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焦虑型依恋对基本情绪与物质相关成瘾行为关系的影响。

Influence of anxious attachment on the relationship between primary emotions and substance-related addictive behaviors.

机构信息

Center for Integrative Addiction Research (CIAR), Grüner Kreis Society, Vienna, Austria.

Department of Psychoanalysis and Psychotherapy, Medical University of Vienna, Vienna, Austria.

出版信息

Front Public Health. 2024 Jun 17;12:1380539. doi: 10.3389/fpubh.2024.1380539. eCollection 2024.

Abstract

OBJECTIVES

To date there is no universally accepted model that describes the development of substance related addictive behavior. In order to address this gap, the study sought to examine whether the association between primary emotions and the inclination toward addictive behavior is mediated by an anxious attachment style.

METHODS

The total sample consisted of 900 German speaking non-clinical adults (age:  = 27;  = 9.60; 71.6% female). Structural Equation Modeling (SEM) was applied to examine the connection between the primary emotions (SADNESS and ANGER), and the latent variables attachment anxiety and symptoms of addictive behavior.

RESULTS

Substance use symptomatology was correlated with higher attachment anxiety ( = 0.15), SADNESS ( = 0.15), and ANGER ( = 0.11). The effect of SADNESS on addictive behavior is mediated by attachment anxiety ( < 0.01) whereas ANGER had a direct effect on addictive behavior ( < 0.01). The final SEM explains 4% of the variance of addictive behaviors and 22% of attachment anxiety.

CONCLUSION

Our findings suggest that both SADNESS and ANGER, along with attachment anxiety, are dispositions that contribute to the risk of engaging in addictive behavior. However, while ANGER directly influences addictive behavior, SADNESS acts through its impact on attachment anxiety.

摘要

目的

目前尚没有一个被普遍接受的模型来描述物质相关成瘾行为的发展。为了弥补这一空白,本研究试图探讨主要情绪与成瘾行为倾向之间的关系是否受到焦虑依恋风格的影响。

方法

总样本由 900 名德语非临床成年人组成(年龄:=27;=9.60;71.6%为女性)。结构方程模型(SEM)用于检验主要情绪(悲伤和愤怒)与潜在变量依恋焦虑和成瘾行为症状之间的联系。

结果

物质使用症状与较高的依恋焦虑(=0.15)、悲伤(=0.15)和愤怒(=0.11)相关。悲伤对成瘾行为的影响受依恋焦虑的中介作用(<0.01),而愤怒对成瘾行为有直接影响(<0.01)。最终的 SEM 模型解释了 4%的成瘾行为和 22%的依恋焦虑的变异。

结论

我们的研究结果表明,悲伤和愤怒以及依恋焦虑都是导致成瘾行为风险的倾向。然而,虽然愤怒直接影响成瘾行为,但悲伤通过对依恋焦虑的影响来起作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b11e/11215174/02ccb2ef0308/fpubh-12-1380539-g001.jpg

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