Article2006

Attachment as moderator of treatment outcome in major depression: A randomized control trial of interpersonal psychotherapy versus cognitive behavior therapy.

Carolina McBride · Leslie R. Atkinson · Lena Catherine Quilty · Robert Michael Bagby

172 citations0/0 files storedJournal of Consulting and Clinical Psychology

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Psychotherapy Techniques and Applications Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes Attachment and Relationship Dynamics

Abstract

Anxiety and avoidance dimensions of adult attachment insecurity were tested as moderators of treatment outcome for interpersonal psychotherapy (IPT) and cognitive- behavioral therapy (CBT). Fifty-six participants with major depression were randomly assigned to these treatment conditions. Beck Depression Inventory--II, Six-Item Hamilton Rating Scale for Depression scores, and remission status served as outcome measures. Patients higher on attachment avoidance showed significantly greater reduction in depression severity and greater likelihood of symptom remission with CBT as compared with IPT, even after controlling for obsessive-compulsive and avoidant personality disorder symptoms. Results were replicated across treatment completers and intent-to-treat samples. These results suggest that it is important to consider the interaction between attachment insecurity and treatment type when comparing efficacy of treatments.

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References

1969Attachment and Loss 1967Development of a Rating Scale for Primary Depressive Illness 1987Romantic love conceptualized as an attachment process.1999Handbook of attachment: theory, research, and clinical applications 1980Attachment and Loss: Vol.3: Loss : Sadness and Depression 1989National Institute of Mental Health Treatment of Depression Collaborative Research Program 2000Adult Romantic Attachment: Theoretical Developments, Emerging Controversies, and Unanswered Questions 1988A Secure Base

Cited by

2018Adult attachment as a predictor and moderator of psychotherapy outcome: A meta‐analysis 2010Attachment style 2014Changes in attachment representations during psychological therapy 2010Attachment Insecurity Predicts Eating Disorder Symptoms and Treatment Outcomes in a Clinical Sample of Women 2018The relationship between the therapeutic alliance and clinical outcomes in cognitive behaviour therapy for adults with depression: A meta‐analytic review 2019The Role of Attachment Trauma and Disintegrative Pathogenic Processes in the Traumatic-Dissociative Dimension

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