成人依恋与心理健康保健利用之间的关系：系统评价。
The Relationship between Adult Attachment and Mental Health Care Utilization: A Systematic Review.
机构信息
1 Department of Psychiatry, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan.
2 Department of Psychiatry, Douglas Institute, McGill University, Montreal, Québec.
出版信息
Can J Psychiatry. 2018 Oct;63(10):651-660. doi: 10.1177/0706743718779933. Epub 2018 Jun 19.
OBJECTIVE
Several studies have shown a relationship between individual attachment and various aspects of treatment utilization in individuals with medical problems as well as mental health disorders. This review systematically evaluates existing literature targeting the relationship between attachment and all aspects of treatment utilization, such as engagement, participation, and completion, in adults with mental health problems.
METHOD
A computerized search of PsycINFO, Medline, Embase, PubMed, and Healthstar and a manual search were employed. Of 5733 titles, 105 abstracts were selected. Of these, 18 studies met full inclusion criteria. The quality of studies was evaluated and scored according to 9 characteristics.
RESULTS
Most studies supported an association between attachment and treatment engagement and participation. In general, attachment anxiety was associated with higher engagement and participation in services while attachment avoidance was associated with less. Data regarding attachment dimensions and treatment completion were less conclusive.
CONCLUSIONS
The review suggests a clear relationship between attachment and stages of treatment engagement and participation in a variety of psychiatric populations and treatments. The 2 attachment dimensions appear to have opposite effects, with possible risks for either treatment over- or underutilization. Clinical implications are discussed.
目的
多项研究表明，个体依恋与患有医疗问题和精神健康障碍的个体的各种治疗利用方面之间存在关系。本综述系统地评估了针对依恋与心理健康问题成人的治疗利用各个方面（如参与、参与度和完成度）之间关系的现有文献。
方法
采用计算机检索 PsycINFO、Medline、Embase、PubMed 和 Healthstar，并进行手动检索。在 5733 个标题中，选择了 105 个摘要。其中，18 项研究符合完全纳入标准。根据 9 个特征对研究质量进行评估和评分。
结果
大多数研究支持依恋与治疗参与和参与之间的关联。一般来说，依恋焦虑与服务的更高参与度和参与度相关，而依恋回避则与之相关。关于依恋维度和治疗完成的数据不太确定。
结论
综述表明，依恋与各种精神科人群和治疗中治疗参与和参与阶段之间存在明确关系。这两个依恋维度似乎具有相反的作用，可能存在治疗过度或治疗不足的风险。讨论了临床意义。
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