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The role of early maladaptive schemas in predicting exposure and response prevention outcome for obsessive-compulsive disorder
Authors:Haaland Aashild Tellefsen  Vogel Patrick A  Launes Gunvor  Haaland Vegard Øksendal  Hansen Bjarne  Solem Stian  Himle Joseph A
Institution:aClinic of Mental Health, Psychiatry and Addiction Treatment, Sørlandet Hospital HF, Kristiansand, Norway;bDepartment of Psychology, Norwegian University of Science and Technology (NTNU), Trondheim, Norway;cDepartment of Neuromedicine, Norwegian University of Science and Technology (NTNU), Trondheim, Norway;dDepartment of Psychology, University of Oslo, Norway;eDepartment of Psychiatry, School of Social Work, University of Michigan, Ann Arbor, MI, USA
Abstract: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.
Keywords:Cognitive behavior therapy  Obsessive-compulsive disorder  Schema  Personality  Attachment
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