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Attachment in patients with an obsessive compulsive disorder
Frantisek Hodny1, Jan Prasko1, Marie Ociskova1
1Department of Psychiatry, Faculty of Medicine and Dentistry, University Palacky Olomouc, University Hospital, 77520 Olomouc, Czech Republic.
Neuro Endocrinology Letters
|September 10, 2021
Summary
Insecure attachment, particularly anxiety, is linked to obsessive-compulsive disorder (OCD) symptoms and poorer treatment response. Secure attachment may improve remission rates in OCD patients.
Area of Science:
- Psychiatry
- Psychology
- Attachment Theory
Background:
- Attachment patterns significantly influence mental health.
- Obsessive-compulsive disorder (OCD) is a complex condition with multifactorial etiology.
- Understanding the role of attachment in OCD is crucial for effective intervention.
Purpose of the Study:
- To review the current knowledge on attachment styles and obsessive-compulsive disorder (OCD).
- To explore the relationship between attachment and the course of OCD.
- To assess the impact of attachment on OCD treatment effectiveness.
Main Methods:
- A comprehensive literature search was conducted across major scientific databases.
- Keywords included "obsessive compulsive disorder," "attachment," "therapy," "treatment," and "long-term outcome."
- Data was extracted from studies published between January 1990 and October 2020.
Main Results:
- Insecure attachment fosters dysfunctional beliefs and maladaptive cognitive processes in OCD, including inflated responsibility and perfectionism.
- Attachment anxiety, a dimension of insecure attachment, is strongly associated with OCD symptomatology.
- Secure attachment acts as a protective factor, potentially enhancing remission, while anxious attachment may predict a poorer acute treatment response.
Conclusions:
- Anxious attachment is prevalent in individuals with OCD and is intertwined with core OCD symptoms.
- Therapeutic strategies focusing on fostering safety, acceptance, and appreciation within the patient-therapist relationship are vital for treating OCD.
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