Sen Demirdogen Ezgi, Serdengecti Nihal, Sevilmis Ilayda, Nane Cagla, Soyoz Eda, Yavuz Mesut
Department of Child and Adolescent Psychiatry, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.
Department of Child and Adolescent Psychiatry, Istanbul University-Cerrahpasa, Medical Faculty, Istanbul, Turkey.
Psychiatry Clin Psychopharmacol. 2021 Sep 1;31(3):303-309. doi: 10.5152/pcp.2021.21109. eCollection 2021 Sep.
This study examined the relationship between attachment quality, thought-action fusion (TAF), and the anxiety levels and mediator effect of TAF-likelihood-self in this relationship in adolescents.
The participants consisted of 637 adolescents aged 12-17 (61.3% female, = 391; 38.7% male, = 246) obtained from 2 secondary schools in Istanbul. TAF was screened with Thought-Action Fusion-Child Version (TAFIC), and anxiety was assessed with the Trait Anxiety subscale of the State-Trait Anxiety Inventory for Children (STAIC). The short form of The Inventory of Parent and Peer Attachment-short version (s-IPPA) was used to determine the attachment quality of adolescents.
Higher levels of TAF and lower levels of maternal attachment (MA) and paternal attachment (PA) quality were associated with higher levels of trait anxiety. In addition to this, TAF-likelihood-self had partial mediator role between attachment levels and anxiety symptoms.
The results of the present study suggested that low attachment quality can be a risk factor in terms of higher anxiety levels, and TAF problems may have an increasing effect on this association. It can be suggested that, in the clinical or academic field, interventions focusing on the differentiation between the thought and action may be beneficial in anxious adolescents with attachment problems.
本研究探讨了青少年依恋质量、思维-行动融合（TAF）以及焦虑水平之间的关系，以及TAF-可能性-自我在这种关系中的中介作用。
参与者包括从伊斯坦布尔的2所中学招募的637名12 - 17岁的青少年（女性占61.3%，n = 391；男性占38.7%，n = 246）。使用儿童版思维-行动融合量表（TAFIC）筛查TAF，并用儿童状态-特质焦虑量表（STAIC）的特质焦虑分量表评估焦虑。采用父母与同伴依恋量表简版（s-IPPA）来确定青少年的依恋质量。
较高水平的TAF以及较低水平的母亲依恋（MA）和父亲依恋（PA）质量与较高水平的特质焦虑相关。除此之外，TAF-可能性-自我在依恋水平和焦虑症状之间具有部分中介作用。
本研究结果表明，低依恋质量可能是导致较高焦虑水平的一个风险因素，并且TAF问题可能会增强这种关联。可以建议，在临床或学术领域，针对思维与行动区分的干预措施可能对有依恋问题的焦虑青少年有益。
