Disorder-specific attachment characteristics and experiences of childhood abuse and neglect in adolescents with anorexia nervosa and a major depressive episode.
Clin Psychol Psychother
; 25(6): 894-906, 2018 Nov.
Article
em En
| MEDLINE
| ID: mdl-30216616
ABSTRACT
For the first time, the present study investigates disorder-specific attachment characteristics and childhood trauma in adolescent inpatients with anorexia nervosa (n = 30, girls/boys 28/2, age M = 14.84, SD = 1.20), a major depressive episode (n = 30, girls/boys 27/3, age M = 15.14, SD = 1.50), and controls (n = 60, girls/boys 44/16, age M = 16.10, SD = 1.20). We used the Structured Clinical Interview to diagnose Axis I disorders, the Adult Attachment Projective Picture System to classify attachment representations, and the Childhood Trauma Questionnaire to assess child maltreatment. Our findings demonstrate an overrepresentation of the unresolved attachment status in the patient samples. A one-way analysis of variance succeeded by Bonferroni post hoc tests indicated that adolescents with anorexia nervosa show more isolation and dissolution of boundaries between life and death when confronted with situations of solitude. Although they report moderate to severe levels of traumatic childhood experiences, they tend to minimize those. Adolescents with a major depressive episode report higher levels of emotional abuse and neglect in their childhood, leaving them in a state of failed protection and danger during attachment distress. Integrating these attachment-related characteristics into specific psychotherapeutic interventions might be associated with a better outcome in that age group.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Anorexia Nervosa
/
Maus-Tratos Infantis
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Transtorno Depressivo Maior
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Apego ao Objeto
Tipo de estudo:
Qualitative_research
Limite:
Adolescent
/
Child
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Female
/
Humans
/
Male
País/Região como assunto:
Europa
Idioma:
En
Revista:
Clin Psychol Psychother
Assunto da revista:
PSICOLOGIA
/
PSIQUIATRIA
/
TERAPEUTICA
Ano de publicação:
2018
Tipo de documento:
Article
País de afiliação:
Áustria