School of Psychological Sciences, University of Manchester, UK.
Br J Clin Psychol. 2012 Sep;51(3):280-91. doi: 10.1111/j.2044-8260.2011.02027.x. Epub 2011 Dec 12.
The study investigated associations between adult attachment and voice hearing. We hypothesized associations between insecure attachment, severity of voice hearing, and distress in relation to voices. We also hypothesized associations between attachment and the nature of relationships with voices.
Seventy-three participants with a diagnosis of schizophrenia spectrum disorders completed measures of anxiety and avoidance in attachment relationships and we coded experiences of voice hearing from interviews.
There were modest but significant positive associations between attachment anxiety and both severity and distress in relation to voice hearing, but no associations between attachment avoidance and these dimensions. We found evidence of predicted associations between attachment avoidance and themes of rejection, criticism, and threat in relationships with voices. Contrary to predictions, there were no significant associations between anxious attachment and the theme of control in relationships with voices and no association between anxious attachment and the theme of threat.
The study is promising in demonstrating some associations between attachment and the nature of relationships with voices. This suggests that the assessment of attachment styles may be a useful contribution in developing formulations of voice hearing.
本研究调查了成人依恋与幻听之间的关系。我们假设不安全感依恋与幻听的严重程度以及与声音相关的困扰之间存在关联。我们还假设依恋与与声音相关的关系性质之间存在关联。
73 名被诊断为精神分裂症谱系障碍的参与者完成了依恋关系中焦虑和回避的测量，我们从访谈中对幻听体验进行了编码。
依恋焦虑与幻听的严重程度和与声音相关的困扰呈适度但显著正相关，但依恋回避与这些维度之间没有关联。我们发现回避依恋与与声音相关的关系中拒绝、批评和威胁的主题之间存在预期关联的证据。与预测相反，焦虑依恋与与声音相关的关系中的控制主题之间没有显著关联，也与威胁主题之间没有关联。
该研究在证明依恋与与声音相关的关系性质之间存在某些关联方面具有前景。这表明，依恋模式的评估可能是制定幻听治疗方案的有用贡献。
