Intolerance of Uncertainty as a Mediator on the Relationship Between Adult Attachment and PTSD

Şeyda ERUYAR, Merve YILMAZ
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Abstract

Established evidence suggests that intolerance of uncertainty (IU) is associated with both adult attachment and traumatic stress, yet the role of IU as an underlying mechanism between attachment and posttraumatic stress disorder (PTSD) is to be explained. This study aimed to examine the mediating role of IU in the relationship between adult attachment styles and PTSD. A cross-sectional study with 335 university students was conducted in Turkiye. Life Events Checklist for DSM-5 (LEC-5), The Experiences in Close Relationships Revised (ECR-R) Questionnaire, The Intolerance of Uncertainty Scale (IU) and PTSD Checklist for DSM-5 (PCL-5) were used to measure potential traumatic events (PTE), adult attachment styles, intolerance of uncertainty and PTSD, respectively. Results revealed that IU mediated the relationship between anxious and avoidant attachment and PTSD. The results offer a valuable understanding of the intricate interplay between attachment styles and PTSD, shedding light on the underlying factors that contribute to the emergence and persistence of PTSD symptoms. For those who have experienced trauma and show anxious or avoidant attachment patterns, combining strategies to address intolerance of uncertainty with attachment-oriented therapies could have beneficial effects on conditions like PTSD, which are often passed down between generations.
成人依恋与创伤后应激障碍之间的中介关系:不确定性耐受
已有证据表明,不确定性不耐受(IU)与成人依恋和创伤性应激有关,但IU作为依恋和创伤后应激障碍(PTSD)之间的潜在机制的作用有待解释。本研究旨在探讨IU在成人依恋类型与创伤后应激障碍之间的中介作用。在土耳其对335名大学生进行了横断面研究。采用DSM-5生活事件量表(LEC-5)、亲密关系经验修正问卷(ECR-R)、不确定性不耐受量表(IU)和DSM-5创伤后应激障碍量表(PCL-5)分别测量潜在创伤事件(PTE)、成人依恋类型、不确定性不耐受和创伤后应激障碍。结果显示,IU介导了焦虑型和回避型依恋与PTSD的关系。研究结果对依恋类型和创伤后应激障碍之间错综复杂的相互作用提供了有价值的理解,揭示了导致创伤后应激障碍症状出现和持续的潜在因素。对于那些经历过创伤并表现出焦虑或回避型依恋模式的人来说,将解决对不确定性的不容忍的策略与依恋导向的治疗相结合,可能会对创伤后应激障碍等疾病产生有益的影响,这种疾病通常会代代相传。
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