Group member attachment style interacts with actor and partner helping alliance to predict decreasing binge eating episodes.

IF 2.6 1区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychotherapy Research Pub Date : 2024-03-07 DOI:10.1080/10503307.2024.2325509

Gianluca Lo Coco, Agostino Brugnera, Laura Salerno, Angelo Compare, Giorgio A Tasca, Dennis M Kivlighan

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引用次数: 0

Abstract

Objective: An individual's attachment style may impact how they interact with their therapy group. This study examined the moderating role of a group member's attachment on the dynamic relationships between that group member's (actor) and other group members' (partner) therapeutic alliances and symptom outcomes. Method: This is a secondary analysis of data from a trial testing the outcome of emotionally-focused group therapy for binge-eating disorder. The sample consisted of 2,360 sessions nested within 118 group members who attended a 20-session treatment. Patients recorded binge eating episodes (BEE), their body weight and an alliance measure session-by-session.

Results: Dynamic structural equation modelling showed decreases in BEE and weight over the therapy. When attachment style was not included in the model, higher-than-average partner's alliance scores in the previous session were related to decreases in BEE in the current session. Attachment style moderated these actor and partner effects. For patients with preoccupied attachments, higher-than-average actor alliance in the previous session was related to subsequent decreases in BEE. For patients with dismissing or disorganized attachments, higher partner alliance in the previous session was related to subsequent decreases in BEE.

Conclusion: Group members' attachment characteristics can play a role in the development of alliance-outcome patterns in group therapy.

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小组成员的依恋风格与行为者和伙伴的帮助联盟相互作用，可预测暴食发作的减少。

目的个人的依恋风格可能会影响他们与治疗小组的互动方式。本研究探讨了小组成员的依恋对该小组成员（行为者）和其他小组成员（伙伴）的治疗联盟与症状结果之间的动态关系的调节作用。研究方法这是对一项试验数据的二次分析，该试验测试了针对暴饮暴食症的以情感为重点的小组疗法的疗效。样本包括 2,360 个疗程，嵌套在参加 20 个疗程治疗的 118 名小组成员中。患者逐次记录暴食发作（BEE）、体重和联盟测量：动态结构方程模型显示，在治疗过程中，暴食发作和体重都有所下降。当模型中不包括依恋风格时，前一疗程中高于平均水平的伴侣联盟得分与当前疗程中BEE的减少有关。依恋风格调节了这些行为者和伴侣效应。对于先入为主依恋的患者来说，上一环节中高于平均水平的行为者联盟与随后的 BEE 下降有关。结论：小组成员的依恋特征可能会影响到BEE的下降：结论：在团体治疗中，团体成员的依恋特征可能会对联盟-结果模式的发展产生影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

7.80

自引率

10.30%

发文量

期刊介绍： Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.