Roithmeier Lisa, Fuchshuber Jürgen, Andres Deborah, Prandstätter Theresa, Schmautz Beate, Schwerdtfeger Andreas, Unterrainer Human-Friedrich
Z Psychosom Med Psychother. 2024 Feb;70(1):35-47. doi: 10.13109/zptm.2024.70.oa1. Epub 2024 Jan 16.
Primaryemotions and attachment in mental disorder Objectives: There is increasing evidence for associations between primary emotions and attachment with mental illness. This study illuminates the mediation relationship of these psychodynamic constructs in relation to psychiatric disorders.
921 subjects (69.9 % female) were examined, who completed the questionnaires Brief Affective Neuroscience Personality Scales including a LUST Scale, Experiences in Close Relationships - Revised 8, and ICD-10 Symptom Rating online. A path analysis was conducted to evaluate the mediation effects of attachment anxiety.
A disease-specific pattern of direct associations between primary emotions, attachment anxiety, and psychological impairment emerged (all p < .01). Attachment exerted mediating effects primarily for SADNESS (p < .01), and to a lesser extent for LUST and CARE (p > .01).The model provided variance resolution ranging from7%(eating disorders) to 47%(depression).
The results demonstrate the relevance of affective explanations regarding the development of psychological symptoms, as well as therapeutic implications.
精神障碍中的基本情绪与依恋
越来越多的证据表明基本情绪和依恋与精神疾病之间存在关联。本研究阐明了这些心理动力学结构与精神障碍之间的中介关系。
对921名受试者(69.9%为女性)进行了检查,他们在线完成了包括欲望量表的简短情感神经科学人格量表、亲密关系经历修订版8和ICD - 10症状评定问卷。进行路径分析以评估依恋焦虑的中介作用。
出现了基本情绪、依恋焦虑和心理损害之间特定疾病的直接关联模式(所有p <.01)。依恋主要对悲伤起中介作用(p <.01),对欲望和关爱起中介作用的程度较小(p >.01)。该模型提供的方差解释率从7%(饮食失调)到47%(抑郁症)不等。
结果证明了情感解释在心理症状发展方面的相关性以及治疗意义。