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Journals / Osmangazi Tıp Dergisi / 2026 / Cilt: 48 Sayı: 5

Relationship Between Attachment Styles, Childhood Trauma, and Psychotic Symptoms in Patients with Schizophrenia: Attachment Styles as a Mediating Role

Şizofreni Hastalarında Bağlanma Stilleri, Çocukluk Çağı Travmaları ve Psikotik Belirtiler Arasındaki İlişki: Aracı Rol Olarak Bağlanma Stilleri

Esra Bekircan(TRABZON ÜNİVERSİTESİ)0000-0001-5942-026X
Şeyma Sehlikoğlu(ADIYAMAN ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0002-9512-713X
Gülsüm Mine Çoban(ADIYAMAN ÜNİVERSİTESİ, TIP FAKÜLTESİ)0009-0005-0765-1230
Pages
875–887
Publication Date
2026-08-26
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

There was a significant positive correlation between the scores obtained from the overall PANSS and CTQ by the patients with schizophrenia included in the study (r=0.260; p<0.01).

📌 3 Key Takeaways

🎯
Objective & Hypothesis:This study was aimed at investigating the mediating role of attachment styles in the relationship between childhood trauma and positive and negative psychotic symptoms in patients with schizophrenia and determining the relationships between the variables.
📊
Key Findings & Data:This descriptive, cross-sectional, and correlational study was conducted with 99 patients with schizophrenia who presented to the psychiatric outpatient clinic of a tertiary hospital between January 2025 and July 2025.
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Conclusion & Impact:There was a significant positive correlation between the scores obtained from the overall PANSS and CTQ by the patients with schizophrenia included in the study (r=0.260; p<0.01).
🔬Design:Survey & Empirical Study
📍Scope:2025 Verileri
⚙️Variables:Şizofreni · çocukluk travması · pozitif ve negatif belirtiler

Abstract

This study was aimed at investigating the mediating role of attachment styles in the relationship between childhood trauma and positive and negative psychotic symptoms in patients with schizophrenia and determining the relationships between the variables. This descriptive, cross-sectional, and correlational study was conducted with 99 patients with schizophrenia who presented to the psychiatric outpatient clinic of a tertiary hospital between January 2025 and July 2025. Data were collected via face-to-face interviews using the Demographic and Clinical Characteristics Questionnaire, Childhood Trauma Questionnaire (CTQ), Relationship Scales Questionnaire (RSQ), and Positive and Negative Syndrome Scale (PANSS). There was a significant positive correlation between the scores obtained from the overall PANSS and CTQ by the patients with schizophrenia included in the study (r=0.260; p<0.01). There was a significant positive correlation between the PANSS and the Preoccupied Attachment subscale of the RSQ (r=0.309; p<0.01), and between the CTQ and the Avoidant Attachment Subscale of the RSQ (r=0.255; p=0.011). Attachment styles did not demonstrate a significant mediating effect in the relationship between childhood trauma scores and positive and negative symptoms. However, both the total effect and the direct effect were found to be statistically significant (B = 0.213, 95% CI [-0.009, 0.540], β = 0.048). A positive relationship was found between childhood trauma and positive and negative symptoms in patients with schizophrenia. It was also determined that there was a positive relationship between obsessive attachment and both positive and negative symptoms, and a positive relationship between dismissive attachment and childhood trauma.

Özet

Bu çalışmanın amacı şizofreni hastalarında çocukluk çağı travmaları ile pozitif ve negatif belirtiler arasındaki ilişkide bağlanma stillerinin aracı rolünü incelemek ve değişkenler arasındaki ilişkileri belirlemektir. Bu çalışma tanımlayıcı, kesitsel ve ilişkisel tiptedir. Araştırma Ocak-Temmuz 2025 tarihleri arasında üçüncü basamak bir hastanenin psikiyatri polikliniğine başvuran 99 şizofreni hastası ile yapılmıştır. Araştırmanın verileri “Demografik ve Klinik Özellikler Soru Formu”, “Çocukluk Çağı Travmatik Yaşantılar Ölçeği”, “İlişki Ölçekleri Anketi” ve “Pozitif ve Negatif Sendrom Ölçeği” (PANSS) kullanılarak yüz yüze görüşme yolu ile toplanmıştır. Çalışmada yer alan şizofreni hastalarının PANSS toplam puanı ile Çocukluk Çağı Travmatik Yaşantılar Ölçeği puanı arasında da pozitif yönde anlamlı bir ilişki vardır (r=0,260; p<0,01). PANSS toplam puanı saplantılı bağlanma ile pozitif yönde anlamlı ilişkilidir (r=0,309; p<0,01). Çocukluk çağı travmaları ile kayıtsız bağlanma arasında pozitif yönde anlamlı bir ilişki bulunmuştur (r = 0.255; p = 0.011). Bağlanma stillerinin, çocukluk çağı travma puanı ile pozitif ve negatif semptomlar arasındaki ilişkide anlamlı bir aracılık etkisi göstermediği ancak hem toplam hem de doğrudan etkinin istatistiksel olarak anlamlı olduğu belirlenmiştir (B = 0,213, [CI: -0,009; 0,540], β = 0,048). Şizofreni hastalarında çocukluk çağı travmaları ile pozitif ve negatif belirtiler arasında pozitif bir ilişki olduğu sonucuna ulaşılmıştır. Pozitif ve negatif belirtiler ile saplantılı bağlanma arasında pozitif yönde bir ilişki olduğu, kayıtsız bağlanma ile çocukluk çağı travmaları arasında da pozitif yönde bir ilişki olduğu belirlenmiştir.

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Cite This Article

Bekircan, E., Sehlikoğlu, Ş., Çoban, G. M. (2026). Relationship Between Attachment Styles, Childhood Trauma, and Psychotic Symptoms in Patients with Schizophrenia: Attachment Styles as a Mediating Role. Osmangazi Tıp Dergisi, Cilt: 48 Sayı: 5, 875–887. https://doi.org/10.20515/otd.1940469

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