Item request has been placed!
×
Item request cannot be made.
×
![loading](/sites/all/modules/hf_eds/images/loading.gif)
Processing Request
Attachment and alliance in the treatment of depressed, sexually abused women.
Item request has been placed!
×
Item request cannot be made.
×
![loading](/sites/all/modules/hf_eds/images/loading.gif)
Processing Request
- المؤلفون: Smith PN;Smith PN; Gamble SA; Cort NA; Ward EA; He H; Talbot NL
- المصدر:
Depression and anxiety [Depress Anxiety] 2012 Feb; Vol. 29 (2), pp. 123-30. Date of Electronic Publication: 2011 Nov 07.
- نوع النشر :
Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural
- اللغة:
English
- معلومة اضافية
- المصدر:
Publisher: Wiley Country of Publication: United States NLM ID: 9708816 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1520-6394 (Electronic) Linking ISSN: 10914269 NLM ISO Abbreviation: Depress Anxiety Subsets: MEDLINE
- بيانات النشر:
Original Publication: New York, NY : Wiley, c1997-
- الموضوع:
- نبذة مختصرة :
Background: Depression among women with sexual abuse histories is less treatment responsive than in general adult samples. One contributor to poorer treatment outcomes may be abused women's difficulties in forming and maintaining secure relationships, as reflected in insecure attachment styles, which could also impede the development of a positive therapeutic alliance. The current study examines how attachment orientation (i.e. anxiety and avoidance) and development of the working alliance are associated with treatment outcomes among depressed women with histories of childhood sexual abuse.
Method: Seventy women seeking treatment in a community mental health center who had Major Depressive Disorder and a childhood sexual abuse history were randomized to Interpersonal Psychotherapy or treatment as usual.
Results: Greater attachment avoidance and weaker working alliance were each related to worse depression symptom outcomes; these effects were independent of the presence of comorbid Borderline Personality Disorder and Post-Traumatic Stress Disorder. The effect of avoidant attachment on outcomes was not mediated by the working alliance. Further, working alliance had a stronger effect on depression outcomes in the Interpersonal Psychotherapy group.
Conclusion: Understanding the influence of attachment style and the working alliance on treatment outcomes can inform efforts to improve the treatments for depressed women with a history of childhood sexual abuse.
(© 2012 Wiley Periodicals, Inc.)
- References:
Clin Psychol Rev. 2003 Feb;23(1):1-33. (PMID: 12559992)
J Consult Clin Psychol. 2011 Aug;79(4):427-32. (PMID: 21574683)
Psychiatr Serv. 1999 May;50(5):686-92. (PMID: 10332907)
Clin Psychol Rev. 2010 Apr;30(3):326-37. (PMID: 20096978)
J Consult Clin Psychol. 2004 Jun;72(3):411-6. (PMID: 15279525)
Child Abuse Negl. 2001 Mar;25(3):357-67. (PMID: 11414395)
Br J Psychiatry. 2006 Jan;188:13-20. (PMID: 16388064)
Psychotherapy (Chic). 2011 Mar;48(1):98-102. (PMID: 21401280)
J Nerv Ment Dis. 2005 Dec;193(12):847-50. (PMID: 16319710)
Compr Psychiatry. 2003 May-Jun;44(3):177-83. (PMID: 12764704)
J Pers Soc Psychol. 1997 Nov;73(5):1092-106. (PMID: 9364763)
Psychiatry. 1976 Feb;39(1):28-40. (PMID: 1257353)
Child Abuse Negl. 1995 Dec;19(12):1513-6. (PMID: 8777700)
J Pers. 2007 Dec;75(6):1157-80. (PMID: 17995461)
Psychotherapy (Chic). 2010 Dec;47(4):631-6. (PMID: 21198248)
Psychol Med. 2004 May;34(4):659-69. (PMID: 15099420)
J Gen Intern Med. 2000 Dec;15(12):859-67. (PMID: 11119182)
J Consult Clin Psychol. 1997 Apr;65(2):333-6. (PMID: 9086699)
J Consult Clin Psychol. 2006 Dec;74(6):1041-54. (PMID: 17154734)
J Consult Clin Psychol. 2002 Oct;70(5):1067-74. (PMID: 12362957)
Psychotherapy (Chic). 2011 Mar;48(1):50-7. (PMID: 21401274)
Behav Res Methods Instrum Comput. 2004 Nov;36(4):717-31. (PMID: 15641418)
J Pers Soc Psychol. 1986 Dec;51(6):1173-82. (PMID: 3806354)
Arch Gen Psychiatry. 2002 Feb;59(2):139-45. (PMID: 11825135)
Am J Psychiatry. 2000 Jul;157(7):1101-7. (PMID: 10873918)
J Consult Clin Psychol. 2000 Jun;68(3):438-50. (PMID: 10883561)
Clin Psychol Rev. 2001 Jun;21(4):553-76. (PMID: 11413867)
Psychother Res. 2010 Nov;20(6):702-11. (PMID: 21154028)
Am J Psychiatry. 2003 Mar;160(3):580-2. (PMID: 12611845)
J Consult Clin Psychol. 1996 Oct;64(5):951-8. (PMID: 8916624)
J Consult Clin Psychol. 2001 Oct;69(5):841-5. (PMID: 11680562)
Clin Psychol Rev. 2001 Apr;21(3):471-90. (PMID: 11288610)
J Consult Clin Psychol. 1996 Jun;64(3):532-9. (PMID: 8698947)
J Pers Disord. 2001 Oct;15(5):371-89. (PMID: 11723873)
Psychotherapy (Chic). 2011 Mar;48(1):80-7. (PMID: 21401278)
Psychotherapy (Chic). 2011 Mar;48(1):9-16. (PMID: 21401269)
Psychotherapy (Chic). 2011 Sep;48(3):237-48. (PMID: 21604902)
Psychiatr Serv. 2011 Apr;62(4):374-80. (PMID: 21459988)
J Clin Psychol. 2006 Jul;62(7):815-35. (PMID: 16703602)
- Grant Information:
K23 MH064528-01A1 United States MH NIMH NIH HHS; K23MH64528 United States MH NIMH NIH HHS; K23 MH064528 United States MH NIMH NIH HHS; T32 MH020061-01A1 United States MH NIMH NIH HHS; T32 MH020061 United States MH NIMH NIH HHS; T32MH020061 United States MH NIMH NIH HHS
- الموضوع:
Date Created: 20111109 Date Completed: 20120720 Latest Revision: 20211021
- الموضوع:
20221213
- الرقم المعرف:
PMC3325338
- الرقم المعرف:
10.1002/da.20913
- الرقم المعرف:
22065593
No Comments.