Attachment insecurity predicts outcomes in an ACT-CBT group therapy for adults in a physical rehabilitation centre
Adapting to chronic illness or disability is accompanied by acute and ongoing illness stressors. Psychological factors such as emotional distress and low self-efficacy are common experiences in chronic illness and disability, and interfere with adaptation and psychosocial outcomes such as health-re...
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2022-09-01
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| Series: | Research in Psychotherapy |
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| Online Access: | https://www.researchinpsychotherapy.org/index.php/rpsy/article/view/634 |
| _version_ | 1798004871914323968 |
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| author | Danijela Maras Louise Balfour Monique Lefebvre Giorgio Tasca |
| author_facet | Danijela Maras Louise Balfour Monique Lefebvre Giorgio Tasca |
| author_sort | Danijela Maras |
| collection | DOAJ |
| description |
Adapting to chronic illness or disability is accompanied by acute and ongoing illness stressors. Psychological factors such as emotional distress and low self-efficacy are common experiences in chronic illness and disability, and interfere with adaptation and psychosocial outcomes such as health-related quality of life. Transdiagnostic group psychotherapy may provide a parsimonious approach to psychological treatment in rehabilitation care by targeting shared illness stressors across mixed chronic illnesses and disabilities, and shared processes that maintain psychological symptoms. Attachment theory may explain individual differences in outcomes and help identify individuals at risk of poor health-related quality of life trajectories. Adults (N = 109) participated in an 8-week process-based ACT-CBT psychotherapy group at a tertiary care physical rehabilitation centre between 2016 and 2020. Participants completed measures of emotional distress, self-efficacy, health-related quality of life, and attachment at pre- and post-treatment. Multilevel analyses indicated that patients improved on most outcomes at post-treatment. Attachment anxiety at pre-treatment was associated with more positive outcomes. Reliable change indices suggest clinically meaningful change for the majority of participants, but most were not recovered. Results provide proof-of-concept for the transdiagnostic group intervention, and suggest that a longer course of treatment may be clinically indicated. Results warrant replication with larger and more diverse samples, and more robust designs.
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| first_indexed | 2024-04-11T12:30:23Z |
| format | Article |
| id | doaj.art-9d2dd3b36fcd4a02ae1d7b3ad062ea62 |
| institution | Directory Open Access Journal |
| issn | 2499-7552 2239-8031 |
| language | English |
| last_indexed | 2024-04-11T12:30:23Z |
| publishDate | 2022-09-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Research in Psychotherapy |
| spelling | doaj.art-9d2dd3b36fcd4a02ae1d7b3ad062ea622022-12-22T04:23:46ZengPAGEPress PublicationsResearch in Psychotherapy2499-75522239-80312022-09-0110.4081/ripppo.2022.634Attachment insecurity predicts outcomes in an ACT-CBT group therapy for adults in a physical rehabilitation centreDanijela Maras0Louise Balfour1Monique Lefebvre2Giorgio Tasca3Clinical Psychology, University of Ottawa, Ottawa, ONSchool of Psychology, Faculty of Medicine, University of Ottawa; and Department of Psychology, The Ottawa Hospital Research Institute, Ottawa, ONSchool of Psychology, Faculty of Medicine, University of Ottawa; and Department of Psychology, The Ottawa Hospital Research Institute, Ottawa, ONSchool of Psychology, Faculty of Medicine, University of Ottawa; and Department of Psychology, The Ottawa Hospital Research Institute, Ottawa, ON Adapting to chronic illness or disability is accompanied by acute and ongoing illness stressors. Psychological factors such as emotional distress and low self-efficacy are common experiences in chronic illness and disability, and interfere with adaptation and psychosocial outcomes such as health-related quality of life. Transdiagnostic group psychotherapy may provide a parsimonious approach to psychological treatment in rehabilitation care by targeting shared illness stressors across mixed chronic illnesses and disabilities, and shared processes that maintain psychological symptoms. Attachment theory may explain individual differences in outcomes and help identify individuals at risk of poor health-related quality of life trajectories. Adults (N = 109) participated in an 8-week process-based ACT-CBT psychotherapy group at a tertiary care physical rehabilitation centre between 2016 and 2020. Participants completed measures of emotional distress, self-efficacy, health-related quality of life, and attachment at pre- and post-treatment. Multilevel analyses indicated that patients improved on most outcomes at post-treatment. Attachment anxiety at pre-treatment was associated with more positive outcomes. Reliable change indices suggest clinically meaningful change for the majority of participants, but most were not recovered. Results provide proof-of-concept for the transdiagnostic group intervention, and suggest that a longer course of treatment may be clinically indicated. Results warrant replication with larger and more diverse samples, and more robust designs. https://www.researchinpsychotherapy.org/index.php/rpsy/article/view/634Attachmentchronic illness and disabilityquality of lifeemotional distressgroup. |
| spellingShingle | Danijela Maras Louise Balfour Monique Lefebvre Giorgio Tasca Attachment insecurity predicts outcomes in an ACT-CBT group therapy for adults in a physical rehabilitation centre Research in Psychotherapy Attachment chronic illness and disability quality of life emotional distress group. |
| title | Attachment insecurity predicts outcomes in an ACT-CBT group therapy for adults in a physical rehabilitation centre |
| title_full | Attachment insecurity predicts outcomes in an ACT-CBT group therapy for adults in a physical rehabilitation centre |
| title_fullStr | Attachment insecurity predicts outcomes in an ACT-CBT group therapy for adults in a physical rehabilitation centre |
| title_full_unstemmed | Attachment insecurity predicts outcomes in an ACT-CBT group therapy for adults in a physical rehabilitation centre |
| title_short | Attachment insecurity predicts outcomes in an ACT-CBT group therapy for adults in a physical rehabilitation centre |
| title_sort | attachment insecurity predicts outcomes in an act cbt group therapy for adults in a physical rehabilitation centre |
| topic | Attachment chronic illness and disability quality of life emotional distress group. |
| url | https://www.researchinpsychotherapy.org/index.php/rpsy/article/view/634 |
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