Please use this identifier to cite or link to this item:
Title: Patients’ attachment avoidance and their perceived quality of the real relationship predict patients’ attitudes towards telepsychotherapy.
Authors: Aafjes-van Doorn, Katie
Békés, Vera
0000-0003-3043-5155 Békés, V.,
Keywords: telepsychiatry
confidence intervals
regression analysis
patients' attitudes
attachment behavior
interpersonal relations
descriptive statistics
data analysis software
longitunidal method
Issue Date: 2022
Publisher: Taylor & Francis
Citation: Békés, V., & Aafjs-van Doorn, K. (2022). Patients’ attachment avoidance and their perceived quality of the real relationship predict patients’ attitudes towards telepsychotherapy. Counselling Psychology Quarterly, 1-21.
Series/Report no.: Counselling Psychology Quarterly;
Abstract: During the early months of the COVID-19 pandemic, patients in individual psychotherapy needed to suddenly transition to telepsychotherapy (TPT), and for many patients it was their first experience of remote treatment. Since TPT appears to be here to stay after the pandemic ends, it is crucial to understand which factors determine whether TPT is a good fit for patients. We aimed to examine patients' relational predictors, both trait- (attachment avoidance and attachment anxiety) and state-like (working alliance, real relationship) of patients' attitudes towards TPT, and the potential mediating role of state-like relational variables between trait-like variables and attitudes. We used a longitudinal design, where patients (N = 719) who were in individual TPT participated in an online survey at the beginning of the pandemic and at follow-up three months later. Patients completed measures of symptom severity, Covid-related distress, attachment anxiety and avoidance, perceived quality of the therapeutic relationship (working alliance and real relationship), and attitude towards TPT. Results suggested that higher levels of attachment avoidance predicted more negative attitudes towards TPT, and that patient-reported quality of the real relationship in their TPT sessions mediated this negative relationship between attachment avoidance and attitudes towards TPT. Patient's attachment avoidance and the real relationship are important predictors of patients' attitudes towards TPT, and could indicate suitability of the TPT format, as well as inform clinicians' efforts in building a real and genuine connection with their patients online. [ABSTRACT FROM AUTHOR] Copyright of Counselling Psychology Quarterly is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Description: Scholarly article
ISSN: ISSN: 0951-5070, 1469-367
Appears in Collections:Ferkauf Graduate School of Psychology: Faculty Publications

Files in This Item:
There are no files associated with this item.

This item is licensed under a Creative Commons License Creative Commons