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Attachment and thought problems in an adolescent inpatient sample: The mediational role of theory of mind.

Abstract：

BACKGROUND:Previous research has documented increased incidence of insecure attachment and theory of mind (ToM) deficits in individuals experiencing psychotic disorders. ToM has been theorized as a possible mediator of the relation between attachment and psychosis (Korver-Nieberg et al., 2014). The current study sought to extend this area of research to adolescents for the first time by examining adolescent-parent attachment and ToM in inpatient adolescents. METHODS:Participants were 362 inpatient adolescents and their parents; participants completed the Child Attachment Interview, Movie for the Assessment of Social Cognition, Youth Self Report, and Child Behavior Checklist. RESULTS:Bivariate correlations indicated that attachment coherence (a marker of security) was significantly and positively correlated with ToM abilities, and that low attachment coherence and poor ToM performance were each associated with increased youth- and parent-reported thought problems. Mediational models indicated that ToM mediated the relation between insecure attachment and thought problems according to both parent- and self-report. CONCLUSIONS:The results of the current study provide support for a model in which impairments in ToM contribute to the frequently documented association between insecure attachment and emerging psychotic symptoms. Theoretical and clinical implications of these results are discussed, including the potential support for ToM-based interventions for early psychotic symptoms.

journal_name

Compr Psychiatry

journal_title

Comprehensive psychiatry

authors

Hart JR,Venta A,Sharp C

doi

10.1016/j.comppsych.2017.07.002

subject

Has Abstract

pub_date

2017-10-01 00:00:00

pages

38-47

eissn

0010-440X

issn

1532-8384

pii

S0010-440X(17)30107-4

journal_volume

78

pub_type

杂志文章

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