Abstract:
OBJECTIVE:The study investigates individual differences in the mental representation of attachment and their impact on the cortisol response to psychosocial stress in idiopathic spasmodic torticollis (IST). It was hypothesized (a) that in IST insecure attachment is more prevalent than in a non-clinical control group and (b) that subjects with dismissing attachment respond with higher physiological arousal to a specific stimulus activating the attachment behavioural system than subjects with secure attachment. METHOD:20 patients with IST and 20 healthy controls matched for age and sex underwent the Adult Attachment Interview, an hour-long, semiclinical interview on attachment experiences. During the interview salivary cortisol levels were monitored. The subjects' mental state with regard to attachment was classified using the attachment Q-sort method. Anxiety and depression were measured as potential covariates of the adrenocortical stress response. RESULTS:Compared to the non-clinical group, dismissing attachment was strongly overrepresented in IST. In IST, but not in the healthy control group, dismissing attachment correlated with an elevated cortisol response to the interview. CONCLUSION:In clinical, but not in non-clinical samples dismissing attachment may be associated with increased vulnerability to psychosocial stress. The factors contributing to this interaction are not yet fully elucidated.
journal_name
Psychother Psychosomjournal_title
Psychotherapy and psychosomaticsauthors
Scheidt CE,Waller E,Malchow H,Ehlert U,Becker-Stoll F,Schulte-Mönting J,Lücking CHdoi
10.1159/000012384subject
Has Abstractpub_date
2000-05-01 00:00:00pages
155-62issue
3eissn
0033-3190issn
1423-0348pii
12384journal_volume
69pub_type
杂志文章abstract::We have described examples of behaviors that occur antecedent to, concurrent with, or as a consequence of childhood asthma. Ways these patterns can be altered have also been described. Three points should be emphasized: first, social learning techniques can contribute to a child acquiring self-monitoring and self-mana...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,评审
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journal_title:Psychotherapy and psychosomatics
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journal_title:Psychotherapy and psychosomatics
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