Adapting to the challenge of psychosis: personal resilience and the use of sealing-over (avoidant) coping strategies

Tait, Lynda; Birchwood, Max; Trower, Peter

doi:10.1192/bjp.185.5.410

Cited by 155 publications

(150 citation statements)

References 29 publications

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“…Both attachment-anxiety and attachment-avoidance were significantly higher in those patients with borderline personality disorder and a history of childhood trauma, which in turn correlated with more severe clinical symptoms and interpersonal problems in adulthood (Minzenberg et al 2006). There is also evidence that childhood trauma is associated with higher rates of insecure attachment in adulthood among patients with psychosis (Tait et al 2004;Berry et al 2009). Compared with patients with secure attachments, insecure attachment has been associated with worse psychiatric symptoms (Gumley et al 2014) and social cognitive performance (Pos et al 2014).…”

Section: Attachmentmentioning

confidence: 77%

“…Compared with patients with secure attachments, insecure attachment has been associated with worse psychiatric symptoms (Gumley et al 2014) and social cognitive performance (Pos et al 2014). It has also been associated with poorer engagement with clinical services and more interpersonal problems (Gumley et al 2014), including poorer treatment adherence and greater likelihood of disengagement from mental health services (Tait et al 2004;MacBeth et al 2011). These may all be important factors that contribute to the association between childhood trauma and poor functioning in these patient groups.…”

Section: Attachmentmentioning

confidence: 99%

See 1 more Smart Citation

Childhood trauma and functional disability in psychosis, bipolar disorder and borderline personality disorder: a review of the literature

Cotter

Kaess

Yung

2014

Ir. j. psychol. Med.

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Objectives. We aimed to examine the association between childhood trauma and functional impairment in psychotic disorders, bipolar disorder and borderline personality disorder, to speculate on possible mechanisms that underlie this association and discuss the implications for clinical work.Methods. Narrative review of the peer-reviewed English language literature in the area.Results. High rates of childhood trauma in psychotic disorders, bipolar disorder and borderline personality disorder were identified. This was associated with impaired social and occupational functioning in both the premorbid and established phases of each of these psychiatric disorders over and above the deficits typically observed in these populations. Possible mechanisms mediating this relationship include neurocognitive deficits, insecure attachment, higher rates of comorbidities and problems with adherence and response to treatment. Conclusions.Routine clinical inquiry about childhood maltreatment should be adopted within mental health settings. This has potentially important treatment implications for identifying those individuals at elevated risk of functional disability. While there is no clear guidance currently available on how to target childhood trauma in the treatment of psychotic disorders, bipolar disorder or borderline personality disorder, there are several promising lines of enquiry and further research is warranted.

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Section: Attachmentmentioning

confidence: 77%

Section: Attachmentmentioning

confidence: 99%

Childhood trauma and functional disability in psychosis, bipolar disorder and borderline personality disorder: a review of the literature

Cotter

Kaess

Yung

2014

Ir. j. psychol. Med.

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“…Studies which have explored parental bonding experiences using the PBI within a psychosis population found higher rates of poor parental bonding as shown by the 'affectionless control' category, when compared with non-clinical controls (Onstad et al 1994;Winther Helgeland & Torgersen, 1997;Willinger et al 2002). Significant associations have also been found between the 'affectionless control' category and an earlier stage of initial hospitalisation, higher relapse rates (Parker et al 1982;Baker et al 1984;Parker & Mater, 1986) and poorer engagement with services (Tait et al 2004). There are few published studies in BD populations: Joyce (1984) found higher rates of 'affectionless control' parenting style amongst females with BD and an association with an increase in hospital admissions.…”

Section: Introductionmentioning

confidence: 82%

The association between childhood trauma, parental bonding and depressive symptoms and interpersonal functioning in depression and bipolar disorder

Marshall

Shannon

Meenagh

et al. 2017

Ir. j. psychol. Med.

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Objectives. This study explores rates of a history of childhood trauma in adult patients with bipolar disorder and depression and the impact of such trauma and parental bonding patterns on depressive mood and interpersonal functioning at the time of assessment. Methods.A cross-sectional design was used and a sample of 49 participants was recruited from a mental health outpatient service in Northern Ireland. Data were subject to correlations, one-way analysis of variance and hierarchal regression analyses. A cut-off point of r = ± 0.25 was used to select variables for inclusion in the hierarchal regression analyses.Results. High rates of childhood trauma were present in both samples: 74% in bipolar disorder and 82% in depression. Childhood trauma and poor parental bonding (with mother) were significant predictors of higher rates of current inter-episode depressive mood and interpersonal difficulties.Conclusions. This finding adds to the evidence that routine assessment of early childhood experience is likely to prove helpful in clinical care.

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“…Research has shown that the presence of insecure attachment styles, particularly in patients with psychosis, is associated with increased psychotic symptomatology (Ponizovsky, Nechamkin, & Rosea, 2007), poorer engagement with treatment , less engagement with services (Tait, Birchwood & Trower, 2004); and less satisfaction with services (Rossberg, Melle, Opjordsmoen & Friis, 2006).…”

Section: Panas Directionsmentioning

confidence: 99%

Service attachment: The relative contributions of ward climate perceptions and attachment anxiety and avoidance in male inpatients with psychosis

Campbell

Allan

Sims

2013

Criminal Behav Ment Health

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Background It has been suggested that mental health services can help meet the attachment needs of inpatients and improve patient outcomes through the provision of a ‘secure base’; however, what defines the latter is unclear. Perception of ward climate might be a useful indicator. Aim The aim of this study was to examine whether inpatient perceptions of the ward climate, which is partly under the control of the service, or inpatients' own personal levels of attachment anxiety and avoidance are more associated with their attachment to their service. Method Seventy‐six men diagnosed with a psychotic illness, who were residents in one of four regional medium‐security units in England, completed questionnaire measures of service attachment, personal attachment style and ward climate. Results Ward climate was more strongly associated with service attachment than personal levels of attachment anxiety and avoidance. The most important aspect of ward climate for service attachment was the depth and influence of staff support for the inpatients. Conclusions Although patient characteristics are important influences on development of service attachment, ward climate is also important. The latter may be easily and reliably monitored with a brief questionnaire. Strategies to enhance and maintain its positive components are likely to be important for progress with forensic hospital inpatients who have a psychotic illness. Copyright © 2013 John Wiley & Sons, Ltd.

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Adapting to the challenge of psychosis: personal resilience and the use of sealing-over (avoidant) coping strategies

Abstract: Sealing over was associated with multiple signs of low personal resilience in adapting to psychosis.

Cited by 155 publications

References 29 publications

Childhood trauma and functional disability in psychosis, bipolar disorder and borderline personality disorder: a review of the literature

Childhood trauma and functional disability in psychosis, bipolar disorder and borderline personality disorder: a review of the literature

The association between childhood trauma, parental bonding and depressive symptoms and interpersonal functioning in depression and bipolar disorder

Service attachment: The relative contributions of ward climate perceptions and attachment anxiety and avoidance in male inpatients with psychosis

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