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Published VersionCC BY V4.0, Open Access
Journal article
Effectiveness of an Attachment-Informed Working Alliance in Interdisciplinary Pain Therapy
Journal of Clinical Medicine, Vol.8(3), p.364
2019
PMCID: PMC6463073
PMID: 30875841
Abstract
Attachment theory provides a useful framework for understanding individual differences in pain patients, especially with insecure attachment shown to be more prevalent in chronic pain patients compared to the general population. Nevertheless, there is little evidence of attachment-informed treatment approaches for this population. The present study compares outcomes from two different attachment-informed treatment modalities for clinicians, with outcomes from treatment as usual (TAU). In both intervention groups (IG1 and IG2), clinicians received bi-monthly training sessions on attachment. Additionally, clinicians in IG1 had access to the attachment diagnostics of their patients. All treatments lasted for four weeks and included a 6-month follow up. A total of 374 chronic pain patients were recruited to participate in this study (TAU = 159/IG1 = 163/IG2 = 52). Analyses were carried out using multilevel modeling with pain intensity as the outcome variable. Additionally, working alliance was tested as a mediator of treatment efficacy. The study was registered under the trial number DRKS00008715 on the German Clinical Trials Register (DRKS). Findings show that while IG2 was efficient in enhancing treatment outcomes, IG1 did not outperform TAU. In IG2, working alliance was a mediator of outcome. Results of the present study indicate that attachment-informed treatment of chronic pain can enhance existing interdisciplinary pain therapies; however, caveats are discussed.
Details
- Title
- Effectiveness of an Attachment-Informed Working Alliance in Interdisciplinary Pain Therapy
- Authors
- Ann-Christin Pfeifer (Author) - Heidelberg UniversityPamela Meredith (Author) - The University of QueenslandPaul Schröder-Pfeifer (Author) - University Hospital HeidelbergJuan Martin Gomez Penedo (Author) - Universidad de Buenos AiresJohannes C Ehrenthal (Author) - University Hospital HeidelbergCorinna Schroeter (Author) - University Hospital HeidelbergEva Neubauer (Author) - University Hospital HeidelbergMarcus Schiltenwolf (Author) - University Hospital Heidelberg
- Publication details
- Journal of Clinical Medicine, Vol.8(3), p.364
- Publisher
- MDPI AG
- Date published
- 2019
- DOI
- 10.3390/jcm8030364
- ISSN
- 2077-0383
- PMID
- 30875841; PMC6463073
- Copyright note
- © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
- Organisation Unit
- University of the Sunshine Coast, Queensland; School of Health - Occupational Therapy; School of Health and Behavioural Sciences - Legacy
- Language
- English
- Record Identifier
- 99568108302621
- Output Type
- Journal article
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- Domestic collaboration
- International collaboration
- Web Of Science research areas
- Psychology, Clinical
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Source: InCites