ArticleClinical psychology & psychotherapy2022
The role of attachment and dissociation in the relationship between childhood interpersonal trauma and negative symptoms in psychosis.
Article in Clinical psychology & psychotherapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 22 citations in OpenAlex.
- The association between attachment insecurity and negative symptoms in clinical and non-clinical populations: A systematic review and meta-analysis.Psychology and psychotherapy · 2026Pooled it
- The severity of dissociation and dissociative phenomena in non-affective psychosis: a systematic review and meta-analyses.BMC psychiatry · 2026Pooled it
- Attachment Styles in Major Depressive Disorder: A Systematic Review and Meta-Analysis.Clinical psychology & psychotherapyPooled it
- Self-Efficacy and Attachment Styles Mediate the Impact of Early Life Trauma on Negative Emotional States in Adults Living in Portugal.Journal of child & adolescent trauma · 2026Article
- The role of trauma, attachment, dissociation, and alexithymia in pathways to negative symptoms in psychosis.The British journal of clinical psychology · 2025Article
- Understanding the relationships between parenting, attachment, schemas and psychosis: A serial mediation analysis.The British journal of clinical psychology · 2025Article
- Attachment orientation and platelet activity.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025Article
- The relationship between childhood maltreatment and trauma and psychosis is not moderated by parental mental health.BMC psychiatry · 2025Article
- Trauma and social pathways to psychosis: Examining the role of attachment, social rank and dissociation in a clinical sample.The British journal of clinical psychology · 2025Article
- The relationship between lifetime trauma exposure and psychosis in a multi-country case-control study in Africa.SSM. Mental health · 2025Article
- Role of attachment style in the association between childhood adversities and non-suicidal self-injury among young adults: a multigroup structural equation study.General psychiatry · 2025Article
- Recorded Rates of Trauma-Exposure in a Retrospective Epidemiologically Complete First-Episode Psychosis Cohort.Early intervention in psychiatry · 2025Article
- The revised Psychosis Attachment Measure: further psychometric evidence.Social psychiatry and psychiatric epidemiology · 2024Article
- Creating a Space to Feel: An Integrative Therapy Approach with an Adolescent Diagnosed with Dissociative Motor Disorder.Indian journal of psychological medicine · 2024Article
- Linking childhood trauma to the psychopathology of schizophrenia: the role of oxytocin.Schizophrenia (Heidelberg, Germany) · 2024Article
- The association of childhood trauma with depressive and negative symptoms in recent onset psychosis: a sex-specific analysis.Psychological medicine · 2023Article
- The role of attachment and dissociation in the relationship between childhood interpersonal trauma and negative symptoms in psychosis.Clinical psychology & psychotherapy · 2022Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Negative symptoms have an adverse impact on quality of life and functioning in psychosis. Service users with psychosis have identified negative symptoms as a priority for their recovery. Despite this, there is a lack of effective and targeted psychological interventions for negative symptoms and their underlying mechanisms remain poorly understood. Childhood trauma is a robust risk factor for positive symptoms in psychosis, but the association with negative symptoms is less well established. Our aim was to examine the association between childhood interpersonal trauma and negative symptoms and the psychological mediators of this relationship. Two hundred and forty participants experiencing psychosis completed validated self-report measures of childhood trauma, attachment, dissociation, compartmentalization, and symptoms. Mediation analyses showed that disorganized attachment and dissociative experiences mediated the association between childhood trauma and negative symptoms, when analysed individually and in a combined model. Models adjusted for age and positive and depressive symptoms. Avoidant attachment and compartmentalization were independently associated with negative symptoms but not childhood trauma and thus were not significant mediators. Childhood trauma was not independently associated with negative symptoms. This paper is the first to present empirical data to support a model implicating attachment and dissociation as important psychological processes in the link between childhood trauma and negative symptoms. These exploratory findings suggest that it may be beneficial to consider these relationships in trauma-informed formulations and interventions. Further longitudinal research is required to establish causality and test theoretical models of mechanisms in the pathway to negative symptoms.
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