Mental Health Unit, Center of Epidemiology, Surveillance and Health Promotion, Italian National Institute of Health, Rome, Italy.
J Pers Assess. 2011 Sep-Oct;93(5):491-9. doi: 10.1080/00223891.2011.594128.
Little is known about whether severe psychopathology influences the assessment of self-reported attachment style. Fifty-eight randomly selected adult psychiatric inpatients completed the Experiences in Close Relationship questionnaire (ECR; Brennan, Clark, & Shaver, 1998) and were administered the 24-item Brief Psychiatric Rating Scale (BPRS; Ventura et al., 1993) and the Hamilton Depression Rating Scale (HDRS; Hamilton, 1960) at both admission and discharge. The Structured Clinical Interview for DSM-IV (SCID-I; First, Spitzer, Gibbon, & Williams, 1996) was used to establish Axis I diagnoses. The ECR scales showed good internal consistency and absolute stability both in patients with (n = 24) and without (n = 34) a psychotic disorder. Relative stability was only fair among patients with psychotic disorders but good among patients without psychotic disorders. Neither higher BPRS or HDRS scores, nor the presence of a psychotic disorder, significantly reduced the retest reliability of the ECR scales. These findings suggest that self-report measures might provide a reliable assessment of attachment style in patients with severe psychopathology, except for the most severely impaired patients.
关于严重的精神病理学是否会影响对自我报告的依恋风格的评估，目前知之甚少。58 名随机选择的成年精神病住院患者完成了亲密关系经历问卷（ECR；Brennan、Clark 和 Shaver，1998），并在入院和出院时接受了 24 项简短精神病评定量表（BPRS；Ventura 等人，1993）和汉密尔顿抑郁评定量表（HDRS；Hamilton，1960）的评估。DSM-IV 轴 I 定式临床访谈（SCID-I；First、Spitzer、Gibbon 和 Williams，1996）用于确定轴 I 诊断。ECR 量表在有（n=24）和没有（n=34）精神病的患者中均表现出良好的内部一致性和绝对稳定性。在有精神病的患者中，相对稳定性仅为中等，但在没有精神病的患者中则为良好。较高的 BPRS 或 HDRS 评分，或精神病的存在，均不会显著降低 ECR 量表的重测信度。这些发现表明，自我报告的测量方法可能为严重精神病理学患者的依恋风格提供可靠的评估，除非是病情最严重的患者。
