title: The role of early maladaptive schemas in predicting exposure and response prevention outcome for obsessive-compulsive disorder.
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.
authors.affiliation: Clinic of Mental Health, Psychiatry and Addiction Treatment, Sørlandet Hospital HF, Kristiansand, Norway. aashild.haaland@sshf.no
authors.forename: Aashild Tellefsen
authors.initials: AT
authors.lastname: Haaland
authors.forename: Patrick A
authors.initials: PA
authors.lastname: Vogel
authors.forename: Gunvor
authors.initials: G
authors.lastname: Launes
authors.forename: Vegard Øksendal
authors.initials: VØ
authors.lastname: Haaland
authors.forename: Bjarne
authors.initials: B
authors.lastname: Hansen
authors.forename: Stian
authors.initials: S
authors.lastname: Solem
authors.forename: Joseph A
authors.initials: JA
authors.lastname: Himle
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003071:Cognition; D015928:Cognitive Behavioral Therapy / Q000379:methods* / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009771:Obsessive-Compulsive Disorder / Q000523:psychology* / Q000628:therapy*; D010555:Personality Inventory / Q000706:statistics & numerical data*; D011569:Psychiatric Status Rating Scales / Q000706:statistics & numerical data; D011615:Psychotherapy, Group / Q000379:methods / Q000706:statistics & numerical data*