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The sample comprises 148 patients with social anxiety disorder who were treated in the SOPHO\u2010NET trial. Pretreatment attachment was assessed using the Adult Attachment Prototype Rating (AAPR) and the Bielefeld Questionnaire of Client Expectations (BQCE). Regression models were used to predict the therapeutic alliance (HAQ) at session 8, the Liebowitz Social Anxiety Scale (LSAS) at the end of therapy and a 6\u2010month follow\u2010up. Attachment groups (secure, avoidant, and ambivalent) classified with the AAPR and the BQCE were not significantly correlated (Cohen's \u03ba = 0.08). Only the BQCE was associated with the HAQ indicating avoidantly attached patients showing lower HAQ scores than securely attached (Cohen's <jats:italic>d<\/jats:italic> = 0.722). Regarding the AAPR, we found an interaction effect of treatment and attachment related to the post\u2010treatment LSAS scores. Post hoc tests revealed that securely attached patients in CBT had lower scores than securely attached in PDT (<jats:italic>d<\/jats:italic> = 0.922) and, on a trend level, avoidantly attached in CBT (<jats:italic>d<\/jats:italic> = 0.782). We conclude that attachment\u2013outcome associations are affected by the applied measure. The identified differential effects suggest that psychotherapists should adapt the interventions on the attachment of their patients.<\/jats:p>","DOI":"10.1002\/cpp.2513","type":"journal-article","created":{"date-parts":[[2020,9,5]],"date-time":"2020-09-05T09:08:30Z","timestamp":1599296910000},"page":"373-383","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Differential effects of adult attachment in cognitive\u2010behavioural and psychodynamic therapy in social anxiety disorder: A comparison between a self\u2010rating and an observer rating"],"prefix":"10.1002","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3429-2895","authenticated-orcid":false,"given":"Uwe","family":"Altmann","sequence":"first","affiliation":[{"name":"Institute of Psychosocial Medicine, Psychotherapy and Psycho\u2010Oncology Jena University Hospital  Jena Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steffi","family":"Nodop","sequence":"additional","affiliation":[{"name":"Institute of Psychosocial Medicine, Psychotherapy and Psycho\u2010Oncology Jena University Hospital  Jena Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrike","family":"Dinger","sequence":"additional","affiliation":[{"name":"Department of General Internal Medicine and Psychosomatics University Hospital  Heidelberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes C.","family":"Ehrenthal","sequence":"additional","affiliation":[{"name":"Institute of Medical Psychology University Hospital  Heidelberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henning","family":"Schauenburg","sequence":"additional","affiliation":[{"name":"Department of General Internal Medicine and Psychosomatics University Hospital  Heidelberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wibke","family":"Dymel","sequence":"additional","affiliation":[{"name":"Private Practice  Essen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrike","family":"Willutzki","sequence":"additional","affiliation":[{"name":"Department of Psychology and Psychotherapy University of Witten\u2010Herdecke  Witten\u2010Herdecke Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernhard M.","family":"Strauss","sequence":"additional","affiliation":[{"name":"Institute of Psychosocial Medicine, Psychotherapy and Psycho\u2010Oncology Jena University Hospital  Jena Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,9,14]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2020.102200"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00278-020-00453-7"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2016.02.005"},{"key":"e_1_2_8_5_1","first-page":"25","volume-title":"Attachment theory and close relationships","author":"Bartholomew K.","year":"1998"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1037\/pst0000036"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/10503307.2013.809561"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.22246"},{"key":"e_1_2_8_9_1","unstructured":"Brown T. 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