Özcan Neslihan K, Boyacioğlu Nur E, Enginkaya Semra, Bilgin Hülya, Tomruk Nesrin B
Midwife Department, Istanbul University Health Sciences Faculty, Istanbul, Turkey.
Bakırköy Prof. Dr. Mazhar Osman Research and Training Hospital for Psychiatry, Neurology and Neurosurgery, Istanbul, Turkey.
J Clin Nurs. 2016 Aug;25(15-16):2357-66. doi: 10.1111/jocn.13274. Epub 2016 May 10.
This study had two aims. The first aim was to compare attachment styles and traumatic childhood experiences of women with psychiatric disorders and their children to a control group. The second aim was to determine the relationship between attachment styles and traumatic childhood experiences both in mothers and their children.
According to attachment theories, trauma in an early relationship initiates a developmental cascade in which insecure attachments may occur.
A cross-sectional, descriptive study which, employed a case-control design, was performed between May 2013-March 2014.
This study was conducted in 63 women with psychiatric disorders and their children. The control group consisted of 63 women without any psychiatric disorders and their children. Data were collected using questionnaire forms, including the Adult Attachment Style Scale and the Childhood Trauma Questionnaire for both mothers and children. Descriptive statistics, a Pearson correlation and comparative statistics were used to analyse data.
The childhood trauma scores of both the women with psychiatric disorders and their children were higher than the control group scores. Compared to the control group, the mothers with psychiatric disorders and their children were found to have less secure attachment styles. It was determined that the mothers and children with insecure attachment were more likely to have been abused.
These results point to a relationship between trauma in childhood and attachment style. They also suggest that this relationship may undergo intergenerational transfer.
This study contributes to the existing literature on the relationship between childhood traumas and attachment. Psychiatric nurses should focus not only on psychiatric disorders but also on the difficulties a patient faces regarding being a parent.
本研究有两个目的。第一个目的是将患有精神疾病的女性及其子女的依恋风格和童年创伤经历与一个对照组进行比较。第二个目的是确定母亲及其子女的依恋风格与童年创伤经历之间的关系。
根据依恋理论,早期关系中的创伤会引发一个发展级联反应,其中可能会出现不安全依恋。
一项采用病例对照设计的横断面描述性研究,于2013年5月至2014年3月进行。
本研究纳入了63名患有精神疾病的女性及其子女。对照组由63名无任何精神疾病的女性及其子女组成。使用问卷收集数据,包括针对母亲和孩子的成人依恋风格量表和童年创伤问卷。采用描述性统计、皮尔逊相关性分析和比较统计分析数据。
患有精神疾病的女性及其子女的童年创伤得分均高于对照组得分。与对照组相比,患有精神疾病的母亲及其子女的依恋风格安全感较低。研究确定,依恋不安全的母亲和孩子更有可能遭受过虐待。
这些结果表明童年创伤与依恋风格之间存在关联。它们还表明这种关联可能会发生代际传递。
本研究为关于童年创伤与依恋关系的现有文献做出了贡献。精神科护士不仅应关注精神疾病,还应关注患者作为父母所面临的困难。