Interview investigation of insecure attachment styles as mediators between poor childhood care and schizophrenia-spectrum phenomenology

Sheinbaum, Tamara and Bifulco, Antonia and Ballespí, Sergi and Mitjavila, Mercè and Kwapil, Thomas R. and Barrantes-Vidal, Neus (2015) Interview investigation of insecure attachment styles as mediators between poor childhood care and schizophrenia-spectrum phenomenology. PLoS ONE, 10 (8). ISSN 1932-6203

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Abstract

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.

Item Type: Article
Additional Information: Article number = e0135150
Research Areas: A. > School of Science and Technology > Psychology > Centre for Abuse and Trauma Studies (CATS)
Item ID: 19800
Useful Links:
Depositing User: Natasa Blagojevic-Stokic
Date Deposited: 06 May 2016 10:44
Last Modified: 07 Dec 2018 08:29
URI: http://eprints.mdx.ac.uk/id/eprint/19800

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