Universität zu Köln

Soellner, Wolfgang, Mueller, Markus M., Albus, Christian, Behnisch, Ruediger, Beutel, Manfred E., de Zwaan, Martina, Fritzsche, Kurt, Habermeier, Anita, Hellmich, Martin, Jordan, Jochen, Juenger, Jana, Ladwig, Karl-Heinz, Michal, Matthias, Petrowski, Katja, Ronel, Joram, Stein, Barbara, Weber, Cora, Weber, Rainer and Herrmann-Lingen, Christoph (2018). The relationship between attachment orientations and the course of depression in coronary artery disease patients: A secondary analysis of the SPIRR-CAD trial. J. Psychosomat. Res., 108. S. 39 - 47. OXFORD: PERGAMON-ELSEVIER SCIENCE LTD. ISSN 1879-1360

Full text not available from this repository.

Abstract

Objective: The relationship between attachment orientations and the recovery from depressive symptoms in patients diagnosed with coronary artery disease (CAD) with and without a psychotherapeutic intervention was examined in this study. Methods: In a multicenter trial of 570 depressed CAD patients (SPIRR-CAD), assigned to usual care plus either a stepwise psychotherapy intervention or one information session, 522 patients provided attachment data at baseline. Attachment was measured with the Relationship Scales Questionnaire (RSQ), yielding four attachment orientations. The primary outcome was change in Hospital Anxiety and Depression Scale depression (HADS-D) scores from baseline to follow-up at 18 months. Secondary outcomes were HADS-D scores at 1, 6, 12, and 24 months. Results: Independent of treatment assignment, attachment was related to change in depression at 18 months (p < 0.01) with secure attachment resulting in a significant reduction (-2.72, SE = 0.27) in depression compared to dismissive-avoidant (-1.51, SE = 0.35, p = 0.040) and fearful-avoidant (-0.65, SE = 0.61, p = 0.012) attachment. Patients with anxious-preoccupied attachment showed changes similar to secure attachment (-2.01, SE = 0.47). An explorative subgroup analysis across all assessment time points revealed patients with a dismissive-avoidant attachment benefitted from psychotherapy (average mean difference = 0.93, SE = 0.47, p = 0.048). Conclusion: Attachment played an important role for improvement in depressive symptoms. Only dismissive-avoidant patients seemed to benefit from the intervention. The lack of improvement in fearful-avoidant patients shows a need for specific interventions for this group.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Soellner, Wolfgang UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller, Markus M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Albus, Christian UNSPECIFIED UNSPECIFIED UNSPECIFIED Behnisch, Ruediger UNSPECIFIED UNSPECIFIED UNSPECIFIED Beutel, Manfred E. UNSPECIFIED UNSPECIFIED UNSPECIFIED de Zwaan, Martina UNSPECIFIED UNSPECIFIED UNSPECIFIED Fritzsche, Kurt UNSPECIFIED UNSPECIFIED UNSPECIFIED Habermeier, Anita UNSPECIFIED UNSPECIFIED UNSPECIFIED Hellmich, Martin UNSPECIFIED UNSPECIFIED UNSPECIFIED Jordan, Jochen UNSPECIFIED UNSPECIFIED UNSPECIFIED Juenger, Jana UNSPECIFIED UNSPECIFIED UNSPECIFIED Ladwig, Karl-Heinz UNSPECIFIED UNSPECIFIED UNSPECIFIED Michal, Matthias UNSPECIFIED UNSPECIFIED UNSPECIFIED Petrowski, Katja UNSPECIFIED UNSPECIFIED UNSPECIFIED Ronel, Joram UNSPECIFIED UNSPECIFIED UNSPECIFIED Stein, Barbara UNSPECIFIED UNSPECIFIED UNSPECIFIED Weber, Cora UNSPECIFIED UNSPECIFIED UNSPECIFIED Weber, Rainer UNSPECIFIED UNSPECIFIED UNSPECIFIED Herrmann-Lingen, Christoph UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-188828
DOI:	10.1016/j.jpsychores.2018.02.014
Journal or Publication Title:	J. Psychosomat. Res.
Volume:	108
Page Range:	S. 39 - 47
Date:	2018
Publisher:	PERGAMON-ELSEVIER SCIENCE LTD
Place of Publication:	OXFORD
ISSN:	1879-1360
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language STEPWISE PSYCHOTHERAPY INTERVENTION; ADULT ATTACHMENT; HEART-DISEASE; MYOCARDIAL-INFARCTION; WORKING ALLIANCE; RANDOMIZED-TRIAL; SOCIAL SUPPORT; HOSPITAL ANXIETY; REDUCING RISK; STYLE Multiple languages Psychiatry Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/18882