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精神病患者的依恋风格与症状

Attachment styles and symptoms in individuals with psychosis.

作者信息

Strand Jennifer, Goulding Anneli, Tidefors Inga

机构信息

Jennifer Strand, Department of Psychology, University of Gothenburg , PO Box 500, S-405 30 Gothenburg , Sweden.

出版信息

Nord J Psychiatry. 2015 Jan;69(1):67-72. doi: 10.3109/08039488.2014.929740. Epub 2014 Jun 23.

DOI:10.3109/08039488.2014.929740
PMID:24953099
Abstract

BACKGROUND

The capacity to manage affects is rooted in early interactions with caregivers, which in adulthood are internalized as different attachment styles. Few studies have explored associations between all four attachment styles and symptoms.

AIM

Our aim was to investigate the relations between the four attachment styles and psychological distress in a group of people with psychosis.

METHOD

In a cross-sectional study, associations between self-reported attachment style and symptoms in a psychosis group were explored. Attachment styles were measured with the Relationship Questionnaire (RQ) and symptoms were assessed with the revised version of the Symptom Checklist (SCL-90R) RESULTS: The analyses showed a significant positive association between preoccupied attachment and the severity of symptoms. Furthermore, the analyses indicated significant positive associations between preoccupied attachment and the subscales measuring depression, anxiety, interpersonal sensitivity, paranoia and psychoticism. We also found significant positive associations between fearful attachment and both interpersonal sensitivity and psychoticism.

CONCLUSION

The associations between attachment styles and symptoms found here are consistent with those of previous studies. It could be important for clinicians to identify patients' attachment styles. Such knowledge would help mental health professionals to understand better the patients' capacity to handle distress and help professionals to address interventions aiming to target each patient's specific needs.

摘要

背景

情绪管理能力源于早期与照顾者的互动,在成年后这些互动内化为不同的依恋风格。很少有研究探讨所有四种依恋风格与症状之间的关联。

目的

我们的目的是调查一组精神病患者中四种依恋风格与心理困扰之间的关系。

方法

在一项横断面研究中,探讨了精神病组中自我报告的依恋风格与症状之间的关联。依恋风格用关系问卷(RQ)测量,症状用症状自评量表修订版(SCL-90R)评估。结果:分析显示,痴迷型依恋与症状严重程度之间存在显著正相关。此外,分析表明,痴迷型依恋与测量抑郁、焦虑、人际敏感、偏执和精神质的分量表之间存在显著正相关。我们还发现恐惧型依恋与人际敏感和精神质均存在显著正相关。

结论

此处发现的依恋风格与症状之间的关联与先前研究一致。临床医生识别患者的依恋风格可能很重要。这些知识将有助于心理健康专业人员更好地理解患者应对困扰的能力,并帮助专业人员针对每个患者的特定需求进行干预。

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