A cluster analysis of attachment styles in patients with borderline personality disorder, bipolar disorder and ADHD.

IF 4 2区医学 Q1 PSYCHIATRY Borderline Personality Disorder and Emotion Dysregulation Pub Date : 2024-10-30 DOI:10.1186/s40479-024-00271-2

I Kouros, M Isaksson, L Ekselius, M Ramklint

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Abstract

Background: Insecure adult attachment has been associated with psychiatric disorders characterized by emotional dysregulation, such as borderline personality disorder (BPD), bipolar disorder (BD) and attention deficit/hyperactivity disorder (ADHD). However, little is known about the differences in attachment patterns between these diagnostic groups. The aim of this study was to identify clusters of adult attachment style in a cross-diagnostic group of patients with BDP and/or BD and/or ADHD and explore the characteristics of these clusters based on temperament profile, childhood trauma and psychiatric diagnoses.

Methods: K-means cluster analysis was used to identify subgroups, based on the Attachment Style Questionnaire Short Form dimensions, in a clinical cohort of 150 young adults (113 women and 37 men, mean age ± SD = 23.3 ± 2.1) diagnosed with BPD, and/or BD, and/or ADHD.

Results: Three distinct clusters were identified: a secure, an insecure/avoidant-anxious and an insecure/avoidant cluster. These three clusters differed in temperament profile and related psychiatric diagnoses.

Conclusions: The three clusters of attachment in individuals with BPD, BD and/or ADHD could support differentiation between the disorders as well provide information usable for planning of treatment.

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对边缘型人格障碍、双相情感障碍和多动症患者依恋方式的聚类分析。

背景：不安全的成人依恋与以情绪失调为特征的精神疾病有关，如边缘型人格障碍（BPD）、双相情感障碍（BD）和注意力缺陷/多动障碍（ADHD）。然而，人们对这些诊断群体之间依恋模式的差异知之甚少。本研究旨在从患有双相情感障碍（BDP）和/或双相情感障碍（BD）和/或注意力缺陷/多动障碍（ADHD）的跨诊断组患者中识别成人依恋风格的聚类，并根据气质特征、童年创伤和精神科诊断探讨这些聚类的特征：方法：根据依恋风格问卷简表的维度，对150名被诊断为BPD和/或BD和/或ADHD的年轻成年人（113名女性和37名男性，平均年龄± SD = 23.3 ± 2.1）进行K-均值聚类分析，以确定其临床队列中的亚组：结果：发现了三个不同的群组：安全型群组、不安全型/回避焦虑型群组和不安全型/回避型群组。这三个群组在气质特征和相关精神病诊断方面存在差异：结论：BPD、BD 和/或 ADHD 患者的三个依恋群组有助于区分这些疾病，并为制定治疗计划提供有用信息。

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来源期刊

Borderline Personality Disorder and Emotion Dysregulation Psychology-Clinical Psychology

CiteScore

6.00

自引率

9.80%

发文量

审稿时长

28 weeks

期刊介绍： Borderline Personality Disorder and Emotion Dysregulation provides a platform for researchers and clinicians interested in borderline personality disorder (BPD) as a currently highly challenging psychiatric disorder. Emotion dysregulation is at the core of BPD but also stands on its own as a major pathological component of the underlying neurobiology of various other psychiatric disorders. The journal focuses on the psychological, social and neurobiological aspects of emotion dysregulation as well as epidemiology, phenomenology, pathophysiology, treatment, neurobiology, genetics, and animal models of BPD.