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成人依恋、情绪调节障碍与抑郁和广泛性焦虑障碍的症状。

Adult attachment, emotion dysregulation, and symptoms of depression and generalized anxiety disorder.

机构信息

Hunter College, City University of New York, NY 10065, USA.

出版信息

Am J Orthopsychiatry. 2013 Jan;83(1):131-41. doi: 10.1111/ajop.12001.

Abstract

Differences in attachment style have been linked to both emotion regulation and psychological functioning, but the emotion regulatory mechanism through which attachment style might impact symptoms of depression and anxiety is unclear. The present study examined the explanatory role of emotion dysregulation in the relation between adult attachment style and symptoms of depression and generalized anxiety disorder (GAD) in a sample of 284 adults. Secure attachment was associated with lower depression and GAD symptoms and lower emotion dysregulation, whereas insecure attachment styles were generally associated with higher depression and GAD scores and higher emotion dysregulation. Perceived inability to generate effective emotion regulation strategies mediated the relation between insecure attachment and both depression and GAD symptoms. Nonacceptance of negative emotions and inability to control impulsive behaviors emerged as additional mediators of the relation between insecure attachment styles and GAD symptoms. The differential contribution of attachment style and emotion regulation to the prediction of depression and GAD symptoms may reflect differences in vulnerability to depression and GAD.

摘要

依恋风格的差异与情绪调节和心理功能有关,但依恋风格影响抑郁和焦虑症状的情绪调节机制尚不清楚。本研究在 284 名成年人样本中,考察了情绪失调在成人依恋风格与抑郁和广泛性焦虑障碍(GAD)症状之间关系中的解释作用。安全依恋与较低的抑郁和 GAD 症状和较低的情绪失调有关,而不安全的依恋风格通常与较高的抑郁和 GAD 评分和较高的情绪失调有关。感知到无法产生有效的情绪调节策略,中介了不安全依恋与抑郁和 GAD 症状之间的关系。不能接受消极情绪和不能控制冲动行为,是不安全依恋风格与 GAD 症状之间关系的另一个中介因素。依恋风格和情绪调节对抑郁和 GAD 症状预测的差异,可能反映了对抑郁和 GAD 的易感性差异。

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