Cognitive Behaviour Therapy for Children and Adolescents: Can Attachment Theory Contribute to Its Efficacy?

Bosmans, Guy

doi:10.1007/s10567-016-0212-3

Cited by 68Psychotherapy Techniques and ApplicationsAttachment and Relationship DynamicsChild and Adolescent Psychosocial and Emotional Development

Cognitive Behaviour Therapy for Children and Adolescents: Can Attachment Theory Contribute to Its Efficacy?

Bosmans, Guy·2016·Clinical Child and Family Psychology Review

DOI 10.1007/s10567-016-0212-3

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Abstract

Meta-analyses consistently demonstrate that cognitive behaviour therapy (CBT) provides effective evidence-based treatment for children and adolescents with emotional and behaviour problems. Also consistent across meta-analyses is the observation that CBT treatment effects are often medium in size. This observation has instigated a search for factors that could help explain the limited treatment effects and that could be focused upon to enhance CBT treatment outcomes. The current qualitative review focuses on the parent-child attachment relationship as one factor that could be relevant to enhance CBT treatment effects. This review first acknowledges reasons why CBT has historically not been attracted to attachment theory and its postulates. Second, recent evidence is examined to evaluate whether attachment can be approached from a cognitive schema perspective. Subsequently, research is described showing how restoring attachment relationships could result in large treatment effects. Finally, this evidence is integrated in a model of attachment assessment and intervention that might be compatible with CBT. In sum, this review suggests that restoring trust in insecure parent-child attachment relationships can be integrated within CBT and could contribute to its treatment outcomes.

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CBT most directly targets cognition and the mastery system, partially impacts survival (coping) processes, and has only minimal impact on attachment or spirituality.
“It can be argued that CBT most directly targets cognition and the mastery system, partially impacts survival (coping) processes, and has only minimal impact on attachment or spirituality (Bosmans, 2016; Pilgrim, 2011; Stewart-Sicking, 2015).”
From A hope intervention for adolescents: a randomized controlled trial delivered by paraprofessionals (2025) · cites this paper as Bosmans, 2016
When trust is ruptured, youth fail to seek support, which jeopardizes their ability to freely explore their environment and impairs their autonomy development.
“When trust is ruptured, youth fail to seek support which jeopardizes their ability to freely explore their environment, as this puts them at risk to be exposed to distress, they cannot manage. This impairs their autonomy development [78].”
From The effectiveness and cost-effectiveness of attachment-based family therapy for young adults with high suicidal ideation: protocol of a randomized controlled trial (2024) · cites this paper as [78]

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Authors: Bosmans, G.
Affiliations: KU Leuven (BE)
Corresponding author: Bosmans, Guy
ORCID: Bosmans, Guy
Venue: Clinical Child and Family Psychology Review
Publisher: Springer Science and Business Media LLC
Published: 2016-08-30
Volume: 19
Issue: 4
Pages: 310-328
ISSN: 1096-4037 (ISSN-L)
1573-2827
DOI: 10.1007/s10567-016-0212-3
OpenAlex: W2509870210
Cited by: 68
References: 150
Citations by year: 2026: 1 · 2025: 2 · 2024: 7 · 2023: 11 · 2022: 11 · 2021: 7 · 2020: 4 · 2019: 13 · 2018: 5 · 2017: 6 · 2016: 1
FWCI: 1.23
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (unspecified)
Locations: Clinical Child and Family Psychology Review (publishedVersion)
PubMed (publishedVersion)
Lirias (submittedVersion)
Funders: Fonds Wetenschappelijk Onderzoek (G.0934.12, G.0774.15)
Onderzoeksraad, KU Leuven (OT/12/043, CREA/12/004)
Topics: Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords: cognitive behavioral therapy, attachment theory, parent-child attachment, insecure attachment, trust, cognitive schemas, treatment efficacy, children and adolescents
MeSH terms: Adolescent, Child, Child Behavior Disorders, Humans, Object Attachment, Parent-Child Relations, Cognitive Behavioral Therapy

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Cognitive Behaviour Therapy for Children and Adolescents: Can Attachment Theory Contribute to Its Efficacy?

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