Cargando…

Interview Investigation of Insecure Attachment Styles as Mediators between Poor Childhood Care and Schizophrenia-Spectrum Phenomenology

BACKGROUND: Insecure attachment styles have received theoretical attention and some initial empirical support as mediators between childhood adverse experiences and psychotic phenomena; however, further specificity needs investigating. The present interview study aimed to examine (i) whether two for...

Descripción completa

Detalles Bibliográficos
Autores principales: Sheinbaum, Tamara, Bifulco, Antonia, Ballespí, Sergi, Mitjavila, Mercè, Kwapil, Thomas R., Barrantes-Vidal, Neus
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4527722/
https://www.ncbi.nlm.nih.gov/pubmed/26247601
http://dx.doi.org/10.1371/journal.pone.0135150
_version_ 1782384603673133056
author Sheinbaum, Tamara
Bifulco, Antonia
Ballespí, Sergi
Mitjavila, Mercè
Kwapil, Thomas R.
Barrantes-Vidal, Neus
author_facet Sheinbaum, Tamara
Bifulco, Antonia
Ballespí, Sergi
Mitjavila, Mercè
Kwapil, Thomas R.
Barrantes-Vidal, Neus
author_sort Sheinbaum, Tamara
collection PubMed
description BACKGROUND: Insecure attachment styles have received theoretical attention and some initial empirical support as mediators between childhood adverse experiences and psychotic phenomena; however, further specificity needs investigating. The present interview study aimed to examine (i) whether two forms of poor childhood care, namely parental antipathy and role reversal, were associated with subclinical positive and negative symptoms and schizophrenia-spectrum personality disorder (PD) traits, and (ii) whether such associations were mediated by specific insecure attachment styles. METHOD: A total of 214 nonclinical young adults were interviewed for subclinical symptoms (Comprehensive Assessment of At-Risk Mental States), schizophrenia-spectrum PDs (Structured Clinical Interview for DSM-IV Axis II Disorders), poor childhood care (Childhood Experience of Care and Abuse Interview), and attachment style (Attachment Style Interview). Participants also completed the Beck Depression Inventory-II and all the analyses were conducted partialling out the effects of depressive symptoms. RESULTS: Both parental antipathy and role reversal were associated with subclinical positive symptoms and with paranoid and schizotypal PD traits. Role reversal was also associated with subclinical negative symptoms. Angry-dismissive attachment mediated associations between antipathy and subclinical positive symptoms and both angry-dismissive and enmeshed attachment mediated associations of antipathy with paranoid and schizotypal PD traits. Enmeshed attachment mediated associations of role reversal with paranoid and schizotypal PD traits. CONCLUSIONS: Attachment theory can inform lifespan models of how adverse developmental environments may increase the risk for psychosis. Insecure attachment provides a promising mechanism for understanding the development of schizophrenia-spectrum phenomenology and may offer a useful target for prophylactic intervention.
format Online
Article
Text
id pubmed-4527722
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-45277222015-08-12 Interview Investigation of Insecure Attachment Styles as Mediators between Poor Childhood Care and Schizophrenia-Spectrum Phenomenology Sheinbaum, Tamara Bifulco, Antonia Ballespí, Sergi Mitjavila, Mercè Kwapil, Thomas R. Barrantes-Vidal, Neus PLoS One Research Article BACKGROUND: Insecure attachment styles have received theoretical attention and some initial empirical support as mediators between childhood adverse experiences and psychotic phenomena; however, further specificity needs investigating. The present interview study aimed to examine (i) whether two forms of poor childhood care, namely parental antipathy and role reversal, were associated with subclinical positive and negative symptoms and schizophrenia-spectrum personality disorder (PD) traits, and (ii) whether such associations were mediated by specific insecure attachment styles. METHOD: A total of 214 nonclinical young adults were interviewed for subclinical symptoms (Comprehensive Assessment of At-Risk Mental States), schizophrenia-spectrum PDs (Structured Clinical Interview for DSM-IV Axis II Disorders), poor childhood care (Childhood Experience of Care and Abuse Interview), and attachment style (Attachment Style Interview). Participants also completed the Beck Depression Inventory-II and all the analyses were conducted partialling out the effects of depressive symptoms. RESULTS: Both parental antipathy and role reversal were associated with subclinical positive symptoms and with paranoid and schizotypal PD traits. Role reversal was also associated with subclinical negative symptoms. Angry-dismissive attachment mediated associations between antipathy and subclinical positive symptoms and both angry-dismissive and enmeshed attachment mediated associations of antipathy with paranoid and schizotypal PD traits. Enmeshed attachment mediated associations of role reversal with paranoid and schizotypal PD traits. CONCLUSIONS: Attachment theory can inform lifespan models of how adverse developmental environments may increase the risk for psychosis. Insecure attachment provides a promising mechanism for understanding the development of schizophrenia-spectrum phenomenology and may offer a useful target for prophylactic intervention. Public Library of Science 2015-08-06 /pmc/articles/PMC4527722/ /pubmed/26247601 http://dx.doi.org/10.1371/journal.pone.0135150 Text en © 2015 Sheinbaum et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Sheinbaum, Tamara
Bifulco, Antonia
Ballespí, Sergi
Mitjavila, Mercè
Kwapil, Thomas R.
Barrantes-Vidal, Neus
Interview Investigation of Insecure Attachment Styles as Mediators between Poor Childhood Care and Schizophrenia-Spectrum Phenomenology
title Interview Investigation of Insecure Attachment Styles as Mediators between Poor Childhood Care and Schizophrenia-Spectrum Phenomenology
title_full Interview Investigation of Insecure Attachment Styles as Mediators between Poor Childhood Care and Schizophrenia-Spectrum Phenomenology
title_fullStr Interview Investigation of Insecure Attachment Styles as Mediators between Poor Childhood Care and Schizophrenia-Spectrum Phenomenology
title_full_unstemmed Interview Investigation of Insecure Attachment Styles as Mediators between Poor Childhood Care and Schizophrenia-Spectrum Phenomenology
title_short Interview Investigation of Insecure Attachment Styles as Mediators between Poor Childhood Care and Schizophrenia-Spectrum Phenomenology
title_sort interview investigation of insecure attachment styles as mediators between poor childhood care and schizophrenia-spectrum phenomenology
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4527722/
https://www.ncbi.nlm.nih.gov/pubmed/26247601
http://dx.doi.org/10.1371/journal.pone.0135150
work_keys_str_mv AT sheinbaumtamara interviewinvestigationofinsecureattachmentstylesasmediatorsbetweenpoorchildhoodcareandschizophreniaspectrumphenomenology
AT bifulcoantonia interviewinvestigationofinsecureattachmentstylesasmediatorsbetweenpoorchildhoodcareandschizophreniaspectrumphenomenology
AT ballespisergi interviewinvestigationofinsecureattachmentstylesasmediatorsbetweenpoorchildhoodcareandschizophreniaspectrumphenomenology
AT mitjavilamerce interviewinvestigationofinsecureattachmentstylesasmediatorsbetweenpoorchildhoodcareandschizophreniaspectrumphenomenology
AT kwapilthomasr interviewinvestigationofinsecureattachmentstylesasmediatorsbetweenpoorchildhoodcareandschizophreniaspectrumphenomenology
AT barrantesvidalneus interviewinvestigationofinsecureattachmentstylesasmediatorsbetweenpoorchildhoodcareandschizophreniaspectrumphenomenology