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Attachment style among outpatients with substance use disorders in psychological treatment
Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology. Linköping University, Sweden.
Number of Authors: 32018 (English)In: Psychology and Psychotherapy: Theory, Research and Practice, ISSN 1476-0835, E-ISSN 2044-8341, Vol. 91, no 4, p. 490-508Article in journal (Refereed) Published
Abstract [en]

Objectives To explore the associations between self-rated attachment style, psychological distress and substance use among substance use disorder (SUD) outpatients in psychological treatment.

Design and Methods In this practice-based study, 108 outpatients were asked to fill in the Experiences in Close Relationships - Short form, the Clinical Outcomes in Routine Evaluation - Outcome Measure (CORE-OM), the Alcohol Use Disorders Identification Test (AUDIT), and the Drug Use Disorders Identification Test (DUDIT) at treatment start and end. Patients were given psychological treatments with a directive, reflective or supportive orientation.

Results An insecure attachment style was more common among the SUD outpatients, compared to non-clinical groups. Patients with a fearful attachment style scored higher on psychological distress than patients with a secure attachment style. The associations between the attachment dimensions and psychological distress were stronger than those between attachment and SUD. Significantly more patients had a secure attachment style at treatment end.

Conclusions This study shows significant relations between patients' attachment style and their initial psychological distress. The causal relationship between attachment style and psychological distress is, however, not clear and can likely go in both directions. The psychological treatment of patients with SUD contributed significantly to changes from insecure to secure attachment style.

Place, publisher, year, edition, pages
2018. Vol. 91, no 4, p. 490-508
Keywords [en]
attachment, CORE-OM, ECR-S, practice-based study, psychological distress, substance use disorder
National Category
Psychology Psychiatry
Research subject
Psychology
Identifiers
URN: urn:nbn:se:su:diva-163593DOI: 10.1111/papt.12172ISI: 000451783900004PubMedID: 29399945OAI: oai:DiVA.org:su-163593DiVA, id: diva2:1277914
Available from: 2019-01-11 Created: 2019-01-11 Last updated: 2019-01-20Bibliographically approved

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