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Kovács G, van Dijke A, Leontjevas R, Enders-Slegers MJ. The Relevance of Internal Working Models of Self and Others for Equine-Assisted Psychodynamic Psychotherapy. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:10803. [PMID: 36078534 PMCID: PMC9518159 DOI: 10.3390/ijerph191710803] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/12/2022] [Revised: 08/25/2022] [Accepted: 08/26/2022] [Indexed: 06/15/2023]
Abstract
Attachment characteristics play a key role in mental health and in understanding mental disorders. The aim of this study was to gain insight into the role the attachment characteristics can play in treatment effects in adult patients with intrapsychic and interpersonal problems who underwent Equine-assisted Short-term Psychodynamic Psychotherapy (ESTPP). In the first part of the study, we compared the effects of ESTPP to treatment-as-usual from a previous dataset regarding psychological dysfunction. For this, an explorative experimental non-randomized pre-treatment and 1-year post-treatment design was used. A mixed model revealed a significant decline in psychological dysfunction for both conditions, with no significant difference between the two. In the second part of the study, we examined the course of ESTPP effects over the period of 1 year when controlled for attachment styles and, subsequently, for internal working models of self and others. To this end, measurements were taken at baseline, 2 months waiting time, one-week intensive module, 6 months, and one year after the start of the treatment. Mixed models accounted for repeated measures showed significant improvements in psychological dysfunction, remoralization, and depression for ESTPP patients over time. The study implies that models of self and others may be used to predict the course of effects, which is relevant in determining what works for whom. In particularly, duration and intensity of therapy and a focus on the Model of Self seem relevant for shaping a more personalized treatment. ESTPP seems beneficial for patients with low pre-treatment attachment security.
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Affiliation(s)
- Géza Kovács
- Department of Psychology, Open University of the Netherlands, 6419 AT Heerlen, The Netherlands
- SPEL Psychologen Putten, 3881 NE Putten, The Netherlands
| | - Annemiek van Dijke
- PsyQ I-Psy Brijder The Netherlands, Leiden University Medical Centre, 2333 ZA Leiden, The Netherlands
| | - Roeslan Leontjevas
- Department of Psychology, Open University of the Netherlands, 6419 AT Heerlen, The Netherlands
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2
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Abstract
Concern over social scientists' inability to reproduce empirical research has spawned a vast and rapidly growing literature. The size and growth of this literature make it difficult for newly interested academics to come up to speed. Here, we provide a formal text modeling approach to characterize the entirety of the field, which allows us to summarize the breadth of this literature and identify core themes. We construct and analyze text networks built from 1,947 articles to reveal differences across social science disciplines within the body of reproducibility publications and to discuss the diversity of subtopics addressed in the literature. This field-wide view suggests that reproducibility is a heterogeneous problem with multiple sources for errors and strategies for solutions, a finding that is somewhat at odds with calls for largely passive remedies reliant on open science. We propose an alternative rigor and reproducibility model that takes an active approach to rigor prior to publication, which may overcome some of the shortfalls of the postpublication model.
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Affiliation(s)
- James W Moody
- Department of Sociology, Duke University, Durham, North Carolina, USA
- Duke Network Analysis Center, Duke University, Durham, North Carolina, USA
| | - Lisa A Keister
- Department of Sociology, Duke University, Durham, North Carolina, USA
- Duke Network Analysis Center, Duke University, Durham, North Carolina, USA
- Sanford School of Public Policy, Duke University, Durham, North Carolina, USA
| | - Maria C Ramos
- Interdisciplinary Social Science Program, Florida State University, Tallahassee, Florida, USA
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3
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Predictors of prolonged grief in an internet-based grief therapy for people bereaved by suicide. J Psychiatr Res 2022; 149:162-167. [PMID: 35278780 DOI: 10.1016/j.jpsychires.2022.02.023] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/28/2021] [Revised: 02/07/2022] [Accepted: 02/28/2022] [Indexed: 11/21/2022]
Abstract
Internet-based cognitive-behavioural grief therapy (ICBGT) has proven to be effective for people bereaved by suicide, however the extent to which patients can benefit from therapy seems to differ. This study investigates predictors of initial grief as well as change in grief severity following treatment in an ICBGT for people bereaved by suicide. Data was gathered from a randomized control trial including 57 people participating in a 5-week intervention. Change in grief symptoms was calculated using absolute change scores of grief. In order to examine best overall combination of independent variables, best subset regressions were conducted. Higher levels of pre-test grief were associated with worse sleep quality (β = 0.32, p = .002), lower self-esteem (β = -0.37, p = .002), lower support seeking (β = -0.38, p = .006), and a higher need for social support (β = 0.28, p = .028). A greater reduction in grief severity was associated with higher self-efficacy (β = -0.49, p = .001), higher attachment anxiety (β = -0.31, p = .017) and higher pre-test grief symptoms (β = -0.39, p = .006). Attention should be paid to the intensity of grief, the attachment style and a positive self-image, as these variables seem to influence the extent, to which patients' symptoms of PGD subside following ICBGT. To specifically target factors of patients that require improvement, further studies are needed.
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Bindung als Prädiktor von Strukturveränderungen im Verlauf von stationärer Psychotherapie. ZEITSCHRIFT FUR PSYCHOSOMATISCHE MEDIZIN UND PSYCHOTHERAPIE 2022; 68:6-23. [DOI: 10.13109/zptm.2022.68.1.6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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5
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[Psychometric evaluation of the Experiences in Close Relationships Revised German 12-item version (ECR-RD 12) in a sample of psychotherapeutic inpatients]. ZEITSCHRIFT FUR PSYCHOSOMATISCHE MEDIZIN UND PSYCHOTHERAPIE 2021; 67:56-69. [PMID: 33565379 DOI: 10.13109/zptm.2021.67.1.56] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Psychometric evaluation of the Experiences in Close Relationships Revised German 12-item version (ECR-RD 12) in a sample of psychotherapeutic inpatients Objectives: The ECR-R assesses the self-description of adult attachment strategies in romantic relationships. The present study evaluates the psychometric properties of the German 12-item short version ECR-RD 12 in a large sample of patients in psychotherapeutic inpatient treatment. Method: Inpatients in psychotherapeutic treatment (N = 2231) were assessed using the ECR-RD 12 and other clinical questionnaires. Its psychometric properties and factor structure of were evaluated. Results: The psychometric properties of the short form measure were in line with the German full length version (ECR-RD). In contrast to theoretical assumptions, factor analysis suggested a three factor solution in the present sample. Discussion: The ECR-RD 12 can be recommended as a screening measure for assessing attachment styles in inpatient psychotherapeutic settings. Further studies are required to investigate the factor structure of the measure in clinical samples.
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Altmann U, Nodop S, Dinger U, Ehrenthal JC, Schauenburg H, Dymel W, Willutzki U, Strauss BM. Differential effects of adult attachment in cognitive-behavioural and psychodynamic therapy in social anxiety disorder: A comparison between a self-rating and an observer rating. Clin Psychol Psychother 2020; 28:373-383. [PMID: 32888374 DOI: 10.1002/cpp.2513] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2019] [Revised: 09/01/2020] [Accepted: 09/01/2020] [Indexed: 01/04/2023]
Abstract
Different measures of attachment are usually weakly correlated. In a subsample of an RCT comparing short-term cognitive-behavioural therapy (CBT) and psychodynamic therapy (PDT), we examined the association between attachment and outcome using two attachment measures. The sample comprises 148 patients with social anxiety disorder who were treated in the SOPHO-NET trial. Pretreatment attachment was assessed using the Adult Attachment Prototype Rating (AAPR) and the Bielefeld Questionnaire of Client Expectations (BQCE). Regression models were used to predict the therapeutic alliance (HAQ) at session 8, the Liebowitz Social Anxiety Scale (LSAS) at the end of therapy and a 6-month follow-up. Attachment groups (secure, avoidant, and ambivalent) classified with the AAPR and the BQCE were not significantly correlated (Cohen's κ = 0.08). Only the BQCE was associated with the HAQ indicating avoidantly attached patients showing lower HAQ scores than securely attached (Cohen's d = 0.722). Regarding the AAPR, we found an interaction effect of treatment and attachment related to the post-treatment LSAS scores. Post hoc tests revealed that securely attached patients in CBT had lower scores than securely attached in PDT (d = 0.922) and, on a trend level, avoidantly attached in CBT (d = 0.782). We conclude that attachment-outcome associations are affected by the applied measure. The identified differential effects suggest that psychotherapists should adapt the interventions on the attachment of their patients.
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Affiliation(s)
- Uwe Altmann
- Institute of Psychosocial Medicine, Psychotherapy and Psycho-Oncology, Jena University Hospital, Jena, Germany
| | - Steffi Nodop
- Institute of Psychosocial Medicine, Psychotherapy and Psycho-Oncology, Jena University Hospital, Jena, Germany
| | - Ulrike Dinger
- Department of General Internal Medicine and Psychosomatics, University Hospital, Heidelberg, Germany
| | | | - Henning Schauenburg
- Department of General Internal Medicine and Psychosomatics, University Hospital, Heidelberg, Germany
| | | | - Ulrike Willutzki
- Department of Psychology and Psychotherapy, University of Witten-Herdecke, Witten-Herdecke, Germany
| | - Bernhard M Strauss
- Institute of Psychosocial Medicine, Psychotherapy and Psycho-Oncology, Jena University Hospital, Jena, Germany
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7
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Lemmens LHJM, van Bronswijk SC, Peeters FPML, Arntz A, Roefs A, Hollon SD, DeRubeis RJ, Huibers MJH. Interpersonal Psychotherapy Versus Cognitive Therapy for Depression: How They Work, How Long, and for Whom—Key Findings From an RCT. Am J Psychother 2020; 73:8-14. [DOI: 10.1176/appi.psychotherapy.20190030] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Affiliation(s)
- Lotte H. J. M. Lemmens
- Department of Clinical Psychological Science, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, the Netherlands (Lemmens, van Bronswijk, Peeters, Roefs); Department of Clinical Psychology, University of Amsterdam, Amsterdam (Arntz); Department of Psychology, Vanderbilt University, Nashville, Tennessee (Hollon); Department of Psychology, University of Pennsylvania, Philadelphia (DeRubeis, Huibers); Department of Clinical Psychology, VU University Amsterdam, Amsterdam (DeRubeis,
| | - Suzanne C. van Bronswijk
- Department of Clinical Psychological Science, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, the Netherlands (Lemmens, van Bronswijk, Peeters, Roefs); Department of Clinical Psychology, University of Amsterdam, Amsterdam (Arntz); Department of Psychology, Vanderbilt University, Nashville, Tennessee (Hollon); Department of Psychology, University of Pennsylvania, Philadelphia (DeRubeis, Huibers); Department of Clinical Psychology, VU University Amsterdam, Amsterdam (DeRubeis,
| | - Frenk P. M. L. Peeters
- Department of Clinical Psychological Science, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, the Netherlands (Lemmens, van Bronswijk, Peeters, Roefs); Department of Clinical Psychology, University of Amsterdam, Amsterdam (Arntz); Department of Psychology, Vanderbilt University, Nashville, Tennessee (Hollon); Department of Psychology, University of Pennsylvania, Philadelphia (DeRubeis, Huibers); Department of Clinical Psychology, VU University Amsterdam, Amsterdam (DeRubeis,
| | - Arnoud Arntz
- Department of Clinical Psychological Science, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, the Netherlands (Lemmens, van Bronswijk, Peeters, Roefs); Department of Clinical Psychology, University of Amsterdam, Amsterdam (Arntz); Department of Psychology, Vanderbilt University, Nashville, Tennessee (Hollon); Department of Psychology, University of Pennsylvania, Philadelphia (DeRubeis, Huibers); Department of Clinical Psychology, VU University Amsterdam, Amsterdam (DeRubeis,
| | - Anne Roefs
- Department of Clinical Psychological Science, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, the Netherlands (Lemmens, van Bronswijk, Peeters, Roefs); Department of Clinical Psychology, University of Amsterdam, Amsterdam (Arntz); Department of Psychology, Vanderbilt University, Nashville, Tennessee (Hollon); Department of Psychology, University of Pennsylvania, Philadelphia (DeRubeis, Huibers); Department of Clinical Psychology, VU University Amsterdam, Amsterdam (DeRubeis,
| | - Steven D. Hollon
- Department of Clinical Psychological Science, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, the Netherlands (Lemmens, van Bronswijk, Peeters, Roefs); Department of Clinical Psychology, University of Amsterdam, Amsterdam (Arntz); Department of Psychology, Vanderbilt University, Nashville, Tennessee (Hollon); Department of Psychology, University of Pennsylvania, Philadelphia (DeRubeis, Huibers); Department of Clinical Psychology, VU University Amsterdam, Amsterdam (DeRubeis,
| | - Robert J. DeRubeis
- Department of Clinical Psychological Science, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, the Netherlands (Lemmens, van Bronswijk, Peeters, Roefs); Department of Clinical Psychology, University of Amsterdam, Amsterdam (Arntz); Department of Psychology, Vanderbilt University, Nashville, Tennessee (Hollon); Department of Psychology, University of Pennsylvania, Philadelphia (DeRubeis, Huibers); Department of Clinical Psychology, VU University Amsterdam, Amsterdam (DeRubeis,
| | - Marcus J. H. Huibers
- Department of Clinical Psychological Science, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, the Netherlands (Lemmens, van Bronswijk, Peeters, Roefs); Department of Clinical Psychology, University of Amsterdam, Amsterdam (Arntz); Department of Psychology, Vanderbilt University, Nashville, Tennessee (Hollon); Department of Psychology, University of Pennsylvania, Philadelphia (DeRubeis, Huibers); Department of Clinical Psychology, VU University Amsterdam, Amsterdam (DeRubeis,
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Chen CK, Nehrig N, Chou LJ, McGowan R, Guyton AF, Mustafiz F, Bailey RW. Patient Extratherapeutic Interpersonal Problems and Response to Psychotherapy for Depression. Am J Psychother 2019; 72:101-122. [PMID: 31813229 DOI: 10.1176/appi.psychotherapy.20190005] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
Abstract
OBJECTIVES This paper aimed to synthesize empirical findings of patient extratherapeutic interpersonal variables associated with individual psychotherapy treatment outcomes in adult outpatients with depression. METHODS A systematic search strategy was used to identify relevant studies. Thematic analysis was used to identify recurring themes in the findings. RESULTS Forty studies met search criteria. Three themes of patient extratherapeutic interpersonal variables were identified: capacity to engage with others, capacity to navigate relationships, and capacity to achieve intimacy, progressing from basic to advanced levels of interpersonal interaction. Interpersonal variables such as interpersonal distress and style, attachment orientation, and quality of object relations were particularly useful in predicting treatment outcomes, whereas access to social support and marital status provided mixed results, likely because they do not account for relationship quality. CONCLUSIONS Recognizing variables associated with treatment response can help clinicians identify patients at risk for nonresponse and guide efforts for adapting existing therapies and developing new ones.
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Affiliation(s)
- Cory K Chen
- Veterans Affairs (VA) New York Harbor Healthcare System, New York (Chen, Nehrig, Guyton, Mustafiz); Department of Psychiatry, New York University, New York (Chen, Nehrig); VA Long Beach Healthcare System, Long Beach, California (Chou); Department of Epidemiology & Health Promotion, New York University School of Medicine, Langone Medical Center, New York (McGowan); Department of Psychology, University of New Mexico, Albuquerque (Bailey)
| | - Nicole Nehrig
- Veterans Affairs (VA) New York Harbor Healthcare System, New York (Chen, Nehrig, Guyton, Mustafiz); Department of Psychiatry, New York University, New York (Chen, Nehrig); VA Long Beach Healthcare System, Long Beach, California (Chou); Department of Epidemiology & Health Promotion, New York University School of Medicine, Langone Medical Center, New York (McGowan); Department of Psychology, University of New Mexico, Albuquerque (Bailey)
| | - Leetyng Jennifer Chou
- Veterans Affairs (VA) New York Harbor Healthcare System, New York (Chen, Nehrig, Guyton, Mustafiz); Department of Psychiatry, New York University, New York (Chen, Nehrig); VA Long Beach Healthcare System, Long Beach, California (Chou); Department of Epidemiology & Health Promotion, New York University School of Medicine, Langone Medical Center, New York (McGowan); Department of Psychology, University of New Mexico, Albuquerque (Bailey)
| | - Richard McGowan
- Veterans Affairs (VA) New York Harbor Healthcare System, New York (Chen, Nehrig, Guyton, Mustafiz); Department of Psychiatry, New York University, New York (Chen, Nehrig); VA Long Beach Healthcare System, Long Beach, California (Chou); Department of Epidemiology & Health Promotion, New York University School of Medicine, Langone Medical Center, New York (McGowan); Department of Psychology, University of New Mexico, Albuquerque (Bailey)
| | - Angel F Guyton
- Veterans Affairs (VA) New York Harbor Healthcare System, New York (Chen, Nehrig, Guyton, Mustafiz); Department of Psychiatry, New York University, New York (Chen, Nehrig); VA Long Beach Healthcare System, Long Beach, California (Chou); Department of Epidemiology & Health Promotion, New York University School of Medicine, Langone Medical Center, New York (McGowan); Department of Psychology, University of New Mexico, Albuquerque (Bailey)
| | - Fayel Mustafiz
- Veterans Affairs (VA) New York Harbor Healthcare System, New York (Chen, Nehrig, Guyton, Mustafiz); Department of Psychiatry, New York University, New York (Chen, Nehrig); VA Long Beach Healthcare System, Long Beach, California (Chou); Department of Epidemiology & Health Promotion, New York University School of Medicine, Langone Medical Center, New York (McGowan); Department of Psychology, University of New Mexico, Albuquerque (Bailey)
| | - Robert W Bailey
- Veterans Affairs (VA) New York Harbor Healthcare System, New York (Chen, Nehrig, Guyton, Mustafiz); Department of Psychiatry, New York University, New York (Chen, Nehrig); VA Long Beach Healthcare System, Long Beach, California (Chou); Department of Epidemiology & Health Promotion, New York University School of Medicine, Langone Medical Center, New York (McGowan); Department of Psychology, University of New Mexico, Albuquerque (Bailey)
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9
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Gunlicks-Stoessel M, Westervelt A, Reigstad K, Mufson L, Lee S. The role of attachment style in interpersonal psychotherapy for depressed adolescents. Psychother Res 2019; 29:78-85. [PMID: 28436756 PMCID: PMC6092252 DOI: 10.1080/10503307.2017.1315465] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/15/2017] [Revised: 03/23/2017] [Accepted: 03/24/2017] [Indexed: 10/19/2022] Open
Abstract
OBJECTIVE(S) This study examined changes in depressed adolescents' reports of attachment anxiety and avoidance with interpersonal psychotherapy (IPT-A), and the relationship between attachment style and change in depression with IPT-A. METHOD Forty adolescents (aged 12-17) participated in a 16-week randomized clinical trial of 4 adaptive treatment strategies for adolescent depression that began with IPT-A and augmented treatment for insufficient responders (n = 22) by adding additional IPT-A sessions (n = 11) or the antidepressant medication, fluoxetine (n = 11). Adolescents were 77.5% female and 22.5% male (mean age = 14.8, SD = 1.8). Ten percent of adolescents were Latino. Racial composition was 7.5% Asian, 7.5% American Indian/Alaska Native, 80.0% white, and 5.0% biracial. Measures of attachment style (Experience in Close Relationships Scale-Revised [ECR-R]) and depression (Children's Depression Rating Scale-Revised [CDRS-R]) were administered at baseline and Weeks 8 and 16. RESULTS Attachment Anxiety and Avoidance (ECR-R) decreased significantly from baseline to Week 16. Baseline Avoidance positively predicted greater reductions in depression (CDRS-R), controlling for fluoxetine. Reductions in Anxiety and Avoidance were also significantly associated with reductions in CDRS-R, controlling for fluoxetine. CONCLUSIONS Adolescents' reports of attachment anxiety and avoidance are amenable to intervention with IPT-A. IPT-A may be particularly beneficial for adolescents who report a high level of avoidant attachment. Clinical or methodological significance of this article Our findings suggest that attachment anxiety and avoidance are constructs that are amenable to intervention during adolescence, and therefore viable targets of treatment. IPT-A was found to be an effective intervention for addressing problems in attachment style, and decreases in attachment anxiety and avoidance were associated with reductions in depression. This provides support for selecting IPT-A as a treatment option for adolescents who are depressed and describe difficulty with attachment security. IPT-A appears to be particularly effective for adolescents with an avoidant attachment style, who experience discomfort with and have a tendency to avoid intimacy.
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Affiliation(s)
| | - Ana Westervelt
- a Department of Psychiatry , University of Minnesota , Minneapolis , MN , USA
| | - Kristina Reigstad
- a Department of Psychiatry , University of Minnesota , Minneapolis , MN , USA
| | - Laura Mufson
- b Department of Psychiatry , Columbia University College of Physicians & Surgeons , New York , NY , USA
- c New York State Psychiatric Institute , New York , NY , USA
| | - Susanne Lee
- a Department of Psychiatry , University of Minnesota , Minneapolis , MN , USA
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Laverdière O, Descôteaux J, Beaulieu-Tremblay T, Simard V. Attachment assessment in clinical practice: Factor structure of the attachment questionnaire. J Clin Psychol 2018; 75:546-561. [PMID: 30368817 DOI: 10.1002/jclp.22716] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2018] [Revised: 09/27/2018] [Accepted: 09/28/2018] [Indexed: 11/11/2022]
Abstract
OBJECTIVE Attachment theory is of great relevance to psychotherapy process and outcome. The labor-intensive and time-consuming nature of attachment codification impedes its widespread use in clinical practice. The Attachment Questionnaire (AQ), a clinician-rated instrument, was developed to address these limitations. However, the status of validation of the AQ remains preliminary. The objective of this study is to further validate the AQ by evaluating its factor structure and convergent validity. METHODS To this end, 389 psychotherapists completed the AQ and assessed patients' personality disorders and level of functioning. RESULTS Factor analyses revealed that a five-factor solution provided a better fit than the original four-factor solution. The additional factor, inhibited exploration, captured difficulties in open, nondefensive, exploration of memories and their effects. Correlations between AQ factors and criterion variables support the convergent validity of the AQ. CONCLUSIONS These results are discussed in light of patients' characteristics and recent advances in attachment research.
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Affiliation(s)
- Olivier Laverdière
- Département de Psychologie, Université de Sherbrooke, Sherbrooke, Québec, Canada
| | - Jean Descôteaux
- Département de Psychologie, Université de Sherbrooke, Sherbrooke, Québec, Canada
| | | | - Valérie Simard
- Département de Psychologie, Université de Sherbrooke, Sherbrooke, Québec, Canada
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Levy KN, Kivity Y, Johnson BN, Gooch CV. Adult attachment as a predictor and moderator of psychotherapy outcome: A meta-analysis. J Clin Psychol 2018; 74:1996-2013. [DOI: 10.1002/jclp.22685] [Citation(s) in RCA: 58] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- Kenneth N. Levy
- Department of Psychology; Pennsylvania State University; University Park Pennsylvania
| | - Yogev Kivity
- Department of Psychology; Pennsylvania State University; University Park Pennsylvania
| | - Benjamin N. Johnson
- Department of Psychology; Pennsylvania State University; University Park Pennsylvania
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12
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Zhou SG, Hou YF, Liu D, Zhang XY. Effect of Cognitive Behavioral Therapy Versus Interpersonal Psychotherapy in Patients with Major Depressive Disorder: A Meta-analysis of Randomized Controlled Trials. Chin Med J (Engl) 2017; 130:2844-2851. [PMID: 29176143 PMCID: PMC5717864 DOI: 10.4103/0366-6999.219149] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2017] [Indexed: 01/22/2023] Open
Abstract
BACKGROUND Practice guidelines have recommended cognitive behavioral therapy (CBT) and interpersonal psychotherapy (IPT) as the treatment of choice for major depression disorder (MDD). However, whether one therapy is better than the other remains inconclusive. The aim of this study was to compare the treatment efficacy of the two treatment approaches for MDD. METHODS Using the terms "cognitive behavior therapy or cognitive therapy or CBT or CT or cognitive behavioral therapy" and "interpersonal psychotherapy or IPT," we systematically searched PubMed, Psyclnfo and Chinese National Knowledge Infrastructure databases up to February 2017. The language was restricted to be English and Chinese. Therapeutic outcomes, characteristics, and research quality were then extracted and analyzed independently. In accessing the included studies, we followed the criteria suggested by the Cochrane Handbook for Systematic Reviews of Interventions. RESULTS Data for 946 patients from 10 randomized controlled trials were included in the study. Methodological quality was not optimal in most trials. Meta-analysis showed a mean difference (MD) of -1.31, 95% confidence interval (CI) (-2.49, -0.12) (P < 0.05) in favor of CBT according to the Beck Depression Inventory (BDI), and however, we did not found any statistically significant difference between CBT and IPT on the Hamilton Rating Scale for depression (HRSD) (MD -0.90, 95% CI [-2.18, 0.38]). Subgroup analyses for the studies in which patients were treated only by psychotherapy (MD -1.26, 95% CI [-2.78, 0.35]) and for those which offered more sessions of therapies (MD -0.82, 95% CI [-2.23, 0.59]) showed there was no significant difference between CBT and IPT according to BDI. CONCLUSIONS Differences in treatment efficacy seem to vary according to different outcome measures. CBT shows an advantage over IPT for MDD according to BDI, and there is no significant difference between the two according to HRSD. These results should be interpreted with caution.
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Affiliation(s)
- She-Gang Zhou
- Department of Psychology, School of Public Health, Southern Medical University, Guangzhou, Guangdong 510515, China
- Department of Psychology, Institute of Education, Henan Normal University, Xinxiang, Henan 453007, China
| | - Yan-Fei Hou
- Department of Psychology, School of Public Health, Southern Medical University, Guangzhou, Guangdong 510515, China
| | - Ding Liu
- Department of Psychology, School of Public Health, Southern Medical University, Guangzhou, Guangdong 510515, China
| | - Xiao-Yuan Zhang
- Department of Psychology, School of Public Health, Southern Medical University, Guangzhou, Guangdong 510515, China
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Allen TA, Carey BE, McBride C, Bagby RM, DeYoung CG, Quilty LC. Big Five aspects of personality interact to predict depression. J Pers 2017; 86:714-725. [DOI: 10.1111/jopy.12352] [Citation(s) in RCA: 38] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Timothy A. Allen
- Campbell Family Mental Health Research Institute; Centre for Addiction and Mental Health
| | | | | | - R. Michael Bagby
- Department of Psychiatry; University of Toronto
- Department of Psychology; University of Toronto
| | | | - Lena C. Quilty
- Campbell Family Mental Health Research Institute; Centre for Addiction and Mental Health
- Department of Psychiatry; University of Toronto
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14
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Quilty LC, Taylor GJ, McBride C, Bagby RM. Relationships among alexithymia, therapeutic alliance, and psychotherapy outcome in major depressive disorder. Psychiatry Res 2017; 254:75-79. [PMID: 28456025 DOI: 10.1016/j.psychres.2017.04.047] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/08/2016] [Revised: 04/07/2017] [Accepted: 04/23/2017] [Indexed: 10/19/2022]
Abstract
Previous studies have found that alexithymia predicts process and outcome of psychodynamic psychotherapy across a range of psychiatric disorders. There is preliminary evidence that alexithymia may exert its effects on outcome through the therapist. Other studies have found that alexithymia does not influence outcome of cognitive-behavioral therapy (CBT). The aim of the current study was to investigate the capacity of alexithymia to predict therapist- and patient-rated therapeutic alliance and response to CBT and interpersonal psychotherapy (IPT) for major depressive disorder. A total of 75 adults with major depressive disorder were randomized to receive weekly sessions of manualized individual CBT or IPT for a period of 16 weeks. Pre-treatment alexithymia exhibited a positive direct effect on depression change, and a negative indirect effect on depression change via patient-rated alliance at week 13. There was no mediating role of therapist-rated alliance. Although these findings are preliminary, they suggest that pre-treatment alexithymia has meaningful links to psychotherapy process and outcome, and that nuanced analyses incorporating intervening variables are necessary to elucidate the nature of these links.
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Affiliation(s)
- Lena C Quilty
- Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, 250 College Street, Toronto, ON, Canada M5T 1R8; Department of Psychiatry, University of Toronto, 250 College Street Toronto, ON, Canada M5T 1R8.
| | - Graeme J Taylor
- Department of Psychiatry, University of Toronto, 250 College Street Toronto, ON, Canada M5T 1R8; Department of Psychiatry, Mount Sinai Hospital, 600 University Avenue, Toronto, ON, Canada M5G 1X5
| | - Carolina McBride
- Department of Psychiatry, University of Toronto, 250 College Street Toronto, ON, Canada M5T 1R8
| | - R Michael Bagby
- Department of Psychiatry, University of Toronto, 250 College Street Toronto, ON, Canada M5T 1R8; Department of Psychology, University of Toronto, 100 St. George Street, Toronto, ON, Canada M5S 3G3
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Bagby RM, Gralnick TM, Al‐Dajani N, Uliaszek AA. The role of the five‐factor model in personality assessment and treatment planning. CLINICAL PSYCHOLOGY-SCIENCE AND PRACTICE 2016. [DOI: 10.1111/cpsp.12175] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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