Attachment Patterns in Subjects Diagnosed With a Substance Use Disorder

A Comparison of Patients in Outpatient Treatment and Patients in Therapeutic Communities

Dados Bibliográficos

ID15529214
AutoresLaura Vismara (0000-0002-7115-749X, University of Cagliari, autor correspondente), Fabio Presaghi (0000-0001-7880-6715, Sapienza University of Rome), Maria Bocchia, Rosolino Vico Ricci, Massimo Ammaniti (0000-0002-2995-3839, Sapienza University of Rome)
Ano2019
Volume10
Páginas807-807
Data de publicação2019-11-06
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoFrontiers in Psychiatry (JOURNAL)
Identificadores do periódicoISSN: 1664-0640 • E-ISSN: 1664-0640
EditoraFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2019.00807
PMID31780968
OpenAlexW2988517319
IdiomaEN
Citações recebidas3
Referências citadas83

The purpose of the present study is to analyze the quality of attachment in substance abuse patients in outpatient treatment vs. patients in therapeutic communities in order to identify the role of attachment insecurity in choosing a care system. The sample consisted of 127 subjects (107 males and 20 females); 97 were outpatients (83 males) and 30 therapeutic community patients (24 males). Attachment with respect to current, significant relationships was assessed using the Relationship Questionnaire. In the outpatient subgroup, the prevailing attachment style was preoccupied; for the therapeutic community patients, the prevailing attachment style was dismissive. The dimensions of care (how the caregiver is perceived as loving and caring) and overprotection (how the caregiver is perceived as intrusive and interfering)-evaluated by means of the Parent Bonding Instrument-were higher in the outpatient subgroup. Scores were higher with respect to maternal subscales regardless of treatment modality. No differences emerged with respect to self-perceived symptoms (SCL-90-R) between the subgroups; however, fearful-avoidant and dismissive-avoidant individuals reported higher self-perceived symptom regardless of treatment modality. Understanding the distribution of different attachment patterns with respect to the treatment modality may improve efficacious interventions, attuning them to the individual and his or her developmental environment

Attachment theory · Outpatient clinic · Psychiatry · Psychological intervention · Substance abuse · Therapeutic community · Attachment and Relationship Dynamics · Child Welfare and Adoption · Clinical Psychology · Medicine · Psychology · Psychotherapy Techniques and Applications · Internal Medicine