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

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Associations between specific psychotic symptoms and specific childhood adversities are mediated by attachment styles : an analysis of the National Comorbidity Survey. / Sitko, Katarzyna; Bentall, Richard; Shevlin, Mark; O'Sullivan, Noreen; Sellwood, William.

In: Psychiatry Research, Vol. 217, No. 3, 30.07.2014, p. 202-209.

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Sitko, Katarzyna ; Bentall, Richard ; Shevlin, Mark ; O'Sullivan, Noreen ; Sellwood, William. / Associations between specific psychotic symptoms and specific childhood adversities are mediated by attachment styles : an analysis of the National Comorbidity Survey. In: Psychiatry Research. 2014 ; Vol. 217, No. 3. pp. 202-209.

Bibtex

@article{54ed6d5f82e044df8c2ad61a320c1149,
title = "Associations between specific psychotic symptoms and specific childhood adversities are mediated by attachment styles: an analysis of the National Comorbidity Survey",
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.",
keywords = "Hallucinations, Delusions, Paranoia, Psychosis, Trauma, Indirect effects",
author = "Katarzyna Sitko and Richard Bentall and Mark Shevlin and Noreen O'Sullivan and William Sellwood",
year = "2014",
month = jul,
day = "30",
doi = "10.1016/j.psychres.2014.03.019",
language = "English",
volume = "217",
pages = "202--209",
journal = "Psychiatry Research",
issn = "0165-1781",
publisher = "Elsevier Ireland Ltd",
number = "3",

}

RIS

TY - JOUR

T1 - Associations between specific psychotic symptoms and specific childhood adversities are mediated by attachment styles

T2 - an analysis of the National Comorbidity Survey

AU - Sitko, Katarzyna

AU - Bentall, Richard

AU - Shevlin, Mark

AU - O'Sullivan, Noreen

AU - Sellwood, William

PY - 2014/7/30

Y1 - 2014/7/30

N2 - 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.

AB - 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.

KW - Hallucinations

KW - Delusions

KW - Paranoia

KW - Psychosis

KW - Trauma

KW - Indirect effects

U2 - 10.1016/j.psychres.2014.03.019

DO - 10.1016/j.psychres.2014.03.019

M3 - Journal article

VL - 217

SP - 202

EP - 209

JO - Psychiatry Research

JF - Psychiatry Research

SN - 0165-1781

IS - 3

ER -