title: Adult attachment styles and psychosis: an investigation of associations between general attachment styles and attachment relationships with specific others.
abstract: BACKGROUND
  If attachment theory is to help inform our understanding of relationship difficulties in people with psychosis, it is first important to understand the composition of attachment networks in this group and how attachment style measured with reference to relationships in general actually relates to attachment in relationships with specific others.
  
  
  METHODS
  We examined attachment networks and associations between general attachment style and attachment in relationships with parents and psychiatric staff in a sample of 58 patients with psychosis. We assessed attachment dimensions of anxiety and avoidance using the Psychosis Attachment Measure (PAM) and an adapted version of the instrument asking about relationships with specific others.
  
  
  RESULTS
  Patients reported a median of two attachment relationships. Both attachment anxiety and avoidance measured with reference to close relationships in general were positively correlated with attachment in key worker and parental relationships, although levels of attachment anxiety and avoidance did vary across relationships.
  
  
  CONCLUSIONS
  Future research should determine factors influencing variations in attachment working models in samples of people with psychosis, as it may be possible to help individuals with insecure attachment styles develop more positive relationships with others.
authors.affiliation: School of Psychological Sciences, University of Manchester, Rutherford House, Manchester Science Park, Lloyd Street North, Manchester, M15 6SZ, UK. katherinelberry@yahoo.co.uk
authors.forename: Katherine
authors.initials: K
authors.lastname: Berry
authors.forename: Alison
authors.initials: A
authors.lastname: Wearden
authors.forename: Christine
authors.initials: C
authors.lastname: Barrowclough
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D009769:Object Attachment; D011582:Psychological Theory; D011618:Psychotic Disorders / Q000453:epidemiology / Q000523:psychology*; D011795:Surveys and Questionnaires