The Structural Model of Panic Disorder Based on Early Maladaptive Schemas with the Mediating Role of Anxiety Sensitivity and Mentalization

The aim of the present study was to present a structural model of panic disorder based on early maladaptive schemas with the mediating role of anxiety sensitivity and mentalization. The research design was correlational and structural equations. The statistical population of the research included all people suffering from panic disorder who visited psychological and counseling clinics in Tehran in 2023. The statistical sample of the research consisted of 132 of these people who were selected by available sampling method. To collect data, Yang's (2005) primary maladaptive schema questionnaires, Reiss and Peterson's (1985) anxiety sensitivity, Dimitrovich's mentalization (2017) and Leibowitz's panic disorder (1984) were used. In order to analyze the obtained data, SPSS26 and AMOS24 software were used. The predictor variable of primary maladaptive schemas directly (β = 0.39) and indirectly with the mediation of anxiety sensitivity and mentalization (β = 0.15), (β = 0.12) on panic disorder. The effect was positive and significant (p < 0.01). Also, anxiety sensitivity and mentalization had a direct effect (β=0.45), (β=0.49) on panic disorder (p<0.01). The results of the research indicated that the initial maladaptive schemas can be a strong predictor of panic disorder, and anxiety sensitivity and mentalization as mediating variables are part of the influencing process in the formation of panic disorder symptoms. It is recommended to hold training workshops in the field of primary maladaptive schemas, anxiety sensitivity and mentalization, and also therapeutic interventions should address these factors.