Chair of Endocrinology and Sexual Medicine, Departement of Systems Medicine, University of Rome Tor Vergata, Italy.
Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, Italy.
Riv Psichiatr. 2017 Jul-Aug;52(4):162-167. doi: 10.1708/2737.27909.
The aim of this investigation was to evaluate defence mechanisms and attachment styles in paranoid ideation through a cross-sectional design with sequential recruitment of subjects.
Five hundred and fifty non-clinical subjects were recruited from university students. A psychometric protocol comprising paranoid ideation scale of Symptoms Check List (SCL-90-R-Par) to identify paranoid ideation, Defence Style Questionnaire (DSQ-40) to evaluate defence mechanisms, and Relationship Questionnaire (RQ) to measure attachment styles was then administered.
We found a significant predictive value of immature defence mechanisms (β=0.48; p<0.0001) and preoccupied attachment style (β=0.25; p<0.0001) in the paranoid ideation. Moreover, subjects reporting a preoccupied or fearful attachment style showed higher levels of paranoia.
This study revealed that paranoid ideation is mainly characterised by immature defence mechanisms. A clear insecure attachment style associated with paranoia was also found. The assessment of paranoid ideation should therefore consider the role of attachment style and defence mechanisms as an integral part during the diagnostic and therapeutic processes.
本研究旨在通过横断面设计，对偏执观念进行防御机制和依恋模式的评估。
从大学生中招募了 550 名非临床受试者。采用症状清单（SCL-90-R-Par）偏执观念量表、防御机制问卷（DSQ-40）和关系问卷（RQ）评估偏执观念、防御机制和依恋模式。
我们发现不成熟的防御机制（β=0.48；p<0.0001）和专注依恋模式（β=0.25；p<0.0001）对偏执观念有显著的预测价值。此外，报告专注或恐惧依恋模式的受试者表现出更高水平的偏执。
本研究表明，偏执观念主要表现为不成熟的防御机制。偏执观念与不安全感依恋模式之间存在明显的关联。因此，在诊断和治疗过程中，评估偏执观念时应将依恋模式和防御机制作为一个整体考虑。
