目的：本研究旨在比較單純憂鬱症、單純焦慮症、合併有憂鬱與焦慮症組以及正常控制組在過去親情依附型態與現在成人時期依附型態上的差異，並進一步探討依附型態的持續與否與憂鬱和焦慮的關係。方法：取樣以中文版終生診斷晤談確立終生診斷的婦女共288名，包括單純憂鬱症（憂鬱組）42名、單純焦慮症（焦慮組）93名、焦慮與憂鬱症混合組（混合組）45名及正常控制組111名。由受試者填寫一般人際關係問卷和父親與母親版人際關係問卷，以蒐集其目前的成人時期依附型態與回溯童年時期和父母親的依附型態。結果：（1）在目前成人的依附型態或童年時期和父母親的依附型態中，四組受試者在安全或不安全依附型態的分佈均達顯著差異；進一步兩兩組間比較，皆發現焦慮、憂鬱及混合組三組之不安全依附型態比例明顯高於控制組。在與父母親的童年依附型態上，焦慮、憂鬱及混合組三組間則彼此間無顯著差異。在目前的依附型態中，則發現混合組與憂鬱組間有顯著差異。憂鬱組以疏離型最高，混合組則以懼怕型為多。（2）比較四組受試者在依附的持續性類型上的分佈則發現：在對父親的依附上，三組疾病組均以持續不安全依附類型分佈最多；母親部份，憂鬱症組與混合組則以「過去為安全依附，現在為不安全依附」類型為最多，而焦慮組則以持續不安全依附最多。結論：無論是早期或目前的依附，憂鬱、焦慮及混合組皆與不安全的依附型態有關；不安全依附可能為廣泛性情緒障礙的共同脆弱因子。然而，憂鬱組與混合焦慮與憂鬱組在不安全的依附型態上仍有所不同，故兩者仍有可能具有不同的心理病理機制。

　　　　　Objective: To investigate the association of childhood and adult attachment patterns with depression or anxiety disorders. Methods: We recruited 180 women with various disorders who were divided into groups accordingly. There were 42 women with depressed disorder only (DD group), 93 with anxiety-disorder only (AD group), 45 with mixed anxiety-depression disorder (MAD group), and 111 healthy women as the control group. Diganoses were obtained using the MSADS-L. Childhood attachment patterns to mother/father were assessed retrospectively using the Relationship Questionnaire-mother/father-version, and adult attachment patterns were measured using results of the Relationship Questionnaire. Results: The women in the DD, AD, and MAD groups had higher rates of insecure patterns for either childhood or aduly attachments than the control group. There was a significant difference in adult attachment patterns between the DD group and the MAD group. The women in the DD group had higher rates of dismissing attachment patterns, but those in the MAD group had higher rates of fearful attachments. Upon the continuity between chidhood attachments to mother and adult attachments, women in the DD and MAD groups showed higher rates of discontinuous insecure attachments than did women in the AD and control groups. The women in the AD group had higher rates of continuous insecure attachments than did those in either the DD or MAD group. Conclusion: The results suggest that insecure attachments may be a general vulnerability to emotional disorders; however, depression only and mixed anxiety-depression may be linked to different psychopathogenesis.