title: Associations among attachment characteristics, patients' assessment of therapeutic factors, and treatment outcome following inpatient psychodynamic group psychotherapy.
abstract: Within a multisite study, including 289 inpatients from six different hospitals who underwent interpersonal-psychodynamic group psychotherapy, associations among attachment characteristics, therapeutic factors, and treatment outcome were investigated. Attachment characteristics were assessed with an interview-based measure (Adult Attachment Prototype Rating [AAPR]) as well as an attachment self-report (Bielefeld Questionnaire of Client Expectations [BQCE]). Therapeutic factors were measured retrospectively with the Dusseldorf Therapeutic Factors Questionnaire and treated as an individual- as well as a hospital-specific characteristic. On an individual level, only the group climate factor independently predicted treatment outcome (i.e., Symptom Checklist-90-R Global Severity Index and Inventory of Interpersonal Problems mean). If simultaneously but separately included into a path model, analyses revealed independent significant effects of AAPR-Security and BQCE-Security on group climate. If modeled as a latent variable (common attachment security), a substantially higher proportion of group climate variance could be explained. Further analyses revealed interactions between particular therapeutic factors and attachment characteristics, indicating a particular importance of these therapeutic factors for different attachment categories.
authors.affiliation: Institute of Psychosocial Medicine and Psychotherapy, Friedrich-Schiller-University Jena, Jena. Helmut.Kirchmann@med.uni-jena.de
authors.forename: Helmut
authors.initials: H
authors.lastname: Kirchmann
authors.forename: Robert
authors.initials: R
authors.lastname: Mestel
authors.forename: Karin
authors.initials: K
authors.lastname: Schreiber-Willnow
authors.forename: Dankwart
authors.initials: D
authors.lastname: Mattke
authors.forename: Klaus-Peter
authors.initials: KP
authors.lastname: Seidler
authors.forename: Elke
authors.initials: E
authors.lastname: Daudert
authors.forename: Ralf
authors.initials: R
authors.lastname: Nickel
authors.forename: Rainer
authors.initials: R
authors.lastname: Papenhausen
authors.forename: Jochen
authors.initials: J
authors.lastname: Eckert
authors.forename: Bernhard
authors.initials: B
authors.lastname: Strauss
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D009769:Object Attachment; D011613:Psychotherapy / Q000379:methods*; D011615:Psychotherapy, Group; D011795:Surveys and Questionnaires; D055815:Young Adult