中国临床心理学杂志

依恋焦虑、囤积和负性情绪的关系:囤积信念的中介作用

作者：符仲芳¹ 徐慰¹ 王建平¹ 2

单位：1. 北京师范大学心理学院应用实验心理北京市重点实验室北京100875
2. 首都医科大学北京100088

分类号：R395.2

出版年,卷(期):页码：2015,23(4):660-664

摘要：

目的:构建囤积的依恋焦虑、囤积行为及负性情绪关系的理论模型,考察囤积信念在依恋焦虑与囤积行为关系中的中介作用以及囤积行为对负性情绪的影响。方法:采用囤积量表、亲密关系经历量表、囤积信念量表和焦虑、抑郁量表对312名大学生进行测量。结果:囤积与依恋焦虑成显著正相关,与依恋回避相关不显著;个体的囤积水平能够显著预测个体的焦虑、抑郁水平。结构方程模型分析表明,假设模型(依恋焦虑对囤积行为的路径显著、囤积行为对负性情绪的路径显著,囤积信念中介依恋焦虑对囤积行为的路径)拟合度良好(χ²/df =1.644,CFI=0.973,TLI=0.960,RMSEA=0.045,SRMR=0.038)。进一步通过中介分析发现,囤积信念对依恋焦虑和囤积行为之间的关系起部分中介作用(解释率为31.0%),囤积信念和囤积行为在依恋焦虑和负性情绪的关系中也起中介作用。结论:囤积信念在依恋焦虑对囤积行为的影响中起到重要作用,对于囤积的临床治疗可以关注于改变个体关于囤积的信念,进而有效改善囤积的症状,缓解个体的不良情绪。

Objective: To construct a cognitive model to explain the mediating role of saving beliefs in the relationship between attachment style and hoarding symptoms, and the effect of hoarding on negative emotions. Methods: A total of 312 college students were recruited to complete a series of questionnaires: Experiences in Close Relationships Inventory(ECR), Saving Beliefs Questionnaire(SBQ), Saving Inventory-Revised(SI-R), CES-D and SAS. Results: There were significant cor-relations among the scores of saving beliefs and hoarding symptoms, so were the anxiety attachment and hoarding symp-toms. Structural equation modeling showed that the model(the pathway from attachment anxiety to hoarding symptom, from hoarding symptom to negative emotions and the mediating effect of hoarding beliefs are significant) fitted the data well (χ²/df =1.644,CFI=0.973, TLI=0.960, RMSEA=0.045, SRMR=0.038). The hoarding acted as a multiple mediator in the correla-tion between the anxiety attachment and negative emotions. Conclusion: Saving beliefs are an important factor influencing the effects of anxiety attachment on the hoarding symptoms. The study shed light on the future treatment in hoarders which can focus on the saving beliefs.

基金项目：

首都医科大学精神疾病诊断与治疗北京市重点实验室开放课题(2014JSJB02);中央高校基本科研业务费专项资金资助(SKZZY2014056)

作者简介：

参考文献：

1 Frost RO, Steketee G, Williams L. Hoarding: a community health problem. Health and Social Care in the Community,2000, 8(4): 229-234
2 Tolin DF, Frost RO, Steketee G, et al. The economic and social burden of compulsive hoarding. Psychiatry Research,2008, 160(2): 200-211
3 Frost RO, Hartl TL. A cognitive-behavioral model of compulsive hoarding. Behaviour Research and Therapy, 1996,34: 341-350
4 Frost RO, Gross RC. The hoarding of possessions. Behaviour Research and Therapy, 1993, 31(4): 367-381
5 Tolin DF, Meunier SA, Frost RO, et al. Course of compulsive hoarding and its relationship to life events. Depression and Anxiety, 2010, 27(9): 829-838
6 Alonso PM, Menchón J, Mataix-Cols D, et al. Perceived parental rearing style in obsessive-compulsive disorder: Relation to symptom dimensions. Psychiatry Research, 2004, 127 (3): 267-278
7 Hartl TL, Duffany SR, Allen GJ, et al. Relationships among compulsive hoarding, trauma, and attention-deficit/hyperactivity disorder. Behaviour Research and Therapy, 2005, 43 (2): 269-276
8 Cromer KR, Schmidt NB, Murphy DL. Do traumatic events influence the clinical expression of compulsive hoarding? Behaviour Research and Therapy, 2007, 45(11): 2581-2592
9 Grisham JR, Steketee G, Frost RO. Interpersonal problems and emotional intelligence in compulsive hoarding. Depression and Anxiety, 2008, 25(9): E63-E71
10 White LE, Krause EMS, Williams A, et al. Attachment deficits in compulsive hoarding: Implications for theory and treatment. In Poster presented at the Annual Convention of the American Association of Behavior Therapy, New Orleans, LA, 2000
11 Grisham JR, Frost RO, Steketee G, et al. Formation of attachment to possessions in compulsive hoarding. Journal of Anxiety Disorders, 2009, 23(3): 357-361
12 Steketee G, Frost RO. Compulsive Hoarding: Current status of the research. Clinical Psychology Review, 2003, 23(7):905-927
13 Grisham JR, Barlow DH. Compulsive hoarding: Current research and theory. Journal of Psychopathology and Behavioral Assessment, 2005, 27(1): 45-52
14 Frost RO, Steketee G, Tolin DF. Diagnosis and assessment of hoarding disorder. Annual Review of Clinical Psychology,2012, 8: 219-242
15 Grisham JR, Norberg MM, Williams AD, et al. Categorization and cognitive deficits in compulsive hoarding. Behaviour Research and Therapy, 2010, 48(9): 866-872
16 赵金霞. 母亲依恋状况,教养方式与幼儿焦虑的关系. 中国临床心理学杂志,2010,18(6):806-808
17 Frost RO, Steketee G, Williams LF, et al. Mood, personality disorder symptoms and disability in obsessive compulsive hoarders: a comparison with clinical and nonclinical controls. Behaviour Research and Therapy, 2000, 38(11): 1071-1081
18 Frost RO, Hartl TL, Christian R, et al. The value of possessions in compulsive hoarding: patterns of use and attachment. Behaviour Research and Therapy, 1995, 33(8): 897-902
19 Grisham JR, Frost RO, Steketee G, et al. Formation of attachment to possessions in compulsive hoarding. Journal of Anxiety Disorders, 2009, 23(3): 357-361
20 Cherrier H, Ponnor T. A study of hoarding behavior and attachment to material possessions. Qualitative Market Research: An International Journal, 2010, 13(1): 8-23
21 Nedelisky A, Steele M. Attachment to people and to objects in obsessive-compulsive disorder: an exploratory comparison of hoarders and non-hoarders. Attachment and Human Development, 2009, 11(4): 365-383
22 Tolin DF, Fitch KE, Frost RO, et al. Family informants'perceptions of insight in compulsive hoarding. Cognitive Therapy and Research, 2010, 34(1): 69-81
23 Timpano KR, CekDemet, Fu Zhongfang, et al. Hoarding Disorder symptoms in a Chinese sample: The first consideration of Hoarding Disorder symptoms in China. Comprehensive Psychiatry, 2014
24 唐谭,王建平,唐苏勤,等. 囤积量表修订版在中国大学生中的修订. 中国临床心理学杂志,2012,20(1):21-24
25 陶明,高静芳. 修订焦虑自评量表(SAS-CR) 的信度及效度. 中国神经精神疾病杂志,1994,20(5):301-303
26 章婕,吴振云,方格,等. 流调中心抑郁量表全国城市常模的建立. 中国心理卫生杂志,2010,24(2):139-143
27 李同归. 成人依恋的测量:亲密关系经历量表(ECR)中文版. 心理学报,2006,38(3):399-406
28 Shrout PE, Bolger N. Mediation in experimental and nonexperimental studies: New procedures and recommendations. Psychological Methods, 2002, 7(4): 422
29 Bifulco A, Moran PM, Ball C, et al. Adult attachment style. II: Its relationship to psychosocial depressive-vulnerability. Social Psychiatry and Psychiatric Epidemiology, 2002, 37 (2): 60-67
30 周婵,耿静怡,蒋奖,等. 应对策略在大学生依恋与负性情绪中的中介作用. 中国临床心理学杂志,2007,15(6):588-591
31 Frost RO, Kyrios M, McCarthy KD, et al. Self-ambivalence and attachment to possessions. Journal of Cognitive Psychotherapy,2007, 21(3): 232-242
32 Timpano KR, Shaw AM. Conferring humanness: The role of anthropomorphism in hoarding. Personality and Individual Differences, 2013, 54(3): 383-388
33 Steketee G, Frost RO, Kyrios M. Cognitive aspects of compulsive hoarding. Cognitive Therapy and Research, 2003, 27 (4): 463-479
34 Frost RO, Kim HJ, Morris C, et al. Hoarding, compulsive buying and reasons for saving. Behaviour Research and Therapy,1998, 36(7): 657-664

服务与反馈：

【文章下载】【加入收藏】