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Biopsychosocial Medicine (1)
GMS Psycho-Social-Medicine (1)
Deter, Hans-Christian (2)
Kallenbach-Dermutz, Bettina (2)
Kiesewetter, Sybille (2)
Köpp, Werner (2)
Köpsel, Andrea (2)
Spranger, Joachim (2)
Bobbert, Thomas (1)
Mai, Knut (1)
Pfeiffer, Andreas F.H. (1)
Stroux, Andrea (1)
Year of Publication
Attachment style contributes to the outcome of a multimodal lifestyle intervention
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.
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.
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).
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.
attachment style; obesity; patient-therapist relationship; weight reduction
Psychodynamic mechanism and weight reduction in obesity group therapy – first observations with different attachment styles
Pfeiffer, Andreas F.H.
Objectives: Successful long-term results are extremely rare in non-surgical obesity treatment. Interactional difficulties with the attending physicians and the limited compliance of obese patients are a frequently described dilemma in repeated psychotherapeutic group treatment attempts. The type of relationship initiation and the attachment behavior probably play a central role in this connection but have not yet been systematically investigated.
Methods: This paper focuses on the attachment styles of obese subjects and their effects on psychodynamic group therapy within the context of a weight-reduction program.
Results: The attachment styles are characterized in 107 pre-obese and obese patients, and their effects on patients and therapists in group therapy are described.
Conclusion: The paper surveys the motivational situation, clinical pictures, and repeated group topics.
obesity; attachment styles; psychotherapy; group; therapist
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