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  • Title: Patient Attachment to Therapist Rating Scale: development and psychometric properties.
    Author: Lilliengren P, Werbart A, Mothander PR, Ekström A, Sjögren S, Ogren ML.
    Journal: Psychother Res; 2014; 24(2):184-201. PubMed ID: 24329170.
    Abstract:
    OBJECTIVE: To report on the development and initial psychometric properties of a new rating scale for patent-therapist attachment. METHOD: Seventy interviews from the Young Adult Psychotherapy Project (YAPP) were rated. RESULTS: Excellent internal consistency (Cronbach's α > .90) was observed for all four subscales (Security, Deactivation, Hyperactivation, and Disorganization). Three subscales showed good inter-rater reliability (ICC > .60), while one (Hyperactivation) had poor (ICC < .40). Correlations with measures of alliance, mental representations, and symptom distress support the construct validity of the reliable subscales. Exploratory factor analysis indicated three underlying factors explaining 82% of the variance. CONCLUSIONS: The Patient Attachment to Therapist Rating Scale is a promising approach for assessing the quality of attachment to therapist from patient narratives. Future development should focus on improving the discrimination of the insecure subscales.
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