Campbell Roslyn, Allan Steven, Sims Patrick
Ardenleigh, Birmingham and Solihull Mental Health Foundation Trust, 385 Kingsbury Road, Birmingham, B24 9SA, UK.
Crim Behav Ment Health. 2014 Feb;24(1):49-59. doi: 10.1002/cbm.1880. Epub 2013 Sep 6.
It has been suggested that mental health services can help meet the attachment needs of inpatients and improve patient outcomes through the provision of a 'secure base'; however, what defines the latter is unclear. Perception of ward climate might be a useful indicator.
The aim of this study was to examine whether inpatient perceptions of the ward climate, which is partly under the control of the service, or inpatients' own personal levels of attachment anxiety and avoidance are more associated with their attachment to their service.
Seventy-six men diagnosed with a psychotic illness, who were residents in one of four regional medium-security units in England, completed questionnaire measures of service attachment, personal attachment style and ward climate.
Ward climate was more strongly associated with service attachment than personal levels of attachment anxiety and avoidance. The most important aspect of ward climate for service attachment was the depth and influence of staff support for the inpatients.
Although patient characteristics are important influences on development of service attachment, ward climate is also important. The latter may be easily and reliably monitored with a brief questionnaire. Strategies to enhance and maintain its positive components are likely to be important for progress with forensic hospital inpatients who have a psychotic illness.
有人提出，心理健康服务可以通过提供一个“安全基地”来帮助满足住院患者的依恋需求并改善患者的治疗效果；然而，后者的定义尚不清楚。对病房氛围的感知可能是一个有用的指标。
本研究的目的是检验住院患者对部分受服务控制的病房氛围的感知，或者住院患者自身的个人依恋焦虑和回避水平，是否与他们对服务的依恋更相关。
76名被诊断患有精神疾病的男性，他们是英格兰四个地区中等安全级别的病房中的住院患者，完成了关于服务依恋、个人依恋风格和病房氛围的问卷调查。
与个人依恋焦虑和回避水平相比，病房氛围与服务依恋的关联更强。对于服务依恋而言，病房氛围最重要的方面是工作人员对住院患者支持的深度和影响。
虽然患者特征对服务依恋的发展很发展进展很重要，但病房氛围也很重要。后者可以通过一份简短的问卷轻松且可靠地进行监测。对于患有精神疾病的法医医院住院患者来说，增强和维持其积极成分的策略可能对治疗进展很重要。
