Turkish
 
   
Examination of Adult Separation Anxiety and Bonding Styles in Patients with Panic Disorder Who Applied to a Psychiatric Clinic

Ayşe SELBES, Tonguç Demir BERKOL, Sevilay KUNT, Can UĞURPALA,Muhammed MEHTAR, Pınar GÖKÇEİMAM
2018 29(3): 171-179
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Introduction: The attachment processes give us a theoretical frame
work to understand the psychopathological development. Unsafe attachment
type is often associated with the emergence of psychopathology
in the later periods of life.
Method: This study includes 65 patients from psychiatry outpatient
clinic with a diagnosis of panic disorder and 65 healthy volunteers as
a control group. In order to determine clinical status and disease severity
of patients with panic disorder according to SCID-I (Structured
Clinical Interview for DSM Disorders-I) Panic-Agoraphobia Scale,
Adults Separation Anxiety Scale, Relationship Scale Questionnaire were
used.
Results: Separation anxiety levels showed statistically significant difference
among panic disorder group and control group. According to
means of attachment style solely obsessive sub-dimension showed statistical
significance difference among the two groups. In panic disorder
group separation anxiety showed significant difference according to
gender and the presence of agoraphobia. When attachment styles of
patients with an early parent loss or divorce of parents assessed anxious
and obsessive sub-dimensions the difference were found to be statistically
significant.
Conclusion: High Comorbidity of panic disorder (dominantly coexisting
with agoraphobia) and adult separation anxiety was observed.
This comorbidity was even higher in females. In both groups obsessive
attachment style was the highest among the attachment styles. In patients
with panic disorder there was no significant correlation between
adult separation anxiety and/or existence of agoraphobia and attachment
styles. Coexistence of adult separation anxiety and panic disorder
was found to result in higher depression comorbidity rates.