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The Attachment and Clinical Issues Questionnaire (ACIQ): scale development.

Marc A Lindberg¹, Stuart W Thomas

¹Marshall University, Department of Psychology, One Marshall Drive, Huntington, WV 25755, USA. lindberg@marshall.edu

The Journal of Genetic Psychology

|January 20, 2012

Summary

The Attachment and Clinical Issues Questionnaire (ACIQ) shows good reliability for assessing addiction treatment needs. It highlights the importance of considering diverse developmental paths and relational factors for successful therapy outcomes.

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Area of Science:

Developmental Psychology
Clinical Psychology
Addiction Studies

Background:

Dynamic systems and dialectical theories suggest addiction psychopathology has multiple causes (equifinality).
Effective addiction treatment requires addressing individual, relational, familial, peer, and organizational functioning.
A comprehensive assessment tool is needed to capture these diverse developmental and clinical factors.

Purpose of the Study:

To develop and validate the Attachment and Clinical Issues Questionnaire (ACIQ) for addiction research and clinical practice.
To assess the reliability and factor structure of the ACIQ in relation to attachment figures and clinical issues.

Main Methods:

The ACIQ, with 29 scales, was developed based on naturalistic observations, attachment theory, and addiction literature.
Attachment scales included relationships with mother, father, and partner.
Two studies were conducted: Study 1 for reliability and factor analysis, Study 2 for test-retest reliability.

Main Results:

Study 1: ACIQ demonstrated good internal consistency (alpha = .79). Factor analyses indicated distinct factors for attachment figures and clinical issues, not attachment styles.
Study 2: ACIQ showed good test-retest reliability (average = .79).
Results supported the hypothesis that partner and father attachments differ from mother attachments, and that family/peer relations and clinical issues are distinct.

Conclusions:

The ACIQ is a reliable and valid instrument for assessing multifaceted issues in addiction treatment.
Findings support a developmental, dynamic systems approach, emphasizing the need to consider diverse attachment figures and relational contexts.
Tailoring diagnoses and treatments to individual developmental paths and salient clinical issues can enhance therapy success.