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Tytuł:
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The role of attachment anxiety in the relationship between childhood trauma and schizophrenia-spectrum psychosis.
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Autorzy:
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Chatziioannidis S; 2nd Department of Psychiatry, Aristotle University of Thessaloniki, Lagada Street 196, 56430 Stavroupoli, Greece. Electronic address: .
Andreou C; University Psychiatric Clinics Basel, Wilhelm Klein-Strasse 27, CH-4002 Basel, Switzerland.
Agorastos A; 2nd Department of Psychiatry, Aristotle University of Thessaloniki, Lagada Street 196, 56430 Stavroupoli, Greece.
Kaprinis S; 2nd Department of Psychiatry, Aristotle University of Thessaloniki, Lagada Street 196, 56430 Stavroupoli, Greece.
Malliaris Y; EDO the Hellenic Bipolar Organization and BipolarLab.com, Asimaki Fotila Street 3, 11473, Pedion Areos, Athens, Greece.
Garyfallos G; 2nd Department of Psychiatry, Aristotle University of Thessaloniki, Lagada Street 196, 56430 Stavroupoli, Greece.
Bozikas VP; 2nd Department of Psychiatry, Aristotle University of Thessaloniki, Lagada Street 196, 56430 Stavroupoli, Greece.
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Źródło:
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Psychiatry research [Psychiatry Res] 2019 Jun; Vol. 276, pp. 223-231. Date of Electronic Publication: 2019 May 11.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Publication: Limerick : Elsevier/North-Holland Biomedical Press
Original Publication: Amsterdam, Elsevier/North-Holland Biomedical Press.
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MeSH Terms:
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Object Attachment*
Schizophrenic Psychology*
Adult Survivors of Child Adverse Events/*psychology
Anxiety/*psychology
Psychotic Disorders/*psychology
Adult ; Case-Control Studies ; Female ; Hallucinations/psychology ; Humans ; Male ; Middle Aged ; Psychopathology ; Risk Factors ; Schizophrenia/complications
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Contributed Indexing:
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Keywords: Hallucinations; Insecure attachment; Parental antipathy and neglect; Physical abuse; Schizophrenia; Sexual abuse
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Entry Date(s):
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Date Created: 20190522 Date Completed: 20200114 Latest Revision: 20200114
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Update Code:
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20240104
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DOI:
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10.1016/j.psychres.2019.05.021
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PMID:
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31112856
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Childhood trauma (CT) is a comprehensive concept encompassing experiences of sexual, physical, and emotional abuse, and neglect during childhood and adolescence. Patients with schizophrenia-spectrum psychosis (SSP) display higher rates of CT than healthy controls. Among the potential mediators of this association, insecure attachment has gained attention and empirical validation. The present study aimed to extend existing knowledge on this field by exploring the role of the two attachment dimensions, attachment anxiety and attachment avoidance, in the CT-SSP association. A clinical sample of 63 SSP inpatients was compared to a healthy control group on CT and attachment style measures. Correlations between CT, attachment dimensions and psychopathology were sought. Mediation analyses were also performed to examine whether attachment anxiety and/or attachment avoidance mediated the CT-SSP association. Patients displayed higher rates of CT and insecure attachment than controls. Attachment anxiety and severity of Mother Antipathy were linked to severity of hallucinations. Attachment anxiety was recognized as the sole mediator of the CT-SSP association. Our findings suggest that individuals with severe CT and increased attachment anxiety represent a risk population warranting early clinical attention, regular monitoring and tailored therapeutic interventions aimed at reducing the psychological impact of trauma.
(Copyright © 2019. Published by Elsevier B.V.)
