Karatzias Thanos, Shevlin Mark, Ford Julian D, Fyvie Claire, Grandison Graeme, Hyland Philip, Cloitre Marylene
Edinburgh Napier University, School of Health & Social Care, Edinburgh, UK.
NHS Lothian, Rivers Centre for Traumatic Stress, Edinburgh, UK.
Dev Psychopathol. 2022 Aug;34(3):1192-1197. doi: 10.1017/S0954579420001509. Epub 2021 Jan 15.
Although there has been significant work on the association between posttraumatic stress disorder (PTSD) and attachment orientation, this is less the case for complex PTSD (CPTSD). The primary aim of this paper was to assess the strength of the association between the four adult attachment styles (i.e., secure, dismissing, preoccupied, and fearful) and severity of CPTSD symptoms (i.e., symptoms of PTSD and disturbances in self-organization [DSO]). We hypothesized that attachment orientation would be more strongly associated with DSO symptoms compared to PTSD symptoms. A trauma exposed clinical sample ( = 331) completed self-report measures of traumatic life events, CPTSD symptoms, and attachment orientation. It was found that secure attachment and fearful attachment were significantly associated with DSO symptoms but not with PTSD symptoms. Dismissing attachment style was significantly associated with PTSD and DSO symptoms. Preoccupied attachment was not significantly associated with CPTSD symptoms. Treatment implications for CPTSD using an attachment framework are discussed.
尽管关于创伤后应激障碍（PTSD）与依恋取向之间的关联已有大量研究，但复杂创伤后应激障碍（CPTSD）的情况却并非如此。本文的主要目的是评估四种成人依恋风格（即安全型、疏离型、专注型和恐惧型）与CPTSD症状严重程度（即PTSD症状和自我组织障碍[DSO]）之间关联的强度。我们假设，与PTSD症状相比，依恋取向与DSO症状的关联会更强。一个有过创伤经历的临床样本（n = 331）完成了关于创伤性生活事件、CPTSD症状和依恋取向的自我报告测量。研究发现，安全型依恋和恐惧型依恋与DSO症状显著相关，但与PTSD症状无关。疏离型依恋风格与PTSD和DSO症状显著相关。专注型依恋与CPTSD症状无显著关联。本文还讨论了使用依恋框架对CPTSD进行治疗的意义。
