青少年依恋质量、元认知与躯体化之间的关系：元认知的中介作用
The relationships between attachment quality, metacognition, and somatization in adolescents: The mediator role of metacognition.
作者信息
Yavuz Mesut, Aluç Nurşah, Tasa Hande, Hamamcıoğlu İrem, Bolat Nurullah
机构信息
Department of Psychology, French Lape Hospital, Child and Adolescent Psychiatry, İstanbul Aydin University, İstanbul, Turkey.
Department of Psychology, İstanbul Aydin University, İstanbul, Turkey.
出版信息
J Child Adolesc Psychiatr Nurs. 2019 Feb;32(1):33-39. doi: 10.1111/jcap.12224. Epub 2019 Jan 28.
PROBLEM
To investigate the associations between attachment quality, metacognition problems, and somatization.
METHODS
One thousand and seven adolescents between the ages of 14-17 were included in the study. They completed the DSM-V Level 2 Somatic Symptoms Scale, the Inventory of Parent and Peer Attachment (short version), the Metacognitions Questionnaire for Children (MCQ-C), and the Strengths and Difficulties Questionnaire. The Spearmen's rank-order correlation test and structural equation modeling were used to analyze the associations between the scales.
FINDINGS
Correlation coefficients and structural equation modeling indicated that attachment quality is significantly associated with somatic symptom severity, and MCQ-C scores play a partial mediator role in the relationship between attachment quality and somatization.
CONCLUSION
Improving metacognitive skills in adolescents with low attachment quality may increase therapeutic success when addressing somatization.
问题
探讨依恋质量、元认知问题与躯体化之间的关联。
方法
本研究纳入了1007名年龄在14至17岁之间的青少年。他们完成了《精神疾病诊断与统计手册》第五版二级躯体症状量表、《父母与同伴依恋量表》（简版）、《儿童元认知问卷》（MCQ-C）以及《长处与困难问卷》。采用斯皮尔曼等级相关检验和结构方程模型来分析各量表之间的关联。
结果
相关系数和结构方程模型表明，依恋质量与躯体症状严重程度显著相关，且MCQ-C得分在依恋质量与躯体化之间的关系中起部分中介作用。
结论
提高依恋质量较低青少年的元认知技能，在解决躯体化问题时可能会提高治疗成功率。
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