Psychopathological mediators between insecure attachment and psychotic features in a non-clinical sample: the role of depression and interpersonal sensitivity

被引:0
作者
Rossi, Rodolfo [1 ]
Ciocca, Giacomo [2 ,7 ]
Socci, Valentina [3 ]
Jannini, Tommo B. [1 ]
Gorea, Fiorela [4 ]
Pacitti, Francesca [3 ]
Rossi, Alessandro [3 ]
Siracusano, Alberto [1 ]
Jannini, Emmanuele A. [5 ]
Di Lorenzo, Giorgio [1 ,6 ]
机构
[1] Univ Roma Tor Vergata, Chair Psychiat, Dept Syst Med, Rome, Italy
[2] Sapienza Univ Rome, Dept Dynam & Clin Psychol & Hlth Studies, Sect Sexual Psychopathol, Rome, Italy
[3] Univ Aquila, Dept Biotechnol & Appl Clin Sci, Laquila, Italy
[4] Catholic Univ, Our Lady Good Council, Tirana, Albania
[5] Univ Roma Tor Vergata, Chair Endocrinol & Med Sexol ENDOSEX, Dept Syst Med, Rome, Italy
[6] IRCSS Fdn Santa Lucia, Rome, Italy
[7] Sapienza Univ Rome, Dept Dynam & Clin Psychol & Hlth Studies, Sect Sexual Psychopathol, Via Apuli 1, I-00185 Rome, Italy
关键词
Depression; insecure attachment; interpersonal sensitivity; non-clinical sample; psychotic features; CHILDHOOD ADVERSITIES; PARANOID IDEATION; SYMPTOMS; STYLES; RISK; ASSOCIATION; MECHANISMS; SELF;
D O I
暂无
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Introduction. Attachment styles represent a personality pattern critical to psychological health, with insecure attachment being a central factor in developing psychopathological characteristics of psychosis. However, its downstream psychopathological pathways remain unclear. This study aimed to investigate the putative psycho-pathological mediators in the relationship between insecure attachment and psychotic features in a non-clinical sample of university students.Methods. We recruited two non-clinical samples for a total of 978 subjects, 324 males and 654 females, and administered the Relationship Questionnaire (RQ) to assess attachment styles and the Symptom Check-List 90 (SCL-90) to assess psychopatho-logical symptoms. Moreover, the Paranoia and Psychoticism subscales of SCL-90 were combined and used as a measure of Psychosis (PSY). A mediation analysis model was carried out to establish the relationship among variables.Results. Mediation analysis showed a total effect from RQ-Pre-occupied and RQ-Fearful to PSY, respectively, 0.31 and 0.28. Direct effects from the SCL-90-R factor candidate mediator to PSY ranged from 0.51 for somatization to 0.72 for depression and 0.72 for interpersonal sensitivity. Indirect effects ranged from 0.08 for RQ-Preoccupied via hostility to 0.21 for RQ-Preoccupied via depression. Discussion. Our results show that the effect of insecure attachment on psychosis features is differentially mediated by some psychopathological dimensions, being depression and interpersonal sensitivity the most relevant ones. PSY feature, therefore, is predicted by other specific symptoms in the psycho-logical context of insecure primary relationships.Conclusions. From a preventive and clinical point of view, our results could be relevant in informing the early-stage psychological treatment of pre-psychotic states and, in general, people experiencing sub-threshold psychotic symptoms.
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页码:160 / 166
页数:7
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