Attachment-based family therapy: a review of the empirical support
Open accessAbstract
Attachment‐based family therapy (ABFT) is an empirically supported treatment designed to capitalize on the innate, biological desire for meaningful and secure relationships. The therapy is grounded in attachment theory and provides an interpersonal, process‐oriented, trauma‐focused approach to treating adolescent depression, suicidality, and trauma. Although a process‐oriented therapy,ABFT offers a clear structure and road map to help therapists quickly address attachment ruptures that lie at the core of family conflict. Several clinical trials and process studies have demonstrated empirical support for the model and its proposed mechanism of change. This article provides an overview of the clinical model and the existing empirical support for ABFT.
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ABFT uses family therapeutic techniques to restore attachment relationships between members as a strategy to decrease youngsters' levels of depression and suicide risk.
“ABFT uses family therapeutic techniques to restore attachment relationships between members as a strategy to decrease youngsters’ levels of depression and suicide risk [22].”
Research supports the efficacy of ABFT in reducing adolescent attachment anxiety and avoidance, depressive symptoms, and suicidal ideation.
“Research supports the efficacy of ABFT in reducing adolescent attachment anxiety and avoidance, depressive symptoms, and suicidal ideation [see (45) for a review].”
From Combining attachment-based family therapy and cognitive behavioral therapy to improve outcomes for adolescents with anxiety (2023) · cites this paper as [45]
ABFT focuses on interpersonal aspects in a family format.
“ABFT focuses on interpersonal aspects in a family format (8).”
From Ultra-Brief Crisis IPT-A Based Intervention for Suicidal Children and Adolescents (IPT-A-SCI) Pilot Study Results (2020) · cites this paper as [8]
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“Other evidenced based psychotherapies include Cognitive Behavioral Therapy (CBT) (6), Mentalization Based Therapy (MBT) (7) and Attachment – Based Family Therapy (ABFT) (8).”
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Validating the Supervision Partnership as a Phase of Attachment
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Suicide among LGBTQIA+ youth: A review of the treatment literature
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Outreach Psychiatric Emergency Service
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Attachment and the Development of Psychopathology: Introduction to the Special Issue
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Self-citationIn Which Situations Do Adolescents Seek Parental Support and What Do They Need?
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Keeping connected: Family therapists' experiences of working online during the COVID‐19 pandemic
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“Research supports the efficacy of ABFT in reducing adolescent attachment anxiety and avoidance, depressive symptoms, and suicidal ideation [see (45) for a review].”
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Middle childhood attachment is related to adolescent early maladaptive schemas
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- Authors
- Diamond, G., Russon, J., & Levy, S.
- Affiliations
- Drexel University (US)
- Corresponding author
- Russon, Jody
- Venue
- Family Process
- Publisher
- Wiley
- Published
- 2016-08-19
- Volume
- 55
- Issue
- 3
- Pages
- 595-610
- ISSN
- 0014-7370 (ISSN-L)
- 1545-5300
- OpenAlex
- W2508389257
- Cited by
- 258
- References
- 75
- Citations by year
- 2026: 17 · 2025: 16 · 2024: 21 · 2023: 23 · 2022: 42 · 2021: 32 · 2020: 54 · 2019: 14 · 2018: 21 · 2017: 15 · 2016: 1 · 2012: 1
- FWCI
- 2.52
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Family Process (publishedVersion)
- PubMed (publishedVersion)
- VTechWorks (Virginia Tech) (submittedVersion, public-domain)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Counseling, Therapy, and Family Dynamics
- Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
- Keywords
- attachment-based family therapy, attachment theory, adolescent depression, suicidality, trauma-focused psychotherapy, family conflict, mechanisms of change, empirical evidence
- MeSH terms
- Trauma and Stressor Related Disorders, Adolescent, Depression, Family Therapy, Female, Humans, Male, Object Attachment, Suicidal Ideation
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