BACKGROUND AND OBJECTIVES: A strong dose-response relationship exists for psychosocial treatments for co-morbid substance abuse disorders; yet rates of attrition are exceedingly high for those seeking treatment in residential and hospital settings. This study examined patient characteristics, including attachment style as predictors of completing 42 contiguous days of inpatient dual-diagnosis treatment among patients with substance use disorders. METHODS: Baseline characteristics were assessed in 187 consecutively admitted patients with research diagnosis of substance use disorders. Hierarchical logistic regression analysis was used to examine predictors of treatment retention. RESULTS: Results indicated a two-variable model consisting of total number of co-occurring Axis I and II disorders, and pre-occupied attachment style, accounting for 17% of the variance. Attachment status predicted retention above and beyond psychiatric co-morbid disorders, demonstrating incremental predictive validity. Moderator analyses failed to detect an interaction. CONCLUSIONS AND SCIENTIFIC SIGNIFICANCE: Among inpatients with substance abuse disorders, anxious-preoccupied attachment style predicted treatment retention, reflecting the importance of interpersonal components of treatment relationships in completing treatment. This study adds to a growing body of evidence linking attachment style with treatment adherence. Further research is needed to examine possible mechanisms associated with this relationship.
BACKGROUND AND OBJECTIVES: A strong dose-response relationship exists for psychosocial treatments for co-morbid substance abuse disorders; yet rates of attrition are exceedingly high for those seeking treatment in residential and hospital settings. This study examined patient characteristics, including attachment style as predictors of completing 42 contiguous days of inpatient dual-diagnosis treatment among patients with substance use disorders. METHODS: Baseline characteristics were assessed in 187 consecutively admitted patients with research diagnosis of substance use disorders. Hierarchical logistic regression analysis was used to examine predictors of treatment retention. RESULTS: Results indicated a two-variable model consisting of total number of co-occurring Axis I and II disorders, and pre-occupied attachment style, accounting for 17% of the variance. Attachment status predicted retention above and beyond psychiatric co-morbid disorders, demonstrating incremental predictive validity. Moderator analyses failed to detect an interaction. CONCLUSIONS AND SCIENTIFIC SIGNIFICANCE: Among inpatients with substance abuse disorders, anxious-preoccupied attachment style predicted treatment retention, reflecting the importance of interpersonal components of treatment relationships in completing treatment. This study adds to a growing body of evidence linking attachment style with treatment adherence. Further research is needed to examine possible mechanisms associated with this relationship.
Authors: G Ciocca; E Limoncin; S Di Tommaso; D Mollaioli; G L Gravina; A Marcozzi; A Tullii; E Carosa; S Di Sante; D Gianfrilli; A Lenzi; E A Jannini Journal: Int J Impot Res Date: 2014-08-14 Impact factor: 2.896
Authors: Petra K Staiger; Michael Kyrios; James S Williams; Nicolas Kambouropoulos; Alexandra Howard; Stefan Gruenert Journal: BMC Psychiatry Date: 2014-02-17 Impact factor: 3.630
Authors: Laura Vismara; Fabio Presaghi; Maria Bocchia; Rosolino Vico Ricci; Massimo Ammaniti Journal: Front Psychiatry Date: 2019-11-06 Impact factor: 4.157