Association of adult attachment and suicidal ideation in primary care patients with multiple chronic conditions.
Association of adult attachment and suicidal ideation in primary care patients with multiple chronic conditions.
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患有多种慢性病的初级保健患者成人依恋与自杀意念的关联
DOI：
10.1016/j.jad.2018.12.029
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发表时间：
2018
影响因子：
6.6
通讯作者：
Gensichen
中科院分区：
文献类型：
--
作者：
Rückert-Eheberg;Lukaschek K;Brenk-Franz;Strauß;Gensichen
自杀意念是初级保健中常见的健康问题。依恋理论表明，焦虑和/或回避程度较高的受试者可能更容易产生自杀念头。因此，我们的研究目的是检验依恋焦虑、回避和自杀意念在中老年慢性疾病初级保健患者中的关系。成人依恋、抑郁症状和自杀意念采用亲密关系经历问卷修订版(ECR-RD12)和患者健康问卷-9(PHQ-9)进行测量。对自杀意念与ECR-RD12依恋焦虑、ECR-RD12依恋回避和ECR-RD12不安全成人依恋的单因素和校正关联进行Logistic回归分析。ECR-RD12焦虑与自杀意念显著相关(OR = 1.88，CI 1.44~2.44)，而ECR-RD12-回避与自杀意念无关。在有自杀意念的患者中，85%的患者有不安全依恋，而没有自杀意念的患者则有63%。因此，以安全依恋患者为参考，不安全依恋患者产生自杀意念的OR为3.33(CI = 为1.10~10.04)。与自杀意念相关的其他变量是抑郁症状、独居(尤其是男性)和肥胖(尤其是女性)。限制本研究采用横断面设计，自杀意念的评估采用单项自述测量。结论全科医生应了解依恋类型，以便更好地识别有自杀风险的患者。
BackgroundSuicidal ideation is a common health concern in primary care. Attachment theory indicates that subjects with higher anxiety and/or avoidance may be more susceptible to suicidal ideation. Therefore, the aim of our study was to examine the association of attachment anxiety, avoidance, and suicidal ideation in middle-aged to elderly, chronically ill primary care patients.MethodsThe APRICARE Study comprised 207 patients aged 50–85 years with a minimum of three chronic diseases. Adult attachment, depressive symptoms and suicidal ideation were measured via the self-report questionnaires Experiences in Close Relationships–Revised (ECR-RD12) and Patient Health Questionnaire – 9 (PHQ-9). Univariable and adjusted associations of suicidal ideation with ECR-RD12-attachment anxiety, ECR-RD12-attachment avoidance, and ECR-RD12-insecure adult attachment were examined via logistic regression analyses.ResultsSuicidal ideation was present in 13% of all patients. ECR-RD12-anxiety was significantly associated with suicidal ideation (OR = 1.88, CI 1.44–2.44), while ECR-RD12-avoidance was not associated. In patients with suicidal ideation, 85% were insecurely attached compared to 63% in those without suicidal ideation – thus the OR for suicidal ideation in insecurely attached patients was 3.33 (CI = 1.10–10.04) with securely attached patients as reference. Further variables associated with suicidal ideation were depressive symptomatology, living alone (especially in men) and obesity (especially in women).LimitationsThe study was cross-sectional in design, and suicidal ideation was assessed using a single item self-report measure.ConclusionGeneral practitioners should be aware of attachment styles in order to have a better chance to identify patients at risk for suicide.
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影响因子：
3.7
作者：
Brenk-Franz K;Strauss B;Tiesler F;Fleischhauer C;Ciechanowski P;Schneider N;Gensichen J
通讯作者：
Gensichen J
评估“亲密关系中的经验”的简短形式（修订后的德语版本“ ECR -RD12”） - 衡量成人依恋在初级保健中的工具。
影响因子：
3.7
作者：
Brenk-Franz K;Ehrenthal J;Freund T;Schneider N;Strauß B;Tiesler F;Schauenburg H;Gensichen J
通讯作者：
Gensichen J
对家庭实践中的医患关系有了新的认识。
DOI：
10.3122/jabfm.16.3.219
发表时间：
2003
期刊：
The Journal of the American Board of Family Practice
影响因子：
--
作者：
D. Thompson;Paul S. Ciechanowski
通讯作者：
Paul S. Ciechanowski
影响因子：
5.4
作者：
Van Orden, Kimberly A.;Witte, Tracy K.;Cukrowicz, Kelly C.;Braithwaite, Scott R.;Selby, Edward A.;Joiner, Thomas E., Jr.
通讯作者：
Joiner, Thomas E., Jr.
DOI：
10.1176/appi.ps.201200587
发表时间：
2013-12-01
期刊：
Psychiatric services (Washington, D.C.)
影响因子：
--
作者：
Simon GE;Rutter CM;Peterson D;Oliver M;Whiteside U;Operskalski B;Ludman EJ
通讯作者：
Ludman EJ