Arch Suicide Res. 2016;20(2):205-18. doi: 10.1080/13811118.2015.1004495. Epub 2015 Dec 23.
Insecure attachment is associated with self-harm in young people, but little research has explored the pathways through which this relationship develops. We investigated whether attachment impacts on self-harm via its effect on coping strategies and appraisal of problem-solving abilities. A total of 314 students aged 18-20 years completed an online survey with measures of parental attachment, emotion-focused and problem-focused coping strategies, and psychological distress and self-harm. A mediational model was not supported as there were no direct effects between parental attachment and self-harm. However, analysis of specific indirect pathways revealed that perceived parental attachment impacts on self-harm through problem-focused coping. Higher quality of attachment was associated with greater reliance on problem-focused (adaptive) coping, which in turn was associated with a decreased risk of having self-harmed. Furthermore, poorer paternal attachment was associated with lower appraisal of problem-solving skills, which in turn was associated with an increased risk of having self-harmed. Individuals with insecure attachment may be more vulnerable to self-harm because they lack other more constructive coping strategies for relieving stress.
不安全的依恋与年轻人的自残行为有关，但很少有研究探讨这种关系发展的途径。我们调查了依恋是否通过对应对策略和解决问题能力的评估来影响自残。共有 314 名 18-20 岁的学生完成了一项在线调查，其中包括父母依恋、情绪聚焦和问题聚焦应对策略以及心理困扰和自残。中介模型不成立，因为父母依恋与自残之间没有直接影响。然而，对特定间接途径的分析表明，感知到的父母依恋通过问题聚焦应对方式影响自残。较高的依恋质量与更依赖问题聚焦（适应性）应对方式有关，而这反过来又与自残风险降低有关。此外，较差的父亲依恋与解决问题技能评估较低有关，而这反过来又与自残风险增加有关。不安全依恋的个体可能更容易自残，因为他们缺乏其他更具建设性的应对压力的策略。
