Partner-Related Attachment as a Moderator of Outcome in Patients With Social Anxiety Disorder—A Comparison Between Short-Term Cognitive–Behavioral and Psychodynamic Therapy
Partner-Related Attachment as a Moderator of Outcome in Patients With Social Anxiety Disorder—A Comparison Between Short-Term Cognitive–Behavioral and Psychodynamic Therapy
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伴侣相关依恋作为社交焦虑症患者结果的调节因素——短期认知行为疗法与心理动力疗法的比较
DOI：
10.1037/pst0000129
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发表时间：
2017
期刊：
影响因子：
2.5
通讯作者：
H. Kirchmann
中科院分区：
文献类型：
--
作者：
B. Strauss;S. Koranyi;Uwe Altmann;T. Nolte;M. Beutel;J. Wiltink;S. Herpertz;W. Hiller;J. Hoyer;P. Joraschky;B. Nolting;U. Stangier;U. Willutzki;S. Salzer;Erik Leibing;F. Leichsenring;H. Kirchmann
在SoPho-Net(社交恐惧症心理治疗网络)试验中，这项研究调查了与伴侣相关的依恋特征是否能不同地预测社交焦虑症患者的过早治疗终止以及治疗后和一年随访结果。研究对象为412名社交焦虑症患者(57%为女性)，平均年龄为35.4岁(SD=12.1)，他们被随机分为CBT组和PDT组。在治疗前使用修订的亲密关系体验问卷(ECR-R)测量与伴侣相关的依恋特征。在治疗前、治疗后和一年的随访中进行利博维茨社交焦虑量表的测试。为了解决我们的研究问题，我们使用了线性回归模型。此外，我们在ECR-R四分位数内比较了CBT和PDT患者。治疗退出在CBT和PDT之间没有区别，也不能通过治疗附件预测。在这两种治疗条件下，如果控制治疗前的利博维茨社交焦虑量表分数，有一种趋势是更高的依恋焦虑与更有限的症状减少有关。探索性分析表明，被分配到ECR-R-回避分布的最高四分位数的患者在CBT条件下、治疗后和随访时显示出比PDT条件下更多的益处。我们的发现表明，在心理治疗之前评估社交焦虑症患者的依恋特征可能是有用的。具有非常高的治疗前依恋回避(ECR-R-回避>；3.87)特征的患者可能特别从CBT中比从PDT中受益更多。然而，重复研究是必要的，它还应该调查预处理依恋的非线性效应。
This study investigated whether partner-related attachment characteristics differentially predict premature treatment termination as well as posttreatment and 1-year follow-up outcome in patients with social anxiety disorder treated with a manualized cognitive–behavioral therapy (CBT) or short-term psychodynamic therapy (PDT) in the SOPHO-NET (Social Phobia Psychotherapy Network) trial. Participants were 412 patients with social anxiety disorder (57% female) with a mean age of 35.4 years (SD = 12.1) who were randomized to either CBT or PDT. Partner-related attachment characteristics were measured using the revised Experiences in Close Relationships Questionnaire (ECR-R) at pretreatment. The Liebowitz Social Anxiety Scale was administered at pretreatment, posttreatment, and a 1-year follow-up. To address our research questions, linear regression models were applied. Furthermore, we compared CBT versus PDT patients within ECR-R quartiles. Treatment dropout did not differ between CBT and PDT and was not predicted by pretreatment attachment. In both treatment conditions, there was a trend for higher attachment anxiety to be associated with a more limited reduction in symptoms if controlling for pretreatment Liebowitz Social Anxiety Scale scores. Exploratory analyses showed that patients assigned to the highest quartile of the ECR-R-Avoidance distribution showed more benefit within the CBT condition posttreatment and at follow-up than the PDT condition. Our findings suggest that it may be useful to assess attachment characteristics in patients with social anxiety disorder before psychotherapeutic treatment. Patients characterized by very high pretreatment attachment avoidance (ECR-R-Avoidance >3.87) may specifically benefit more from CBT than from PDT. However, replication studies are needed that also should investigate nonlinear effects of pretreatment attachment.
影响因子：
10.3
作者：
Mennin, DS;Fresco, DM;Liebowitz, MR
通讯作者：
Liebowitz, MR
社交焦虑症患者的依恋：成人依恋风格、社交焦虑和抑郁之间的关系。
DOI：
10.1037/1528-3542.1.4.365
发表时间：
2001
期刊：
Emotion (Washington, D.C.)
影响因子：
--
作者：
Eng,W;Heimberg,RG;Hart,TA;Schneier,FR;Liebowitz,MR
通讯作者：
Liebowitz,MR
影响因子：
5.9
作者：
Barber, JP;Muenz, LR
通讯作者：
Muenz, LR