Attachment as moderator of treatment outcome in major depression: A randomized control trial of interpersonal psychotherapy versus cognitive behavior therapy

  • McBride C
  • Atkinson L
  • Quilty L
 et al. 
  • 1


    Mendeley users who have this article in their library.
  • N/A


    Citations of this article.


Anxiety and avoidance dimensions of adult attachment insecurity were tested as moderators of treatment outcome for interpersonal psychotherapy (IPT) and cognitive- behavioral therapy (CBT). Fifty-six participants with major depression were randomly assigned to these treatment conditions. Beck Depression Inventory-II, Six-Item Hamilton Rating Scale for Depression scores, and remission status served as outcome measures. Patients higher on attachment avoidance showed significantly greater reduction in depression severity and greater likelihood of symptom remission with CBT as compared with IPT, even after controlling for obsessive-compulsive and avoidant personality disorder symptoms. Results were replicated across treatment completers and intent-to-treat samples. These results suggest that it is important to consider the interaction between attachment insecurity and treatment type when comparing efficacy of treatments. © 2006 APA, all rights reserved.

Author-supplied keywords

  • [Attachment anxiety, Attachment avoidance, Cogniti

Get free article suggestions today

Mendeley saves you time finding and organizing research

Sign up here
Already have an account ?Sign in

Find this document


  • C. McBride

  • L. Atkinson

  • L.C. Quilty

  • R.M. Bagby

Cite this document

Choose a citation style from the tabs below

Save time finding and organizing research with Mendeley

Sign up for free