非自杀性自我伤害:与依恋,童年创伤和分离的关系
Turk psikiyatri dergisi = Turkish journal of psychiatry
|September 19, 2024
概括
非自杀自伤 (NSSI) 的青少年显示出更高水平的解离和童年创伤. 不安全的依恋方式在NSSI青少年中也更为普遍,这表明治疗干预的关键目标.
科学领域:
- 精神病学是一个精神病学.
- 发展心理学 发展心理学
- 临床心理学 临床心理学
背景情况:
- 非自杀性自我伤害 (NSSI) 是青少年心理健康的一个重要问题.
- 了解分离体验,童年创伤和依恋的相互作用对于有效的干预至关重要.
研究的目的:
- 调查NSSI,分离体验,童年创伤和青少年的依恋方式之间的关系.
- 将这些因素与NSSI,临床比较组和健康对照组的青少年进行比较.
主要方法:
- 招募了三组青少年 (14-18岁):NSSI (n=40),临床比较 (n=40) 和健康对照 (n=40).
- 使用了精神疾病诊断和统计手册第五版NSSI诊断标准.
- 采用了儿童表情障碍和精神分裂症,童年创伤问卷 (CTQ),父母和同伴依恋 (IPPA) 清单和青少年分离体验量表 (ADES).
主要成果:
- 与临床比较组相比,患有NSSI的青少年表现出明显更高的分离得分 (p<0.001).
- 与健康对照组相比,NSSI组报告了更高的童年创伤 (CTQ) 和离散体验 (ADES) 评分 (p<0.001).
- 在母亲的依恋和童年创伤,以及父亲的依恋和离散经历之间发现了负相关性.
结论:
- 分离,童年创伤和不安全的依恋在患有NSSI的青少年中更为普遍.
- 这些发现支持对患有NSSI的青少年进行创伤信息化和依恋治疗的整合.
- 这些见解可以指导开发更有针对性,更有效的心理治疗方法.
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