Gastroesophageal reflux disease: attachment style and parental bonding.

The attachment styles and parental bonding of 72 patients (M age= 45.3 yr., SD=13.5) suffering from Gastroesophageal Reflux Disease were compared with those of 105 healthy subjects (M age =44.9 yr., SD = 5.8). A clinical interview and two questionnaires, the Attachment Style Questionnaire and the Parental Bonding Instrument, showed that the scores on the ASQ Confidence subscale were significantly lower in the clinical group. Similar results were obtained for the Discomfort with Closeness subscale in the subsample with Pure Gastroesophageal Reflux Disease. The results indicate Insecure Attachment in the clinical sample. The results obtained from the Parental Bonding Instrument indicate that scores on the Protection Mother scale were significantly higher in the clinical subjects, suggesting a Low Care-High Protection combination (Affectiveless Control), at least for patients with pure Gastroesophageal Reflux Disease. These characteristics can be considered important factors in the tendency to somatization. The symptoms may have a paradoxically normalising function while the patient shows an emotional detachment towards intimate relationships. The illness appears to act as a bond through which the relationship with the caregivers is maintained.