从依恋框架理解不适应白日梦:父母关怀、未解决的依恋、抑郁/焦虑和强迫症状的相互交织作用。

IF 3.7 2区 医学 Q1 PSYCHIATRY
Micol Gemignani, Elisa Mancinelli, Tommaso Manari, Giulia Gagliardini, Giulia Bassi, Ilaria Chirico, Giulia Gizzi, Giulia Landi, Maria Luisa Pistorio, Virginia Pupi, Eleonora Volpato, Tania Moretta, Alessandro Musetti
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引用次数: 0

摘要

不适应白日梦(MD)是一种过度沉迷于生动的幻想而干扰个人日常功能的行为,它与不良的心理结果和成人依恋不安全感有关。然而,迄今为止还没有研究涉及抑郁症、父母照顾、未解决的依恋和心理症状(抑郁/焦虑和强迫症;强迫症)。本研究对1295名年轻成人(401名男性)进行了在线调查,包括父母关系量表、不适应白日梦量表、成人未解决依恋问卷和DSM-5第一级交叉症状量表。结果表明,母亲和父亲的照顾对个体心理症状的贡献存在差异;虽然较高的母亲护理与强迫症症状呈负相关,但较高的父亲护理与抑郁/焦虑症状呈负相关。未解决的依恋、MD与精神病理症状之间存在关系;具体来说,MD介导了未解决的依恋与抑郁/焦虑和强迫症症状之间的关系。总之,父亲和母亲的照顾在预测个体的精神病理结果方面可能有不同的作用。在存在未解决的依恋时,MD可能代表一种分离反应,允许个体通过精神病理症状处理负面经历。了解导致不同精神病理结果的具体途径可能对开发预防性临床干预具有重要意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Understanding maladaptive daydreaming from the attachment framework: The intertwining roles of parental care, unresolved attachment, depression/anxiety and obsessive-compulsive symptoms.

Maladaptive Daydreaming (MD) is an excessive absorption in vivid fantasies interfering with individuals' daily functioning, which has been associated with adverse psychological outcomes and adult attachment insecurities. However, no study to date has addressed the relationships between MD, parental care, unresolved attachment, and psychological symptoms (depression/anxiety and obsessive-compulsive disorder; OCD) in a sample of young adults. In this study, 1295 young adults (401 males) completed an online survey including the Parental Bonding Instrument, Maladaptive Daydreaming Scale, Adult Unresolved Attachment Questionnaire, and the DSM-5 Level 1 Cross-Cutting Symptom Measure. The results evidenced the differential contribution of maternal and paternal care on individuals' psychological symptoms; whilst higher maternal care was negatively related to OCD symptoms, higher paternal care was negatively linked to depression/anxiety symptoms. A relationship between unresolved attachment, MD and psychopathological symptoms emerged; specifically, MD mediated the relationships between unresolved attachment and depression/anxiety and OCD symptoms. Overall, paternal and maternal care may have distinct roles in predicting individuals' psychopathological outcomes. In the presence of unresolved attachment, MD may represent a dissociative response that allows individuals to deal with negative experiences through psychopathological symptoms. Understanding the specific pathways that lead to different psychopathological outcomes could have important implications in developing preventive clinical interventions.

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来源期刊
Journal of psychiatric research
Journal of psychiatric research 医学-精神病学
CiteScore
7.30
自引率
2.10%
发文量
622
审稿时长
130 days
期刊介绍: Founded in 1961 to report on the latest work in psychiatry and cognate disciplines, the Journal of Psychiatric Research is dedicated to innovative and timely studies of four important areas of research: (1) clinical studies of all disciplines relating to psychiatric illness, as well as normal human behaviour, including biochemical, physiological, genetic, environmental, social, psychological and epidemiological factors; (2) basic studies pertaining to psychiatry in such fields as neuropsychopharmacology, neuroendocrinology, electrophysiology, genetics, experimental psychology and epidemiology; (3) the growing application of clinical laboratory techniques in psychiatry, including imagery and spectroscopy of the brain, molecular biology and computer sciences;
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