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Correction to maxwell et Al. (2013).

Psychotherapy 2014 March
Reports an error in "Change in Attachment Insecurity Is Related to Improved Outcomes 1 Year Post Group Therapy in Women With Binge Eating Disorder" by Hilary Maxwell, Giorgio A. Tasca, Kerri Ritchie, Louise Balfour and Hany Bissada (Psychotherapy, Advanced Online Publication, Feb 11, 2013, np). This article contained errors in the interpretation of the time-varying covariate analyses in the Online First version of the article. The authors had stated that: (a) there was a significant relationship between change in Inventory of Interpersonal Problems (IIP) scores and change in both attachment anxiety, p = .01, and attachment avoidance, p = .02; and (b) there was also a significant relationship between change in depressive symptoms and change in attachment anxiety, p = .04. The correct interpretation is: (a) attachment avoidance scores and attachment anxiety scores are related to IIP scores across all time points; and (b) attachment anxiety scores are related depressive symptoms across all time points. In the corrected version of the article additional multilevel modeling analyses continue to partly support hypothesis 2. That is, change in attachment avoidance scores and change in attachment anxiety scores are related to change in IIP scores (but not change in depressive symptoms as originally reported). Also incorrect was the interpretation that: the relationship between reduced attachment avoidance and improved IIP scores significantly strengthened over time, p ‹ .001. The correct interpretation is that a lower score in attachment avoidance at any time point is related to improvement in IIP scores at that time point. The correct interpretation remains consistent with hypothesis 3. All versions of this article have been corrected. (The following abstract of the original article appeared in record 2013-03964-001.) An interpersonal model of Binge Eating Disorder (BED) posits that difficulties with social functioning precipitate negative affect, which in turn causes binge eating as a means of coping. Thus, long-term decreases in attachment insecurity may be important for women with BED. No research has assessed if long-term change in attachment insecurity is associated with sustained change in other outcomes. In the current study, we hypothesized that changes in attachment anxiety and avoidance will decrease at posttreatment and will be maintained up to 12 months after Group Psychodynamic Interpersonal Psychotherapy (GPIP). We further hypothesized that long-term stability of these changes in attachment insecurity will be related to other long-term outcomes. Women with BED (N = 102) attended 16 sessions of GPIP. Measures were completed pretreatment, posttreatment, at 6 and 12 months follow-up. Attachment anxiety, attachment avoidance, and the other outcome variables decreased significantly at 12 months posttreatment. Reductions in attachment anxiety and avoidance were significantly related to decreases in interpersonal problems up to 12 months posttreatment, and reduction in attachment anxiety was significantly related to decreases in depressive symptoms 12 months posttreatment. Further, the significant relationship between reduced attachment avoidance and decreased interpersonal problems strengthened over the long term. This is the first study to show an association between change in attachment insecurity and change in other outcomes in the long term, and to show an adaptive spiral in which greater reduction in attachment avoidance is increasingly associated with ongoing improvement of interpersonal problems. (PsycINFO Database Record (c) 2014 APA, all rights reserved).

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