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临床转诊青少年的依恋质量与心理病理症状:早期适应不良图式的中介作用

Attachment Quality and Psychopathological Symptoms in Clinically Referred Adolescents: The Mediating Role of Early Maladaptive Schema.

作者信息

Roelofs Jeffrey, Onckels Linda, Muris Peter

机构信息

RIAGG Maastricht, Child and Youth Care and Clinical Psychology Science, Faculty of Psychology and Neuroscience, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands.

出版信息

J Child Fam Stud. 2013 Apr;22(3):377-385. doi: 10.1007/s10826-012-9589-x. Epub 2012 May 4.

Abstract

This study investigated relationships between attachment insecurity, maladaptive cognitive schemas, and various types of psychopathological symptoms in a sample of clinically referred adolescents ( = 82). A mediation model was tested in which maladaptive schemas operated as mediators in the relations between indices of attachment quality and conduct, peer, and emotional problems. Results revealed partial support for the hypothesized mediation effect: the schema domain of disconnection/rejection acted as a mediator in the links between insecure attachment and peer problems and emotional problems. Further analysis of these effects revealed that different types of maladaptive schemas were involved in both types of psychopathology. Altogether, findings suggest that treatment of adolescent psychological problems may need to target the improvement of attachment relationships with peers and parents and the correction of underlying cognitive schemas.

摘要

本研究在一组临床转介的青少年样本(n = 82)中,调查了依恋不安全感、适应不良的认知模式与各类心理病理症状之间的关系。我们测试了一个中介模型,其中适应不良的模式在依恋质量指标与行为、同伴及情绪问题之间的关系中起中介作用。结果部分支持了假设的中介效应:分离/拒绝的模式领域在不安全依恋与同伴问题及情绪问题之间的联系中起中介作用。对这些效应的进一步分析表明,不同类型的适应不良模式与两种心理病理学类型均有关。总体而言,研究结果表明,青少年心理问题的治疗可能需要着眼于改善与同伴和父母的依恋关系,以及纠正潜在的认知模式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a2a/3602614/eeac886f66db/10826_2012_9589_Fig1_HTML.jpg

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