成人依恋访谈在预测后续精神病理学方面的作用:向玛丽-梅因致敬。

IF 3.3 2区 心理学 Q1 PSYCHOLOGY, DEVELOPMENTAL
Danielle Katz, Tabitha Sellers, Madelyn H Labella, Mary Dozier
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引用次数: 0

摘要

玛丽-梅因(Mary Main)通过 "成人依恋访谈"(AAI)对依恋心理状态进行了概念化和操作化,为依恋领域做出了开创性的贡献。AAI 是一种用于评估依恋心理状态的半结构化临床访谈,被广泛应用于研究和临床环境中。有关失落或创伤的未决心理状态与并发的内化症状有关。本研究探讨了未解决的分类与后来的抑郁和焦虑之间的关联,以及创伤史和症状之外的关联。参与者(n = 70)为父母(98.6% 为女性,67.1% 为黑人/非裔美国人),他们来自一项针对转介至儿童福利服务机构的家庭的育儿计划的随机临床试验的后续研究。家长们在时间点 1(T1)填写了 AAI、童年创伤问卷和精神病诊断筛查问卷,并在大约 12 年后的时间点 2(T2)填写了简要症状量表。分层回归结果表明,未解决的心理状态可显著预测 T2 阶段的抑郁症,并在一定程度上预测 T2 阶段的焦虑症,其影响程度远远超过童年创伤、创伤后应激症状和早期内化症状。这些结果表明,未解决的心理状态具有重要的临床意义,并为有创伤或失落史的成年人日后的内化症状提供了独特的信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The power of the adult attachment interview in predicting subsequent psychopathology: a tribute to Mary Main.

Mary Main's conceptualization and operationalization of attachment states of mind through the Adult Attachment Interview (AAI) represent seminal contributions to the attachment field. The AAI is a semi-structured clinical interview used to assess attachment states of mind that is widely used in research and clinical settings. Unresolved state of mind regarding loss or trauma has been linked to concurrent internalizing symptoms. The current study explored the associations between unresolved classification and later depression and anxiety, above and beyond trauma history and symptoms. Participants (n = 70) were parents (98.6% female, 67.1% Black/African-American) from a follow-up of a randomized clinical trial of a parenting program for families referred to child welfare services. Parents completed the AAI, Childhood Trauma Questionnaire, and the Psychiatric Diagnostic Screening Questionnaire at timepoint 1 (T1) and the Brief Symptom Inventory approximately 12 years later, at timepoint 2 (T2). Hierarchical regressions revealed that unresolved state of mind significantly predicted depression at T2, and marginally predicted anxiety at T2, above and beyond childhood trauma, post-traumatic stress symptoms, and early internalizing symptoms. These results suggest that unresolved states of mind are clinically significant and provide unique information about later internalizing symptoms in adults with a history of trauma or loss.

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来源期刊
Attachment & Human Development
Attachment & Human Development PSYCHOLOGY, DEVELOPMENTAL-
CiteScore
7.00
自引率
6.20%
发文量
11
期刊介绍: Attachment & Human Development is the leading forum for the presentation of empirical research, reviews and clinical case studies that reflect contemporary advances in attachment theory and research. The journal addresses the growing demand from the domains of psychology, psychiatry, psychotherapy and related disciplines including nursing and social work, for a clear presentation of ideas, methods and research based on attachment theory.
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