Using multilevel polynomial regression and response surface analysis, we studied the association between Time 1 (T) and Time 2 (T + 1) attachment anxiety and attachment avoidance, and T + 1 psychological distress in 253 nine-session time periods for 65 adult community clients working with 13 doctoral student therapists in open-ended psychodynamic psychotherapy. Results indicated that when client attachment anxiety was consistent and higher from the beginning (T) to the end (T + 1) of a nine-session time period, clients tended to report higher distress at the end of the period; when attachment anxiety was consistent and lower across a time period, clients tended to report lower distress. When attachment anxiety decreased across a time period, clients reported lower distress at the end of the period; when attachment anxiety increased across a time period, clients reported higher distress. Neither within-client consistency nor change in attachment avoidance in a time period was significantly related to client distress at the end of the period. Limitations and implications of the present research are discussed. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

中文翻译：

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与客户痛苦相关的客户依恋变化：响应面分析。

使用多级多项式回归和响应面分析，我们研究了时间 1 (T) 和时间 2 (T + 1) 依恋焦虑和依恋回避之间的关联，以及 65 个成人社区的 253 个九个会话时间段内的 T + 1 心理困扰客户与 13 名博士生治疗师一起进行开放式心理动力学心理治疗。结果表明，当客户依恋焦虑在九个会话时间段的开始（T）到结束（T + 1）持续且较高时，客户倾向于在该时间段结束时报告更高的痛苦；当依恋焦虑在一段时间内保持一致且较低时，客户倾向于报告较低的痛苦。当依恋焦虑在一段时间内减少时，客户在这段时间结束时报告的痛苦较低；当依恋焦虑在一段时间内增加时，客户报告的痛苦程度更高。在一段时间内，客户内部的一致性和依恋回避的变化与期末客户的痛苦都没有显着相关。讨论了本研究的局限性和影响。（PsycInfo 数据库记录 (c) 2022 APA，保留所有权利）。