caa a22 4500 605476403 CHVBK 20210128100356.0 cr unu---uuuuu 210128e20150101xx s 000 0 eng 10.1007/s00787-014-0532-0 doi (NATIONALLICENCE)springer-10.1007/s00787-014-0532-0 A descriptive study of symptom change as a function of attachment and emotion regulation in a naturalistic adolescent inpatient setting [Elektronische Daten] [Amanda Venta, Carla Sharp, Elizabeth Newlin] This is the first study to describe the relation between attachment security, emotion regulation, and symptom change in a sample of adolescents completing inpatient treatment in a naturalistic setting. We examined whether attachment security predicted symptom change, and whether emotion regulation capacities mediated this relation. A sample of n=194 inpatient adolescents was assessed (65.5% female, M age=15.45years, SD=1.44) at admission and discharge and analyses were conducted in accordance with the aforementioned objectives including testing of moderation and mediation models. We found that securely attached adolescents experienced greater reduction in internalizing symptoms from admission to discharge, even when controlling for length of stay. Nonacceptance of emotional responses mediated the relation between maternal attachment security and internalizing symptom change. These findings did not hold for externalizing symptoms, nor when paternal attachment was explored. Attachment plays an important role in symptom change for internalizing problems, with nonacceptance of emotional responses partially mediating this link. Possible explanations for the absence of moderation for paternal attachment and externalizing problems are discussed, as are explanations for the mediating effect of emotion regulation. Springer-Verlag Berlin Heidelberg, 2014 Adolescent nationallicence Psychotherapy nationallicence Symptom change nationallicence Emotion regulation nationallicence Attachment nationallicence Venta Amanda Department of Psychology, University of Houston, 126 Heyne Building, 77204, Houston, TX, USA aut Sharp Carla Department of Psychology, University of Houston, 126 Heyne Building, 77204, Houston, TX, USA aut Newlin Elizabeth The Menninger Clinic, Houston, USA aut European Child & Adolescent Psychiatry Springer Berlin Heidelberg 24/1(2015-01-01), 95-104 1018-8827 24:1<95 2015 24 787 https://doi.org/10.1007/s00787-014-0532-0 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00787-014-0532-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Venta Amanda Department of Psychology, University of Houston, 126 Heyne Building, 77204, Houston, TX, USA aut NATIONALLICENCE 700 1- Sharp Carla Department of Psychology, University of Houston, 126 Heyne Building, 77204, Houston, TX, USA aut NATIONALLICENCE 700 1- Newlin Elizabeth The Menninger Clinic, Houston, USA aut NATIONALLICENCE 773 0- European Child & Adolescent Psychiatry Springer Berlin Heidelberg 24/1(2015-01-01), 95-104 1018-8827 24:1<95 2015 24 787