TY  - JOUR
AB  - Background: Attachment theory predicts that patients who are not securely attached may benefit less from psychological treatment. However, evidence on the predictive role of attachment in the effectiveness of treatment for depression is limited. Methods: Explicit attachment styles, levels of attachment anxiety and attachment avoidance, as well as implicit relational self-esteem and implicit relational anxiety were assessed in 67 patients with major depressive disorder (MDD) receiving Acceptance and Commitment Therapy (ACT) or Cognitive Behavioral Therapy (CBT). ANOVA and hierarchical regression analyses were performed to investigate the predictive power of explicit and implicit attachment measures on treatment outcome. Results: Explicit attachment avoidance at pre-treatment significantly predicted reduction of depressive symptoms following treatment. Reductions in attachment anxiety and avoidance from pre- to post-treatment predicted better treatment outcomes. Neither one of the implicit measures, nor change in these measures from pre- tot posttreatment significantly predicted treatment outcome. Conclusions: Our findings show that attachment avoidance as well as reductions in avoidant and anxious attachment predict symptom reduction after psychological treatment for depression. Future research should use larger sample sizes to further examine the role of attachment orientation as moderator and mediator of treatment outcome.
AU  - A-Tjak, Jacqueline G. L.
AU  - Morina, Nexhmedin
AU  - Boendermaker, Wouter J.
AU  - Topper, Maurice
AU  - Emmelkamp, Paul M. G.
DA  - 2020-04-07
DO  - 10.17879/34079443864
KW  - Depression
KW  - Treatment
KW  - Predictors
KW  - Attachment
KW  - Implicit
KW  - SC-IAT
KW  - IAT
KW  - Cognitive behavioral therapy
KW  - Acceptance and commitment therapy
LA  - eng
N1  - BMC Psychiatry 20 (2020) 155, 1-11
N1  - Finanziert durch den Open-Access-Publikationsfonds der Westfälischen Wilhelms-Universität Münster (WWU Münster).
PY  - 2020-04-07
TI  - Explicit and implicit attachment and the outcomes of acceptance and commitment therapy and cognitive behavioral therapy for depression
UR  - https://nbn-resolving.org/urn:nbn:de:hbz:6-14049551908
Y2  - 2024-11-22T01:35:23
ER  -