Associations between specific psychotic symptoms and specific childhood adversities are mediated by attachment styles:an analysis of the National Comorbidity Survey

Sitko, Katarzyna and Bentall, Richard and Shevlin, Mark and O'Sullivan, Noreen and Sellwood, William (2014) Associations between specific psychotic symptoms and specific childhood adversities are mediated by attachment styles:an analysis of the National Comorbidity Survey. Psychiatry Research, 217 (3). pp. 202-209. ISSN 1872-7123

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Abstract

Accumulated evidence over the past decade consistently demonstrates a relationship between childhood adversity and psychosis in adulthood. There is some evidence of specific associations between childhood sexual abuse and hallucinations, and between insecure attachment and paranoia. Data from the National Comorbidity Survey were used in assessing whether current attachment styles influenced the association between adverse childhood experiences and psychotic symptoms in adulthood. Hallucinations and paranoid beliefs were differentially associated with sexual abuse (rape and sexual molestation) and neglect, respectively. Sexual abuse and neglect were also associated with depression. The relationship between neglect and paranoid beliefs was fully mediated via anxious and avoidant attachment. The relationship between sexual molestation and hallucinations was independent of attachment style. The relationship between rape and hallucinations was partially mediated via anxious attachment; however this effect was no longer present when depression was included as a mediating variable. The findings highlight the importance of addressing and understanding childhood experiences within the context of current attachment styles in clinical interventions for patients with psychosis.

Item Type:
Journal Article
Journal or Publication Title:
Psychiatry Research
Uncontrolled Keywords:
/dk/atira/pure/subjectarea/asjc/2800/2803
Subjects:
ID Code:
71177
Deposited By:
Deposited On:
09 Oct 2014 13:00
Refereed?:
Yes
Published?:
Published
Last Modified:
01 Jul 2020 01:50