Hebein Ursula, Quantschnig Bettina, Andreas Sylke
Alpen-Adria Universität Klagenfurt Universitätsstraße 65-67 A-9020 Klagenfurt am Wörthersee Österreich Alpen-Adria Universität Klagenfurt.
Psychiatrisches Sonderkrankenhaus de La Tour Österreich Psychiatrisches Sonderkrankenhaus de La Tour.
Z Psychosom Med Psychother. 2018 Mar;64(1):23-38. doi: 10.13109/zptm.2018.64.1.23.
Emotional experience of early traumatic experiences and relationship-specific attachment styles in alcohol-dependent patients Objectives: The present investigation studied the differences in emotional experiences among alcohol-dependent patients in inpatient psychotherapy, taking into account their traumatic experiences and relationship-specific attachment styles.
Three standardized instruments were used on this clinical sample of 70 patients in inpatient psychotherapy: (1) Scales for Experiencing Emotions (SEE), (2) Childhood Trauma Questionnaire (CTQ), (3) Relationship-Specific Attachment Scales for Adults (RASA).
The results showed that traumatic experiences in childhood and adolescence as well as relationship-specific attachment styles were indeed associated with deficits in emotional experience and regulation. Especially emotional abuse was associated with deficits in emotional experience. An insecure attachment style was associated with a lower level of acceptance of emotions, a lower level of self-control, and dysfunctional emotion regulation. In particular, the attachment style to the mother seems to be important.
These results suggest that a distinction of alcohol-addicted patients, with respect to attachment styles and traumatic experiences in childhood and adolescent, seems to be important in order to define specific interventions to improve the ability to regulate emotions.
酒精依赖患者早期创伤经历的情感体验及特定关系依恋风格
本研究探讨住院心理治疗中酒精依赖患者的情感体验差异,同时考虑其创伤经历及特定关系依恋风格。
对70名接受住院心理治疗的患者这一临床样本使用了三种标准化工具:(1)情感体验量表(SEE),(2)儿童创伤问卷(CTQ),(3)成人特定关系依恋量表(RASA)。
结果表明,童年和青少年时期的创伤经历以及特定关系依恋风格确实与情感体验和调节缺陷有关。特别是情感虐待与情感体验缺陷有关。不安全的依恋风格与较低的情感接受水平、较低的自我控制水平以及功能失调的情绪调节有关。尤其,与母亲的依恋风格似乎很重要。
这些结果表明,区分酒精成瘾患者在童年和青少年时期的依恋风格及创伤经历,对于确定改善情绪调节能力的具体干预措施似乎很重要。