Department of Psychiatry, University of Saskatchewan, Saskatoon, Canada.
Department of Psychology, University of Saskatchewan, Saskatoon, Canada.
Psychiatry Res. 2017 Oct;256:194-201. doi: 10.1016/j.psychres.2017.06.050. Epub 2017 Jun 15.
This study explored the influence of attachment on psychiatric treatment by considering attitudes towards and the use of psychotropic medication and psychotherapy in patients with depressive and anxiety disorders. Adults referred to a psychiatrist completed self-report measures and participated in a diagnostic interview based on DSM-IV criteria. Those with depressive, anxiety or adjustment disorders were included (n = 124). Patients reported the types and dosage of current psychotropic medication as well as number of different psychiatrists and psychologists/counselors they had seen in the past 10 years. Multiple regression analyses were used to examine relationships between attachment anxiety and avoidance and the variables capturing treatment use and attitudes towards treatments. Attachment anxiety was positively associated with the number of current psychiatric medications and with both the number of psychiatrists and the number of psychologists/counselors seen. Attachment avoidance was negatively associated with the number of current psychotropic medications and beliefs about the efficacy of psychotherapy. The findings suggest that patients' attachment characteristics play a role in their views and choices regarding treatments. Developing treatments sensitive to the needs of insecurely attached individuals may lead to improved treatment outcomes.
本研究通过考察抑郁和焦虑障碍患者对精神药物和心理治疗的态度和使用情况，探讨了依恋对精神科治疗的影响。被转介给精神科医生的成年人完成了自我报告的测量，并根据 DSM-IV 标准参加了诊断访谈。包括有抑郁、焦虑或适应障碍的患者（n=124）。患者报告了当前精神药物的类型和剂量，以及过去 10 年中他们见过的不同精神科医生和心理医生/咨询师的数量。多元回归分析用于检查依恋焦虑和回避与捕捉治疗使用和治疗态度的变量之间的关系。依恋焦虑与当前使用的精神药物数量以及看过的精神科医生和心理医生/咨询师的数量呈正相关。依恋回避与当前精神药物的数量和对心理治疗效果的信念呈负相关。研究结果表明，患者的依恋特征在他们对治疗的看法和选择中起作用。开发针对不安全依恋个体需求的治疗方法可能会导致治疗效果的改善。
