Subic-Wrana Claudia, Beetz Andrea, Wiltink Jörg, Beutel Manfred E
Klinik für Psychosomatische Medizin und Psychotherapie, Universitätsmedizin Mainz.
Z Psychosom Med Psychother. 2011;57(4):325-42. doi: 10.13109/zptm.2011.57.4.325.
Clinical populations are characterised by a high level of childhood trauma and unresolved attachment status ("U"). Unresolved attachment status indicates the inability to integrate attachment-related dangers. Little is known about the interaction of traumatic childhood experiences and an unresolved attachment status.
We administered the Adult Attachment Projective Picture System (AAP) to 45 newly admitted psychosomatic inpatients. Childhood trauma (CTQ) and distress were assessed by self-report questionnaires, and cognitive-emotional development was evaluated with the Levels of Emotional Awareness Scale (LEAS).We explored whether unresolved (U) and resolved (R) attachment status differentiated the sample with regard to childhood trauma, distress and cognitive-emotional development.
53 % of the sample was characterized by the attachment status U; physical abuse and neglect as well as emotional neglect were correlated with a diminished ability to integrate trauma indicators in the AAP. A resolved attachment status was related to higher LEAS scores.
The level of cognitive-emotional development may mediate the actual integration of attachment-related dangers and the interaction between actual attachment-related anxiety and past traumatic experiences.
临床人群的特点是童年创伤程度高且依恋状态未解决（“U”）。未解决的依恋状态表明无法整合与依恋相关的危险。关于童年创伤经历与未解决的依恋状态之间的相互作用，我们知之甚少。
我们对45名新入院的身心疾病患者进行了成人依恋投射图片系统（AAP）测试。通过自我报告问卷评估童年创伤（CTQ）和痛苦程度，并用情绪意识水平量表（LEAS）评估认知-情感发展。我们探讨了未解决（U）和已解决（R）的依恋状态在童年创伤、痛苦和认知-情感发展方面是否能区分样本。
53%的样本具有依恋状态U的特征；身体虐待和忽视以及情感忽视与在AAP中整合创伤指标的能力下降相关。已解决的依恋状态与较高的LEAS分数相关。
认知-情感发展水平可能介导与依恋相关危险的实际整合以及实际依恋相关焦虑与过去创伤经历之间的相互作用。
