Armsden G C, McCauley E, Greenberg M T, Burke P M, Mitchell J R
Department of Community Health Care Systems, University of Washington, Seattle 98195.
J Abnorm Child Psychol. 1990 Dec;18(6):683-97. doi: 10.1007/BF01342754.
Insecure attachment relations have been theorized to play a significant role in the development of depressogenic modes of adaptation and to thus form a vulnerability factor for the emergence of depressive disorder in children. This study examined security of parent and peer attachment among four groups of early adolescents: clinically depressed, nondepressed psychiatric controls, nonpsychiatric controls, and adolescents with resolved depression. Depressed adolescents reported significantly less secure parent attachment than either of the control groups, and less secure peer attachment than the nonpsychiatric control group. Attachment security of adolescents with resolved depression was on a par with the nonpsychiatric control group. Among all psychiatric patients, security of attachment to parents was negatively correlated with severity of depression according to interview and self-report ratings. Less secure attachment to parents, but generally not to peers, was also related to more maladaptive attributional styles, presence of separation anxiety disorder, and history of suicidal ideation.
不安全的依恋关系被认为在适应的抑郁模式发展中起重要作用,从而成为儿童抑郁症出现的一个易患因素。本研究考察了四组青少年早期人群中亲子依恋和同伴依恋的安全性:临床抑郁症患者、非抑郁症精神科对照者、非精神科对照者以及已康复的抑郁症青少年。抑郁症青少年报告的亲子依恋安全感明显低于两组对照组,同伴依恋安全感低于非精神科对照组。已康复的抑郁症青少年的依恋安全感与非精神科对照组相当。在所有精神科患者中,根据访谈和自我报告评分,对父母的依恋安全感与抑郁严重程度呈负相关。对父母的不安全依恋,但一般不是对同伴的不安全依恋,也与更适应不良的归因方式、分离焦虑症的存在以及自杀意念史有关。