ATTACHMENT STYLES AND DYSFUNCTIONAL ATTITUDES AMONG PATIENTS OF FUNCTIONAL NEUROLOGICAL SYMPTOM DISORDER
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Abstract
OBJECTIVES: To explore dysfunctional attitudes and attachment styles of the patients suffering from functional neurological symptom disorder (FNSD) and the relationship between dysfunctional attitudes and attachment styles.
METHODS: This prospective correlational research design was used on a sample of 150 patients of FNSD enrolled using purposive sampling technique. The study was conducted at Sir Ganga Ram Hospital Lahore, Pakistan from March 2018 until March 2019. For purpose of assessment demographic sheet, Dysfunctional Attitude Scale (DAS) and Revised Adult Attachment Scale (AAS) were used. The results were retrieved using SPSS version 21.
RESULTS: Out of 150 patients, 130 (86.7%) were females & 20 (13.3%) were males. The mean age of the patients was 31.35±9.01 years. Majority (n=70, 46.7%) were the middle-born children in birth-order. Seventy percent (n=105) were married, 80 (53.3%) had joint family system, 100 (66.7%) had lower socio-economic status, 95 (63.3%) had rented residence and 110 (73.3%) were from urban areas. Mean duration of competed education was 7.43±4.25 years. Patients of FNSD reported high range of scores on DAS (187.92±23.61). In AAS, highest mean scores were recorded for Anxiety Attachment Style (26.52 ±2.38), followed by Dependent Attachment Style (20.21±3.03). A significant correlation (r=0.26) was noted for DAS with Anxiety Attachment Style (p-value<0.01).
CONCLUSION: The patients with FNSD exhibit anxious attachment style and high range of dysfunctional attitudes. The anxious attachment style and dysfunctional attitudes are significantly associated with each other.
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References
American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub; 2013. p.318-21. [Accessed on: July 10, 2019]. Available from URL: https://www.psychiatry.org/psychiatrists/practice/dsm
Bibi A, Masroor U, Iqbal N. Dysfunctional attitudes and demographic correlates of patients with conversion disorder; an exploratory study. J Pak Psychiatr Soc 2013;10(1):25-29.
Aamir S, Hamayon S, Sultan S. Behavior therapy in dissociative convulsion disorder. J Depress Anxiety 2011;1(1): 1000103.DOI: 10.4172/2167-1044.1000103
Ijaz T, Nasir A, Sarfraz N, Ijaz S. Psychometric properties of Conversion Disorder Scale-Revised (CDS) for children. J Pak Med Assoc 2017;67(5):725-30.
Lishman WA. Organic psychiatry: The psychological consequences of cerebral disorder. 2nd ed. Oxford: Blackwell Scientific; 1987. p.207-76. [Accessed on: July 10, 2019]. Available from URL: https://www.amazon.com/Organic-Psychiatry-Psychological-Consequences-Cerebral/dp/0632014962.
Bowlby J. Attachment and Loss: Separation Anxiety and Anger; 1973. p.244-5. [Accessed on: July 10, 2019]. Available from URL: https://books.google.com.pk/books/about/Attachment_and_Loss_Separation_anxiety_a.html?id=STCxK62k_ikC&redir_esc=y
Horowitz LM. Interpersonal foundations of psychopathology. American Psychological Association US; 2004. p.205-56. [Accessed on: July 10, 2019]. Available from URL: https://www.apa.org/pubs/books/4317036.
Hettema JM, Neale MC, Myers JM, Prescott CA, Kendler KS. A population-based twin study of the relationship between neuroticism and internalizing disorders. Am J Psychiatry 2006;163(5):857-64. DOI: 10.1176/ajp.2006.163.5.857.
Noyes R, Stuart SP, Watson DB. A reconceptualization of the somatoform disorders. Psychosomatics 2008;49(1):14-22. DOI: 10.1176/appi.psy.49.1.14.
Halvorsen M, Wang CE, Eisemann M, Waterloo K. Dysfunctional attitudes and early maladaptive schemas as predictors of depression: A 9-year follow-up study. Cognit Ther Res 2010;34(4):368-79.
Alvi T, Minhas FA. Type of presentation of dissociative disorder and frequency of co-morbid depressive disorder. J Coll Physicians Surg Pak 2009;19(2):113-6.
Pehlivantürk B, Unal F. Conversion disorder in children and adolescents: clinical features and comorbidity with depressive and anxiety disorders. Turk J Pediatr 2000;42(2):132-7.
Weissman AN, Beck AT. Development and validation of the Dysfunctional Attitude Scale: A preliminary investigation. ERIC 1978. [Accessed on: July 10, 2019]. Available from URL: https://eric.ed.gov/?id=ED167619.
Ravitz P, Maunder R, Hunter J, Sthankiya B, Lancee W. Adult attachment measures: A 25-year review. J Psychosom Res 2010;69(4):419-32.
Weich S, Churchill R, Lewis G. Dysfunctional attitudes and the common mental disorders in primary care. J Affect Disord 2003;75(3):269-78.
Williams B, Jalilianhasanpour R, Matin N, Fricchione GL, Sepulcre J, Keshavan MS, et al. Individual differences in corticolimbic structural profiles linked to insecure attachment and coping styles in motor functional neurological disorders. J Psychiatr Res 2018;102:230-7. DOI:10.1016/j.jpsychires.2018.04.006
Stuart S, Noyes R Jr. Attachment and interpersonal communication in somatization. Psychosomatics 1999;40(1):34-43. DOI: 10.1016/S0033-3182(99)71269-7
Gil FP, Scheidt CE, Hoeger D, Nickel M. Relationship between attachment style, parental bonding and alexithymia in adults with somatoform disorders. Int J Psychiatry Med 2008;38(4):437-51. DOI: 10.2190/PM.38.4.d
Reinecke MA, Rogers GM. Dysfunctional attitudes and attachment style among clinically depressed adults. Behav Cognit Psychother 2001;29(2):129-41.DOI: https://doi.org/10.1017/S1352465801002016
Williams NL, Riskind JH. Cognitive vulnerability and attachment. J Cognit Psychother 2004;18(1):3-6.
Roberts JE, Gotlib IH, Kassel JD. Adult attachment security and symptoms of depression: The mediating roles of dysfunctional attitudes and low self-esteem. J Pers Soc Psychol 1996;70(2):310-20.
Eckstein D, Kaufman JA. The role of birth order in personality: An enduring intellectual legacy of Alfred Adler. J Individ Psychol 2012;68(1):60-74.
Khan MN, Ahmad S, Arshad N. Birth order, family size and its association with conversion disorders. Pak J Med Sci 2006;22(1):38-42.