Trascuratezza emotiva, attaccamento e ansia da separazione nei disturbi alimentari: uno studio su pazienti adolescenti e sui loro genitori

Titolo Rivista MALTRATTAMENTO E ABUSO ALL’INFANZIA
Autori/Curatori Grazia Attili, Lorenza Di Pentima, Alessandro Toni, Antonio Roazzi
Anno di pubblicazione 2016 Fascicolo 2016/2
Lingua Italiano Numero pagine 24 P. 95-118 Dimensione file 312 KB
DOI 10.3280/MAL2016-002006
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È stata confrontata, in un gruppo di pazienti con disturbi alimentari (N = 101, età media = 15.3 anni), la trascuratezza emotiva da parte del padre e della madre esperita da coloro che avevano modelli mentali dell’attaccamento (IWM) con alta ansia da separazione versus quella esperita da coloro con IWM a bassa ansia. È stata, inoltre, investigata l’associazione tra IWM ad alta ansia e sintomi psicopatologici. Gli stili parentali sono stati, poi, ricondotti agli IWM ad alta/bassa ansia dei genitori. Ai pazienti e ai loro genitori è stato somministrato il SAT per la misura degli IWM dell’attaccamento, ai pazienti il PBI per la misura del legame con i genitori e l’SCL-90 per lo spettro psicopatologico. I risultati evidenziano nei pazienti con IWM ad alta ansia maggior Costrizione Affettiva e Controllo non Affettivo da parte della madre e legami Deboli-assenti con il padre, e più sintomi psicopatologici. Inoltre, stili distorti di accudimento si associano a IWM ad alta ansia dei genitori stessi.;

Keywords:Disturbi del comportamento alimentare, attaccamento con ansia da separazione, legami genitoriali, trascuratezza emotiva, psicopatologia

  1. Ainsworth, M. D. S. (1982). Attachment: Retrospect and prospect. In C. M. Parkes & J. Stevenson-Hinde (Eds.), The place of attachment in human behavior (pp. 3-30). New York: Basic Books.
  2. Ainsworth, M. D. S., Blehar, M., Waters, E., & Wall, S. (1978). Patterns of attachment: A psychological study of the Strange Situation. Hillsdale: Erlbaum.
  3. American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders: DSM-V (5th ed.). Washington: American Psychiatric Association.
  4. Armstrong, D. M., & Roth, J. G. (1989). Attachment and separation difficulties in eating disorders: A preliminary investigation. International Journal of Eating Disorders, 8, 141-155.
  5. Attili, G. (2001a). Ansia da separazione e misura dell’attaccamento normale e patologico. Versione modificata e adattamento italiano del Separation Anxiety Test (SAT) di Klagsbrun e Bowlby. Milano: Edizioni Unicopli.
  6. Attili, G. (2001b). Attaccamento e disturbi alimentari: La validità predittiva dello strumento in campioni clinici. In G. Attili, Ansia da separazione e misura dell’attaccamento normale e patologico: Versione modificata e adattamento italiano del Separation Anxiety Test (SAT) di Klagsbrun e Bowlby (pp.123-135). Milano: Unicopli.
  7. Attili, G. (2007). Attaccamento e costruzione evoluzionistica della mente. Normalità, patologia, terapia. Milano: Cortina Editore.
  8. Attili, G., & Cesarini, G. (2005). I legami sentimentali degli adulti e le loro relazioni di attaccamento infantili. Età Evolutiva, 1, 60-66.
  9. Attili, G., Di Pentima, L., & Magnani, M. (2004). Disturbi del comportamento alimentare, modelli mentali dell’attaccamento e relazioni familiari. Psicologia Clinica dello Sviluppo, 1, 69-96, DOI: 10.1449/13174
  10. Attili, G., Di Pentima, L., Toni, A., & Roazzi, A. (2015). Attachment styles and eating disorders: The combined effect of mothers’ and fathers’ mental states. Attaccamento e Sistemi Complessi (Attachment and Complex Systems), 2, 2, 53-66.
  11. Attili, G., Di Pentima, L., Toni, A., & Roazzi, A. (inviato per pubblicazione). High anxiety internal working models in eating disorders and their intergenerational transmission by mothers and fathers.
  12. Attili G., Vermigli, P., & Roazzi A., (2011). Rearing styles, parents’ attachment mental state and children’s social abilities: The link to peer acceptance. Child Development Research, 20, 1-12, DOI: 10.1155/2011/267186
  13. Barone, L., & Guiducci, V. (2009). Mental representations of attachment in eating disorders: A pilot study using the Adult Attachment Interview. Attachment & Human Development, 11, 405-417, DOI: 10.1080/14616730902814770
  14. Blodgett Salafia, E. H., Gondoli, D. M., Corning, A. F., McEnery, A. M., & Grundy, A. M. (2007). Psychological distress as a mediator of the relation between perceived maternal parenting and normative maladaptive eating among adolescent girls. Journal of Counseling Psychology, 54, 434-446, DOI: 10.1037/0022-0167.54.4.434
  15. Borg, I., & Groenen, P. (1997). Modern multidimensional scaling. Theory and applications. Berlim: Springer.
  16. Botta, R. A., & Dumlao, R. (2002). How do conflict and communication patterns between fathers and daughters contribute to or offset eating disorders? Health Communication, 14, 199-219.
  17. Bowlby, J. (1969). Attachment and loss. Vol 1: Attachment. London: Hogarth Press (Trad. it., Attaccamento e perdita. Vol. 1: L’attaccamento alla madre. Torino: Bollati Boringhieri, 1972).
  18. Bowlby, J. (1977). The making and breaking of affectional bonds. I: Aetiology and psychopathology in the light of attachment theory, II: Some principles of psychotherapy. British Journal of Psychiatry, 130, 201-210 and 421-431.
  19. Bruch, H. (1973). Eating disorders. New York: Basic Books.
  20. Bruch, H. (1978). The golden cage: The enigma of anorexia nervosa. Cambridge, MA: Harvard University Press.
  21. Bulik, C. M., Sullivan, P. F., Fear, J. L., & Pickering, A. (2000). Outcome of anorexia nervosa: Eating attitudes, personality, and parental bonding. International Journal of Eating Disorders, 28, 139-147, DOI: 10.1002/1098-108X(200009)28:2<139::AID-EAT2>3.0.CO;2-G
  22. Candelori, C., & Ciocca, A. (1998). Attachment and eating disorders. In P. Bria, A. Ciocca, & S. De Risio (Eds.), Psychotherapeutic issues in eating disorders: Models, methods and results (pp. 139-153). Rome: Società Editrice Universo.
  23. Canetti, L., Kanyas, K., Lerer, B., Latzer, Y., & Bachar, E. (2008). Anorexia nervosa and parental bonding: The contribution of parent-grandparent relationships to eating disorder psychopathology. Journal of Clinical Psychology, 64, 6, 703-716, DOI: 10.1002/jclp.20482
  24. Cavanna, D., Delogu, A. M., & Zavattini G. C., (2012). Le prospettive dell’attaccamento nei disturbi del comportamento alimentare. Psicologia Clinica dello Sviluppo, 16, 1, 3-36, DOI: 10.1449/37088
  25. Conti, L. (1999). Repertorio delle scale di valutazione in psichiatria. Firenze: SEE Editrice, Edizioni Medico Scientifiche.
  26. Cooper, M. J., Wells, A., & Todd, G. (2004). A cognitive model of bulimia nervosa. British Journal of Clinical Psychology, 43, 1-16.
  27. D’Onofrio E., Pace C. S., & Cavanna D. (2015) Qualitative research in adolescent psychotherapy: Attachment and reflective functioning as psychotherapy outcomes of an adolescent with anorexia nervosa. Research in Psychotherapy: Psychopathology, Process and Outcome, 18, 2, 93-101.
  28. De Panfilis, C., Rabbaglio, P., Rossi, C., Zita, G., & Maggini, C. (2003). Body image disturbance, parental bonding and alexithymia in patients with eating disorders. Psychopathology, 36, 239-246, DOI: 10.1159/000073449
  29. De Wolf, M. S., & van Ijzendoorn, M. H. (1997). Sensitivity and attachment: A meta-analysis on parental antecedents of infant attachment. Child Development, 68, 571-591, DOI: 10.1111/j.1467-8624.1997.tb04218.x
  30. Derogatis, L. R., Lipman, R. S., & Covi, L. (1973). The SCL-90: An outpatient psychiatric rating scale. Psychopharmacology Bulletin, 9, 13-28.
  31. Di Blasio, P. (2000). Psicologia del bambino maltrattato. Bologna: il Mulino.
  32. Di Pentima, L., & Toni, A. (2009). Subtle, blatant prejudice and attachment: A study in adolescent age. Journal of Psychology, 3(2), 153-163.
  33. Fassino, S., Amianto, F., Rocca, G., & Daga, G. A. (2010). Parental bonding and eating psychopathology in bulimia nervosa: Personality traits as possible mediators. Epistemologia e Psichiatria Sociale, 19, 3, 214-222.
  34. Fonagy, P., Leigh, T., Steele, H., Kennedy, R., Mattoon, G., Target, M., & Gerber, A. (1996). The relation of attachment status, psychiatric classification and response to psychotherapy. Journal of Consulting and Clinical Psychology, 64, 22-31.
  35. Goossens, L., Braet, C., Van Durme, K., Decaluwé, V., & Bosmans, G. (2012). The parent-child relationship as predictor of eating pathology and weight gain in preadolescents. Journal of Clinical Child and Adolescent Psychology, 41, 445-457, DOI: 10.1080/15374416.2012.660690
  36. Graber, J. A., Brooks-Gunn, J., Paikoff, R. L., & Warren, M. P. (1994). Prediction of eating problems: An 8-year study of adolescent girls. Developmental Psychology, 30, 823-834, DOI: 10.1037/0012-1649.30.6.823
  37. Grossman, K., Grossman, K. E., Kindler, H., & Zimmerman, H. (2008). A wider view of attachment and exploration: The influence of mothers and fathers on the development of psychological security from infancy to young adulthood. In J. Cassidy & P. R. Shaver (Eds.), Handbook of attachment: Theory, research and clinical application (pp. 857-879). New York, NY: Guilford Press.
  38. Guttman, L. (1965). A general non-metric technique for finding the smallest coordinate space for a configuration. Psychometrika, 33, 469-506.
  39. Hansburg, H. G. (1972). Adolescent separation anxiety: A method for the study of adolescent separation problems. Springfield: C.C. Thomas.
  40. Johnson, J. G., Cohen, P., Kasen, S., & Brook, J. S. (2002). Childhood adversities associated with risk for eating disorders or weight problems during adolescence or early adulthood. American Journal of Psychiatry, 159, 394-400, DOI: 10.1176/appi.ajp.159.3.394
  41. Kiang, L., & Harter, S. (2006). Sociocultural values about appearance and attachment processes: An integrated model of eating disorder symptomatology. Eating Behaviors, 7, 134-151, DOI: 10.1016/j.eatbeh.2005.08.001
  42. Klagsbrun, M., & Bowlby, J. (1976). Responses to separation from parents: A clinical test for young children. Projective Psychology, 1, 2, 7-27.
  43. Lancaster, G., Rollinson, L., & Hill, J. (2007). The measurement of a major childhood risk for depression: Comparison of the Parental Bonding Instrument (PBI) “Parental Care” and the Childhood Experience of Care and Abuse (CECA) “Parental Neglect”. Journal of Affective Disorders, 101, 263-267, DOI: 10.1016/j.jad.2006.12.010
  44. Latzer, Y., Hochdorf, Z., Bachar, E., & Canetti, L. (2002). Attachment style and family functioning as discriminating factors in eating disorders. Contemporary Family Therapy, 24, 581-599, DOI: 10.1023/A:1021273129664
  45. Lehoux, P. M, & Howe, N. (2007). Perceived non-shared environment, personality traits, family factors and developmental experiences in bulimia nervosa. British Journal of Clinical Psychology, 46, 1, 47-66, DOI: 10.1348/014466506X111285
  46. Le Grange, D., Lock, J., Loeb, K., & Nicholls, D. (2009). Academy for eating disorders position paper: The role of the family in eating disorders. International Journal of Eating Disorders, 43, 1-5, DOI: 10.1002/eat.20751
  47. Levitz-Iones, E. M., & Osofsky, J. L. (1985). Separation-individuation and intimacy capacity in college women. Journal of Personality and Social Psychology, 49, 156-169.
  48. Lyons Ruth, K., Melnick, S., Patrick, M., & Hobson, R. P. (2007). A controlled study of Hostile-Helpless states of mind among borderline and dysthymic women. Attachment and Human Development, 9, 1, 1-16, DOI: 10.1080/14616730601151417
  49. Lyons-Ruth, K., Dutra, L., Schuder, M. R., & Bianchi, I. (2006). From infant attachment disorganization to adult dissociation: Relational adaptations or traumatic experiences? Psychiatric Clinics of North America, 29, 1, 1-18, DOI: 10.1016/j.psc.2005.10.011
  50. Mackinnon, A., Henderson, A. S., Scott, R., & Duncan-Jones, P. (1991). The Parental Bonding Instrument (PBI): An epidemiological study in a general population sample. Psychological Medicine, 19, 1023-1034, DOI: 10.1017/S0033291700005754
  51. Mahler, M., Pine, F., & Bergman, A. (1975). The psychological birth of the human infant. New York: Basic Books.
  52. Masterson, J. F. (1977). Primary anorexia nervosa in the borderline adolescent. An object relations view. In P. Hartocollis (Ed.), Bordeline personality disorders. New York: International Universities Press.
  53. Mikulincer, M., Shaver, P. R., & Pereg, D. (2003). Attachment theory and affect regulation: The dynamics, development, and cognitive consequences of attachment-related strategies. Motivation and Emotion, 27, 77-102,
  54. Nakash-Eisikovits, O., Dutra, L., & Westen, D. (2002). Relationship between attachment patterns and personality pathology in adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 1111-1123, DOI: 10.1097/00004583-200209000-00012
  55. Pace, U., Cacioppo, M., & Schimmenti, A. (2011). The moderating role of father’s care on the onset of binge eating symptoms among female late adolescents with insecure attachment. Child Psychiatry of Human Development, 43, 282-292, DOI: 10.1007/s10578-011-0269-7
  56. Pace, C. S., Cavanna, D., Guiducci, V., & Bizzi, F. (2015). When parenting fails: Alexithymia and attachment states of mind in mothers of female patients with eating disorders. Frontiers in Psychology, section Psychology for Clinical Settings, 6, Article 1145, 1-11, DOI: 10.3389/fpsyg.2015.01145
  57. Parker, G., Tupling, H., & Brown, L. B. (1979). A Parental Bonding Instrument. British Journal of Medical Psychology, 52, 1-10.
  58. Perry, J. A., Silvera, D. H., Neilands, T. B., Rosenvinge, J. H., & Hanssen, T. (2008). A study of the relationship between parental bonding, self-concept and eating disturbances in Norwegian and American college populations. Eating Behaviors, 9, 13-24, DOI: 10.1016/j.eatbeh.2007.01.007
  59. Rhodes, B., & Kroger, J. (1992). Parental bonding and separation-individuation difficulties among late adolescent eating disordered women. Child Psychiatry and Human Development, 22, 84, 249-263.
  60. Ringer, F., & Crittenden, P. M. (2007). Eating disorders and attachment: The effects of hidden processes on eating disorders. European Eating Disorders Review, 15, 119-130, DOI: 10.1002/erv.761
  61. Roazzi, A. (1995). Categorização, formação de conceitos e processos de construção de mundo: Procedimento de classificações múltiplas para o estudo de sistemas conceituais e sua forma de análise através de métodos de análise multidimensionais. Cadernos de Psicologia, 1, 1-27.
  62. Roazzi, A., & Dias, M. G. B. B. (2001). Teoria das facetas e avaliação na pesquisa social transcultural: Explorações no estudo do juízo moral. In Conselho Regional de Psicologia – 13a Região PB/RN. (Org.), A diversidade da avaliação psicológica: Considerações teóricas e práticas (pp. 157-190). João Pessoa: Idéia.
  63. Roazzi, A., Souza, B. C., & Bilsky, W. (2015). Facet Theory: Searching for Structure in Complex Social, Cultural and Psychological Phenomena. Recife: Editora Universitária da UFPE.
  64. Scinto, A., Marinangeli, M. G., Kalyvoka, A., Daneluzzo, E., & Rossi, A. (1999). The use of the Italian version of the Parental Bonding Instrument (PBI) in a clinical sample and in a student group: An exploratory and confirmatory factor analysis study. Epidemiologia e Psichiatria Sociale, 8, 276-283, DOI: 10.1017/S1121189X00008198
  65. Selvini Palazzoli, M. (1978). Self-starvation – From individual to family therapy in the treatment of anorexia nervosa. New York: Jason Aronson.
  66. Shorey, H. S., & Snyder, C. R. (2006). The role of adult attachment styles in psychopathology and psychotherapy outcomes. Review of General Psychology, 10, 1-20, DOI: 10.1037/1089-2680.10.1.1
  67. Sours, J. A. (1974). The anorexia nervosa syndrome. International Journal of Psychoanalysis, 55, 567-576.
  68. Swanson, H., Power, K., Collin, P., Deas, S., Paterson, G., Grierson, D., & Taylor, L. (2010). The relationship between parental bonding, social problem solving and eating pathology in an anorexic inpatient sample. European Eating Disorders Review, 18, 22-32, DOI: 10.1002/erv.967
  69. Tasca, G. A., & Belfour, L. (2014). Attachment and eating disorders: A review of current research. International Journal of Eating Disorders, 47, 7, 710-717, DOI: 10.1002/eat.22302
  70. Tasca, G. A., Richie, K., & Belfour, L. (2011). Implications of attachment theory and research for the assessment and treatment of eating disorders. Psychotherapy, 48, 269-259, DOI: 10.1037/a0022423
  71. Tereno, S., Soares, L., Martins, C., Celani, M., & Sampaio, D. (2008). Attachment styles, memories of parental rearing and therapeutic bond: A study with eating disordered patients, their parents and therapists. European Eating Disorders Review, 16, 49-58, DOI: 10.1002/erv.801
  72. Troisi, A., Di Lorenzo, G., Alcini, S., Croce, N. R., Di Pasquale, C., & Siracusano, A. (2006). Body dissatisfaction in women with eating disorder: Relationship to early separation anxiety and insecure attachment. Psychosomatic Medicine, 68, 449-453, DOI: 10.1097/01.psy.0000204923.09390.5b
  73. Troisi, A., Massaroni, P., & Cuzzolaro, M. (2005). Early separation anxiety and adult attachment style in women with eating disorders. British Journal of Clinical Psychology, 44, 89-97, DOI: 10.1348/014466504X20053
  74. Turner, H. M., Rose, K. S., & Cooper, M. J. (2005). Parental bonding and eating disorder symptoms in adolescents: The meditating role of core beliefs. Eating Behaviors, 6, 113-118, DOI: 10.1016/j.eatbeh.2004.08.010
  75. van Ijzendoorn, M. H., & Bakermans-Kranenburg, M. J. (1996). Attachment representations in mothers, fathers, adolescents and clinical groups: A meta-analytic search for normative data. Journal of Consulting and Clinical Psychology, 64, 8-21.
  76. Ward, A., Ramsay, R., & Treasure, J. (2000). Attachment research in eating disorders. British Journal of Medical Psychology, 73, 35-51, DOI: 10.1348/000711200160282
  77. Weinfield, N. S., Sroufe, L. A., & Egeland, B. (2000). Attachment from infancy to early adulthood in a high-risk sample: Continuity, discontinuity, and their correlates. Child Development, 71, 695-702.
  78. Weiss, R. S. (1982). Attachment in adult life. In C. M. Parkes & J. Stevenson-Hinde (Eds.), The place of attachment in human behavior (pp. 111–184). New York: Wiley.
  79. Welch, S. L., Doll, H. A., & Fairburn, C. G. (1997). Life events and the onset of bulimia nervosa: A controlled study. Psychological Medicine, 27, 3, 515-522, DOI: 10.1017/S0033291796004370
  80. Wunderlich, S., Ukestad, L., & Perzacki, R. (1994). Perceptions of nonshared childhood environment in bulimia nervosa. Journal of the American Academy of Child and Adolescent Psychiatry, 33, 740-747.

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Grazia Attili, Lorenza Di Pentima, Alessandro Toni, Antonio Roazzi, Trascuratezza emotiva, attaccamento e ansia da separazione nei disturbi alimentari: uno studio su pazienti adolescenti e sui loro genitori in "MALTRATTAMENTO E ABUSO ALL’INFANZIA" 2/2016, pp 95-118, DOI: 10.3280/MAL2016-002006