Rezvan Shiva, Bahrami Fatemeh, Abedi Mohamadreza, Macleod Colin, Doost Hamid Taher Neshat, Ghasemi Vahid
Faculty of Educational Science and Psychology, University of Isfahan, Iran.
Int J Prev Med. 2013 Jan;4(1):78-87.
Research on attachment has shed new light on understanding one of the underlying mechanisms of psychopathology in children. The aim of this study was to investigate the therapeutic efficacy of attachment-based intervention in a pediatric sample with obsessive-compulsive disorder (OCD).
Twelve participants, 10-12 years of age, were treated across an eight-week period. They had not been treated with either pharmacotherapy or psychotherapy previously and remained medication-free during the attachment-based therapy. This study comprised two groups of children: The experimental group, who received attachment-based intervention, and the control group, who did not receive treatment. All participants were assessed in terms of severity of OCD symptoms by administrating the Children's Yale-Brown Obsessive-Compulsive Scale before and after the experimental group had received the therapeutic sessions. The children were assessed again one month later. The level of children's depression, and attachment insecurity, as well as their mothers' depression, OCD symptoms, and attachment insecurity, were statistically controlled in this study.
Multivariate analysis of covariance (MANCOVA) indicated that the OCD symptoms in children decreased significantly over the course of the therapy, and this gain was maintained at follow-up. The results of this study demonstrated that the attachment-based intervention was efficacious in alleviating the OCD symptoms.
It is suggested that parental instruction in attachment-based relationships may help prevent young children from developing OCD symptoms in middle-childhood and adulthood.
依恋研究为理解儿童精神病理学的潜在机制之一提供了新的视角。本研究的目的是调查基于依恋的干预对患有强迫症（OCD）的儿科样本的治疗效果。
12名年龄在10至12岁的参与者接受了为期八周的治疗。他们此前未接受过药物治疗或心理治疗，在基于依恋的治疗期间未服用药物。本研究包括两组儿童：接受基于依恋干预的实验组和未接受治疗的对照组。在实验组接受治疗前后，通过施用儿童耶鲁-布朗强迫症量表对所有参与者的强迫症症状严重程度进行评估。一个月后再次对儿童进行评估。本研究对儿童的抑郁水平、依恋不安全感以及他们母亲的抑郁、强迫症症状和依恋不安全感进行了统计控制。
多变量协方差分析（MANCOVA）表明，在治疗过程中儿童的强迫症症状显著减轻，且这一改善在随访时得以维持。本研究结果表明，基于依恋的干预在减轻强迫症症状方面是有效的。
建议在基于依恋的关系中对父母进行指导，这可能有助于预防幼儿在童年中期和成年期出现强迫症症状。
