title: Patient Attachment to Therapist Rating Scale: development and psychometric properties.
abstract: OBJECTIVE
  To report on the development and initial psychometric properties of a new rating scale for patent-therapist attachment.
  
  
  METHODS
  Seventy interviews from the Young Adult Psychotherapy Project (YAPP) were rated.
  
  
  RESULTS
  Excellent internal consistency (Cronbach's α > .90) was observed for all four subscales (Security, Deactivation, Hyperactivation, and Disorganization). Three subscales showed good inter-rater reliability (ICC > .60), while one (Hyperactivation) had poor (ICC < .40). Correlations with measures of alliance, mental representations, and symptom distress support the construct validity of the reliable subscales. Exploratory factor analysis indicated three underlying factors explaining 82% of the variance.
  
  
  CONCLUSIONS
  The Patient Attachment to Therapist Rating Scale is a promising approach for assessing the quality of attachment to therapist from patient narratives. Future development should focus on improving the discrimination of the insecure subscales.
authors: a Department of Psychology , Stockholm University , Sweden.
authors: Peter
authors: P
authors: Lilliengren
authors: Andrzej
authors: A
authors: Werbart
authors: Pia Risholm
authors: PR
authors: Mothander
authors: August
authors: A
authors: Ekström
authors: Susanna
authors: S
authors: Sjögren
authors: Marie-Louise
authors: ML
authors: Ogren
mesh_terms: D000293:Adolescent; D000328:Adult; D001526:Behavioral Symptoms / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D009769:Object Attachment; D011369:Professional-Patient Relations; D011569:Psychiatric Status Rating Scales / Q000592:standards*; D011594:Psychometrics / Q000295:instrumentation / Q000379:methods; D011613:Psychotherapy / Q000592:standards*; D015203:Reproducibility of Results; D055815:Young Adult