Associations among attachment characteristics, patients' assessment of therapeutic factors, and treatment outcome following inpatient psychodynamic group psychotherapy.
Psychother Res
; 19(2): 234-48, 2009 Mar.
Article
in En
| MEDLINE
| ID: mdl-19396654
ABSTRACT
Within a multisite study, including 289 inpatients from six different hospitals who underwent interpersonal-psychodynamic group psychotherapy, associations among attachment characteristics, therapeutic factors, and treatment outcome were investigated. Attachment characteristics were assessed with an interview-based measure (Adult Attachment Prototype Rating [AAPR]) as well as an attachment self-report (Bielefeld Questionnaire of Client Expectations [BQCE]). Therapeutic factors were measured retrospectively with the Dusseldorf Therapeutic Factors Questionnaire and treated as an individual- as well as a hospital-specific characteristic. On an individual level, only the group climate factor independently predicted treatment outcome (i.e., Symptom Checklist-90-R Global Severity Index and Inventory of Interpersonal Problems mean). If simultaneously but separately included into a path model, analyses revealed independent significant effects of AAPR-Security and BQCE-Security on group climate. If modeled as a latent variable (common attachment security), a substantially higher proportion of group climate variance could be explained. Further analyses revealed interactions between particular therapeutic factors and attachment characteristics, indicating a particular importance of these therapeutic factors for different attachment categories.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Psychotherapy
/
Surveys and Questionnaires
/
Object Attachment
Type of study:
Clinical_trials
/
Prognostic_studies
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Risk_factors_studies
Limits:
Adolescent
/
Adult
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Aged
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Female
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Humans
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Male
/
Middle aged
Language:
En
Journal:
Psychother Res
Journal subject:
PSICOLOGIA
/
PSIQUIATRIA
Year:
2009
Document type:
Article