Attachment styles and clinical correlates in people at ultra high risk for psychosis

被引：13
作者：
Russo, Debra A. [1 ]
Stochl, Jan [1 ,2 ]
Hodgekins, Joanne [3 ]
Iglesias-Gonzalez, Maria [4 ]
Chipps, Penelope [5 ]
Painter, Michelle [5 ]
Jones, Peter B. [1 ]
Perez, Jesus [1 ,3 ,5 ]
机构：
[1] Univ Cambridge, Cambridge, England
[2] Charles Univ Prague, Prague, Czech Republic
[3] Univ East Anglia, Norwich, Norfolk, England
[4] St Joan de Deu Hlth Pk, Barcelona, Spain
[5] Cambridgeshire & Peterborough Fdn Trust, Cambridge, England
来源：
BRITISH JOURNAL OF PSYCHOLOGY | 2018年 / 109卷 / 01期
基金：
美国国家卫生研究院;
关键词：
attachment; healthy volunteers; psychosis; Psychosis Attachment Measure; ultra high risk; NEUROPSYCHIATRIC INTERVIEW MINI; ADULT ATTACHMENT; YOUNG-PEOPLE; INTERPERSONAL RELATIONSHIPS; NONCLINICAL SAMPLES; FOLLOW-UP; SYMPTOMS; INVENTORY; ONSET; ASSOCIATIONS;
D O I：
10.1111/bjop.12249
中图分类号：
B84 [心理学];
学科分类号：
04 ; 0402 ;
摘要：
Evidence suggests that attachment styles may influence subclinical psychosis phenotypes (schizotypy) and affective disorders and may play a part in the association between psychosis and childhood adversity. However, the role of attachment in the initial stages of psychosis remains poorly understood. Our main aim was to describe and compare attachment styles in 60 individuals at ultra high risk for psychosis (UHR) and a matched sample of 60 healthy volunteers (HV). The HV had lower anxious and avoidant attachment scores than the UHR individuals (p<.001). Sixty-nine percentage of the UHR group had more than one DSM-IV diagnosis, mainly affective and anxiety disorders. The UHR group experienced more trauma (p<.001) and more mood and anxiety symptoms (p<.001). Interestingly, in our UHR group, only schizotypy paranoia was correlated with insecure attachment. In the HV group, depression, anxiety, schizotypy paranoia, and social anxiety were correlated with insecure attachment. This difference and some discrepancies with previous studies involving UHR suggest that individuals at UHR may compose a heterogeneous group; some experience significant mood and/or anxiety symptoms that may not be explained by specific attachment styles. Nonetheless, measuring attachment in UHR individuals could help maximize therapeutic relationships to enhance recovery.
引用
收藏
页码：45 / 62
页数：18
相关论文
共 50 条
[21]   Substance use in clinical high risk for psychosis: a review of the literature [J].
Addington, Jean ;
Case, Nevicia ;
Saleem, Majid M. ;
Auther, Andrea M. ;
Cornblatt, Barbara A. ;
Cadenhead, Kristin S. .
EARLY INTERVENTION IN PSYCHIATRY, 2014, 8 (02) :104-112
[22]   Theory of Mind and attachment styles in people with psychotic disorders, their siblings, and controls [J].
Pos, Karin ;
Bartels-Velthuis, Agna A. ;
Simons, Claudia J. P. ;
Korver-Nieberg, Nikie ;
Meijer, Carin J. ;
de Haan, Lieuwe .
AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY, 2015, 49 (02) :171-180
[23]   Antipsychotic Treatment in People at Clinical High Risk for Psychosis [J].
Di Lisi, Alessandro ;
Pupo, Simona ;
Menchetti, Marco ;
Pelizza, Lorenzo .
JOURNAL OF CLINICAL PSYCHOPHARMACOLOGY, 2024, 44 (05) :502-508
[24]   The Ultra High Risk Approach to Define Psychosis Risk [J].
Yung, Alison R. ;
Fusar-Poli, Paolo ;
Nelson, Barnaby .
CURRENT PHARMACEUTICAL DESIGN, 2012, 18 (04) :346-350
[25]   Bullying victimisation and paranoid ideation in people at ultra high risk for psychosis [J].
Valmaggia, L. R. ;
Day, F. L. ;
Kroll, J. ;
Laing, J. ;
Byrne, M. ;
Fusar-Poli, P. ;
McGuire, P. .
SCHIZOPHRENIA RESEARCH, 2015, 168 (1-2) :68-73
[26]   Differential trajectories of tobacco smoking in people at ultra-high risk for psychosis: Associations with clinical outcomes [J].
Schirmbeck, Frederike ;
van der Ven, Els ;
Boyette, Lindy-Lou ;
McGuire, Philip ;
Valmaggia, Lucia R. ;
Kempton, Matthew J. ;
van der Gaag, Mark ;
Riecher-Rossler, Anita ;
Barrantes-Vidal, Neus ;
Nelson, Barnaby ;
Krebs, Marie-Odile ;
Ruhrmann, Stephan ;
Sachs, Gabriele ;
Rutten, Bart P. F. ;
Nordentoft, Merete ;
de Haan, Lieuwe ;
Vermeulen, Jentien M. .
FRONTIERS IN PSYCHIATRY, 2022, 13
[27]   Time-course of clinical symptoms in young people at ultra-high risk for transition to psychosis [J].
Meneghelli, Anna ;
Cocchi, Angelo ;
Meliante, Maria ;
Barbera, Simona ;
Malvini, Lara ;
Monzani, Emiliano ;
Preti, Antonio ;
Percudani, Mauro .
EARLY INTERVENTION IN PSYCHIATRY, 2022, 16 (06) :600-608
[28]   Basic symptoms in young people at ultra-high risk of psychosis: Association with clinical characteristics and outcomes [J].
Youn, S. ;
Phillips, L. J. ;
Amminger, G. P. ;
Berger, G. ;
Chen, E. Y. H. ;
de Haan, L. ;
Hartmann, J. A. ;
Hickie, I. B. ;
Lavoie, S. ;
Markulev, C. ;
McGorry, P. D. ;
Mossaheb, N. ;
Nieman, D. H. ;
Nordentoft, M. ;
Riecher-Rossler, A. ;
Schafer, M. R. ;
Schloegelhofer, M. ;
Smesny, S. ;
Thompson, A. ;
Verma, S. ;
Yuen, H. P. ;
Yung, A. R. ;
Nelson, B. .
SCHIZOPHRENIA RESEARCH, 2020, 216 :255-261
[29]   Biofeedback to treat anxiety in young people at clinical high risk for developing psychosis [J].
McAusland, Laina ;
Addington, Jean .
EARLY INTERVENTION IN PSYCHIATRY, 2018, 12 (04) :694-701
[30]   Measuring attachment and parental bonding in psychosis and its clinical implications [J].
Mathews, S. ;
Onwumere, J. ;
Bissoli, S. ;
Ruggeri, M. ;
Kuipers, E. ;
Valmaggia, L. .
EPIDEMIOLOGY AND PSYCHIATRIC SCIENCES, 2016, 25 (02) :142-149
12345