Associations between insecure attachment styles to parents and suicidal ideation in adolescents with depression.

IF 1.4 Q3 PSYCHIATRY Scandinavian Journal of Child and Adolescent Psychiatry and Psychology Pub Date : 2021-04-09 eCollection Date: 2021-01-01 DOI:10.21307/sjcapp-2021-006
Luxsiya Waraan, Lars Mehlum, Erling W Rognli, Nikolai O Czajkowski, Marianne Aalberg
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引用次数: 5

Abstract

Objective: Suicidal ideation and depressive symptoms are often interrelated in clinical settings. Insecure attachment may be a risk factor for suicidal ideation in depressed adolescents. To our knowledge, this study is the first to examine the association between self-reported insecure attachment styles to both parents and suicidal ideation in a clinical sample of adolescents with depression.

Methods: Fifty clinically depressed adolescents (13-17 years, 84% girls) completed self-reported measures of suicidal ideation, depressive symptoms, and attachment style to parents.

Results: There was a statistically significant bivariate association between higher levels of attachment anxiety in relation to mothers and fathers and higher levels of suicidal ideation. When attachments to both parents were included in the same multivariate model, only attachment anxiety to the mother was significantly associated with the level of suicidal ideation. Self-reported depressive symptoms remained significantly associated with the level of suicidal ideation in all analyses. Younger adolescents with attachment anxiety reported higher levels of suicidal ideation than older adolescents.

Conclusion: Conclusions about directionality and causality of associations between insecure attachment and suicidal ideation are limited due to the cross-sectional design. Our findings suggest that attachment anxiety in relation to the mother and father is associated with increased levels of suicidal ideation. Implication of these findings for treatment selection is discussed.

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青少年抑郁症患者对父母的不安全依恋类型与自杀意念的关系。
目的:自杀意念和抑郁症状在临床上经常是相互关联的。不安全依恋可能是抑郁青少年产生自杀意念的危险因素。据我们所知,这项研究是第一次在青少年抑郁症临床样本中研究自我报告的对父母的不安全依恋类型与自杀意念之间的关系。方法:50名临床抑郁青少年(13-17岁,84%为女孩)完成了自杀意念、抑郁症状和对父母依恋方式的自我报告。结果:高水平的父母依恋焦虑与高水平的自杀意念之间存在显著的双变量关联。当对父母双方的依恋都包含在同一多变量模型中时,只有对母亲的依恋焦虑与自杀意念水平显著相关。在所有分析中,自我报告的抑郁症状仍然与自杀意念水平显著相关。与年龄较大的青少年相比,患有依恋焦虑的年轻青少年报告的自杀意念水平更高。结论:由于横断面设计,不安全依恋与自杀意念关系的方向性和因果性结论有限。我们的研究结果表明,与父母有关的依恋焦虑与自杀意念水平的增加有关。讨论了这些发现对治疗选择的意义。
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自引率
5.30%
发文量
12
审稿时长
8 weeks
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