| Title |
The prediction of treatment outcomes by early maladaptive schemas and schema modes in obsessive-compulsive disorder
|
|---|---|
| Published in |
BMC Psychiatry, December 2014
|
| DOI | 10.1186/s12888-014-0362-0 |
| Pubmed ID | |
| Authors |
Nicola Thiel, Brunna Tuschen-Caffier, Nirmal Herbst, Anne Katrin Külz, Christoph Nissen, Elisabeth Hertenstein, Ellen Gross, Ulrich Voderholzer |
| Abstract |
BackgroundHigher 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.MethodsEMS, 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.ResultsRegression 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.ConclusionsThe results support the approach to extend the CBT with ERP treatment with therapeutic elements focusing on maladaptive schemas, particularly in non-responders. |
X Demographics
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Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 1 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 1 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 183 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Iran, Islamic Republic of | 1 | <1% |
| Japan | 1 | <1% |
| Denmark | 1 | <1% |
| Germany | 1 | <1% |
| Unknown | 179 | 98% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 28 | 15% |
| Student > Ph. D. Student | 26 | 14% |
| Student > Doctoral Student | 19 | 10% |
| Researcher | 17 | 9% |
| Student > Bachelor | 16 | 9% |
| Other | 28 | 15% |
| Unknown | 49 | 27% |
| Readers by discipline | Count | As % |
|---|---|---|
| Psychology | 99 | 54% |
| Medicine and Dentistry | 13 | 7% |
| Environmental Science | 2 | 1% |
| Social Sciences | 2 | 1% |
| Nursing and Health Professions | 2 | 1% |
| Other | 8 | 4% |
| Unknown | 57 | 31% |
Attention Score in Context
This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 29 December 2014.
All research outputs
#14,792,641
of 22,775,504 outputs
Outputs from BMC Psychiatry
#3,186
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Outputs of similar age
#197,853
of 353,182 outputs
Outputs of similar age from BMC Psychiatry
#60
of 99 outputs
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