Ciechanowski Paul S, Katon Wayne J, Russo Joan E, Dwight-Johnson Megan M
Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle 98195, USA.
Psychosomatics. 2002 May-Jun;43(3):206-12. doi: 10.1176/appi.psy.43.3.206.
In this study, we sought to establish whether there was an association between adult attachment style and number of medically unexplained physical symptoms in patients with hepatitis C. Thirty-two patients with hepatitis C were assessed with regard to attachment style classification, number of lifetime medically unexplained symptoms, lifetime psychiatric diagnoses, medical comorbidity, disease severity, use of interferon, and demographic characteristics. Analysis of covariance was used to compare the four attachment groups on number of lifetime medically unexplained symptoms, and Pearson correlations were used to assess the association of continuous ratings of attachment style with lifetime medically unexplained symptoms. Number of lifetime medically unexplained symptoms varied significantly as a function of attachment style group, with patients with fearful attachment reporting significantly more medically unexplained symptoms than patients with secure attachment (P < 0.01). Number of lifetime medically unexplained symptoms was positively correlated with continuous ratings of fearful attachment (r = 0.53, P < 0.01) and preoccupied attachment (r = 0.46, P < 0.01). Implications for treatment are discussed.
在本研究中，我们试图确定丙型肝炎患者的成人依恋风格与医学上无法解释的身体症状数量之间是否存在关联。对32名丙型肝炎患者进行了依恋风格分类、终生医学上无法解释的症状数量、终生精神疾病诊断、合并症、疾病严重程度、干扰素使用情况及人口统计学特征等方面的评估。采用协方差分析比较四个依恋组终生医学上无法解释的症状数量，并使用皮尔逊相关系数评估依恋风格连续评分与终生医学上无法解释的症状之间的关联。终生医学上无法解释的症状数量因依恋风格组的不同而有显著差异，恐惧型依恋患者报告的医学上无法解释的症状明显多于安全型依恋患者（P < 0.01）。终生医学上无法解释的症状数量与恐惧型依恋的连续评分呈正相关（r = 0.53，P < 0.01），与痴迷型依恋也呈正相关（r = 0.46，P < 0.01）。文中还讨论了对治疗的启示。
