Article Instance

HTTP 200 OK
Allow: GET
Content-Type: application/json
Vary: Accept

{
    "pk": 38056,
    "title": "Interrupting the Pathway From Early Trauma Exposure to Childhood-Onset Obsessive-Compulsive Disorder: The Promise of Schema Therapy ",
    "subtitle": null,
    "abstract": "<p>Obsessive-compulsive disorder (OCD) is a debilitating condition that often emerges during childhood and adolescence, marked by distressing obsessions and impairing compulsions that disrupt daily function and personal well-being. The current literature suggests a significant relationship between early trauma and the development of OCD in youth, with early maladaptive schemas (EMSs) serving as a key mechanism in this pathway. Taken together, various studies connect the components of childhood trauma, EMSs, and OCD into one tightly-linked trajectory, particularly emphasizing the role of “disconnection/rejection” and “impaired autonomy/performance” schemas in the development of obsessive-compulsive pathology. Despite treatment methods such as cognitive-behavioral therapy (CBT) and exposure and response prevention (ERP) being considered the gold standard treatments for OCD, schema therapy (ST) shows promise for meaningfully addressing the underlying EMSs that may cause and uphold OCD symptoms, especially for trauma-exposed youth. Recent studies, though limited by methodological weaknesses such as small sample sizes and lack of control groups, suggest that schema therapy could disrupt the trauma-to-OCD pathway by directly targeting entrenched negative beliefs, harmful thought patterns, and deficiencies in healthy self-perception that often lie at the root of OCD. Future high-quality studies investigating the efficacy of schema therapy (and perhaps its technologically-based variations) on trauma-exposed youth with OCD are warranted to explore the full potential of ST as a treatment for this particularly vulnerable population. </p>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution-NonCommercial  4.0",
        "short_name": "CC BY-NC 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by-nc/4.0"
    },
    "keywords": [
        {
            "word": "Obsessive-compulsive disorder (OCD)"
        },
        {
            "word": " childhood trauma"
        },
        {
            "word": " early maladaptive schemas (EMSs)"
        },
        {
            "word": " schema therapy"
        },
        {
            "word": " intervention"
        },
        {
            "word": "childhood trauma"
        },
        {
            "word": "early maladaptive schemas (EMSs)"
        },
        {
            "word": "schema therapy"
        },
        {
            "word": "Intervention"
        }
    ],
    "section": "Article",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/7f2583hc",
    "frozenauthors": [
        {
            "first_name": "Grace",
            "middle_name": "Amelia",
            "last_name": "Knor",
            "name_suffix": "",
            "institution": "Vanderbilt University",
            "department": "Psychology Department"
        }
    ],
    "date_submitted": "2024-10-13T17:48:33.690000Z",
    "date_accepted": "2025-09-28T05:01:49.563000Z",
    "date_published": "2026-05-05T16:50:00Z",
    "render_galley": {
        "label": "PDF",
        "type": "pdf",
        "path": "https://journalpub.escholarship.org/urjpucla/article/38056/galley/49867/download/"
    },
    "galleys": [
        {
            "label": "PDF",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/urjpucla/article/38056/galley/49867/download/"
        }
    ]
}