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[住院青少年患者的亲子依恋与同伴依恋——初步研究]

[Parental and peer attachment of hospitalized adolescent patients--pilot study].

作者信息

Zechowski Cezary, Bazyńska Katarzyna, Namysłowska Irena, Bronowska Zofia, Siewierska Anna, Jakubczyk Andrzej

机构信息

Kliniki Psychiatrii Dzieci i Młodziezy IPiN w Warszawie.

出版信息

Psychiatr Pol. 2004 Sep-Oct;38(5):933-45.

Abstract

AIM

In the context of Bowlby's theory of attachment authors made an attempt to assess parental and peer attachment in different clinical subgroups of hospitalised adolescents.

METHOD

142 patients--58 with the diagnosis of neurotic disorders, 49 eating disorders and 35 patients with schizophrenic disorders, as well 34 untreated, healthy adolescents were assessed by The Inventory of Parent and Peer Attachment by Armsden and Greenberg.

RESULTS

The group of schizophrenic patients was characterised by disturbed attachment with peers and normal attachment with parents.Two other diagnostic subgroups, neurotic and eating disorders were similar as far as nature of attachment was concerned. The attachment was disturbed both with parents and peers, but the level of alienation in relations with peers in the group of eating disorder patients was similar to the level in the group of schizophrenic patients. This conclusion allows us to put the group of eating disorders closer to the group of schizophrenic, than neurotic patients, as far as attachment is concerned.

CONCLUSIONS

The Inventory of Parent and Peer Attachment, used for the first time in Poland, can be seen as a promising instrument in assessing three dimensions of attachment: communication, trust and alienation in relations with parents and peers.

摘要

目的

在鲍尔比依恋理论的背景下,作者试图评估住院青少年不同临床亚组中的亲子依恋和同伴依恋情况。

方法

采用阿姆斯特丹和格林伯格编制的《亲子及同伴依恋量表》对142名患者——58名诊断为神经症的患者、49名饮食失调患者、35名精神分裂症患者以及34名未接受治疗的健康青少年进行评估。

结果

精神分裂症患者组的特点是同伴依恋紊乱而亲子依恋正常。就依恋性质而言,另外两个诊断亚组,即神经症组和饮食失调组情况相似。这两组患者的亲子依恋和同伴依恋均紊乱,但饮食失调患者组与同伴关系中的疏离程度与精神分裂症患者组相似。就依恋而言,这一结论使我们认为饮食失调患者组比神经症患者组更接近精神分裂症患者组。

结论

《亲子及同伴依恋量表》在波兰首次使用,可被视为评估依恋三个维度(与父母及同伴关系中的沟通、信任和疏离)的一种很有前景的工具。

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