1 Department of Pharmacology, Poznań University of Medical Sciences, Poland.
2 Palliative Medicine In-Patient Unit, University Hospital of Lord's Transfiguration, Poznań University of Medical Sciences, Poland.
J Health Psychol. 2019 Apr;24(5):549-560. doi: 10.1177/1359105317721307. Epub 2017 Aug 3.
We tested the association between the palliative patient's attachment style and the patient-doctor relationship, by means of Revised Adult Attachment Scale and a self-designed, patient-doctor relationship questionnaire. The study included 110 (52 M, 58 F) cancer, hospice patients, aged 36-80 years. We observed 54 percent of secure, 18 percent of dismissive, 9 percent of preoccupied, and 19 percent of fearful styles. Securely attached patients developed significantly ( p < .05) better relationships with doctors than insecure patients. There was no difference in the quality of the patient-doctor relationship among dismissive versus preoccupied versus fearful patients. We argue that attachment theory should be applied in palliative care to improve patients' quality of life and dying.
我们通过修订后的成人依恋量表和自行设计的医患关系问卷，测试了姑息治疗患者的依恋风格与医患关系之间的关联。研究对象为 110 名年龄在 36-80 岁的癌症、临终关怀患者（52 名男性，58 名女性）。我们观察到 54%的患者为安全型依恋，18%的患者为回避型依恋，9%的患者为专注型依恋，19%的患者为恐惧型依恋。与不安全型依恋的患者相比，安全型依恋的患者与医生建立了明显更好的关系（p<.05）。回避型依恋、专注型依恋和恐惧型依恋的患者之间的医患关系质量没有差异。我们认为，依恋理论应该应用于姑息治疗，以提高患者的生活质量和临终质量。
