Attachment style and readiness for psychotherapy among psychiatric outpatients

Kealy, David; Tsai, Michelle; Ogrodniczuk, John S.

doi:10.1111/papt.12101

Cited by 5 publications

(3 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our results illustrate the importance of the attachment system for advanced cancer patients' mental health and highlight the challenge of caring for dismissingly attached patients. Several studies in mental health settings have shown that patients with a dismissing attachment style have more difficulties about seeking help (Kealy et al, 2016). Furthermore, psychotherapy is less effective in these patients (Wiseman & Tishby, 2014).…”

Section: Discussionmentioning

confidence: 99%

Insecure attachment predicts depression and death anxiety in advanced cancer patients

Scheffold

Philipp

Koranyi³

et al. 2017

Pall Supp Care

View full text Add to dashboard Cite

The concept of attachment plays a relevant role in advanced cancer patients' mental health. Healthcare providers can benefit from knowledge of advanced cancer patients' attachment styles and how they relate to specific mental distress. Developing a better understanding of patients' reactions to feelings of dependency and distressing emotions can help us to develop individually tailored advanced cancer care programs and psychotherapeutic interventions.

show abstract

Section: Discussionmentioning

confidence: 99%

Insecure attachment predicts depression and death anxiety in advanced cancer patients

Scheffold

Philipp

Koranyi³

et al. 2017

Pall Supp Care

View full text Add to dashboard Cite

show abstract

“…There is evidence that cognitive behavioral therapy as an adjunction to conventional dermatologic treatments may be particularly beneficial for patients with more severe pre-treatment psychopathology in improving psoriasis severity, anxiety, and depression symptoms (Sijeric et al, 2019). Although both avoidant attachment (Kealy et al, 2017) and alexithymia (Ogrodniczuk et al, 2011) are negatively associated with openness to personal disclosure in the therapy relationship, patients with these dysfunctional personality traits could benefit from personalized psychological interventions that focus on their negative body image and make them more resilient to social stigma.…”

Section: Therapeutic Implicationsmentioning

confidence: 99%

Cutaneous body image in psoriasis: The role of attachment style and alexithymia

Troisi

Nanni²,

Giunta

et al. 2021

Curr Psychol

View full text Add to dashboard Cite

The aim of this study was to estimate the contribution of adult attachment style and alexithymia to cutaneous body image in patients with psoriasis while controlling for the confounding effects of disease severity and depressive symptoms. Participants were 107 consecutive patients (60% women) with a diagnosis of plaque-type psoriasis. Cutaneous body dissatisfaction was measured with the Cutaneous Body Image Scale (CBIS) and disease severity with the Psoriasis Area and Severity Index (PASI). Depressive symptoms, attachment style and alexithymia were assessed with the Beck Depression Inventory (BDI), the Attachment Style Questionnaire (ASQ) and the Toronto Alexithymia Scale (TAS-20), respectively. Hierarchical regression analysis showed that, independently from the severity of skin disease and depressive symptoms, patients with an insecure-avoidant attachment style and higher levels of alexithymia reported greater cutaneous body dissatisfaction. Because of the cross-sectional design, the causal relationship between avoidant attachment, alexithymia and cutaneous body image cannot be determined. There was no control group. Clinical assessment of patients with psoriasis should include attachment style and alexithymia among the psychological variables related to cutaneous body dissatisfaction.

show abstract

“…8,9 With regard to motivation for therapy, attachment anxiety showed a positive association with treatment seeking, while attachment avoidance was negatively associated with willingness for personal disclosure. 10 Previous studies have examined the moderating effects of attachment patterns on therapeutic outcomes. 11 An overview of attachment and psychotherapy was recently published by Slade and Holmes.…”

Section: Introductionmentioning

confidence: 99%

Long‐term changes in attachment patterns after psychotherapy in outpatients with Axis I and personality disorders vs. Axis I disorders only

Olssøn

Dahl

2020

Personality & Mental Health

View full text Add to dashboard Cite

Background -Adult attachment can be self-reported by rating anxiety of deception and avoidance of emotional closeness. There are few studies of changes in adult attachment patterns after psychotherapy. Aim -This study investigated how attachment anxiety and avoidance mean scores changed from pre-treatment to follow-up in patients with Axis I disorders only vs. patients with Axis I and comorbid personality disorders (comorbid group) after outpatients psychotherapy. Method -Of 156 patients with pre-treatment evaluation, 64 (41%) participated in follow-up 6 years later. Axis I and personality disorder interviews were performed at pre-treatment and follow-up, and the participants self-reported attachment patterns at both time points. Results -At both pre-treatment and follow-up, the Axis I group had significantly lower attachment avoidance scores than the comorbid group, while no significant between-group differences were observed for attachment anxiety. After adjustment, neither the Axis I nor the comorbid group showed any significant reductions in attachment anxiety or avoidance over time. The pre-treatment attachment scores were the only significant predictors of the follow-up scores. Conclusion -Neither attachment anxiety nor avoidance were amenable to change over time. These findings may be associated with the psychotherapy given. Pre-treatment attachment scores were the only significant predictors of these scores at follow-up.

show abstract

Attachment style and readiness for psychotherapy among psychiatric outpatients

Abstract: Insecure attachment may influence prospective patients' readiness for psychotherapy. Patients with an avoidant attachment style may need assistance in preparing for the relational aspects of psychotherapy.

Cited by 5 publications

References 16 publications

Insecure attachment predicts depression and death anxiety in advanced cancer patients

Insecure attachment predicts depression and death anxiety in advanced cancer patients

Cutaneous body image in psoriasis: The role of attachment style and alexithymia

Long‐term changes in attachment patterns after psychotherapy in outpatients with Axis I and personality disorders vs. Axis I disorders only

Contact Info

Product

Resources

About