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Explicit and implicit attachment and the outcomes of acceptance and commitment therapy and cognitive behavioral therapy for depression

BMC psychiatry, 2020-04, Vol.20 (1), p.155-155, Article 155 [Peer Reviewed Journal]

COPYRIGHT 2020 BioMed Central Ltd. ;2020. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;The Author(s) 2020 ;ISSN: 1471-244X ;EISSN: 1471-244X ;DOI: 10.1186/s12888-020-02547-7 ;PMID: 32264845

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  • Title:
    Explicit and implicit attachment and the outcomes of acceptance and commitment therapy and cognitive behavioral therapy for depression
  • Author: A-Tjak, Jacqueline G L ; Morina, Nexhmedin ; Boendermaker, Wouter J ; Topper, Maurice ; Emmelkamp, Paul M G
  • Subjects: Analysis ; Anxieties ; Anxiety ; Attachment ; Behavior ; Behavior modification ; Behavioral medicine ; Care and treatment ; Clinical outcomes ; Cognitive ability ; Cognitive therapy ; Cognitive-behavioral therapy ; Comorbidity ; Depression ; Depression (Mood disorder) ; Implicit ; Medical research ; Mental depression ; Patients ; Predictors ; Psychotherapy ; Quality of life ; SC-IAT ; Self esteem ; Treatment
  • Is Part Of: BMC psychiatry, 2020-04, Vol.20 (1), p.155-155, Article 155
  • Description: 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. 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. 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 post-treatment significantly predicted treatment outcome. 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. clinicaltrials.gov; NCT01517503.
  • Publisher: England: BioMed Central Ltd
  • Language: English
  • Identifier: ISSN: 1471-244X
    EISSN: 1471-244X
    DOI: 10.1186/s12888-020-02547-7
    PMID: 32264845
  • Source: ProQuest One Psychology
    GFMER Free Medical Journals
    PubMed Central
    Springer Nature OA/Free Journals
    ROAD: Directory of Open Access Scholarly Resources
    ProQuest Central
    DOAJ Directory of Open Access Journals
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