Details

Autor(en) / Beteiligte

• Strauß, Bernhard
• Altmann, Uwe
• Manes, Susanne
• Tholl, Anne
• Koranyi, Susan
• Nolte, Tobias
• Beutel, Manfred E
• Wiltink, Jörg
• Herpertz, Stephan
• Hiller, Wolfgang
• Hoyer, Jürgen
• Joraschky, Peter
• Nolting, Björn
• Ritter, Viktoria
• Stangier, Ulrich
• Willutzki, Ulrike
• Salzer, Simone
• Leibing, Eric
• Leichsenring, Falk
• Kirchmann, Helmut
• Moitra, Ethan

Titel

Changes of attachment characteristics during psychotherapy of patients with social anxiety disorder: Results from the SOPHO-Net trial

Ist Teil von

• PloS one, 2018-03, Vol.13 (3), p.e0192802-e0192802

Ort / Verlag

United States: Public Library of Science

Erscheinungsjahr

2018

Quelle

EZB Free E-Journals

Beschreibungen/Notizen

• 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. 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. 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. 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. Controlled-trials.com ISRCTN53517394.