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Associations among attachment characteristics, patients' assessment of therapeutic factors, and treatment outcome following inpatient psychodynamic group psychotherapy.
- Source :
-
Psychotherapy research : journal of the Society for Psychotherapy Research [Psychother Res] 2009 Mar; Vol. 19 (2), pp. 234-48. - Publication Year :
- 2009
-
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.
Details
- Language :
- English
- ISSN :
- 1468-4381
- Volume :
- 19
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Psychotherapy research : journal of the Society for Psychotherapy Research
- Publication Type :
- Academic Journal
- Accession number :
- 19396654
- Full Text :
- https://doi.org/10.1080/10503300902798367