Flemming Eva, Lübke Laura, Spitzer Carsten, Müller Sascha
Department of Psychosomatic Medicine and Psychotherapy, Rostock University Medical Center.
Psychol Trauma. 2025 Apr 10. doi: 10.1037/tra0001904.
In the context of the Adult Attachment Interview, an "unresolved/disorganized" attachment status is characterized by lapses in reasoning or discourse when discussing traumatic experiences. A comprehensive body of research indicates that an unresolved/disorganized adult attachment status plays a crucial role in understanding complex mental health problems. The Disorganized Response Scale (DRS) is a novel self-report measure that mirrors the general focus of the Adult Attachment Interview in assessing disorganized verbalizations and cognitions related to attachment experiences. The scale has exhibited promising psychometric properties in a student sample, but evaluations in more diverse populations and in clinical samples are not yet available.
A German translation of the DRS was assessed in a general population sample ( = 1,101) and in a clinical sample of outpatients ( = 176). The psychometric properties and validity of the scale with respect to its associations with other self-report measures of attachment and psychopathology were examined.
Unidimensionality of the scale was overall confirmed with limitations in the clinical sample. The scale exhibited high internal consistency in both samples. There was evidence for incremental validity of the DRS over and above the standard self-report measures of organized attachment, that is, attachment anxiety and avoidance in predicting psychopathology (particularly dissociation).
The DRS allows for measuring disorganized responses related to early attachment experiences through self-report. Although findings overall suggest that the German version of the DRS is a valid measure of disorganized responses, some aspects such as its dimensionality warrant critical discussion. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
在成人依恋访谈的背景下,“未解决/混乱”的依恋状态表现为在讨论创伤经历时推理或话语出现失误。大量研究表明,未解决/混乱的成人依恋状态在理解复杂的心理健康问题中起着关键作用。混乱反应量表(DRS)是一种新颖的自我报告测量工具,反映了成人依恋访谈在评估与依恋经历相关的混乱言语表达和认知方面的总体重点。该量表在学生样本中已显示出有前景的心理测量特性,但在更多样化人群和临床样本中的评估尚未可得。
对DRS的德语翻译版本在一个普通人群样本(N = 1101)和一个门诊患者临床样本(N = 176)中进行评估。检验了该量表在与其他依恋和精神病理学自我报告测量工具的关联方面的心理测量特性和效度。
该量表的单维性在临床样本中有一定局限性的情况下总体得到了证实。该量表在两个样本中均表现出高内部一致性。有证据表明,DRS在预测精神病理学(特别是解离)方面,相对于有组织依恋的标准自我报告测量工具,即依恋焦虑和回避,具有增量效度。
DRS能够通过自我报告来测量与早期依恋经历相关的混乱反应。尽管总体研究结果表明DRS的德语版本是混乱反应的有效测量工具,但某些方面,如它的维度性,值得进行批判性讨论。(《心理学文摘数据库记录》(c)2025美国心理学会,保留所有权利)