Yetişkin Bağlanma Stilleri ile Travma Sonrası Stres Bozukluğu Arasındaki İlişkide Belirsizliğe Tahammülsüzlüğün Aracı Rolü

Bulgular belirsizliğe tahammülsüzlüğün (BT) hem yetişkin bağlanması hem de travmatik stres ile ilişkili olduğunu ileri sürmektedir, ancak BT'nin bağlanma ile travma sonrası stres bozukluğu (TSSB) arasındaki temel mekanizma olarak rolü henüz ortaya konulmamıştır. Bu çalışmanın amacı yetişkin bağlanma stilleri ile TSSB arasındaki ilişkide BT’nin aracı etki rolünü incelemektir. Türkiye’de yaşayan 335 üniversite öğrencisinin katıldığı çalışmada kesitsel araştırma yöntemi kullanılmıştır. Potansiyel travmatik olaylar (PTO), yetişkin bağlanma stilleri, belirsizliğe tahammülsüzlük ve TSSB’yi ölçmek üzere sırasıyla Yaşam Olayları Kontrol Listesi (YOKL), Yakın İlişkilerde Yaşantılar Envanteri-II (YİYE-2), Belirsizliğe Tahammülsüzlük Ölçeği (BTÖ) ve DSM-5 TSSB Kontrol Listesi (TSSBBKI) kullanılmıştır. Sonuçlar, BT'nin kaygılı ve kaçıngan bağlanma ile TSSB arasındaki ilişkiye aracılık ettiğini ortaya koymuştur. Çalışmanın bulguları bağlanma stilleri ile TSSB arasındaki karmaşık etkileşimi anlamamıza yardımcı olarak, TSSB semptomlarının ortaya çıkmasına ve kalıcı olmasına katkıda bulunan altta yatan faktörlere ışık tutmaktadır. Travmaya maruz kalmış ve kaygılı ya da kaçınmacı bağlanma stillerine sahip kişiler için, belirsizliğe karşı tahammülsüzlüğü azaltmaya yönelik stratejileri bağlanma odaklı terapilerle birleştirmek, nesiller arasında aktarılan TSSB semptomları açısından faydalı etkiler sağlayacaktır.

Anahtar Kelimeler:

Belirsizliğe tahammülsüzlük, kaygılı bağlanma, kaçıngan bağlanma, travma sonrası stres bozukluğu

Intolerance of Uncertainty as a Mediator on the Relationship Between Adult Attachment and PTSD

Established evidence suggests that intolerance of uncertainty (IU) is associated with both adult attachment and traumatic stress, yet the role of IU as an underlying mechanism between attachment and posttraumatic stress disorder (PTSD) is to be explained. This study aimed to examine the mediating role of IU in the relationship between adult attachment styles and PTSD. A cross-sectional study with 335 university students was conducted in Turkiye. Life Events Checklist for DSM-5 (LEC-5), The Experiences in Close Relationships Revised (ECR-R) Questionnaire, The Intolerance of Uncertainty Scale (IU) and PTSD Checklist for DSM-5 (PCL-5) were used to measure potential traumatic events (PTE), adult attachment styles, intolerance of uncertainty and PTSD, respectively. Results revealed that IU mediated the relationship between anxious and avoidant attachment and PTSD. The results offer a valuable understanding of the intricate interplay between attachment styles and PTSD, shedding light on the underlying factors that contribute to the emergence and persistence of PTSD symptoms. For those who have experienced trauma and show anxious or avoidant attachment patterns, combining strategies to address intolerance of uncertainty with attachment-oriented therapies could have beneficial effects on conditions like PTSD, which are often passed down between generations.

Keywords:

Intolerance of uncertainty, anxious attachment, avoidant attachment, post taumatic stress disorder,

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