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dc.contributor.authorRusso, Debra Aen
dc.contributor.authorStochl, Janen
dc.contributor.authorHodgekins, Joanneen
dc.contributor.authorIglesias-González, Mariaen
dc.contributor.authorChipps, Penelopeen
dc.contributor.authorPainter, Michelleen
dc.contributor.authorJones, Peteren
dc.contributor.authorPerez, Jesusen
dc.date.accessioned2017-05-05T15:07:12Z
dc.date.available2017-05-05T15:07:12Z
dc.date.issued2017-04-24en
dc.identifier.issn0007-1269
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/264112
dc.description.abstractEvidence suggests that attachment styles may influence subclinical psychosis phenotypes (schizotypy) and affective disorders and may play a part in the association between psychosis and childhood adversity. However, the role of attachment in the initial stages of psychosis remains poorly understood. Our main aim was to describe and compare attachment styles in 60 individuals at ultra high risk for psychosis (UHR) and a matched sample of 60 healthy volunteers (HV). The HV had lower anxious and avoidant attachment scores than the UHR individuals ($p$ < .001). Sixty-nine percentage of the UHR group had more than one DSM-IV diagnosis, mainly affective and anxiety disorders. The UHR group experienced more trauma ($p$ < .001) and more mood and anxiety symptoms ($p$ < .001). Interestingly, in our UHR group, only schizotypy paranoia was correlated with insecure attachment. In the HV group, depression, anxiety, schizotypy paranoia, and social anxiety were correlated with insecure attachment. This difference and some discrepancies with previous studies involving UHR suggest that individuals at UHR may compose a heterogeneous group; some experience significant mood and/or anxiety symptoms that may not be explained by specific attachment styles. Nonetheless, measuring attachment in UHR individuals could help maximize therapeutic relationships to enhance recovery.
dc.description.sponsorshipThis work was supported by the National Institute for Health Research (NIHR) Programme Grant RP-PG-0606-1335 ‘Understanding Causes and Developing Effective Interventions for Schizophrenia and Other Psychoses’. This work forms part of the NIHR Collaboration for Leadership in Applied Health Research & Care East of England.
dc.format.mediumPrint-Electronicen
dc.languageengen
dc.language.isoenen
dc.publisherWiley
dc.titleAttachment styles and clinical correlates in people at ultra high risk for psychosis.en
dc.typeArticle
prism.publicationDate2017en
prism.publicationNameBritish journal of psychology (London, England : 1953)en
dc.identifier.doi10.17863/CAM.9476
dcterms.dateAccepted2017-02-20en
rioxxterms.versionofrecord10.1111/bjop.12249en
rioxxterms.versionAMen
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden
rioxxterms.licenseref.startdate2017-04-24en
dc.contributor.orcidStochl, Jan [0000-0002-9693-9930]
dc.contributor.orcidJones, Peter [0000-0002-0387-880X]
dc.identifier.eissn2044-8295
rioxxterms.typeJournal Article/Reviewen
pubs.funder-project-idCAMBS & PETERBOROUGH NHS FOUND TRUST (FB NHS/NIHR) (RP-PG-0606-1335)
rioxxterms.freetoread.startdate2018-04-24


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