GENERAL ANXIETY DISORDER AND ADULT ATTATCHMENT

很少有研究检查了广义的发展前兆 焦虑症（GAD）。 这些工作将有助于预防和 GAD的治疗，理论家最近呼吁增加 注意这一点（参见。Rapee，1991）。 本研究的目标是开始了解发展性的 GAD患者的前因。 Bowlby's（1969/82，1973）附件 理论是研究这一问题的理论框架。 将比较36名治疗前GAD受试者的依恋质量 与36名非焦虑、非抑郁的对照组受试者的结果进行比较。 GAD将是 根据两种独立的修订焦虑症诊断 访谈时间表（ADIS-R）由训练有素的 临床医生 GAD和对照受试者将在年龄、性别、 种族和教育。 将与成人一起评估依恋 依恋访谈（乔治、卡普兰和梅恩，1985）。 这种半结构化 访谈产生的信息既包括可能的童年经历， 以及关于“当前依恋的精神状态”。“是的， 假设GAD受试者将更经常地被分类为 不安全/专注于控制对象。 为探讨 依恋和广泛性焦虑症之间的关系出现的可能性，因为 GAD受试者当前的焦虑情绪，这些受试者的依恋， 将与一组36例GAD恢复受试者进行比较。 是 假设两个GAD组在依恋上没有差异。 在 为了研究不安全感的加剧是否是性别与发展特有的， 特别是，相对于一般的精神病理学，我们将包括一个 对照组为36名抑郁、非GAD受试者。 我们预计 这些主题的依恋（主要是不安全/解雇）将不同于 GAD受试者的情况。 我们还将审查可能的调解人， 附件和GAD之间的联系。 进一步了解 GAD与依恋之间的关系，依恋相关的差异， 将检查GAD组中焦虑的性质和程度。它 假设不安全感的GAD受试者比不安全感的GAD受试者更焦虑， 保护性别与焦虑症患者 最后，因为高度焦虑也会 阻碍未被归类为GAD的人的功能，依恋- 在焦虑的性质和程度的其他相关差异 组将进行检查。

Little research has examined the developmental precursors of Generalized Anxiety Disorder (GAD). Such work will be useful in prevention and treatment of GAD, and theorists have recently called for increased attention to this area (cf. Rapee, 1991). The goal of the present study is to begin to understand the developmental antecedents of individuals with GAD. Bowlby's (1969/82, l973) attachment theory is the theoretical framework within which this issue is examined. The attachment quality of 36 pre-therapy GAD subjects will be compared with that of 36 nonanxious, nondepressed control subjects. GAD will be diagnosed on the basis of two independent Revised Anxiety Disorder Interview Schedule (ADIS-R) interviews conducted by highly trained clinicians. GAD and control subjects will be matched for age, gender, race, and education. Attachment will be assessed with the Adult Attachment Interview (George, Kaplan, & Main, 1985). This semi-structured interview yields information both about probable childhood experiences as well as about "current state of mind with regard to attachment." It is hypothesized that GAD subjects will be more often classified insecure/preoccupied than will control subjects. In order to examine the possibility that a relation between attachment and GAD emerges because of the current anxious mood of GAD subjects, the attachment of those subjects will be compared with that of a group of 36 recovered GAD subjects. It is hypothesized than the two GAD groups will not differ on attachment. In order to examine whether heightened insecurity is specific to GAD in particular, as opposed to psychopathology in general, we will include a comparison group of 36 depressed, non-GAD subjects. We expect that the attachment of these subjects (mostly insecure/dismissing) will differ from that of the GAD subjects. We will also examine possible mediators of the connection between attachment and GAD. To further understand the associations between GAD and attachment, attachment-related differences in the nature and extent of anxiety within the GAD group will be examined. It is hypothesized that insecure GAD subjects will be more anxious than will secure GAD subjects. Finally, because high levels of anxiety can also hinder functioning in people not classified as having GAD, attachment- related differences in the nature and extent of anxiety within the other groups will be examined.