Unterrainer H F, Hiebler-Ragger M, Rogen L, Kapfhammer H P
Verein Grüner Kreis, Center for Integrative Addiction Research (CIAR), Rudolfsplatz 9, 1010, Wien, Österreich.
Universitätsklinik für Psychiatrie und Psychotherapeutische Medizin, Medizinische Universität Graz, Graz, Österreich.
Nervenarzt. 2018 Sep;89(9):1043-1048. doi: 10.1007/s00115-017-0462-4.
There is no commonly accepted model for describing the development and treatment of substance use disorders (SUD); however, over several decades the attachment theory has represented an important basis for the clinical handling of SUD. This study gives a systematic review of empirical studies regarding the relationship between SUD and disorders of attachment behavior.
Is there a positive relationship between disorders of attachment behavior and the presence of SUD?
Various databases (PsychInfo, Web of Science, PubMed) were systematically searched in order to pinpoint relevant studies in books and articles published in English or German. Based on the results 22 publications were selected. After a stricter limitation to original research, 12 articles could finally be accepted as eligible.
A significant relationship was found between SUD and insecure attachment in 10 out of the 12 studies.
Based on the results of the research studies reviewed the hypothesis to characterize SUD as a possible expression of an attachment disorder was confirmed. This corroborates the importance of considering attachment parameters in dealing with prevention and treatment of SUD. Further research might focus on non-substance-related addictive disorders and therapy outcome studies.
目前尚无普遍接受的用于描述物质使用障碍（SUD）的发展和治疗的模型；然而，几十年来，依恋理论一直是SUD临床处理的重要基础。本研究对关于SUD与依恋行为障碍之间关系的实证研究进行了系统综述。
依恋行为障碍与SUD的存在之间是否存在正相关关系？
系统检索了各种数据库（PsychInfo、科学网、PubMed），以查找英文或德文书籍和文章中的相关研究。根据结果，挑选出22篇出版物。在对原始研究进行更严格的限制后，最终有12篇文章被认定为符合要求。
12项研究中的10项发现SUD与不安全依恋之间存在显著关系。
基于所综述的研究结果，将SUD表征为依恋障碍的一种可能表现形式的假设得到了证实。这证实了在处理SUD的预防和治疗时考虑依恋参数的重要性。进一步的研究可能集中在非物质相关的成瘾性障碍和治疗结果研究上。
