Department of Clinical Psychology, University of Amsterdam, Amsterdam, The Netherlands.
J Sex Marital Ther. 2011;37(4):286-97. doi: 10.1080/0092623X.2011.582435.
Vulnerability factors such as insecure attachment may have a lasting effect on the outcome of couples therapy, even long after discharge from treatment. Given that attachment has never been examined as an outcome predictor for couples therapy in the long term, the authors studied its effect on outcome during and after couples therapy. This prospective study included 71 inpatients participating in group couples therapy who the authors measured at baseline, immediately posttreatment at 2 months, and at 8 and 20 months, regarding two outcomes: problem-solving capacity (using the Interactional Problem Solving Questionnaire) and psychopathology (using the 90-item Symptom Check List). At baseline, the authors measured partner attachment (using the Experiences in Close Relationships Questionnaire). Mixed model analyses showed that attachment-related dysfunctional working models of self and others predicted less improvement in psychopathology (p = .04) and problem-solving capacity (p = .01), respectively. Special attention to insecure attachment in couples therapy may therefore prove valuable in terms of outcome in the long run.
易损因素，如不安全依恋，可能会对夫妻治疗的结果产生持久的影响，即使在治疗结束很久之后。鉴于依恋从未被作为长期夫妻治疗的结果预测因素进行研究，作者研究了它在夫妻治疗期间和之后对结果的影响。这项前瞻性研究包括 71 名参与团体夫妻治疗的住院患者，作者在基线、治疗结束后 2 个月、8 个月和 20 个月时分别用互动问题解决问卷测量解决问题的能力和用 90 项症状检查表测量精神病理学。在基线时，作者用亲密关系经历问卷测量了伴侣的依恋。混合模型分析表明，自我和他人与依恋相关的功能失调工作模式分别预测精神病理学（p =.04）和解决问题能力（p =.01）的改善较少。因此，在夫妻治疗中特别关注不安全依恋，从长远来看，可能对结果有益。
