Department of Psychology, University of Tehran, Dr Kardan Street, Nasr Bridge, Jalal Al-Ahmad Street, Chamran Highway, Tehran, 1445983861, Iran.
School of Social Work, Michigan State University, 242 Baker Hall, 655 Auditorium Road, East Lansing, MI, 48824, USA.
Adm Policy Ment Health. 2018 Nov;45(6):900-910. doi: 10.1007/s10488-018-0873-y.
Studies have shown significant relationship between health conditions and attachment. This study aimed to examine an attachment-based intervention model named mother-child-disease triangle (MCDT) on health indices in children with chronic disease and their mothers. This randomized trial study included 22 volunteer children aged 12-18 years undergoing medical treatment for a chronic disease and their mothers. After evaluation by 28-form General Health Questionnaire (GHQ-28), inventory of parent and peer attachment (IPPA), 28-form Child Health Questionnaire (CHQ-28) and Illness Perception Questionnaire (IPQ), the mother-child dyads were paired on the basis of IPPA scores. These pairs were then randomly assigned to an experimental or control group. The experimental group received ten 90-min sessions of MCDT over a 7-week period. Meanwhile, the control group received ten simple conversational sessions as a dummy intervention. In accordance with this study's pre-test/post-test design, both groups were evaluated once again after completing their respective treatment. Multivariate analysis of covariance (MANCOVA) showed members of the experimental group to have significantly stronger attachment and better physiological and psychosocial health than those in the control group. These findings suggest that attachment-based interventions can be used to improve the effectiveness of treatment among children with chronic disease and their mothers.
研究表明健康状况与依恋之间存在显著关系。本研究旨在检验一种基于依恋的干预模式，即母子疾病三角（MCDT），对患有慢性病的儿童及其母亲的健康指标的影响。这是一项随机试验研究，纳入了 22 名年龄在 12-18 岁、正在接受慢性病治疗的志愿者儿童及其母亲。在使用 28 项一般健康问卷（GHQ-28）、父母与同伴依恋量表（IPPA）、28 项儿童健康问卷（CHQ-28）和疾病感知问卷（IPQ）评估后，根据 IPPA 评分将母子对进行配对。然后，这些对子被随机分配到实验组或对照组。实验组接受了 10 次 90 分钟的 MCDT 治疗，共 7 周。与此同时，对照组接受了 10 次简单的对话治疗作为假干预。根据本研究的预测试/后测试设计，两组在完成各自的治疗后再次进行评估。协方差的多变量分析（MANCOVA）显示，实验组的成员比对照组的成员具有更强的依恋关系和更好的生理和心理社会健康。这些发现表明，基于依恋的干预措施可以提高患有慢性病的儿童及其母亲的治疗效果。
