Abstract：
OBJECTIVE: People with psychosis delay accessing recommended treatments, resulting in poor healthcare outcomes and increased risk of relapse. Means of improving help-seeking and help-acceptance could reduce duration of untreated psychosis (DUP). This study examined the role of attachment style in help-seeking and help-acceptance in psychosis.
METHODS: We used an experimental design to test the effect of attachment imagery priming on help-seeking and help-acceptance intentions, in a sample with self-reported psychosis. The independent variables were attachment imagery condition (secure vs. avoidant) and time (pre- vs. post-prime). The dependent variables were state paranoia, help-seeking intentions and help-acceptance intentions.
METHODS: We used an online research platform to recruit people with psychosis (n = 61). Participants were randomly allocated to the secure or avoidant attachment priming condition. All completed measures of state paranoia, help-seeking, and help-acceptance, before and after priming.
RESULTS: In comparison with the avoidant condition, secure attachment imagery resulted in reduced paranoia and increased help-seeking and acceptance intentions, all with large effect sizes.
CONCLUSIONS: This is the first study to use an experimental design to assess the role of attachment style in help-seeking and help-acceptance in a clinical sample. Attachment style is causally linked to behavioural intentions that contribute to DUP. Clinicians should assess attachment and help-seeking and acceptance, highlight these in formulation, and prioritise in treatment planning. Interventions that enhance help-seeking and acceptance could improve access to recommended treatments and reduce DUP.
METHODS: We used an experimental design to test the effect of attachment imagery priming on help-seeking and help-acceptance intentions, in a sample with self-reported psychosis. The independent variables were attachment imagery condition (secure vs. avoidant) and time (pre- vs. post-prime). The dependent variables were state paranoia, help-seeking intentions and help-acceptance intentions.
METHODS: We used an online research platform to recruit people with psychosis (n = 61). Participants were randomly allocated to the secure or avoidant attachment priming condition. All completed measures of state paranoia, help-seeking, and help-acceptance, before and after priming.
RESULTS: In comparison with the avoidant condition, secure attachment imagery resulted in reduced paranoia and increased help-seeking and acceptance intentions, all with large effect sizes.
CONCLUSIONS: This is the first study to use an experimental design to assess the role of attachment style in help-seeking and help-acceptance in a clinical sample. Attachment style is causally linked to behavioural intentions that contribute to DUP. Clinicians should assess attachment and help-seeking and acceptance, highlight these in formulation, and prioritise in treatment planning. Interventions that enhance help-seeking and acceptance could improve access to recommended treatments and reduce DUP.
摘要：
目标：精神病患者延迟获得推荐治疗，导致不良的医疗结果和复发风险增加。改善寻求帮助和接受帮助的方法可以减少未经治疗的精神病（DUP）的持续时间。这项研究考察了依恋风格在精神病中寻求帮助和接受帮助中的作用。
方法：我们使用了一个实验设计来测试依恋意象启动对寻求帮助和接受帮助的意图的影响，在一个自我报告的精神病样本中。独立变量是附件图像条件(安全与回避)和时间(前与post-prime).因变量是状态偏执，寻求帮助的意图和接受帮助的意图。
方法：我们使用在线研究平台招募精神病患者（n=61）。参与者被随机分配到安全或回避的依恋启动条件。所有完成的国家偏执狂措施，寻求帮助,和帮助接受，在启动之前和之后。
结果：与回避条件相比，安全的依恋意象导致偏执狂减少，寻求帮助和接受意愿增加，所有与大的效果大小。
结论：这是第一项使用实验设计来评估依恋风格在临床样本中寻求帮助和接受帮助中的作用的研究。依恋风格与有助于DUP的行为意图有因果关系。临床医生应该评估依恋和寻求帮助和接受度，在配方中突出这些，并优先考虑治疗计划。加强寻求帮助和接受的干预措施可以改善获得推荐治疗的机会并减少DUP。
方法：我们使用了一个实验设计来测试依恋意象启动对寻求帮助和接受帮助的意图的影响，在一个自我报告的精神病样本中。独立变量是附件图像条件(安全与回避)和时间(前与post-prime).因变量是状态偏执，寻求帮助的意图和接受帮助的意图。
方法：我们使用在线研究平台招募精神病患者（n=61）。参与者被随机分配到安全或回避的依恋启动条件。所有完成的国家偏执狂措施，寻求帮助,和帮助接受，在启动之前和之后。
结果：与回避条件相比，安全的依恋意象导致偏执狂减少，寻求帮助和接受意愿增加，所有与大的效果大小。
结论：这是第一项使用实验设计来评估依恋风格在临床样本中寻求帮助和接受帮助中的作用的研究。依恋风格与有助于DUP的行为意图有因果关系。临床医生应该评估依恋和寻求帮助和接受度，在配方中突出这些，并优先考虑治疗计划。加强寻求帮助和接受的干预措施可以改善获得推荐治疗的机会并减少DUP。
