Crittenden Patricia, Kozlowska Kasia, Landini Andrea
Clin Child Psychol Psychiatry. 2010 Apr;15(2):185-208. doi: 10.1177/1359104509356741. Epub 2010 Feb 22.
The School-age Assessment of Attachment (SAA) is a newly developed clinical tool to identify pattern of attachment using the Dynamic-Maturational Model of attachment and adaptation (DMM). Seven picture cards were used to elicit fantasy stories and recalled episodes. The transcribed discourse was analyzed to yield one of 13 DMM attachment classifications, together with possible unresolved traumas and losses, and modifiers (depression and intrusions). In this article, we outline the steps necessary to validate an assessment tool, describe the development of the SAA, and report data from a preliminary clinical study testing the SAA's reliability, validity, and utility. Concurrent construct, familial, and discriminant validity were evaluated in terms of mental health status and exposure to danger on a sample of 5-12-year-old children, drawn from clinical ( n = 51) and normative (n = 40) populations. The SAA (a) differentiated children referred for psychiatric diagnosis from those in the normative population; (b) accounted for 31% of the variance (46% when family variables were added); (c) identified risk children in the normative sample; and (d) suggested risk factors associated with children's psychiatric disorder.
学龄期依恋评估（SAA）是一种新开发的临床工具，用于使用依恋与适应的动态成熟模型（DMM）来识别依恋模式。七张图片卡片被用于引出幻想故事和回忆事件。对转录的话语进行分析，以得出13种DMM依恋分类中的一种，以及可能未解决的创伤和损失，还有修饰词（抑郁和侵入）。在本文中，我们概述了验证评估工具所需的步骤，描述了SAA的开发过程，并报告了一项初步临床研究的数据，该研究测试了SAA的可靠性、有效性和实用性。根据心理健康状况和接触危险的情况，对来自临床（n = 51）和正常（n = 40）人群的5至12岁儿童样本进行了同时效度、家族效度和区分效度的评估。SAA（a）将被转介进行精神科诊断的儿童与正常人群中的儿童区分开来；（b）解释了31%的方差（加入家庭变量时为46%）；（c）在正常样本中识别出有风险的儿童；（d）提出了与儿童精神障碍相关的风险因素。
