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Anknytningsmönster hos patienter med exilbakgrund och Posttraumatiskt Stressyndrom - en pilotstudie
Ersta Sköndal University College, Department of Health Care Sciences, St Lukas Educational Institute.
2016 (Swedish)Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesisAlternative title
Attachment pattern of patients with exil-background and posttraumatic stressyndrom - a pilot-study (English)
Abstract [sv]

Inledning: Sedan PTSD har blivit en diagnos i den psykiatriska diagnosmanualen DSM har forskningen i detta område ökat mycket. Samtidigt har man kunnat se att tidiga traumatiska upplevelser framför allt med anknytningspersoner ökar prevalensen för utveckling av psykiatriska och somatiska sjukdomar. Detta har lett till hypotesen att ett anknytningstrauma kan vara en predisponerande faktor för utveckling av PTSD eller att en trygg anknytning kan vara en skyddande sådan. Som kollektiv i studier valdes mest veteraner, våldäkts- eller brottsoffer. Denna pilot-studien väljer ett annat patientkollektiv.

Frågeställning: Vilka anknytningsmönster som finns hos 10 patienter med exilbakgrund, vilka har varit utsatta för krig och/eller tortyr.

Method: Undersökningen görs med hjälp av två skattningsinstrument, PCL-5, som undersöker graden av PTSD-symtom och ASQ, som undersöker anknytningsmönstret. Undersökningen görs med både kvalitativ metod genom att undersöka deltagarnas individuell anknytningsmönster genom utvärderingen och tolkningen av svaren i ASQ-testet och kvantitativ genom att utvärdera korrelationer mellan graden av PTSD-symtom och anknytningsmönstren.

Resultat: I den kvalitativa delen visar det sig att nästan alla deltagare visar ett otryggt anknytningsmönster och i den kvantitativa delen ses det några intressanta tendenser, såsom att höga poäng på distansskalan har en stark korrelation till höga PTSD-score och en icke-signifikant negativ korrelation med tillits-skalan. I delgrupperna (män/kvinnor) ses tendenser som är signifikanta trots det låga deltagartalet.

Diskussion: Undersökningen bekräftar hypotesen att patienter anknytningssystemet har drabbats hos patienter med PTSD och exilbakgrund. Resultatet ses som underlag till vidare forskning med en större population.

Abstract [en]

Introduction: Since PTSD has become a distinct diagnosis in the psychiatric manual of diagnoses (DSM) a lot of research has been done in this field. At the same time has research in the field of attachment produced evidence that early traumatic events, especially in relation to children´s attachment figures, rises the prevalence of psychiatric illness. This led to the hypothesis that attachmenttrauma could be a predisposing factor for development of PTSD or that a secure attachment could be a protective one. Most researchers chose veterans or violence/rape or crime-victims. This pilot-study chooses a different studypopulation.

Issues: Which attachment patterns show patients with exile-background who became victims of war and/or torture.

Method: The study uses two rating-scales for this, the PCL-5 to establish the participants PTSD-symptom-score and the ASQ to show the attachment pattern. In the qualitative part of the study the individual attachment patterns are established by evaluating and interpreting the answers in the ASQ-scale. The quantitative part of the study shows the correlations between the PTSD-totalscore and the attachment pattern.

Results: The qualitative part shows that nearly all participants with a high PTSDsymptom-score show an insecure attachment. The quantitative part shows some interesting tendencies like a positive correlation between high PTSD-total-score and high score in the ASQ-dimension “discomfort with closeness” and a nonsignificant negative correlation between high PTSD-total-score and confidence.

Discussion: The study confirms the hypothesis that PTSD-patient´s attachmentsystem is troubled. This result takes as a basis for more research with a bigger sample.

Place, publisher, year, edition, pages
2016. , 24 p.
Keyword [sv]
Attachment - exile - post traumatic stressyndrom
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:esh:diva-5303OAI: oai:DiVA.org:esh-5303DiVA: diva2:937787
Educational program
Psykoterapeutprogrammet
Uppsok
Social and Behavioural Science, Law
Available from: 2016-06-17 Created: 2016-06-15 Last updated: 2016-11-14Bibliographically approved

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