Kouros I, Isaksson M, Ekselius L, Ramklint M
Department of Medical Science, Psychiatry, Uppsala University, Uppsala, Sweden.
Department of Women's and Children's Health, WOMHER, Uppsala University, Uppsala, Sweden.
Borderline Personal Disord Emot Dysregul. 2024 Oct 30;11(1):26. doi: 10.1186/s40479-024-00271-2.
Insecure adult attachment has been associated with psychiatric disorders characterized by emotional dysregulation, such as borderline personality disorder (BPD), bipolar disorder (BD) and attention deficit/hyperactivity disorder (ADHD). However, little is known about the differences in attachment patterns between these diagnostic groups. The aim of this study was to identify clusters of adult attachment style in a cross-diagnostic group of patients with BDP and/or BD and/or ADHD and explore the characteristics of these clusters based on temperament profile, childhood trauma and psychiatric diagnoses.
K-means cluster analysis was used to identify subgroups, based on the Attachment Style Questionnaire Short Form dimensions, in a clinical cohort of 150 young adults (113 women and 37 men, mean age ± SD = 23.3 ± 2.1) diagnosed with BPD, and/or BD, and/or ADHD.
Three distinct clusters were identified: a secure, an insecure/avoidant-anxious and an insecure/avoidant cluster. These three clusters differed in temperament profile and related psychiatric diagnoses.
The three clusters of attachment in individuals with BPD, BD and/or ADHD could support differentiation between the disorders as well provide information usable for planning of treatment.
不安全的成人依恋与以情绪调节障碍为特征的精神疾病有关，如边缘型人格障碍（BPD）、双相情感障碍（BD）和注意力缺陷多动障碍（ADHD）。然而，对于这些诊断组之间依恋模式的差异知之甚少。本研究的目的是在一组患有BPD和/或BD和/或ADHD的跨诊断患者中识别成人依恋风格的聚类，并基于气质特征、童年创伤和精神诊断来探索这些聚类的特征。
采用K均值聚类分析，根据依恋风格问卷简版维度，在一个由150名被诊断患有BPD、和/或BD、和/或ADHD的年轻成年人（113名女性和37名男性，平均年龄±标准差=23.3±2.1）组成的临床队列中识别亚组。
识别出三个不同的聚类：一个安全型、一个不安全/回避-焦虑型和一个不安全/回避型聚类。这三个聚类在气质特征和相关精神诊断方面存在差异。
BPD、BD和/或ADHD患者的三种依恋聚类可以支持这些疾病之间的区分，并为治疗计划提供可用信息。
