Attachment dimensions as predictors of medical hospitalizations in individuals with DSM IV cluster B personality disorders.
Attachment dimensions as predictors of medical hospitalizations in individuals with DSM IV cluster B personality disorders.
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DOI：
10.1521/pedi.18.6.595.54791
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发表时间：
2004-12
影响因子：
2.3
通讯作者：
Simone Hoermann;J. Clarkin;J. Hull;E. Fertuck
中科院分区：
文献类型：
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作者：
Simone Hoermann;J. Clarkin;J. Hull;E. Fertuck
本研究旨在探讨B群人格障碍患者卫生服务利用的预测因素。我们假设精神病理学的严重程度（即整体心理社会功能和精神病合并症）和依恋方式与该人群的住院时间存在相关性。41名女性受试者进行了采访，他们的诊断，功能和服务利用水平。依恋风格进行了评估与自我报告问卷。我们的研究结果表明，精神共病的程度和社会心理功能水平不能预测住院时间的长短，而专注依恋预测住院时间的方差的23.9%。我们的结论是，人际关系的质量似乎是一个更好的预测卫生服务的使用比严重程度的病理B群人格障碍患者。
This study investigates predictors of health service utilization in individuals with cluster B personality disorders. We hypothesized an association of severity of psychopathology (that is, global psychosocial functioning and psychiatric comorbidity) and attachment style with the length of medical hospitalizations in this population. Forty-one female subjects were interviewed regarding their diagnoses, level of functioning and service utilization. Attachment style was assessed with a self-report questionnaire. Our findings indicate that degree of psychiatric comorbidity and level of psychosocial functioning do not predict length of hospital stays, whereas preoccupied attachment predicted 23.9% of the variance in the length of hospitalizations. We conclude that the quality of interpersonal relatedness appears to be a better predictor of health service use than severity of pathology in patients with cluster B personality disorders.