Predicting adult physical illness from infant attachment: a prospective longitudinal study.
Predicting adult physical illness from infant attachment: a prospective longitudinal study.
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从婴儿依恋预测成人身体疾病：一项前瞻性纵向研究。
DOI：
10.1037/a0028889
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Collins,WAndrew
中科院分区：
文献类型：
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作者：
Puig,Jennifer;Englund,MichelleM;Simpson,JeffryA;Collins,WAndrew
最近的流行病学和纵向研究表明，依恋关系可能是成年期身体健康的重要预测因素。这项研究是为数不多的前瞻性链接附件分类评估在婴儿期的身体健康结果30年后在成年期，控制各种健康相关的confounds.MethodsParticipants是163个人参与了32年的纵向研究的风险和适应谁一直遵循自出生以来。依恋分类在12和18个月大时使用安斯沃思奇怪情况程序进行评估。附件安全性的稳定性来自这些评估。在32岁时，参与者完成了一份问卷调查，询问目前的身体疾病的存在或治疗。ResultsBinary logistic回归分析控制健康相关的困惑在32岁时表明，个人谁是不安全的附加（即，抗焦虑或焦虑回避）在婴儿期更有可能报告一个炎症为基础的疾病在成年期比那些被归类为安全附加在婴儿期。还有一种趋势是，被归类为抗焦虑的个体在成年后报告的非特异性症状比那些被归类为焦虑回避或安全的个体多。个人谁是不断不安全的婴儿期更有可能报告所有类型的身体疾病在adult.ConclusionThese研究结果揭示了持久的影响，早期的人际关系对身体健康，并表明，婴儿期可能是一个富有成效的点预防工作。依恋对内源性和外源性健康相关过程的广泛影响可能使其在预防后期身体健康问题方面特别有效。（PsycInfo数据库记录（c）2016阿帕，保留所有权利）
ObjectiveRecent epidemiological and longitudinal studies indicate that attachment relationships may be a significant predictor of physical health in adulthood. This study is among the few to prospectively link attachment classifications assessed in infancy to physical health outcomes 30 years later in adulthood, controlling for various health-related confounds.MethodsParticipants were 163 individuals involved in a 32-year longitudinal study of risk and adaptation who have been followed since birth. Attachment classifications were assessed at ages 12 and 18 months using the Ainsworth Strange Situation Procedure. Stability of attachment security was derived from these assessments. At age 32, participants completed a questionnaire asking about the presence of or treatment for current physical illnesses.ResultsBinary logistic regression analyses controlling for health-related confounds at age 32 indicated that individuals who were insecurely attached (ie, anxious-resistant or anxious-avoidant) during infancy were more likely to report an inflammation-based illness in adulthood than those classified as securely attached during infancy. There also was a trend whereby individuals classified as anxious-resistant reported more nonspecific symptoms in adulthood than those classified as either anxious-avoidant or secure. Individuals who were continuously insecure during infancy were more likely to report all types of physical illness in adulthood.ConclusionThese findings reveal the lasting effect of early interpersonal relationships on physical health and suggests that infancy may be a fruitful point for prevention efforts. The widespread influence that attachment has on endogenous and exogenous health-related processes may make it particularly potent in the prevention of later physical health problems.(PsycINFO Database Record (c) 2016 APA, all rights reserved)