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新冠肺炎疫情流行期间社区青少年四个月的精神病样症状的附着稳定性和纵向预测。

Attachment Stability and Longitudinal Prediction of Psychotic-like Symptoms in Community Adolescents over Four Months of COVID-19 Pandemic.

机构信息

Department of Educational Sciences, University of Genoa, 16128 Genoa, Italy.

Center for Attachment Research, New School for Social Research, New York, NY 10011, USA.

出版信息

Int J Environ Res Public Health. 2023 Aug 11;20(16):6562. doi: 10.3390/ijerph20166562.

DOI:10.3390/ijerph20166562
PMID:37623148
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10454594/
Abstract

The Friends and Family Interview (FFI) is assumed to be a valid method to study attachment stability and attachment-related psychopathological processes in adolescence, but no studies have yet tested the test-retest reliability of this interview or the longitudinal association of attachment patterns in response to the FFI from adolescents with symptoms such as psychotic-like experiences (e.g., hallucinations, bizarre behavior, dissociation, self-harm) that are known to have increased during the COVID-19 pandemic. This study involved 102 community adolescents ( = 14.64, = 1.63, 46% males) assessed twice: during a severe COVID-19-related lockdown (in Italy) (T1) and four months later (T2). Measures were the FFI (assessing attachment patterns: secure-autonomous, insecure-dismissing, insecure-preoccupied, and insecure-disorganized) and the thought problems scale of the Youth Self-Report to assess psychotic-like symptoms. revealed high stability of four-way attachment classifications over four months (93.5%), with a modest yet significant link between higher disorganization at T1 and higher scores of thought problems at T2, = 0.010. : The FFI shows high test-retest reliability and can be a valid, age-adapted option to assess adolescents' attachment. Attachment disorganization should be further investigated as possibly related to psychotic-like experiences in community adolescents.

摘要

朋友和家人访谈(FFI)被认为是一种研究青少年依恋稳定性和与依恋相关的心理病理过程的有效方法,但尚无研究测试过该访谈的重测信度,也没有研究测试过青少年对 FFI 的依恋模式与纵向关联,而青少年的一些症状(如类精神病体验,例如幻觉、怪异行为、解离、自残)在 COVID-19 大流行期间已知会增加。这项研究涉及 102 名社区青少年(=14.64,=1.63,46%为男性),在两次评估中进行:在意大利严重的 COVID-19 相关封锁期间(T1)和四个月后(T2)。测量工具是 FFI(评估依恋模式:安全自主型、不安全回避型、不安全专注型和不安全混乱型)和青少年自我报告中的思维问题量表,以评估类精神病症状。结果显示,四种依恋分类在四个月内具有很高的稳定性(93.5%),T1 时的更高混乱程度与 T2 时的思维问题得分更高之间存在适度但显著的关联,r=0.010。结论:FFI 具有很高的重测信度,可以作为评估青少年依恋的有效、适合年龄的选择。依恋混乱程度应进一步研究,可能与社区青少年的类精神病体验有关。

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本文引用的文献

1
Psychotic-like experiences from adolescence to adulthood: A longitudinal study.从青春期到成年的类精神病体验:一项纵向研究。
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Peer Power! Secure Peer Attachment Mediates the Effect of Parental Attachment on Depressive Withdrawal of Teenagers.同伴的力量!安全的同伴依恋中介了父母依恋对青少年抑郁退缩的影响。
Int J Environ Res Public Health. 2022 Mar 29;19(7):4068. doi: 10.3390/ijerph19074068.
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The Covid-19 Pandemic is a Paradoxical Challenge to Our Nervous System: A Polyvagal Perspective.新冠疫情对我们的神经系统而言是一个矛盾的挑战:基于多元迷走神经理论的视角
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Covid-19, Fear and the Future: An Attachment Perspective.新冠疫情、恐惧与未来:依恋视角
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Thought Problems and Aggression Over Time Among Youth in Foster Care.寄养青少年随时间推移出现的思维问题与攻击性
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8
Youth Self Report Thought Problems and Sleep Difficulties Are Linked to Suicidal Ideation Among Psychiatrically Hospitalized Adolescents.青少年自评思维问题和睡眠困难与住院青少年的自杀意念有关。
J Child Adolesc Psychopharmacol. 2020 Oct;30(8):522-525. doi: 10.1089/cap.2019.0160. Epub 2020 Feb 13.
9
Factor structure of the Friends and Family interview.朋友和家属访谈的因子结构。
Scand J Psychol. 2020 Jun;61(3):460-469. doi: 10.1111/sjop.12604. Epub 2020 Jan 2.
10
Attachment measures in middle childhood and adolescence: A systematic review of measurement properties.儿童中期和青少年期的依恋测量:测量特性的系统评价。
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