A. I. Gumley, BA(Hons), MAppSci, PhD, AFBPsS, CPsychol, Institute of Health and Wellbeing, University of Glasgow, and ESTEEM First Episode Psychosis Service, NHS Greater Glasgow and Clyde, Glasgow; M. Schwannauer, MA, DPsych, PhD, Department of Clinical & Health Psychology, University of Edinburgh, Edinburgh, and Early Psychosis Support Service, NHS Lothian, Edinburgh; A. Macbeth, DClinPsy, PhD, Institute of Health and Wellbeing, University of Glasgow, Glasgow, and Institute of Medical Sciences, University of Aberdeen, Aberdeen; R. Fisher, PhD, Early Psychosis Support Service, NHS Lothian, Edinburgh, and Department of Clinical & Health Psychology, University of Edinburgh, Edinburgh; S. Clark, MA(Hons), DClinPsychol, ESTEEM First Episode Psychosis Service, NHS Greater Glasgow and Clyde, Glasgow; L. Rattrie, BSc(Hons), MSc, PhD, Institute of Health and Wellbeing, University of Glasgow, Glasgow; G. Fraser, MSc, Early Psychosis Support Service, NHS Lothian, Edinburgh; R. McCabe, MBChB, MPhil, FRCPsych, Early Psychosis Support Service, NHS Lothian, Edinburgh; A. Blair, FRCPsych, ESTEEM First Episode Psychosis Service, NHS Greater Glasgow and Clyde, Glasgow; K. Davidson, MA, MPhil, PhD, FBPsS, CPsychol, Institute of Health and Wellbeing University of Glasgow, and Glasgow Institute for Psychosocial Interventions, NHS Greater Glasgow and Clyde, Glasgow; M. Birchwood, BSc, PhD, DSc, FBPsS, Warwick Medical School, University of Warwick, Warwick, UK.
Br J Psychiatry. 2014 Jul;205(1):60-7. doi: 10.1192/bjp.bp.113.126722. Epub 2014 Apr 10.
Increasing evidence shows attachment security influences symptom expression and adaptation in people diagnosed with schizophrenia and other psychoses.
To describe the distribution of secure and insecure attachment in a cohort of individuals with first-episode psychosis, and to explore the relationship between attachment security and recovery from positive and negative symptoms in the first 12 months.
The study was a prospective 12-month cohort study. The role of attachment, duration of untreated psychosis (DUP), baseline symptoms and insight in predicting and mediating recovery from symptoms was investigated using multiple regression analysis and path analysis.
Of the 79 participants, 54 completed the Adult Attachment Interview (AAI): 37 (68.5%) were classified as insecure, of which 26 (48.1%) were insecure/dismissing and 11 (20.4%) insecure preoccupied. Both DUP and insight predicted recovery from positive symptoms at 12 months. Attachment security, DUP and insight predicted recovery from negative symptoms at 12 months.
Attachment is an important construct contributing to understanding and development of interventions promoting recovery following first-episode psychosis.
越来越多的证据表明，依恋安全性会影响被诊断为精神分裂症和其他精神病的个体的症状表现和适应能力。
描述首发精神病患者群体中安全型和不安全型依恋的分布情况，并探讨依恋安全性与首发后 12 个月内阳性和阴性症状恢复之间的关系。
本研究为前瞻性 12 个月队列研究。使用多元回归分析和路径分析，研究了依恋、未治疗精神病持续时间（DUP）、基线症状和洞察力在预测和介导症状恢复方面的作用。
在 79 名参与者中，有 54 名完成了成人依恋访谈（AAI）：37 名（68.5%）被归类为不安全型，其中 26 名（48.1%）为不安全/回避型，11 名（20.4%）为不安全/专注型。DUP 和洞察力均预测了 12 个月时的阳性症状恢复。依恋安全性、DUP 和洞察力预测了 12 个月时的阴性症状恢复。
依恋是一个重要的结构，有助于理解和制定促进首发精神病后恢复的干预措施。
