Depression with or without comorbid social anxiety: Is attachment the culprit?
Autor: | G. Camelia Adams, Gordon J.G. Asmundson, Andrew J. Wrath, Prosanta Mondal |
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Rok vydání: | 2018 |
Předmět: |
Adult
Male Functional impairment Comorbidity behavioral disciplines and activities Culprit 03 medical and health sciences 0302 clinical medicine mental disorders medicine Humans Clinical severity Biological Psychiatry Depression (differential diagnoses) Psychiatric Status Rating Scales Reactive Attachment Disorder Depressive Disorder Major business.industry Social anxiety Phobia Social medicine.disease Object Attachment 030227 psychiatry Psychiatry and Mental health Cross-Sectional Studies behavior and behavior mechanisms Major depressive disorder Anxiety Female medicine.symptom business psychological phenomena and processes 030217 neurology & neurosurgery Clinical psychology |
Zdroj: | Psychiatry Research. 269:86-92 |
ISSN: | 0165-1781 |
Popis: | Major depressive disorder (MDD) frequently co-occurs with social anxiety disorder (SAD), and their comorbidity (MDD-SAD) increases clinical severity and functional impairment. Still, the specific psychological vulnerabilities of individuals with MDD-SAD are poorly understood. Individual attachment characteristics develop early in life through interactions with primary caregivers, and tend to persist throughout life. Early trauma can worsen attachment insecurity, increasing the risk for future anxiety and depression. The purpose of this study is to examine differences in individual attachment and history of trauma in depressed individuals with or without comorbid SAD and controls. One hundred sixty-two participants were categorized into three groups based on SCID-I interview: healthy controls (HC), individuals with current MDD without SAD (MDD), and individuals with current MDD comorbid with SAD (MDD-SAD). MDD-SAD group had significantly greater attachment anxiety and attachment avoidance compared to the MDD and HC groups. MDD-SAD group had greater clinician-rated depression severity and dysfunction compared to MDD group. In summary, the study further supports the clinical risks associated with MDD-SAD and suggests that insecure attachment might represent an associated vulnerability and a possible pathway which warrants further research and clinical attention. |
Databáze: | OpenAIRE |
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