Attachment Insecurity Predicts Punishment Sensitivity in Anorexia Nervosa

被引：6

作者：

Keating, Charlotte ^{[1
]}

Castle, David J. ^{[2
,3
]}

Newton, Richard ^{[3
,4
]}

Huang, Chia ^{[5
]}

Rossell, Susan L. ^{[1
,2
,6
]}

机构：

[1] Swinburne Univ Technol, Fac Hlth Art & Design, Brain & Psychol Sci Res Ctr BPsyC, Hawthorn, Vic, Australia

[2] St Vincents Hosp, Dept Psychiat, Melbourne, Vic, Australia

[3] Univ Melbourne, Dept Psychiat, Melbourne, Vic, Australia

[4] Austin Hlth, Heidelberg, Vic, Australia

[5] Melbourne Clin, Melbourne, Vic, Australia

[6] Monash Univ, MAPrc, Cent Clin Sch, Fac Med Nursing & Hlth Sci, Melbourne, Vic, Australia

来源：

JOURNAL OF NERVOUS AND MENTAL DISEASE | 2016年 / 204卷 / 10期

关键词：

Anxious attachment insecurity; anorexia nervosa; negative emotionality; punishment; DISORDER EXAMINATION-QUESTIONNAIRE; INTERPERSONAL MAINTENANCE MODEL; STRESS SCALES DASS; PSYCHOMETRIC PROPERTIES; REWARD QUESTIONNAIRE; EATING-DISORDERS; ANXIETY; DEPRESSION; WOMEN; STYLE;

D O I：

10.1097/NMD.0000000000000569

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Individuals with anorexia nervosa (AN) experience insecure attachment. We investigated whether insecure attachment is associated with punishment and reward sensitivity in women with AN. Women with AN (n = 24) and comparison women (n = 26) (CW) completed The Eating Disorder Examination Questionnaire, Depression Anxiety Stress Scale, The Attachment Style Questionnaire, and Sensitivity to Punishment/Sensitivity to Reward Questionnaire. Participants with AN returned higher ratings for insecure attachment (anxious and avoidant) experiences and greater sensitivity to punishment (p = 0.001) than CW. In AN, sensitivity to punishment was positively correlated with anxious attachment and negative emotionality but not eating disorder symptoms. Regression analysis revealed that anxious attachment independently predicted punishment sensitivity in AN. Anxious attachment experiences are related to punishment sensitivity in AN, independent of negative emotionality and eating disorder symptoms. Results support ongoing investigation of the contribution of attachment experiences in treatment and recovery.

引用

页码：793 / 798

页数：6