Ergenlerdeki bağlanma stilleri ve duygu düzenleme güçlükleri ile psikiyatrik bozuklukları arasındaki ilişki

Amaç:Bu çalışmada psikiyatrik bozukluğa sahip ergenler ile sağlıklı ergenlerin bağlanma stilleri ve duygu düzenleme güçlüklerini karşılaştırmayı, bağlanma stilleri ve duygu düzenleme güçlüklerini etkileyen faktörleri incelemeyi amaçladık. Materyal-Metot:Bu vaka-kontrol çalışmasında ergenlerin psikiyatrik tanıları içinDSM-5 tanı sistemi , ergenlerinduygu düzenleme güçlüğü düzeylerinin ölçülmesi amacıyla Duygu Düzenleme Güçlüğü Ölçeği-Kısa Form (DDG-K) ve bağlanma stillerini değerlendirmek için İlişki Ölçekleri Anketi (İÖA) uygulandı. Bulgular: Psikiyatrik tanılardan en fazla majör depresif bozukluk (MDB) (%42,9) tanısı vardı. DDG-K total skoru en düşük, güvenli bağlanma ise en yüksek kontrol grubunda saptandı (sırasıyla p<0,001; p=0,005).DDG-K total skoru ve kayıtsız bağlanma en yüksek MDB; korkulu bağlanma anksiyete bozukluklarında ve saplantılı bağlanma OKB grubunda idi.Hasta grubunda DDG-K toplam skoru ile bağlanma stillerinden korkulu (r=0,303), kayıtsız (r=0,301) ve saplantılı (r=0,349) skorları arasında pozitif yönde, güvenli skoru (r= -0,239) ile negatif yönde zayıf bir ilişki bulunurken (p<0,05), kontrol grubunda bu değişkenler arasında önemli bir ilişki bulunmamıştır (p>0,05). Sonuç:Bu çalışma güvenli bağlanma ve etkili duygu düzenleme stratejileri geliştirmenin koruyucu ruh sağlığı alanındaki olumlu etkisini göstermesi açısından önemlidir. Bu doğrultuda ebeveynlere güvenli bağlanma kurabilme adına sağlıklı ebeveyn çocuk ilişkisiyle ilgili farkındalık oluşumu sağlanabilir.

Anahtar Kelimeler:

Psikiyatrik bozukluk, duygu düzenleme güçlüğü, bağlanma, ergen

The relationship between attachment styles and emotion regulation difficulties in adolescents with psychiatric disorders

Introduction: In this study, we aimed to compare the attachment styles and emotion regulation difficulties of adolescents with psychiatric disorders and healthy adolescents, and to examine the factors affecting attachment styles and emotion regulation difficulties. Material-methods: In this case-control study, DSM-5 diagnostic system was used for psychiatric diagnoses of adolescents, Difficulties in Emotion Regulation Scale-Short Form (DERS-SF) was used to measure adolescents' levels of emotional dysregulation, and Relationships Scales Questionnaire(RSQ) was used to assess attachment styles. Results: Major depressive disorder (MDD) (42.9%) was the most common psychiatric diagnosis. The lowest DERS-SF total score and the highest secure attachment were found in the control group (p<0.001; p=0.005, respectively). DERS-SF total score and dismissive attachment had the highest MDD; fearful attachment was in the anxiety disorders and preoccupied attachment was in the obsessive-compulsive disorder (OCD) group. In the patient group, a positive correlation was found between the DERS-SF total score and attachment style fearful (r=0.303), dismissive (r=0.301), and preoccupied (r=0.349) scores, and a negative correlation was found with the secure score (r= -0.239) p<0.05).There was no significant relationship between DERS-SF total and attachment styles in the control group (p>0.05). Conclusion: This study is important in terms of showing the positive effects of developing secure attachment and effective emotion regulation strategies in the field of preventive mental health. In this direction, awareness about the healthy parent-child relationship can be created in order to establish a secure attachment to the parents.

Keywords:

Psychiatric disorder, emotional dysregulation, attachment, adolescent,

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1. Thompson RA. Attachment theory and research. In Child and Adolescent Psychiatry, Ed M Lewis (3rd Ed). Philadelphia; Lippincott Williams Wilkins 2002:164-72.
2. Collins NL, Laurson W. Adolescents’ relationships with parents. J Lang Soc Psychol 2003;22:58-65.
3. Hamarta, E. Attachment theory. Anadolu University Journal of Faculty of Education 2004;14 (1):53-66.
4. Nakash-Eisikovits O, Dutra L, Westen D. Relationship between attachment patterns and personality pathology in adolescents. J Am Acad Child Adolesc Psychiatry 2002;41:1111-23.
5. Gross JJ. Emotion Regulation. Lewis M, Haviland-Jones JM, and Barrett LF. (Ed). Handbook of Emotions. New York;Guilford Press 2008.
6. Mikulincer M, Shaver PR, &Pereg D. Attachment theory and affect regulation: The dynamics, development, and cognitive consequences of attachment-related strategies. Motivation and Emotion 2003; 27(2):77-102.
7. Mikulincer M, &Shaver PR. An attachment perspective on psychopathology. World Psychiatry 2012;11(1):11-15.
8. Griffin DW, &Bartholomew K. Models of the self and other: Fundamental dimensions underlying measures of adult attachment. Journal of Personality and Social Psychology 1994;67:430–45.
9. Sümer N ve Güngör D. Yetişkin bağlanma stilleri ölçeklerinin Türk örneklemi üzerinde psikometrik değerlendirmesi ve kültürlerarası karşılaştırma. Türk Psikoloji Dergisi 1999;14(43):35-62.
10. Bjureberg J, Ljótsson B, Tull MT, Hedman E, Sahlin H, Lundh LG et al. Development and validation of a brief version of the difficulties in emotion regulation scale: the DERS-16. Journal of Psychopathology and Behavioral Assessment 2016; 38: 284–96.
11. Yiğit İ & Yiğit MG. Psychometric properties of Turkish version of difficulties in emotion regulation scale-brief form (DERS-16). Current Psychology 2019; 38: 1503-11.
12. Sheese BE, Rothbart MK. Temperament and emotion regulation. Handbook of emotion regulation.Editor Gross JJ. Handbook of emotion regulation. New York;The Guilford Press 2006:331-50.
13. Thayer JF, Rossy LA, Ruiz-Padial E, and Johnsen BH. Gender Differences in the Relationship Between Emotional Regulation and Depressive Symptoms. Cognitive Therapy and Research 2003;27(3):349-64.
14. Carnelley KB, Otway LJ, &Rowe AC. The Effects of Attachment Priming on Depressed and Anxious Mood. Clinical Psychological Science 2015;4(3):433–50.
15. Birmaher B, Brent D, Issues AW, Go Q. Practice parameter for the assessment and treatment of children and adolescents with depressive disorders. J Am Acad Child Adolesc Psychiatry 2007;46:1503-26.
16. Lewinsohn PM, Rohde P, Seeley JR, Klein DN,Gotlib IH. Natural course of adolescent majör depressive disorder in a community sample:predictors of recurrence in young adults. Am J Psychiatry 2000;7:1584-91.
17. Shaver PR, Mikulincer M. Adult attachment strategies and the regulation of emotion. Editor Gross JJ. Handbook of emotion regulation. New York; The Guilford Press 2006:446-65.
18. Southam-Gerow MA, &Kendall PC. Emotion regulation and understanding: Implications for child psychopathology and therapy. Clinical psychology review 2002;22(2),189-222.
19. Demirpençe D, Guliyev Eİ, Akkin Gürbüz HG. The effect of affective temperament traits on emotion regulation difficulties. Klinik Psikiyatri 2021;24:350-8.
20. Rottenberg J. Mood and emotion in major depression. Curr Dir Psychol Sci 200514:167-70.
21. Joormann J, Gotlib IH. Emotion regulation in depression:relation to cognitive inhibition. Cogn Emot 2010;24:281-98.
22. Campbell-Sills L, Barlow DH, Brown T A, Hofmann SG. Effects of suppressio n and acceptance on emotional responses of individuals with anxiety and mood disorders. Behav Res Ther 2006;44:1251-63.
23. Paul S, Simon.Endrass T &Kathmann N. Altered emotion regulation in obsessive–compulsive disorder as evidenced by the late positive potential. Psychological Medicine 2016;46(01):137-47.
24. Çalışır M. Yetişkin Bağlanma Kuramı ve Duygulanım Düzenleme Stratejilerinin Depresyonla İlişkisi. Psikiyatride Güncel Yaklaşımlar 2009;1(3):240-55.
25. Karaşar B. Öğretmen adaylarının bağlanma stilleri ve sosyal kaygı düzeyleri arasındaki ilişki. Amasya Üniversitesi Eğitim Fakültesi Dergisi 2014;3(1):27-49.
26. Lopez FG, Gover MR, Leskela J, Sauer EM, Schirmer L, &Wyssmann J. Attachment styles, shame, guilt, and collaborative problem‐solving orientations. Personal Relationships 1997;4(2):187-99.
27. Nolen-Hoeksema S, Wisco BE, Lyubormirsky S. Rethinking rumination. Perspectives on Psychological Science 2008;3:400-24.
28. Gonçalves SF, Chaplin TM, Turpyn CC, Niehaus CE, Curby TW, Sinha R, et al. Difficulties in emotion regulation predict depressive symptom trajectory from early to middle adolescence. Child Psychiatry&Human Development 2019;50:618-30.
29. Rachman S. A cognitivetheory of compulsive checking. Behavior Research and Therapy 2002;40:624–39.
30. Soysal AŞ, Bodur Ş, İşeri E, et& Şenol S. “Bebeklik dönemindeki bağlanma sürecine genel bir bakış”. Klinik Psikiyatri 2005;8(2):88-99.
31. Cisler JM, Olatunji BO, Feldner MT, and Forsyth JP. “Emotion Regulation and the Anxiety Disorders: An Integrative Review”.Journal Of Psychopathology And Behavioral Assessment.2010;32(1):68-82.
32. Berking M and Whitley B. Affect regulation training: A practitioners’ manual. New York;Springer 2014.