Evidence map›Paper›PMID 28436756›Full record

Trial reportPsychotherapy research : journal of the Society for Psychotherapy Research2019

The role of attachment style in interpersonal psychotherapy for depressed adolescents.

Meredith Gunlicks-Stoessel, Ana Westervelt, Kristina Reigstad, Laura Mufson, Susanne Lee

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychotherapy research : journal of the Society for Psychotherapy Research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.2field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 30 citations in OpenAlex.

  1. Trial
  2. Change in dysfunctional attitudes and attachment in interpersonal psychotherapy for depressed adolescents.Psychotherapy research : journal of the Society for Psychotherapy Research · 2021
    Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Meredith Gunlicks-Stoessela Department of Psychiatry , University of Minnesota , Minneapolis , MN , USA.
Ana Westervelta Department of Psychiatry , University of Minnesota , Minneapolis , MN , USA.
Kristina Reigstada Department of Psychiatry , University of Minnesota , Minneapolis , MN , USA.
Laura Mufsonb Department of Psychiatry , Columbia University College of Physicians & Surgeons , New York , NY , USA.
Susanne Leea Department of Psychiatry , University of Minnesota , Minneapolis , MN , USA.
University of Minnesota · USColumbia University · US

Funding

University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR000114 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2012 to 2015
$35.0M
An Adaptive Treatment Strategy for Adolescent DepressionK23MH090216 · NIMH · UNIVERSITY OF MINNESOTA · PI GUNLICKS-STOESSEL, MEREDITH LYN · 2011 to 2015
$740k
NIMH NIH HHS K23 MH090216
6 · The paper itself

Abstract

OBJECTIVE(S): This study examined changes in depressed adolescents' reports of attachment anxiety and avoidance with interpersonal psychotherapy (IPT-A), and the relationship between attachment style and change in depression with IPT-A.

methodForty adolescents (aged 12-17) participated in a 16-week randomized clinical trial of 4 adaptive treatment strategies for adolescent depression that began with IPT-A and augmented treatment for insufficient responders (n = 22) by adding additional IPT-A sessions (n = 11) or the antidepressant medication, fluoxetine (n = 11). Adolescents were 77.5% female and 22.5% male (mean age = 14.8, SD = 1.8). Ten percent of adolescents were Latino. Racial composition was 7.5% Asian, 7.5% American Indian/Alaska Native, 80.0% white, and 5.0% biracial. Measures of attachment style (Experience in Close Relationships Scale-Revised [ECR-R]) and depression (Children's Depression Rating Scale-Revised [CDRS-R]) were administered at baseline and Weeks 8 and 16.

resultsAttachment Anxiety and Avoidance (ECR-R) decreased significantly from baseline to Week 16. Baseline Avoidance positively predicted greater reductions in depression (CDRS-R), controlling for fluoxetine. Reductions in Anxiety and Avoidance were also significantly associated with reductions in CDRS-R, controlling for fluoxetine.

conclusionsAdolescents' reports of attachment anxiety and avoidance are amenable to intervention with IPT-A. IPT-A may be particularly beneficial for adolescents who report a high level of avoidant attachment. Clinical or methodological significance of this article Our findings suggest that attachment anxiety and avoidance are constructs that are amenable to intervention during adolescence, and therefore viable targets of treatment. IPT-A was found to be an effective intervention for addressing problems in attachment style, and decreases in attachment anxiety and avoidance were associated with reductions in depression. This provides support for selecting IPT-A as a treatment option for adolescents who are depressed and describe difficulty with attachment security. IPT-A appears to be particularly effective for adolescents with an avoidant attachment style, who experience discomfort with and have a tendency to avoid intimacy.

Indexed as

Adaptation, PsychologicalAdolescent BehaviorInterpersonal RelationsObject AttachmentOutcome Assessment, Health CareAdolescentAnxietyChildDepressionDepressive DisorderFemaleHumansMalePsychotherapy, BriefapegoattaccamentoattachmentBindungchild psychotherapydepressãodepressionDepressiondepressioneErgebnisforschungoutcomeoutcome researchpesquisa de resultadospsicoterapia dell'adolescentepsicoterapia infantilPsychotherapie bei Kindern依附兒童心理治療憂鬱成效研究

Identifiers

PMID28436756
PMCPMC6092252
OpenAlexW2608523463

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.