目的：探讨焦虑障碍患者依恋与焦虑之间的关系，以及述情和应对方式在依恋与焦虑间的链式中介作用。方法：采用成人依恋量表（Adult Attachment Scale，AAS）、简易应对方式问卷（Simplified Coping Style Questionnaire，SCSQ）、多伦多述情障碍量表（Toronto Alexithymia Scale，TAS）、汉密尔顿焦虑量表（Hamilton Anxiety Scale，HAMA）对329例焦虑障碍患者进行心理测评，利用Mplus 7.0软件建构结构方程模型，采取Bootstrap法进行中介效应检验。结果：依恋对焦虑的直接影响显著（β=-0.688，P<0.001），依恋对述情、应对方式产生显著的影响（β值分别为-0.157、0.023，均P<0.05），述情、应对方式对焦虑产生显著的影响（β值分别为0.401、-0.086，均P<0.001），述情对应对方式产生显著的负性影响（β=-0.222，P<0.05）。总体中介效应为0.068（95% CI：-0.133~-0.019）。其中述情中介作用0.063（95% CI：-0.131~-0.017），占总中介效应的92.65%；应对方式中介作用0.002（95% CI：-0.004~-0.001），占总中介效应的2.94%；述情、应对方式的链式中介效应为0.003（95% CI：-0.005~-0.002），占总中介效应的4.41%。结论：焦虑障碍患者述情能力、应对方式在依恋与焦虑间起部分中介作用，依恋可以直接和通过述情、应对方式的链式中介作用影响焦虑。

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