Varghese Daniel, Scott James G, Bor William, Williams Gail M, Najman Jake M, McGrath John J
Department of Psychiatry, Princess Alexandra Hospital, Woolloongabba, Australia.
J Nerv Ment Dis. 2013 Jun;201(6):525-9. doi: 10.1097/NMD.0b013e318294a257.
Community-based surveys have found that many otherwise well individuals endorse delusional-like experiences (DLEs). There is extensive literature that describes the demographic and psychosocial correlates of DLE; however, we know little about the association between DLE and attachment style. The association between DLEs (assessed by the Peters Delusional Inventory [PDI]) and interpersonal relationship style (as assessed by the Adult Attachment Questionnaire and the Dyadic Adjustment Scale) was examined in 3360 women. When adjusted for the presence of depressive and anxiety symptoms, high scores on the PDI (lowest versus highest quartiles) were associated with a) difficulties in adult attachment style particularly in the discomfort with closeness and preoccupation with relationships subscales and b) conflictual dyadic adjustment (adjusted odds ratios and 95% confidence intervals, 2.43 and 1.94-3.04, 2.50 and 1.99-3.14, and 2.90 and 1.38-6.06, respectively). The association between adult attachment style and DLE provides new clues into the causal pathway underpinning these common experiences.
基于社区的调查发现，许多在其他方面健康的个体认可类妄想体验（DLEs）。有大量文献描述了DLE的人口统计学和心理社会相关因素；然而，我们对DLE与依恋风格之间的关联知之甚少。在3360名女性中，研究了DLEs（通过彼得斯妄想量表[PDI]评估）与人际关系风格（通过成人依恋问卷和二元调整量表评估）之间的关联。在对抑郁和焦虑症状进行校正后，PDI高分（最低四分位数与最高四分位数相比）与以下因素相关：a）成人依恋风格方面的困难，特别是在亲密关系不适和关系过度关注子量表方面；b）冲突性二元调整（校正后的优势比和95%置信区间分别为2.43和1.94 - 3.04、2.50和1.99 - 3.14、2.90和1.38 - 6.06）。成人依恋风格与DLE之间的关联为这些常见体验背后的因果途径提供了新线索。
