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  • 标题:Attachment style contributes to the outcome of a multimodal lifestyle intervention
  • 本地全文:下载
  • 作者:Sybille Kiesewetter ; Andrea Köpsel ; Knut Mai
  • 期刊名称:BioPsychoSocial Medicine
  • 印刷版ISSN:1751-0759
  • 电子版ISSN:1751-0759
  • 出版年度:2012
  • 卷号:6
  • 期号:1
  • 页码:3
  • DOI:10.1186/1751-0759-6-3
  • 语种:English
  • 出版社:BioMed Central
  • 摘要:

    Background & Aims

    The long-term success of life-style interventions in the treatment of obesity is limited. Although psychological factors have been suggested to modify therapeutic effects, specifically the implications of attachment styles and the patient-therapist relationship have not been examined in detail yet.

    Methods

    This study included 44 obese patients who participated in a one-year multimodal weight-reduction program. Attachment style was analyzed by the Adult Attachment Prototype Rating (AAPR) inventory and its relation to a one-year weight reduction program was studied. The patient-therapist-relationship was assessed using the Helping Alliance Questionnaire.

    Results

    Attachment style was secure in 68% of participants and insecure (preoccupied and dismissing) in 32%. Interestingly a significantly higher weight-reduction was found in securely (SAI) compared to insecurely attached individuals (UAI; p < 0.05). This estimation correlated positively also to the quality of helping alliance (p = 0.004).

    Conclusions

    The frequency of insecure attachment in obese individuals was comparable to that of the normal population. Our data suggest a greater weight-reduction for SAI than for UAI, and the patient-therapist relationship was rated more positively. The conclusion can be drawn that a patient's attachment style plays a role in an interdisciplinary treatment program for obesity and has an influence on the effort to lose weight.

  • 关键词:attachment style; obesity; patient-therapist relationship; weight reduction
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