Schema therapy augmented exposure and response prevention in patients with obsessive–compulsive disorder: Feasibility and efficacy of a pilot study
Abstract
Background In spite of the availability of effective treatments for obsessive-compulsive disorder (OCD), many patients do not respond sufficiently or relapse. Treatments using other potentially effective methods such as experiential techniques need to be investigated. We developed a 12-week inpatient treatment augmenting exposure and response prevention (ERP) with schema therapy (ST) called STERP. The feasibility and effectiveness of STERP was tested.. Methods In a pilot study, 10 inpatients with OCD who failed to respond to Cognitive Behavioral Therapy (CBT) with ERP received STERP. The Yale-Brown Obsessive Compulsive Scale (Y-BOCS) served as primary outcome. Secondary outcome measures were the Obsessive Compulsive Inventory-revised (OCI-R) and the Beck Depression Inventory (BDI-II). Treatment effects were assessed with t-tests for paired samples. Results Significant reductions of the Y-BOCS, OCI-R and the BDI-II were found, with very large effect sizes (Cohen's d = 1.48-2.25). Results remained stable at 6 months follow-up. Five prior non-responders responded according to the 35% Y-BOCS symptom reduction criterion.. Limitations Lack of control group, small sample size and lack of repeated outcome measures during baseline. Conclusions STERP may be a feasible and potentially effective treatment for prior non-responders among OCD patients and thus worth further investigation in randomized controlled trials..
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Systematic application of chairwork in the psychological treatments of OCD is described only in a small number of studies.
“Despite a widespread and effective use of chairwork in reducing self-criticism and guilt (e.g., Shahar et al., 2012), its systematic application in the psychological treatments of OCD is described only in a small number of studies (Basile et al., 2018b; Thiel et al., 2016).”
From TREATING GUILT-INDUCING SELF-TALK IN OCD WITH DRAMATIZED SOCRATIC DIALOGUE: A STEP BY STEP INTERVENTION (2024) · cites this paper as Thiel et al., 2016
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Emotion regulation in schema therapy and dialectical behavior therapy.
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“Despite a widespread and effective use of chairwork in reducing self-criticism and guilt (e.g., Shahar et al., 2012), its systematic application in the psychological treatments of OCD is described only in a small number of studies (Basile et al., 2018b; Thiel et al., 2016).”
Background
- Authors
- Thiel, N., Jacob, G. A., Tuschen-Caffier, B., Herbst, N., Külz, A. K., Hertenstein, E., Nissen, C., & Voderholzer, U.
- Affiliations
- University Medical Center Freiburg (DE)
- University of Freiburg (DE)
- Corresponding author
- Thiel, Nicola
- Venue
- Journal of Behavior Therapy and Experimental Psychiatry
- Publisher
- Elsevier BV
- Published
- 2016-09
- Volume
- 52
- Pages
- 59-67
- ISSN
- 0005-7916 (ISSN-L)
- OpenAlex
- W2293567768
- Cited by
- 60
- References
- 14
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 6 · 2023: 14 · 2022: 3 · 2021: 8 · 2020: 7 · 2019: 4 · 2018: 3 · 2017: 4 · 2016: 3
- FWCI
- 6.24
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Behavior Therapy and Experimental Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- obsessive-compulsive disorder, schema therapy, exposure and response prevention, augmentation therapy, inpatient care, treatment-resistant OCD, non-responders, experiential therapy, relapse prevention
- MeSH terms
- Adult, Feasibility Studies, Female, Follow-Up Studies, Humans, Male, Middle Aged, Obsessive-Compulsive Disorder, Pilot Projects, Psychiatric Status Rating Scales, Cognitive Behavioral Therapy, Treatment Outcome, Young Adult
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