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RESEARCH PRODUCT
Changes of attachment characteristics during psychotherapy of patients with social anxiety disorder : results from the SOPHO-Net trial
Simone SalzerPeter JoraschkyJörg WiltinkWolfgang HillerUlrike WillutzkiUwe AltmannFalk LeichsenringEric LeibingAnne ThollUlrich StangierBernhard StraußHelmut KirchmannSusan KoranyiTobias NolteViktoria RitterJürgen HoyerSusanne ManesBjörn NoltingManfred E. BeutelStephan Herpertzsubject
MaleQuestionnairesResearch design050103 clinical psychologyTime FactorsPsychometricsmedicine.medical_treatmentEmotionsSocial Scienceslcsh:MedicineLiebowitz social anxiety scaleAnxietylaw.invention0302 clinical medicineRandomized controlled trialddc:150lawSurveys and QuestionnairesMedicine and Health SciencesPsychologyYoung adultlcsh:ScienceMultidisciplinary05 social sciencesSocial anxietyMiddle AgedAnxiety Disorders3. Good healthCognitive behavioral therapyTreatment OutcomeResearch DesignAnxietyFemalemedicine.symptomPsychotherapy PsychodynamicResearch ArticleAdultPsychotherapistWaiting ListsPatientsPsychometricsNeuropsychiatric DisordersNeurosesResearch and Analysis MethodsInterpersonal RelationshipsYoung Adult03 medical and health sciencesMental Health and PsychiatrymedicineHumans0501 psychology and cognitive sciencesAgedPsychiatric Status Rating ScalesSurvey ResearchCognitive Behavioral Therapybusiness.industrylcsh:RBiology and Life SciencesObject Attachment030227 psychiatryPsychotherapyHealth CareCollective Human Behaviorlcsh:QbusinessMental Health Therapiesdescription
Objectives Within a randomized controlled trial contrasting the outcome of manualized cognitive-behavioral (CBT) and short term psychodynamic therapy (PDT) compared to a waiting list condition (the SOPHO-Net trial), we set out to test whether self-reported attachment characteristics change during the treatments and if these changes differ between treatments. Research design and methods 495 patients from the SOPHO-Net trial (54.5% female, mean age 35.2 years) who were randomized to either CBT, PDT or waiting list (WL) completed the partner-related revised Experiences in Close Relationships Questionnaire (ECR-R) before and after treatment and at 6 and 12 months follow-up. The Liebowitz Social Anxiety Scale (LSAS) was administered at pre-treatment, post-treatment, and at 6-month and 1-year follow-up. ECR-R scores were first compared to a representative healthy sample (n = 2508) in order to demonstrate that the clinical sample differed significantly from the non-clinical sample with respect to attachment anxiety and avoidance. Results LSAS scores correlated significantly with both ECR-R subscales. Post-therapy, patients treated with CBT revealed significant changes in attachment anxiety and avoidance whereas patients treated with PDT showed no significant changes. Changes between post-treatment and the two follow-ups were significant in both conditions, with minimal (insignificant) differences between treatments at the 12- month follow-up. Conclusions The current study supports recent reviews of mostly naturalistic studies indicating changes in attachment as a result of psychotherapy. Although there were differences between conditions at the end of treatment, these largely disappeared during the follow-up period which is line with the other results of the SOPHO-NET trial. Trial registration Controlled-trials.com ISRCTN53517394
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2018-03-08 |