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首页> 外文期刊>Psychiatry research >Does insecure attachment mediate the relationship between trauma and voice-hearing in psychosis?
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Does insecure attachment mediate the relationship between trauma and voice-hearing in psychosis?

机译：不安全的依恋关系会介导精神病患者的创伤与声音听力之间的关系吗？

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This study extends existing research and theoretical developments by exploring the potential mediating role of insecure attachment within the relationship between trauma and voice-hearing. Fifty-five voice hearers with a psychosis-related diagnosis completed comprehensive assessments of childhood trauma, adult attachment, voice-related severity and distress, beliefs about voices and relationships with voices. Anxious attachment was significantly associated with the voice-hearing dimensions examined. More sophisticated analysis showed that anxious attachment mediated the relationship between childhood sexual and emotional abuse and voice-related severity and distress, voice-malevolence, voice-omnipotence, voice-resistance and hearer-dependence. Anxious attachment also mediated the relationship between childhood physical neglect and voice-related severity and distress and hearer-dependence. Furthermore, consistent with previous research, the relationship between anxious attachment and voice-related distress was mediated by voice-malevolence, voice-omnipotence and voice-resistance. We propose a model whereby anxious attachment mediates the well-established relationship between trauma and voice-hearing. In turn, negative beliefs about voices may mediate the association between anxious attachment and voice-related distress. Findings presented here highlight the need to assess and formulate the impact of attachment patterns upon the voice-hearing experience in psychosis and the potential to alleviate voice-related distress by fostering secure attachments to therapists or significant others.
机译：这项研究通过探索不安全依恋在创伤与声音听力之间的关系中的潜在中介作用，扩展了现有的研究和理论发展。 55名患有精神病相关诊断的声音听众完成了对儿童期创伤，成人依恋，与声音有关的严重程度和困扰，对声音的信念以及与声音的关系的综合评估。焦虑的依恋与所检查的语音听力维度显着相关。更复杂的分析表明，焦虑依恋介导了儿童期性和情感虐待与与语音相关的严重程度和困扰，语音恶意，语音无所不能，语音抵抗和听者依赖性之间的关系。焦虑依恋还介导了儿童身体上的疏忽与与语音相关的严重程度，困扰和听众依赖性之间的关系。此外，与先前的研究一致，焦虑依恋和与语音相关的困扰之间的关系是由语音恶意，语音全能和语音抵抗介导的。我们提出了一种模型，其中焦虑的依恋介导了创伤与声音听力之间的公认关系。反过来，对声音的负面信念可能会介导焦虑依恋和与声音相关的困扰之间的联系。此处提出的发现突出表明，需要评估和制定依恋模式对精神病患者的声音听觉体验的影响，以及通过建立对治疗师或重要他人的安全依恋来减轻与声音有关的困扰的潜力。

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