Although there has been significant work on the association between posttraumatic stress disorder (PTSD) and attachment orientation, this is less the case for complex PTSD (CPTSD). The primary aim of this paper was to assess the strength of the association between the four adult attachment styles (i.e., secure, dismissing, preoccupied, and fearful) and severity of CPTSD symptoms (i.e., symptoms of PTSD and disturbances in self-organization [DSO]). We hypothesized that attachment orientation would be more strongly associated with DSO symptoms compared to PTSD symptoms. A trauma exposed clinical sample (N = 331) completed self-report measures of traumatic life events, CPTSD symptoms, and attachment orientation. It was found that secure attachment and fearful attachment were significantly associated with DSO symptoms but not with PTSD symptoms. Dismissing attachment style was significantly associated with PTSD and DSO symptoms. Preoccupied attachment was not significantly associated with CPTSD symptoms. Treatment implications for CPTSD using an attachment framework are discussed.

中文翻译：

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临床样本中的儿童创伤、依恋取向和复杂 PTSD (CPTSD) 症状：对治疗的影响

尽管在创伤后应激障碍 (PTSD) 与依恋取向之间的关联方面已经开展了大量工作，但复杂 PTSD (CPTSD) 的情况却较少。本文的主要目的是评估四种成人依恋风格（即安全、不屑一顾、全神贯注和恐惧）与 CPTSD 症状严重程度（即 PTSD 症状和自组织障碍）之间的关联强度。 DSO]）。我们假设与 PTSD 症状相比，依恋取向与 DSO 症状的相关性更强。创伤暴露的临床样本（ñ= 331) 完成了创伤性生活事件、CPTSD 症状和依恋取向的自我报告测量。结果发现，安全依恋和恐惧依恋与 DSO 症状显着相关，但与 PTSD 症状无关。消除依恋风格与 PTSD 和 DSO 症状显着相关。全神贯注的依恋与 CPTSD 症状没有显着相关性。讨论了使用附件框架对 CPTSD 的治疗影响。