De Rick Ann, Vanheule Stijn
Department of Psychoanalysis and Clinical Consulting, University of Ghent, Ghent, Belgium.
Eur Addict Res. 2007;13(2):101-8. doi: 10.1159/000097940.
Despite the fact that addiction has often been identified as an attachment disorder, empirical studies on this topic are rather scarce. In our study we explore attachment style (secure vs. insecure) in alcoholic inpatients and its relationship with perceived parenting and alcohol-related and psychiatric problems in a sample of 101 alcoholic inpatients (Belgium). Our results reveal that in comparison to the securely-attached group, insecurely-attached alcoholic inpatients perceived their mother as more controlling, reported more severe psychiatric problems in the European Addiction Severity Index, had higher scores on the Beck Depression Inventory, showed more schizotypal and depressive personality traits and had more difficulties with communicating emotions (alexithymia). We argue that it makes sense to differentiate alcoholic inpatients on the basis of attachment style and that both groups (secure/insecure) need different treatment approaches.
尽管成瘾常常被认定为一种依恋障碍，但关于这一主题的实证研究相当匮乏。在我们的研究中，我们对101名酒精成瘾住院患者（来自比利时）的样本进行了依恋风格（安全型与不安全型）的探究，并研究其与感知到的养育方式、酒精相关问题及精神问题之间的关系。我们的研究结果显示，与安全依恋组相比，不安全依恋的酒精成瘾住院患者认为他们的母亲控制欲更强，在欧洲成瘾严重程度指数中报告了更严重的精神问题，在贝克抑郁量表上得分更高，表现出更多的分裂型和抑郁型人格特质，并且在情绪表达方面存在更多困难（述情障碍）。我们认为，根据依恋风格对酒精成瘾住院患者进行区分是有意义的，而且两组（安全型/不安全型）需要不同的治疗方法。
