The prediction of treatment outcomes by early maladaptive schemas and schema modes in obsessive-compulsive disorder
Abstract: Background: Higher levels of early maladaptive schemas (EMS) and schema modes according to schematherapy by Jeffrey Young are present in obsessive-compulsive disorder (OCD) compared to healthy controls. This study examines the relationship of EMS and schema modes to OC symptom severity and the predictive value of EMS and schema modes on treatment outcome in inpatients receiving Cognitive-Behavioral Therapy (CBT) with Exposure and Response Prevention (ERP). The main assumption was a negative association between the EMS of the domain ‘disconnection’ and dysfunctional coping and parent schema modes and the treatment outcome.
Methods: EMS, schema modes, depression and traumatic childhood experiences were measured in 70 patients with OCD. To analyze the predictors, two regression analyses were conducted considering multiple variables, such as depression, as covariates.
Results: Regression analyses demonstrated that higher scores on the EMS named failure and emotional inhibition and depressive symptom severity at pretreatment were significantly related to poor outcome and explained a high percentage of the variance in OC symptoms at posttreatment. No influence on the treatment outcome was observed for schema modes, other EMS or other covariates. Conclusions: The results support the approach to extend the CBT with ERP treatment with therapeutic elements focusing on maladaptive schemas, particularly in non-responders
- Location
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Deutsche Nationalbibliothek Frankfurt am Main
- Extent
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Online-Ressource
- Language
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Englisch
- Notes
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BMC psychiatry. 14 (2014), 362, DOI 10.1186/s12888-014-0362-0, ISSN: 1471-244X
- Event
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Veröffentlichung
- (where)
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Freiburg
- (who)
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Universität
- (when)
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2017
- Creator
- Contributor
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Albert-Ludwigs-Universität Freiburg. Medizinische Fakultät
Klinik für Psychiatrie und Psychotherapie. Freiburg im Breisgau
Albert-Ludwigs-Universität Freiburg. Abteilung Klinische Psychologie und Psychotherapie
Albert-Ludwigs-Universität Freiburg. Wirtschafts- und Verhaltenswissenschaftliche Fakultät
- DOI
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10.1186/s12888-014-0362-0
- URN
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urn:nbn:de:bsz:25-freidok-125224
- Rights
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Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Last update
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15.08.2025, 7:24 AM CEST
Data provider
Deutsche Nationalbibliothek. If you have any questions about the object, please contact the data provider.
Associated
- Thiel, Nicola
- Tuschen-Caffier, Brunna
- Herbst, Nirmal
- Külz, Anne Katrin
- Nissen, Christoph
- Hertenstein, Elisabeth
- Gross, Ellen
- Voderholzer, Ulrich
- Albert-Ludwigs-Universität Freiburg. Medizinische Fakultät
- Klinik für Psychiatrie und Psychotherapie. Freiburg im Breisgau
- Albert-Ludwigs-Universität Freiburg. Abteilung Klinische Psychologie und Psychotherapie
- Albert-Ludwigs-Universität Freiburg. Wirtschafts- und Verhaltenswissenschaftliche Fakultät
- Universität
Time of origin
- 2017