The role of early maladaptive schemas in predicting exposure and response prevention outcome for obsessive-compulsive disorder

✍ Scribed by Aashild Tellefsen Haaland; Patrick A. Vogel; Gunvor Launes; Vegard Øksendal Haaland; Bjarne Hansen; Stian Solem; Joseph A. Himle

• Book ID: 116328746
• Publisher: Elsevier Science
• Year: 2011
• Tongue: English
• Weight: 183 KB
• Volume: 49
• Category: Article
• ISSN: 0005-7967
• DOI: 10.1016/j.brat.2011.08.007

✦ Synopsis

This is the first study that explores whether early maladaptive schemas are related to treatment outcome for patients with obsessive-compulsive disorder (OCD). The sample consisted of 88 outpatients with a diagnosis of OCD who completed exposure and response prevention treatment. The Yale-Brown Obsessive-Compulsive Scale (Y-BOCS), the Beck Depression Inventory and Young Schema Questionnaire - Short Form were administered before and after treatment. Regression analyses using post-treatment Y-BOCS as the dependent variable indicated that higher scores on the abandonment schema at pre-treatment were related to poor outcome and explained 7% of the variance in symptoms at post-treatment. Higher scores on the self-sacrifice schema at pre-treatment were related to good outcome and explained 6% of the variance in obsessive-compulsive symptoms at post-treatment. During treatment, only changes in the failure schema were significantly related to good outcome and explained 18% of the variance in symptoms at post-treatment.