关于受试者的知识是什么?:不安全的依恋方式与心理健康问题有关,并可能影响现实感知,特别是精神分裂症患者。论文对现有知识有何贡献?:本文为精神分裂症患者的不安全依恋风格与现实测试损害之间的相关性提供了经验证据。在特定的人口统计学中观察到更高的现实测试损害评分:未婚且年龄在40至50岁之间的男性,以及患病时间少于5年的人。实践的含义是什么?:研究结果强调了护士理解不安全依恋风格的重要性,特别是焦虑和回避的风格,精神分裂症患者。医疗保健提供者和护士应了解具有不安全依恋风格的客户的心理动态,以建立有效的治疗关系。一个安全的,结构化和一致的环境对于修改不安全的依恋风格和促进现实取向至关重要。安全依恋风格的心理教育计划,心灵化,认知人际关系疗法,和认知分析治疗可以帮助减少现实测试障碍。通过教育母亲培养安全纽带来进行早期干预,可能会防止将来发生精神分裂症。对未来研究有什么意义?:进行实证研究,探索不安全依恋风格之间的关联,社会功能,糟糕的服务参与度至关重要。需要研究来调查管理不安全附件样式的特定技术,尤其是逃避者,和治疗环境中的现实测试损伤。
■介绍:不安全的依恋方式与心理健康问题有关,并可能影响现实感知。
目的:本研究调查了精神分裂症患者的依恋风格与现实测试损害之间的联系。
方法:一项针对200名被诊断为精神分裂症的参与者的横断面调查评估了他们的依恋风格(精神病依恋测量)和现实测试能力(贝尔现实测试清单)。
结果:不安全的依恋与较差的现实测试之间出现了显着正相关(r=.394,p<.001)。回避依恋最为普遍(平均得分:17.01,SD=3.71),其次是焦虑依恋(16.53,SD=4.20)。现实测试损害表现在所有三个领域:感知的不确定性(7.16,SD=2.45),现实失真(3.52,SD=1.21),幻觉/妄想(26.63,SD=5.83)。有趣的是,特定的人口统计学(男性,未婚,40-50岁)和病程少于5年的患者的平均得分较高(27.35,SD=5.61)。
结论:附件样式不安全,尤其是焦虑和逃避,在精神分裂症患者中占主导地位,他们也与现实扭曲作斗争,感知不确定性,和幻觉/妄想在所有三个领域。
结论:医疗保健提供者和护士应了解具有不安全依恋风格的客户的心理动态,以建立有效的治疗关系。一个安全的,结构化,一致的环境对于修改不安全的依恋风格和促进现实取向至关重要。安全依恋风格导向的心理教育计划,心灵化,认知人际关系疗法,和认知分析治疗可以帮助减少现实测试障碍。促进母婴健康(MCH)的中心是同情母亲(和准妈妈)与其子女之间的安全纽带,以促进健康的依恋方式作为预防措施。
WHAT IS KNOWN ON THE SUBJECT?: The insecure attachment styles are associated with mental health problems and can influence reality perception, particularly in individuals with schizophrenia. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: The paper provides empirical evidence for the correlation between insecure attachment styles and reality-testing impairment in clients with schizophrenia. Higher reality testing impairment scores were observed in specific demographics: males who were unmarried and aged between 40 and 50 years old, as well as those with a duration of illness of less than 5 years. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: The findings underscore the importance for nurses to understand insecure attachment styles, particularly anxious and avoidant styles, in clients with schizophrenia. Healthcare providers and nurses should understand the psychological dynamics of clients with insecure attachment styles to establish effective therapeutic relationships. A secure, structured and consistent environment is vital to modifying insecure attachment styles and promoting reality orientation. Secure Attachment Style Psycho-Educational Program, Mentalization, Cognitive Interpersonal Therapy, and Cognitive Analytic Therapy can help reduce reality-testing impairment. Imply early intervention through educating mothers on fostering secure bonds can potentially prevent future occurrences of schizophrenia. WHAT ARE THE IMPLICATIONS FOR FUTURE RESEARCH?: Conducting empirical studies to explore the associations between insecure attachment style, social functioning, and poor service engagement is essential. Research is needed to investigate specific techniques for managing insecure attachment styles, particularly the avoidant ones, and reality testing impairments within the therapeutic setting.
UNASSIGNED: INTRODUCTION: Insecure attachment styles are associated with mental health problems and may influence reality perception.
OBJECTIVE: This study investigated the link between attachment styles and reality-testing impairment in individuals with schizophrenia.
METHODS: A cross-sectional survey with 200 participants diagnosed with schizophrenia assessed their attachment styles (Psychosis Attachment Measure) and reality-testing abilities (Bell Reality Testing Inventory).
RESULTS: A significant positive correlation emerged between insecure attachment and poorer reality testing (r = .394, p < .001). Avoidant attachment was most prevalent (mean scores: 17.01, SD = 3.71), followed by anxious attachment (16.53, SD = 4.20). Reality-testing impairment manifested across all three domains: uncertainty of perception (7.16, SD = 2.45), reality distortion (3.52, SD = 1.21), and hallucinations/delusions (26.63, SD = 5.83). Interestingly, specific demographics (male, unmarried, 40-50 years old) and those with a duration of illness of less than 5 years had higher mean scores (27.35, SD = 5.61).
CONCLUSIONS: Insecure attachment styles, notably anxious and avoidant, are dominant among clients with schizophrenia, who also struggle with reality distortion, perceptual uncertainty, and hallucinations/delusions in all three domains.
CONCLUSIONS: Healthcare providers and nurses should understand the psychological dynamics of clients with insecure attachment styles to establish effective therapeutic relationships. A secure, structured, and consistent environment is vital to modifying insecure attachment styles and promoting reality orientation. Secure Attachment Style Oriented Psycho-Educational Program, Mentalization, Cognitive Interpersonal Therapy, and Cognitive Analytic Therapy can help reduce reality-testing impairment. Fostering Maternal and Child Health (MCH) centers on empathizing secure bonds between mothers (and mothers-to-be) and their children to promote healthy attachment styles as a preventive measure.