackground: Many high-risk behaviors often co-occur during adolescents’ development and can be linked to their life patterns, beliefs, and early maladaptive schemas (EMS). This research aimed to determine the association between EMS and high-risk behaviors among teenagers in Shiraz, Iran.Methods: This cross-sectional study was conducted in 2022, involving 348 adolescents aged 13 to 19 selected through a convenience sampling method in Shiraz, Iran. The Young Schema Questionnaire was utilized to assess EMS, and a researcherdeveloped self-reported checklist was used to collect demographic and behavioral data from the adolescents, including smoking, drug usage, alcohol use, and hookah use. Logistic regression assessed the association between behavioral characteristics and adolescents’ EMS aspects.Results: Among the 348 adolescents, 187 (53.7%) were male. The relative frequencies of hookah, alcohol, and drug use among boys were 31.6%, 40.1%, and 10.2%, respectively, whereas among girls, they were 11.2%, 15.5%, and 1.2%, respectively. A significant difference was observed between the two groups in terms of the relative frequencies of hookah (P=0.001), alcohol (P=0.001), and drug usage (P=0.008). A significant association was found between different domains of schemas and high-risk behaviors among the participants.Conclusion: The findings suggested that EMS may predict high-risk behaviors. Therefore, early-life interventions should be considered in line with factors contributing to controlling the negative consequences of EMS among adolescents. Further research is recommended to evaluate this population’s predisposing factors for EMS and preventive interventions.https://intjsh.sums.ac.ir/article_49584_400369d856dc9276c752b9de75ea2489.pdfearly maladaptive schemashealth risk behavioradolescentsiran
spellingShingle Hassan Joulaei
Zohre Foroozanfar
Razieh Joulaei
Mohammad Reza Heydari
Sima Afrashteh
Arash Ziaee
Maryam Fatemi
Early Maladaptive Schemas and High-Risk Behaviors Among Adolescents in Shiraz, Iran: A Cross-Sectional Study
International Journal of School Health
early maladaptive schemas
health risk behavior
adolescents
iran
title Early Maladaptive Schemas and High-Risk Behaviors Among Adolescents in Shiraz, Iran: A Cross-Sectional Study
title_full Early Maladaptive Schemas and High-Risk Behaviors Among Adolescents in Shiraz, Iran: A Cross-Sectional Study
title_fullStr Early Maladaptive Schemas and High-Risk Behaviors Among Adolescents in Shiraz, Iran: A Cross-Sectional Study
title_full_unstemmed Early Maladaptive Schemas and High-Risk Behaviors Among Adolescents in Shiraz, Iran: A Cross-Sectional Study
title_short Early Maladaptive Schemas and High-Risk Behaviors Among Adolescents in Shiraz, Iran: A Cross-Sectional Study
title_sort early maladaptive schemas and high risk behaviors among adolescents in shiraz iran a cross sectional study
topic early maladaptive schemas
health risk behavior
adolescents
iran
url https://intjsh.sums.ac.ir/article_49584_400369d856dc9276c752b9de75ea2489.pdf
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