Mertens Yoki Linn, Racioppi Anna, Sheinbaum Tamara, Kwapil Thomas, Barrantes-Vidal Neus
Department of Clinical Psychology and Experimental Psychopathology, University of Groningen, Groningen, Netherlands.
Departament de Psicologia Clínica i de la Salut, Universitat Autònoma de Barcelona (Edifici B), Barcelona, Spain.
Eur J Psychotraumatol. 2021 Mar 16;12(1):1888539. doi: 10.1080/20008198.2021.1888539.
: Research suggests dissociation and insecure attachment serve as explanatory mechanisms in the pathway from childhood trauma to paranoia. However, past work has not examined these mechanisms concurrently in nonclinical populations. : The current study sought to examine dissociation and insecure attachment as parallel mediators of the association between childhood emotional abuse and paranoid traits. Furthermore, a serial mediation model with insecure attachment preceding dissociation in the explanatory pathway was explored. : Eighty-nine nonclinically ascertained young adults were assessed for childhood emotional abuse, dissociation, attachment styles, and paranoid traits. Parallel and serial mediation models were tested. : The association of childhood emotional abuse with both interview-based and self-reported paranoid traits was significantly mediated by dissociation and preoccupied attachment. Fearful attachment was a significant mediator in the model for self-reported paranoid traits. No evidence for a serial mediation effect was found. : The present findings extend support for dissociation and attachment insecurity as mechanisms underlying the link between childhood emotional maltreatment and paranoid traits. Longitudinal research is needed to inform whether insecure attachment contributes to dissociation along the pathways to paranoid traits.
研究表明，解离和不安全依恋在从童年创伤到偏执狂的路径中作为解释机制。然而，过去的研究尚未在非临床人群中同时考察这些机制。
本研究旨在考察解离和不安全依恋作为童年情感虐待与偏执特质之间关联的平行中介变量。此外，还探讨了一个在解释路径中不安全依恋先于解离的序列中介模型。
对89名未经临床确诊的年轻人进行了童年情感虐待、解离、依恋风格和偏执特质的评估。对平行和序列中介模型进行了检验。
童年情感虐待与基于访谈和自我报告的偏执特质之间的关联，通过解离和过度投入型依恋得到了显著中介。恐惧型依恋在自我报告的偏执特质模型中是一个显著的中介变量。未发现序列中介效应的证据。
本研究结果进一步支持了解离和依恋不安全感作为童年情感虐待与偏执特质之间联系的潜在机制。需要进行纵向研究，以确定不安全依恋是否在通往偏执特质的路径中导致了解离。
