Evidence map›Paper›PMID 29518077›Full record

Trial reportPloS one2018

Changes of attachment characteristics during psychotherapy of patients with social anxiety disorder: Results from the SOPHO-Net trial.

Bernhard Strauß, Uwe Altmann, Susanne Manes, Anne Tholl, Susan Koranyi, Tobias Nolte, Manfred E Beutel, Jörg Wiltink, Stephan Herpertz, Wolfgang Hiller and 10 more

Open access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
4.8field-weighted citation impact, top 6% 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

5 citing papers in PubMed, 26 citations in OpenAlex.

  1. Change in dysfunctional attitudes and attachment in interpersonal psychotherapy for depressed adolescents.Psychotherapy research : journal of the Society for Psychotherapy Research · 2021
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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

20 authors at 12 institutions in 2 countries.

Bernhard StraußInstitute of Psychosocial Medicine and Psychotherapy, University Hospital, Jena, Germany.
Uwe AltmannInstitute of Psychosocial Medicine and Psychotherapy, University Hospital, Jena, Germany.
Susanne ManesInstitute of Psychosocial Medicine and Psychotherapy, University Hospital, Jena, Germany.
Anne ThollInstitute of Psychosocial Medicine and Psychotherapy, University Hospital, Jena, Germany.
Susan KoranyiInstitute of Psychosocial Medicine and Psychotherapy, University Hospital, Jena, Germany.
Tobias NolteAnna Freud National Centre for Children and Families, London, United Kingdom.
Manfred E BeutelDepartment of Psychosomatic Medicine and Psychotherapy, University Medical Center, Johannes Gutenberg University, Mainz, Germany.
Jörg WiltinkDepartment of Psychosomatic Medicine and Psychotherapy, University Medical Center, Johannes Gutenberg University, Mainz, Germany.
Stephan HerpertzPsychosomatic Medicine and Psychotherapy, LWL University Clinic, Bochum, Germany.
Wolfgang HillerClinical Psychology and Psychotherapy, Johannes Gutenberg University, Mainz, Germany.
Jürgen HoyerClinical Psychology and Psychotherapy, Technical University, Dresden, Germany.
Peter JoraschkyDepartment of Psychotherapy and Psychosomatic Medicine, University Hospital, Technical University, Dresden, Germany.
Björn NoltingPsychosomatic Hospital, Esslingen, Germany.
Viktoria RitterClinical Psychology and Psychotherapy, Johann Wolfgang von Goethe University, Frankfurt, Germany.
Ulrich StangierClinical Psychology and Psychotherapy, Johann Wolfgang von Goethe University, Frankfurt, Germany.
Ulrike WillutzkiDepartment of Psychology and Psychotherapy, University of Witten-Herdecke, Witten-Herdecke, Germany.
Simone SalzerInternational Psychoanalytic University, Berlin, Germany.
Eric LeibingPsychosomatic Medicine and Psychotherapy, University Medicine, Georg-August-University, Göttingen, Germany.
Falk LeichsenringPsychosomatic and Psychotherapy, University Hospital Justus-Liebig-University, Giessen, Germany.
Helmut KirchmannInstitute of Psychosocial Medicine and Psychotherapy, University Hospital, Jena, Germany.
Jena University Hospital · DEGoethe University Frankfurt · DEJohannes Gutenberg University Mainz · DETU Dresden · DEAnna Freud Centre · GBInternational Psychoanalytic University Berlin · DEKlinikum Esslingen · DELWL-Universitätsklinikum Bochum · DEUniversity Medical Center of the Johannes Gutenberg University Mainz · DEUniversity of Giessen · DEUniversity of Göttingen · DEWitten/Herdecke University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWithin a randomized controlled trial contrasting the outcome of manualized cognitive-behavioral (CBT) and short term psychodynamic therapy (PDT) compared to a waiting list condition (the SOPHO-Net trial), we set out to test whether self-reported attachment characteristics change during the treatments and if these changes differ between treatments. RESEARCH DESIGN AND

methods495 patients from the SOPHO-Net trial (54.5% female, mean age 35.2 years) who were randomized to either CBT, PDT or waiting list (WL) completed the partner-related revised Experiences in Close Relationships Questionnaire (ECR-R) before and after treatment and at 6 and 12 months follow-up. The Liebowitz Social Anxiety Scale (LSAS) was administered at pre-treatment, post-treatment, and at 6-month and 1-year follow-up. ECR-R scores were first compared to a representative healthy sample (n = 2508) in order to demonstrate that the clinical sample differed significantly from the non-clinical sample with respect to attachment anxiety and avoidance.

resultsLSAS scores correlated significantly with both ECR-R subscales. Post-therapy, patients treated with CBT revealed significant changes in attachment anxiety and avoidance whereas patients treated with PDT showed no significant changes. Changes between post-treatment and the two follow-ups were significant in both conditions, with minimal (insignificant) differences between treatments at the 12- month follow-up.

conclusionsThe current study supports recent reviews of mostly naturalistic studies indicating changes in attachment as a result of psychotherapy. Although there were differences between conditions at the end of treatment, these largely disappeared during the follow-up period which is line with the other results of the SOPHO-NET trial.

trial registrationControlled-trials.com ISRCTN53517394.

Indexed as

Object AttachmentAdultAgedAnxiety DisordersCognitive Behavioral TherapyFemaleHumansMaleMiddle AgedPsychiatric Status Rating ScalesPsychotherapy, PsychodynamicSurveys and QuestionnairesTime FactorsTreatment OutcomeWaiting ListsYoung Adult

Identifiers

PMID29518077
PMCPMC5843211
OpenAlexW2790682781

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.