Attachment Stability and Longitudinal Prediction of Psychotic-like Symptoms in Community Adolescents over Four Months of COVID-19 Pandemic

Int J Environ Res Public Health. 2023 Aug 11;20(16):6562. doi: 10.3390/ijerph20166562.

Abstract

Background: The Friends and Family Interview (FFI) is assumed to be a valid method to study attachment stability and attachment-related psychopathological processes in adolescence, but no studies have yet tested the test-retest reliability of this interview or the longitudinal association of attachment patterns in response to the FFI from adolescents with symptoms such as psychotic-like experiences (e.g., hallucinations, bizarre behavior, dissociation, self-harm) that are known to have increased during the COVID-19 pandemic. Methods: This study involved 102 community adolescents (M = 14.64, SD = 1.63, 46% males) assessed twice: during a severe COVID-19-related lockdown (in Italy) (T1) and four months later (T2). Measures were the FFI (assessing attachment patterns: secure-autonomous, insecure-dismissing, insecure-preoccupied, and insecure-disorganized) and the thought problems scale of the Youth Self-Report to assess psychotic-like symptoms. Results: revealed high stability of four-way attachment classifications over four months (93.5%), with a modest yet significant link between higher disorganization at T1 and higher scores of thought problems at T2, p = 0.010. Conclusions: The FFI shows high test-retest reliability and can be a valid, age-adapted option to assess adolescents' attachment. Attachment disorganization should be further investigated as possibly related to psychotic-like experiences in community adolescents.

Keywords: Friends and Family Interview; Youth Self-Report; adolescence; attachment; dissociation; hallucinations; psychometric study; psychotic symptoms; psychotic-like experiences; test–retest.

MeSH terms

  • Adolescent
  • COVID-19* / epidemiology
  • Communicable Disease Control
  • Female
  • Humans
  • Male
  • Mental Disorders*
  • Pandemics
  • Reproducibility of Results

Grants and funding

This research received no external funding.