TY  - JOUR
A1  - Strauß, Bernhard
A1  - Altmann, Uwe
A1  - Manes, Susanne
A1  - Tholl, Anne
A1  - Koranyi, Susan
A1  - Nolte, Tobias
A1  - Beutel, Manfred
A1  - Wiltin, Jörg
A1  - Herpertz, Stephan
A1  - Hiller, Wolfgang
A1  - Hoyer, Jürgen
A1  - Joraschky, Peter
A1  - Nolting, Björn
A1  - Ritter, Viktoria
A1  - Stangier, Ulrich
A1  - Willutzki, Ulrike
A1  - Salzer, Simone
A1  - Leibing, Eric
A1  - Leichsenring, Falk
A1  - Kirchmann, Helmut
T1  - Changes of attachment characteristics during psychotherapy of patients with social anxiety disorder : results from the SOPHO-Net trial
T2  - PLoS one
N2  - Objectives: 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.
Research design and methods: 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.
Results: 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.
Conclusions: 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.
Trial registration: Controlled-trials.com ISRCTN53517394
KW  - Psychotherapy
KW  - Anxiety disorders
KW  - Anxiety
KW  - Patients
KW  - Psychometrics
KW  - Mental health therapies
KW  - Interpersonal relationships
KW  - Questionnaires
Y1  - 2018
UR  - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/45874
UR  - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-458744
SN  - 1932-6203
N1  - opyright: © 2018 Strauß et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
VL  - 13
IS  - (3): e0192802
SP  - 1
EP  - 13
PB  - PLoS
CY  - Lawrence, Kan.
ER  -