Attachment, social cognition, and posttraumatic stress symptoms in a traumatized, urban population: evidence for the mediating role of object relations.
Attachment, social cognition, and posttraumatic stress symptoms in a traumatized, urban population: evidence for the mediating role of object relations.
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受创伤的城市人口的依恋、社会认知和创伤后应激症状：客体关系中介作用的证据。
DOI：
10.1002/jts.21815
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发表时间：
2013
影响因子：
3.3
通讯作者：
Bradley,Bekh
中科院分区：
文献类型：
--
作者：
Ortigo,KileM;Westen,Drew;Defife,JaredA;Bradley,Bekh
研究已经将多种风险和弹性因素与创伤后应激障碍（PTSD）的发展联系起来。对于理解创伤和PTSD之间的联系，一个潜在的重要结构是依恋。虽然依恋和PTSD风险之间的关系已经在理论上得到了描述，但有限的研究已经从经验上解决了这些关系。此外，客体关系的各个方面与依恋和创伤后应激障碍有重叠之处，但尚未被充分纳入实证研究。依恋和创伤后应激障碍之间的一个拟议途径涉及客体关系的中介作用，特别是对自我和他人的看法。目前的数据来自一项更大规模的研究，该研究调查了在公立城市医院寻求治疗的贫困，主要是非洲裔美国人样本中PTSD的环境和遗传风险因素。相关性表明，成人依恋（除解雇外）和客体关系与儿童创伤有关，（|R| 2019 - 05 - 29 00：00：00（|R| 14 - 20）和自我报告的PTSD症状（|R| s = .20-.36）。分析还发现支持中介作用的对象关系之间的关系依恋和PTSD症状（模型R2 range = .136-.160）。这些数据具有理论、临床和研究意义，有助于理解依恋的特定方面，特别是其对客体关系的影响，可能会预防或诱发PTSD。
Research has linked multiple risk and resiliency factors to developing posttraumatic stress disorder (PTSD). One potentially important construct for understanding connections between trauma and PTSD is attachment. Although relationships between attachment and risk for PTSD have been described theoretically, limited research has addressed these relationships empirically. Furthermore, aspects of object relations overlap with attachment and PTSD, but have not been adequately incorporated in empirical research. One proposed pathway between attachment and PTSD involves the mediating role of object relations, particularly views of self and others. Present data were from a larger study investigating environmental and genetic risk factors for PTSD in an impoverished, primarily African American sample seeking care at a public urban hospital. Correlations indicated that adult attachment (with the exception of dismissing) and object relations relate to childhood traumas, (|r|s = .19–.29), adult traumas (|r|s = .14–.20), and self‐reported PTSD symptoms (|r|s = .20–.36). Analyses also found support for mediational roles of object relations in relationships between attachment and PTSD symptoms (ModelR2range = .136–.160). These data have theoretical, clinical, and research implications for understanding how particular aspects of attachment, specifically its effects on object relations, may protect against or predispose one to develop PTSD.