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

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• 作者：Aashild Tellefsen  ; Haaland^a ;   ; ^{aashild.haaland@sshf.no} ; Patrick A.  ; Vogel^b ; Gunvor  ; Launes^a ; Vegard Ø ; ksendal  ; Haaland^a ;   ; ^d ; Bjarne  ; Hansen^c ; Stian  ; Solem^b ; Joseph A.  ; Himle^e
• 关键词：Cognitive behavior therapy ; Obsessive-compulsive disorder ; Schema ; Personality ; Attachment
• 刊名：Behaviour Research and Therapy
• 出版年：2011
• 出版时间：November 2011
• 年：2011
• 卷：49
• 期：11
• 页码：781-788
• 全文大小：183 K

文摘

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.