McGonagle G, Bucci S, Varese F, Raphael J, Berry K
Faculty of Biology, Medicine and Health, Division of Psychology and Mental Health, School of Health Sciences, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.
Manchester Academic Health Science Centre, Greater Manchester Mental Health NHS Foundation Trust, Manchester, UK.
J Ment Health. 2021 Oct;30(5):607-618. doi: 10.1080/09638237.2019.1608922. Epub 2019 May 14.
People with psychosis often experience difficulties engaging in mental health treatments.
This review sought to identify, summarise and critically evaluate studies that investigated associations between adult attachment and relationships with mental health services in the context of psychosis.
A search was conducted on the following databases from 1980 to February 2019: Web of Science; PubMed; CINAHL; and PsycINFO. Of the 10,683 articles identified, 11 met inclusion criteria for the review. These articles were then quality appraised using the Effective Public Health Practice Project tool (EPHPP).
There was some evidence of associations between insecure attachment (namely avoidant attachment) and therapeutic alliance, and insecure attachment and engagement with services. Secure attachment was also associated with self-reported attachment to services as a whole. There were a number of limitations across the studies; the majority of studies were cross-sectional and it was difficult to make comparisons between studies due to the range of different measures used to assess attachment and alliance.
Adult attachment security may be an important factor to consider in determining the way in which service users with psychosis engage with mental health services.
患有精神病的人在参与心理健康治疗时常常遇到困难。
本综述旨在识别、总结并批判性评价在精神病背景下调查成人依恋与心理健康服务关系之间关联的研究。
于1980年至2019年2月在以下数据库进行检索：科学网；PubMed；护理学与健康领域数据库；以及心理学文摘数据库。在识别出的10683篇文章中，有11篇符合该综述的纳入标准。然后使用有效公共卫生实践项目工具（EPHPP）对这些文章进行质量评估。
有一些证据表明不安全依恋（即回避型依恋）与治疗联盟之间存在关联，以及不安全依恋与服务参与度之间存在关联。安全依恋也与整体上自我报告的对服务的依恋有关。这些研究存在一些局限性；大多数研究是横断面研究，并且由于用于评估依恋和联盟的不同测量方法的范围，难以在研究之间进行比较。
成人依恋安全性可能是确定患有精神病的服务使用者参与心理健康服务方式时需要考虑的一个重要因素。
