Division of Psychology and Mental Health, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester, Manchester, UK.
Greater Manchester Mental Health NHS Foundation Trust, Manchester, UK.
Br J Clin Psychol. 2023 Jun;62(2):329-355. doi: 10.1111/bjc.12411. Epub 2023 Feb 12.
Disorganized attachment has been identified as an important factor in the development and maintenance of mental health problems. Further research is required to understand the mechanism by which this attachment pattern predisposes individuals to develop, and maintain, personal and social difficulties and mental health problems utilizing valid and reliable measurement tools. The assessment of adult disorganized attachment is therefore important for both applied psychologists and researchers.
We conducted a systematic review using the COSMIN guidelines to identify and critically appraise instruments which measure adult disorganized attachment. A systematic database search was performed using MEDLINE, EMBASE, Web of Science, PsychInfo and CINHAL in accordance with PRISMA guidelines.
Database searching provided 5757 results, with 18 measures identified across 27 eligible papers which were critically evaluated. Measurement properties were promising for the Childhood Disorganization and Role Reversal Scale, Psychological Treatment Inventory-Attachment Styles Scale, Attachment Style Questionnaire - Short Form and the Adult Attachment Interview. However, overall, due to inconsistent quality of methodology and reporting of results, it is challenging to reach sufficient conclusions and suggestions regarding the best instrument to use to measure adult disorganized attachment.
The Childhood Disorganization and Role Reversal Scale, Psychological Treatment Inventory-Attachment Styles Scale. Attachment Style Questionnaire-Short-Form and Adult Attachment Interview are the best available measures of disorganized attachment in adulthood. This review highlights the need for further psychometric testing of existing measures, or development of new instruments, grounded in sound methodology.
无组织依恋已被确定为心理健康问题发展和维持的重要因素。需要进一步的研究来了解这种依恋模式使个体易患个人和社交困难以及心理健康问题的机制，利用有效和可靠的测量工具。因此，成人无组织依恋的评估对应用心理学家和研究人员都很重要。
我们按照 COSMIN 指南进行了系统综述，以确定和批判性评估衡量成人无组织依恋的工具。根据 PRISMA 指南，使用 MEDLINE、EMBASE、Web of Science、PsychInfo 和 CINHAL 进行了系统的数据库搜索。
数据库搜索提供了 5757 个结果，在 27 篇符合条件的论文中确定了 18 种测量方法，对其进行了批判性评估。测量特性对儿童失调和角色反转量表、心理治疗库存-依恋风格量表、依恋风格问卷-短式和成人依恋访谈有一定的参考价值。然而，由于方法学和结果报告的质量不一致，很难就用于衡量成人无组织依恋的最佳工具得出充分的结论和建议。
儿童失调和角色反转量表、心理治疗库存-依恋风格量表、依恋风格问卷-短式和成人依恋访谈是目前衡量成年期无组织依恋的最佳方法。本综述强调了需要进一步对现有测量工具进行心理测量学测试，或开发基于可靠方法的新工具。
