The relationship between attachment insecurity and experiences on the paranoia continuum: A meta-analysis.
The relationship between attachment insecurity and experiences on the paranoia continuum: A meta-analysis.
复制标题
依恋不安全感与偏执狂连续体经历之间的关系：荟萃分析。
DOI：
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复制
发表时间：
2020
影响因子：
3.1
通讯作者：
A. Woodrow
中科院分区：
文献类型：
--
作者：
Regina Murphy;K. Goodall;A. Woodrow
目标
长期以来，依恋一直被认为在偏执狂的发展中起着关键作用。在过去的十年里，这两种结构之间的联系已经被报道过，但到目前为止，两者之间的联系在很大程度上存在差异。本研究是第一篇综合现有文献并对依恋-偏执关系进行元分析估计的文献。
方法
使用Embase、MEDLINE、CINAHL、CogcINFO、OpenGrey和ProQuest Dumptions&Teses Global对截至2019年1月的研究进行了系统搜索。这产生了26项符合纳入标准的研究(N=10539；平均年龄范围16-47；45%男性)。数据分析采用具有约束最大似然方差估计的随机效应模型。年龄和性别作为元回归的调节变量被考察。
结果
偏执与依恋焦虑显著相关(r=0.38；95%CI：0.32，0.44；P<0.05)和依恋回避(r=0.24；95%CI：0.18，0.29；P<；1.0001；I2=0.79%；k=0.26)。这些关联的强度在临床和非临床参与者样本中没有差异。无论是年龄还是性别都不会影响已确定的关系。
结论
在这两个感兴趣的结构之间存在适度的关联。这些发现表明，依恋不安全感可能是偏执狂连续统一体的病因学和/或维持经验的积极因素。对心理治疗的影响，例如，在配方中考虑依恋状态，进行了简要讨论。
从业者积分
偏执狂与依恋焦虑和依恋回避都有关。对于有精神病和没有精神病的人来说，这些联系的强度是相似的。依恋可能有助于偏执狂的发展和/或维持。在精神病的心理治疗中，目标依恋可能是有益的。
OBJECTIVES
Attachment has long been theorized to play a key role in the development of paranoia. Associations between both constructs have been reported over the last decade, but have ranged widely in magnitude to date. The present study is the first publication to synthesize existing literature and provide a meta-analytic estimate of the attachment-paranoia relationship.
METHODS
A systematic search of studies available up to January 2019 was conducted using Embase, MEDLINE, CINAHL, PsycINFO, OpenGrey, and ProQuest Dissertations & Theses Global. This yielded 26 studies which met inclusion criteria (N = 10,539; mean age range 16-47; 45% male). Data were analysed using random effects models with restricted maximum likelihood variance estimator. Age and sex were examined as moderators in meta-regressions.
RESULTS
Paranoia was significantly associated with attachment anxiety (r = .38; 95% CI: 0.32, 0.44; p < .0001; I2 = 88%; k = 26) and attachment avoidance (r = .24; 95% CI: 0.18, 0.29; p < .0001; I2 = 79%; k = 26). The strength of these associations did not differ between clinical and non-clinical participant samples. Neither age nor sex moderated identified relationships.
CONCLUSIONS
There is a moderate association between both constructs of interest. These findings suggest that attachment insecurity may be an active agent in the aetiology and/or maintenance of experiences on the paranoia continuum. Implications for psychological treatment, for example, consideration of attachment status in formulations, are briefly discussed.
PRACTITIONER POINTS
Paranoia is associated with both attachment anxiety and attachment avoidance. These associations are of similar strength for people with and without psychosis. Attachment may contribute to the development and/or maintenance of paranoia. It may be beneficial to target attachment in psychological therapies for psychosis.
DOI：
10.1111/papt.12208
发表时间：
2020-03-01
影响因子：
3.4
作者：
Ascone, Leonie;Schlier, Bjoern;Lincoln, Tania M.
通讯作者：
Lincoln, Tania M.
影响因子：
--
作者：
Poulton, R;Caspi, A;Harrington, H
通讯作者：
Harrington, H
影响因子：
6.6
作者：
RAINE, A
通讯作者：
RAINE, A