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依恋风格与人格结构对童年创伤后情绪功能的影响。

The Influence of Attachment Styles and Personality Organization on Emotional Functioning After Childhood Trauma.

作者信息

Fuchshuber Jürgen, Hiebler-Ragger Michaela, Kresse Adelheid, Kapfhammer Hans-Peter, Unterrainer Human Friedrich

机构信息

Center for Integrative Addiction Research (CIAR), GrünerKreis Society, Vienna, Austria.

University Clinic for Psychiatry and Psychotherapeutic Medicine, Medical University Graz, Graz, Austria.

出版信息

Front Psychiatry. 2019 Sep 5;10:643. doi: 10.3389/fpsyt.2019.00643. eCollection 2019.

Abstract

Current literature suggests a tenuous link among childhood trauma, personality organization, adult attachment, and emotional functioning in various psychiatric disorders. However, empirical research focusing on the interaction of these concepts is sparse. Therefore, this study intends to investigate the influence of personality organization and attachment dimensions on the relationship between childhood maltreatment and emotional functioning in adult life. To assess emotional functioning, we adopted the Affective Neuroscience model of primary emotions, comprising SEEKING, FEAR, ANGER, SADNESS, CARE, and PLAY. The total sample consisted of 616 nonclinical adults (Age: = 30; = 9.53; 61.9% female). Path analysis was applied to investigate interactions among childhood trauma, personality organization, adult attachment, and primary emotion dispositions. The findings suggest that childhood trauma significantly predicted deficits in personality organization and insecure attachment (all < 0.001). Furthermore, a reduced level of personality organization was significantly associated with increased ANGER ( < 0.001), whereas adult attachment substantially predicted primary emotion dispositions in general. Moreover, the results indicate significant mediational effects of personality organization and attachment dimensions on the relationship between childhood trauma and primary emotions ( < 0.01). The final model was able to explain 48% of the variance in SADNESS, 38% in PLAY, 35% in FEAR, 28% in CARE, 14% in ANGER, and 13% in SEEKING. The findings contribute to the understanding of the relationship between childhood maltreatment and impaired emotional functioning in adult life. Furthermore, the importance of personality organization and attachment dimensions for emotion regulation is underlined. Consequently, the treatment of patients with childhood trauma should focus on facilitating the development of more secure attachment patterns and increased personality functioning to improve overall emotional functioning.

摘要

当前文献表明,童年创伤、人格结构、成人依恋与各种精神疾病中的情绪功能之间存在微弱联系。然而,关注这些概念之间相互作用的实证研究却很稀少。因此,本研究旨在探讨人格结构和依恋维度对童年虐待与成年后情绪功能之间关系的影响。为了评估情绪功能,我们采用了基本情绪的情感神经科学模型,包括寻求、恐惧、愤怒、悲伤、关爱和玩耍。总样本由616名非临床成年人组成(年龄:= 30;= 9.53;61.9%为女性)。采用路径分析来研究童年创伤、人格结构、成人依恋和基本情绪倾向之间的相互作用。研究结果表明,童年创伤显著预测了人格结构缺陷和不安全依恋(所有< 0.001)。此外,人格结构水平降低与愤怒情绪增加显著相关(< 0.001),而成人依恋总体上显著预测了基本情绪倾向。此外,结果表明人格结构和依恋维度在童年创伤与基本情绪之间的关系中具有显著的中介作用(< 0.01)。最终模型能够解释悲伤情绪中48%的变异、玩耍情绪中38%的变异、恐惧情绪中35%的变异、关爱情绪中28%的变异、愤怒情绪中14%的变异以及寻求情绪中13%的变异。这些发现有助于理解童年虐待与成年后情绪功能受损之间的关系。此外,强调了人格结构和依恋维度对情绪调节的重要性。因此,对童年创伤患者的治疗应侧重于促进更安全依恋模式的发展和增强人格功能,以改善整体情绪功能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51ca/6739441/9886690ae7d9/fpsyt-10-00643-g001.jpg

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