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Traumatic and Adverse Attachment Childhood Experiences are not Characteristic of OCD but of Depression in Adolescents

Artikel i vetenskaplig tidskrift
Författare T. Ivarsson
Fanny Saavedra
P. Granqvist
Anders G Broberg
Publicerad i Child Psychiatry & Human Development
Volym 47
Nummer/häfte 2
Sidor 270-280
ISSN 0009-398X
Publiceringsår 2016
Publicerad vid Psykologiska institutionen
Sidor 270-280
Språk en
Länkar dx.doi.org/10.1007/s10578-015-0563-...
Ämnesord School controls, Attachment experience, Adult attachment interview, obsessive-compulsive disorder, cognitive-behavioral therapy, psychosocial risk-factors, community sample, neuropsychological, performance, environmental contributions, discriminant validity, symptom, dimensions, children, interview, Psychology, Pediatrics, Psychiatry
Ämneskategorier Psykologi

Sammanfattning

We investigated whether adverse attachment experience might contribute to the development of obsessive-compulsive disorder (OCD). We interviewed 100 adolescents, 25 each with primary OCD, depressive disorder (DD), OCD plus DD and general population controls (CTRs) using the adult attachment interview to assess attachment experiences (AEs), including traumatic and adverse AE (TAE). Adolescents with OCD, OCD+DD and DD had little evidence of secure base/safe haven parental behaviour and their childhood attachment needs judged to be rejected as compared to the controls. Overprotection was not characteristic of OCD, and parents using the child for their own needs (elevated levels of involving/role reversal) occurred only in DD, with low levels in OCD, OCD+DD and CTR. Traumatic experiences, often multiple, and/or attachment related were reported significantly more often in the DD group, and was less common in OCD+DD, CTR and particularly in the OCD group. In OCD, little TAE was reported and adverse AE were less serious and seem unlikely to contribute directly to OCD aetiology. In DD and to some degree in OCD+DD serious AE/TAE may have some etiological significance for the depressive states.

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