Associations among attachment characteristics, patients' assessment of therapeutic factors, and treatment outcome following inpatient psychodynamic group psychotherapy.
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.
Kirchmann
Helmut
H
Institute of Psychosocial Medicine and Psychotherapy, Friedrich-Schiller-University Jena, Jena. Helmut.Kirchmann@med.uni-jena.de
Mestel
Robert
R
Schreiber-Willnow
Karin
K
Mattke
Dankwart
D
Seidler
Klaus-Peter
KP
Daudert
Elke
E
Nickel
Ralf
R
Papenhausen
Rainer
R
Eckert
Jochen
J
Strauss
Bernhard
B
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