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Grande LA, Xie Y, Zagoory-Sharon O, Watamura SE, Yeh T, Feldman R, Kim P. Birthing parents' neural response to infant cry: moderating effects of oxytocin and perceived childhood care. Soc Cogn Affect Neurosci 2025; 20:nsaf010. [PMID: 39849833 PMCID: PMC11804881 DOI: 10.1093/scan/nsaf010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2024] [Revised: 11/21/2024] [Accepted: 01/22/2025] [Indexed: 01/25/2025] Open
Abstract
Individuals who perceive the caregiving they received from their parents as more caring tend to bond better with their infants and show more sensitive parenting behaviors. Early caregiving experiences are also related to differences in the functions of hormonal systems, including the oxytocinergic system. The current study examined how perceptions of childhood maternal care relate to parenting behaviors, oxytocin levels, and neural responses to infant stimuli. Perceived childhood maternal care was measured using the Parental Bonding Instrument (PBI) for 54 first-time birthing parents. Salivary oxytocin and observations of parenting behaviors were assessed during parent-infant play at 3.5 months postpartum. Neural activation while listening to infant cry was measured with fMRI. More positive perceptions of childhood maternal care and higher oxytocin were interactively related to greater anterior cingulate activation to own infant's cry. Higher oxytocin levels were associated with reduced left cuneus activation in response to own infant's cry when compared with control cry and matched noise. Findings suggested that positive memories of childhood caregiving may have protective functions for birthing parents with high oxytocin levels during the early postpartum period, a time when parents need to manage increased stress and form an exclusive bond with their baby.
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Affiliation(s)
- Leah Ariana Grande
- Department of Psychiatry, University of Colorado School of Medicine, Aurora, CO 80045, USA
| | - Yun Xie
- Department of Psychology, University of Denver, Denver CO 80210, USA
| | - Orna Zagoory-Sharon
- Baruch Ivcher School of Psychology, Reichman University, Herzliya 4610101, Israel
| | | | - Tom Yeh
- Department of Computer Science, University of Colorado Boulder, Boulder, CO 80309, USA
- Department of Psychology, Ewha Womans University, Seoul 03760, South Korea
| | - Ruth Feldman
- Baruch Ivcher School of Psychology, Reichman University, Herzliya 4610101, Israel
| | - Pilyoung Kim
- Department of Psychology, University of Denver, Denver CO 80210, USA
- Department of Psychology, Ewha Womans University, Seoul 03760, South Korea
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Gu Y, Waters TEA, Zhu V, Jamieson B, Lim D, Schmitt G, Atkinson L. Attachment expectations moderate links between social support and maternal adjustment from 6 to 18 months postpartum. Dev Psychopathol 2025; 37:371-383. [PMID: 38273665 DOI: 10.1017/s0954579423001657] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2024]
Abstract
Significant links exist between one's perception of available social support and mental health outcomes, including during the transition to motherhood. Yet, attachment theory posits that individuals do not benefit equally from social support. As such, we examined the influence of attachment representations (i.e., secure base script knowledge) as they potentially moderate links between social support and psychological distress in a 1-year longitudinal study of an ethnically diverse (56% White) sample of infant-mother dyads. We hypothesized that higher social support would predict lower maternal psychological distress and this relation would be strongest in those with higher secure base script knowledge. Results indicated that maternal perceptions of social support were significantly negatively correlated with psychological distress. Analyses revealed that secure base script scores significantly moderated these associations. Interestingly, for those high in script knowledge, low social support predicted greater psychological distress. For those low in script knowledge, social support was unrelated to psychological distress. This pattern suggested that those who expect care (i.e., high secure base script knowledge) but receive minimal support (i.e., low perceived social support) find motherhood uniquely dysregulating. Practitioners may do well to examine individuals' attachment expectations in relation to their current social support.
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Affiliation(s)
- Yufei Gu
- Department of Psychology, New York University Abu Dhabi, Abu Dhabi, United Arab Emirates
- Department of Applied Psychology, Steinhardt School of Culture, Education, and Human Development, New York University, New York, NY, USA
| | - Theodore E A Waters
- Department of Psychology, New York University Abu Dhabi, Abu Dhabi, United Arab Emirates
- Department of Applied Psychology, Steinhardt School of Culture, Education, and Human Development, New York University, New York, NY, USA
| | - Victoria Zhu
- Department of Psychology, New York University Abu Dhabi, Abu Dhabi, United Arab Emirates
| | - Brittany Jamieson
- Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON, Canada
| | - Danielle Lim
- Department of Psychology, Toronto Metropolitan University, Toronto, ON, Canada
| | - Gabrielle Schmitt
- Department of Psychology, Toronto Metropolitan University, Toronto, ON, Canada
| | - Leslie Atkinson
- Department of Psychology, Toronto Metropolitan University, Toronto, ON, Canada
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Bakermans-Kranenburg MJ, Dagan O, Cárcamo RA, van IJzendoorn MH. Celebrating more than 26,000 adult attachment interviews: mapping the main adult attachment classifications on personal, social, and clinical status. Attach Hum Dev 2024:1-38. [PMID: 39639469 DOI: 10.1080/14616734.2024.2422045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2024] [Accepted: 10/23/2024] [Indexed: 12/07/2024]
Abstract
Since the development of the Adult Attachment Interview (AAI) in 1985, more than 26,000 AAIs have been administered, coded, and reported, representing 170 (wo-)man-years of work. We used multinomial tests and analyses of correspondence to compare the AAI distributions in various cultural and age groups, in mothers, fathers, high-risk, and clinical samples with the combined samples of North American non-clinical, non-risk mothers (22% dismissing, 53% secure, 8% preoccupied, and 17% unresolved loss or other trauma). Males were more often classified as dismissing and less frequently classified as secure compared to females (except adoptive fathers), and females were more frequently classified as unresolved (but not more often preoccupied) compared to males. A combination of high scores on the unresolved and insecure-preoccupied dimensions was shared by borderline personality disorder, autism spectrum disorders, and gender dysphoria, while combined high scores on the unresolved and insecure-dismissing dimensions characterized anxiety problems, obsessive-compulsive and thought disorders.
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Affiliation(s)
- Marian J Bakermans-Kranenburg
- William James Center for Research, ISPA University Institute of Psychological, Lisbon, Portugal
- Facultad de Psicología y Humanidades, Universidad San Sebastián, Sede Valdivia, Chile
- Centre for Attachment Research, The New School for Social Research, New York, NY, USA
| | - Or Dagan
- Doctoral Program in Clinical Psychology, Long Island University- Post Campus, Brookville, NY, USA
| | - Rodrigo A Cárcamo
- Facultad de Psicología y Humanidades, Universidad San Sebastián, Sede Valdivia, Chile
| | - Marinus H van IJzendoorn
- Research Department of Clinical, Educational and Health Psychology, UCL University College London, London, UK
- Department of Psychiatry, Monash University, Melbourne, Australia
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Seedall RB. Gender, attachment, and demand/withdraw patterns in the context of moderate couple conflict in cisgender, heterosexual relationships. JOURNAL OF MARITAL AND FAMILY THERAPY 2024; 50:763-784. [PMID: 39049455 DOI: 10.1111/jmft.12729] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/12/2024] [Revised: 07/11/2024] [Accepted: 07/12/2024] [Indexed: 07/27/2024]
Abstract
A common pattern in couple relationships is demand/withdraw. Within this pattern, one partner seeks connection, change, and resolution of the issue, whereas the other seeks to end the discussion and limit closeness. We sought to further understand and update the literature by examining the relationship of gender and attachment (both self-report and narrative discourse) with demand/withdraw behaviors during moderate couple conflict. Using data from 63 cisgender, heterosexual couples, we used the actor-partner interdependence model within multilevel modeling, to explore the research questions. Findings revealed that during the woman's issue, men were more likely to withdraw. During the man's issue, preoccupied attachment in either partner was associated with more demand and women higher in attachment anxiety were more likely to demand. Demand behaviors in one partner were also associated with withdraw behaviors in the other (and vice versa). In this article, we discuss the research and clinical implications of these findings.
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Affiliation(s)
- Ryan B Seedall
- Department of Human Development and Family Studies, Utah State University, Logan, Utah, USA
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Mayrand K, Milot T, Briere J, Godbout N, Oliva-Veilleux S, Berthelot N. Using the DRS-8 to measure unresolved/disorganized attachment: Associations with states of mind on the adult attachment interview, psychopathology, and offspring social-emotional development. CHILD ABUSE & NEGLECT 2024; 156:107017. [PMID: 39241308 DOI: 10.1016/j.chiabu.2024.107017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/23/2024] [Revised: 08/23/2024] [Accepted: 08/29/2024] [Indexed: 09/09/2024]
Abstract
BACKGROUND Unresolved/disorganized (U/d) attachment states of mind are associated with poor outcomes across numerous domains of functioning. However, the validity of existing self-report instruments measuring this construct remains questionable. OBJECTIVES The aim of the current study was to validate the DRS-8, an alternative version of the Disorganized Response Scale (DRS), by assessing its construct validity, internal consistency, and criterion validity with the U/d attachment scales on the Adult Attachment Interview (AAI). PARTICIPANTS AND SETTING Date were collected from 222 expectant parents (78 % women) at T1 and from 67 of them at 12 months postpartum (T2). METHODS Participants completed the DRS-8 and questionnaires assessing childhood trauma, romantic attachment, and psychological symptoms during pregnancy (T1). Seventy-four of them participated in the AAI at T1. At T2, parents completed a questionnaire assessing their infants' social-emotional development. RESULTS The DRS-8 has two highly correlated dimensions, i.e., lapses in the monitoring of reasoning (four items) and discourse (four items). A confirmatory factor analysis supported a bifactor structure of the instrument, showing good fit indices and internal consistency (ω = 0.87). The DRS-8 was significantly correlated with U/d states of mind on the AAI, r(72) = 0.28, p = .016, and demonstrated excellent construct validity. Significant indirect effects of the DRS-8 were found in the associations between childhood trauma and psychological symptoms, and between parental trauma and infant social-emotional development. CONCLUSIONS The DRS-8 appears to be a promising self-report measure of U/d states of mind showing criterion validity with the AAI.
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Affiliation(s)
| | - Tristan Milot
- Université du Québec à Trois-Rivières, Trois-Rivières, Québec, Canada; Centre d'études interdisciplinaires sur le développement de l'enfant et de la famille (CEIDEF), Trois-Rivières, Quebec, Canada
| | - John Briere
- University of Southern California, Los Angeles, CA, United States
| | - Natacha Godbout
- Université du Québec à Montréal, Montreal, Quebec, Canada; Interdisciplinary Research Center on Intimate Relationship Problems and Sexual Abuse (CRIPCAS), Montreal, Quebec, Canada
| | | | - Nicolas Berthelot
- Université du Québec à Trois-Rivières, Trois-Rivières, Québec, Canada; Centre d'études interdisciplinaires sur le développement de l'enfant et de la famille (CEIDEF), Trois-Rivières, Quebec, Canada; Interdisciplinary Research Center on Intimate Relationship Problems and Sexual Abuse (CRIPCAS), Montreal, Quebec, Canada; CERVO Brain Research Center.
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6
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Chong JY, Anderson GM, Fraley RC. Natural clues to danger: attachment behavior in threatening situations. Attach Hum Dev 2024; 26:366-382. [PMID: 38995104 DOI: 10.1080/14616734.2024.2376764] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2024] [Accepted: 07/02/2024] [Indexed: 07/13/2024]
Abstract
A fundamental principle of attachment theory is that threatening situations give rise to individual differences in the extent to which people seek proximity to close others. The current research examines the way in which attachment styles predict individual differences in attachment-relevant behavior during threatening events. We tested alternative theoretical perspectives concerning the association between adult attachment (specifically, attachment avoidance) and attachment behavior in the presence of natural clues to danger by observing couples (N = 204) when they were watching horror vs. control film excerpts. Results suggest that highly avoidant people engaged in less attachment behavior across both threatening and non-threatening situations. These findings have implications for the understanding of attachment-related processes and how working models of the self and others facilitate (or inhibit) the expression of attachment behavior.
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Affiliation(s)
- Jia Y Chong
- Department of Psychology, University of Illinois at Urbana-Champaign, Champaign, USA
| | - Gabrielle M Anderson
- Department of Psychology, University of Illinois at Urbana-Champaign, Champaign, USA
| | - R Chris Fraley
- Department of Psychology, University of Illinois at Urbana-Champaign, Champaign, USA
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Lin J, Stern JA, Allen JP, Coan JA. Does attachment in adolescence predict neural responses to handholding in adulthood? A functional magnetic resonance imaging study. JOURNAL OF SOCIAL AND PERSONAL RELATIONSHIPS 2024; 41:2276-2296. [PMID: 39166123 PMCID: PMC11335342 DOI: 10.1177/02654075241239604] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/22/2024]
Abstract
Objective Early life experiences, including attachment-related experiences, inform internal working models that guide adult relationship behaviors. Few studies have examined the association between adolescent attachment and adult relationship behavior on a neural level. The current study examined attachment in adolescence and its associations with neural correlates of relationship behaviors in adulthood. Method 85 participants completed the Adult Attachment Interview (AAI) at age 14. Ten years later, at age 24, participants underwent functional brain image when participants were under the threat of electric shock alone, holding the hand of a stranger, or their partner. Results We found that adolescents who were securely attached at age 14 showed increased activation in regions commonly associated with cognitive, affective, and reward processing when they held the hand of their partner and stranger compared to being alone. Adolescents with higher preoccupied attachment scores showed decreased activation in similar regions only during the stranger handholding condition compared to being alone. Conclusions These findings suggest that adolescent attachment predicts adult social relationship behaviors on a neural level, in regions largely consistent with previous literature. Broadly, this study has implications for understanding long-term links between attachment and adult relationship behaviors and has potential for informing intervention.
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Gallistl M, Kungl M, Gabler S, Kanske P, Vrticka P, Engert V. Attachment and inter-individual differences in empathy, compassion, and theory of mind abilities. Attach Hum Dev 2024; 26:350-365. [PMID: 39007850 DOI: 10.1080/14616734.2024.2376762] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2023] [Accepted: 07/02/2024] [Indexed: 07/16/2024]
Abstract
Social processing, namely the ability to understand others' cognitive and affective states, is crucial for successful social interaction. It encompasses socio-affective abilities such as empathy and compassion, as well as socio-cognitive abilities such as theory of mind (ToM). This study examined the link between social processing and attachment. Our study goes beyond previous research in that social processing abilities were assessed in a single, state-of-the-art behavioral paradigm using video narratives, the EmpaToM. Attachment was captured with the Adult Attachment Interview (N = 85; 50.60% women, Mage = 25.87 ± 4.50 years) measuring participants' present-day capacity to think about and communicate attachment-relevant information about the past. Additionally, a self-report attachment questionnaire was employed (N = 158). We found that AAI-based attachment security (vs. insecurity) was associated with higher behavioral ToM abilities. Furthermore, self-reported attachment avoidance was negatively correlated with behavioral compassion abilities. Our findings provide further evidence that interview-based and self-reported attachment measures do not converge, but may rather be understood as capturing different facets of attachment that relate to different components of social processing. We conclude that individuals with secure, non-avoidant attachment show social abilities that allow them to better understand others' thoughts and generate positive, caring emotions in face of others' distress.
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Affiliation(s)
- Mathilde Gallistl
- Social Stress and Family Health Research Group, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
| | - Melanie Kungl
- Department of Psychology, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Sandra Gabler
- Department of Psychology, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Philipp Kanske
- Clinical Psychology and Behavioral Neuroscience, Faculty of Psychology, Technische Universität Dresden, Dresden, Germany
| | - Pascal Vrticka
- Social Stress and Family Health Research Group, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
- Department of Psychology, University of Essex, Colchester, UK
| | - Veronika Engert
- Social Stress and Family Health Research Group, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
- Institute of Psychosocial Medicine, Psychotherapy and Psychooncology, Jena University Hospital, Friedrich-Schiller University, Jena, Germany
- German Center for Mental Health (DZPG), Partner Site Halle-Jena-Magdeburg
- Center for Intervention and Research in Adaptive and Maladaptive Brain Circuits Underlying Mental Health (C-I-R-C), Halle-Jena-Magdeburg, Germany
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9
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Huynh T, Kerr ML, Kim CN, Fourianalistyawati E, Chang VYR, Duncan LG. Parental Reflective Capacities: A Scoping Review of Mindful Parenting and Parental Reflective Functioning. Mindfulness (N Y) 2024; 15:1531-1602. [PMID: 39328292 PMCID: PMC11426413 DOI: 10.1007/s12671-024-02379-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 05/07/2024] [Indexed: 09/28/2024]
Abstract
Objectives Two key parental reflective capacities-mindful parenting (MP) and parental reflective functioning (PRF) - have been shown to promote healthy parent-child relationships through parents' increased sensitivity and responsiveness to their children's needs in spite of parenting stressors. Despite the theoretical overlap between these two constructs, researchers have continued to examine them independently. Therefore, the purpose of this scoping review was to review the overlapping and distinctive outcomes and correlates in the empirical MP and PRF literatures. Method A comprehensive literature search across the MP and PRF literature for studies published from 2005 through early 2020 (pre-COVID-19 pandemic) was conducted. Results A review of 301 articles (n = 180 MP and n = 121 PRF) revealed overlapping study outcomes and correlates, including improvement in parent and child well-being, parenting behaviors, and attachment. Both MP and PRF literatures suggest MP and PRF are amenable to intervention-induced changes, although mostly documented in White mothers, which results may not be generalizable to diverse populations. Conclusions Researchers should consider the impact MP and PRF have on positive family relationships. Results suggest that scholars should consider investigating and intervening on MP and PRF simultaneously. Specifically, results identified MP and PRF convergent associations and perhaps synergistic impacts on positive parenting behaviors. Limitations and future directions are discussed. Preregistration This review was not preregistered.
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Affiliation(s)
- Tuyen Huynh
- Department of Psychology, University of South Carolina, Barnwell College Room 517, 1512 Pendleton Street, Columbia, SC 29208, USA
| | - Margaret L. Kerr
- Human Development and Family Studies, University of Wisconsin-Madison, 4109 Nancy Nicholas Hall, 1300 Linden Drive, Madison, Wisconsin 53706, USA
| | - Christina N. Kim
- Department of Population Health, NYU Grossman School of Medicine, New York, USA
| | - Endang Fourianalistyawati
- Faculty of Psychology, Universitas YARSI, Menara YARSI, Kav. 13, Jl. Letjend. Suprapto. Cempaka Putih, Jakarta Pusat, DKI, Jakarta 10510, Indonesia
| | | | - Larissa G. Duncan
- Human Development and Family Studies, University of Wisconsin-Madison, 1300 Linden Drive, Madison, Wisconsin 53706, USA
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Haydon KC, Groh AM. The predictive significance of attachment script assessment hyperactivation and deactivation: evidence of associations with romantic relationship functioning. Attach Hum Dev 2024; 26:253-271. [PMID: 38989772 DOI: 10.1080/14616734.2024.2367329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/12/2024]
Abstract
This study examined the significance of a novel coding system for evaluating hyperactivation, deactivation, and anomalous content in the Attachment Script Assessment for romantic relationship functioning. In a sample of 208 couples (69% White, Mage 28.7 years), we tested whether ASA hyperactivation and deactivation were associated with theoretically relevant correlates, including observed behavior, parasympathetic reactivity, self-reported affective reactivity to conflict, and relationship satisfaction. Exploratory analyses examined associations of secure base script knowledge (SBSK) and anomalous content with these outcomes. ASA hyperactivation and deactivation were associated with behavioral, physiological, and self-reported functioning in theory-consistent ways. Anomalous content was not associated with romantic functioning. SBSK was associated with satisfaction, but this was not robust to covariates. Findings support the predictive validity of the hyperactivation and deactivation dimensions and suggest that these scales complement SBSK, enabling researchers to assess a wider range of behavioral and physiological indicators associated with distinctive forms of attachment insecurity.
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Affiliation(s)
- Katherine C Haydon
- Psychology & Education Department, Mount Holyoke College, South Hadley, USA
| | - Ashley M Groh
- Department of Psychological Sciences, University of Missouri, Columbia, USA
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11
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Papalia N, Widom CS. Do insecure adult attachment styles mediate the relationship between childhood maltreatment and violent behavior? Dev Psychopathol 2024; 36:636-647. [PMID: 36700354 PMCID: PMC10368795 DOI: 10.1017/s0954579422001468] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
Attachment theory has played an important role in attempts to understand the "cycle of violence," where maltreated children are at increased risk for perpetrating violence later in life. However, little is known empirically about whether adult attachment insecurity in close relationships may partly explain the link between childhood maltreatment and violent behavior. This study aimed to address this gap using data from a prospective longitudinal study of documented childhood abuse and neglect cases and demographically matched controls (ages 0-11 years), who were followed into adulthood and interviewed (N = 892). Participants completed the Relationship Scales Questionnaire assessing adult attachment styles at mean age 39.54. Criminal arrest data were used to determine arrests for violence after the assessment of attachment through mean age 50.54. There were significant direct paths from childhood maltreatment and adult attachment insecurity to violent arrests after attachment measurement. Attachment insecurity partly explained the higher levels of violence in individuals with maltreatment histories. Analyses of maltreatment subtypes and attachment styles revealed that attachment anxiety appeared to mediate paths between neglect and physical abuse and later violence. There were no significant indirect paths from neglect or physical abuse to violence via attachment avoidance. Implications and future directions are discussed.
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Affiliation(s)
- Nina Papalia
- Centre for Forensic Behavioural Science, Swinburne University of Technology and Victorian Institute of Forensic Mental Health, Melbourne, VIC, Australia
- Psychology Department, John Jay College, New York City, NY, USA
| | - Cathy Spatz Widom
- Psychology Department, John Jay College, New York City, NY, USA
- The Graduate Center, City University of New York, New York City, NY, USA
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12
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Müller S, Spitzer C, Flemming E, Ehrenthal JC, Mestel R, Strauß B, Lübke L. Measuring Change in Attachment Insecurity Using Short Forms of the ECR-R: Longitudinal Measurement Invariance and Sensitivity to Treatment. J Pers Assess 2024; 106:218-229. [PMID: 37493362 DOI: 10.1080/00223891.2023.2238816] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2022] [Accepted: 07/06/2023] [Indexed: 07/27/2023]
Abstract
Attachment insecurity is important for psychotherapy both as an aspect influencing the therapeutic process as well as potential outcome variable of a treatment. Two German short forms of the Experiences in Close Relationships - Revised (ECR-R) have been proposed to assess individual differences in attachment anxiety and avoidance. In this research, we examined whether these questionnaires are suitable for measuring change in attachment anxiety and avoidance by testing longitudinal measurement invariance in two independent clinical samples (N1 = 493, N2 = 273) using a pre-post design. Results indicated that strict longitudinal measurement invariance can be assumed for both measures. Thus, changes in scale scores before and after treatment can be interpreted as changes in the latent dimensions of attachment anxiety and avoidance. Both questionnaires were also sensitive to treatment in that attachment insecurity was overall reduced after therapy. Although both measures appear to be generally suitable for investigating treatment effects, they exhibited consistent problems with structural validity across samples that should be reexamined in future research.
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Affiliation(s)
- Sascha Müller
- Department of Psychology, University of Kassel, Kassel, Germany
- Department of Psychosomatic Medicine and Psychotherapy, Rostock University Medical Center, Rostock, Germany
| | - Carsten Spitzer
- Department of Psychosomatic Medicine and Psychotherapy, Rostock University Medical Center, Rostock, Germany
| | - Eva Flemming
- Department of Psychosomatic Medicine and Psychotherapy, Rostock University Medical Center, Rostock, Germany
| | | | - Robert Mestel
- Department of Psychosomatics, VAMED Rehabilitation Clinic Bad Grönenbach, Bad Grönenbach, Germany
| | - Bernhard Strauß
- Institute of Psychosocial Medicine, Psychotherapy and Psychooncology, Jena University Hospital, Jena, Germany
| | - Laura Lübke
- Department of Psychosomatic Medicine and Psychotherapy, Rostock University Medical Center, Rostock, Germany
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13
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Gander M, Buchheim A, Sevecke K. Personality Disorders and Attachment Trauma in Adolescent Patients with Psychiatric Disorders. Res Child Adolesc Psychopathol 2024; 52:457-471. [PMID: 37889355 PMCID: PMC10896792 DOI: 10.1007/s10802-023-01141-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/09/2023] [Indexed: 10/28/2023]
Abstract
This study examined how personality disorders (PD) differ with respect to gender, attachment status and traumatic childhood experiences in adolescent psychiatric inpatients. In particular, we investigated attachment-related traumatic material underlying adolescent PD. Our sample consisted of 175 inpatient adolescents aged 14 to 18 years (77% female, Mage = 15.13, SD = 1.35; 23% male, Mage =14.85, SD = 1.41). Thirty-nine patients (22%) fulfilled the diagnostic criteria for a PD according to the SCID-II PD: 51% avoidant, 13% obsessive-compulsive, 13% antisocial, 19% borderline, 2% paranoid and 2% histrionic. In the total sample, eighty-three (47%) of our inpatients were classified with an unresolved attachment status using the Adult Attachment Projective Picture System (AAP). We did not find any significant gender differences for patients with and without a PD. Our results revealed a higher percentage of unresolved attachment status in patients with a PD. The in-depth analysis of the total sample showed that patients with a PD demonstrated more traumatic material in their attachment interviews indicating a greater severity of attachment trauma. Furthermore, patients with a PD reported higher scores on emotional and physical neglect. Intervention strategies targeting traumatic attachment-related themes might be useful to treat adolescents with PD.
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Affiliation(s)
- Manuela Gander
- Institute of Psychology, University of Innsbruck, Universitätsstrasse 5-7, Innsbruck, 6020, Austria.
- Department of Child and Adolescent Psychiatry, Tirol Kliniken, Milserstrasse 10, 6060 Hall in Tirol, Tirol, Austria.
| | - Anna Buchheim
- Institute of Psychology, University of Innsbruck, Universitätsstrasse 5-7, Innsbruck, 6020, Austria
| | - Kathrin Sevecke
- Department of Child and Adolescent Psychiatry, Tirol Kliniken, Milserstrasse 10, 6060 Hall in Tirol, Tirol, Austria
- Department of Child and Adolescent Psychiatry, Medical University of Innsbruck, Innsbruck, 6020, Austria
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14
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Kungl MT, Gabler S, White LO, Spangler G, Vrticka P. Precursors and Effects of Self-reported Parental Reflective Functioning: Links to Parental Attachment Representations and Behavioral Sensitivity. Child Psychiatry Hum Dev 2024:10.1007/s10578-023-01654-2. [PMID: 38326634 DOI: 10.1007/s10578-023-01654-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 12/09/2023] [Indexed: 02/09/2024]
Abstract
Parental reflective functioning is thought to provide a missing link between caregivers' own attachment histories and their ensuing parenting behaviors. The current study sought to extend research on this association involving 115 parents, both mothers and fathers, of 5-to-6-year-old preschoolers using the German version of the Parental Reflective Functioning Questionnaire (PRFQ). Our study was the first to combine Adult Attachment Interview classifications of parental attachment, behavioral observations of parental sensitivity and PRFQ ratings while drawing on a sizable father subsample. We found theoretically consistent significant relations between all measures, while our results particularly highlighted the role of dismissing attachment for decreases in parenting quality on both cognitive and behavioral levels as the dismissing status differentially affected specific components of self-reported parental reflective functioning and observed sensitivity. Interestingly, these patterns were largely comparable in mothers and fathers. Exploratory mediation analyses further suggested that decreased parental reflective functioning may partially mediate the relationship between parents' dismissing attachment and decreased parental sensitivity. Thus, for prevention and intervention programs targeting parental sensitivity and thus children's long term healthy mental development, the interplay between parental reflective functioning and parents' own attachment history emerges as a key mechanism. Finally, our study served as a further validation of the PRFQ given the caveat that the pre-mentalizing subscale may need further revision in the German version.
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Affiliation(s)
- Melanie T Kungl
- Department of Developmental Psychology, Friedrich-Alexander-Universität Erlangen-Nürnberg, Naegelsbachstrasse 49a, 91052, Erlangen, Germany.
| | - Sandra Gabler
- Department of Developmental Psychology, Friedrich-Alexander-Universität Erlangen-Nürnberg, Naegelsbachstrasse 49a, 91052, Erlangen, Germany
| | - Lars O White
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University of Leipzig, Liebigstraße 18, 04103, Leipzig, Germany
- Berlin Psychological University, Am Köllnischen Park 2, 10179, Berlin, Germany
| | - Gottfried Spangler
- Department of Developmental Psychology, Friedrich-Alexander-Universität Erlangen-Nürnberg, Naegelsbachstrasse 49a, 91052, Erlangen, Germany
| | - Pascal Vrticka
- Department of Psychology, Centre for Brain Science, University of Essex, Wivenhoe Park, Colchester, CO4 3SQ, UK
- Max Planck Institute for Human Cognitive and Brain Sciences, Stephanstraße 1A, 04103, Leipzig, Germany
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15
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Vacaru SV, van Schaik JE, Spiess L, Hunnius S. No evidence for modulation of facial mimicry by attachment tendencies in adulthood: an EMG investigation. THE JOURNAL OF SOCIAL PSYCHOLOGY 2024; 164:12-26. [PMID: 34590534 DOI: 10.1080/00224545.2021.1973946] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2020] [Accepted: 08/25/2021] [Indexed: 10/20/2022]
Abstract
Mimicking another individual functions as a social glue: it smoothens the interaction and fosters affiliation. Here, we investigated whether the intrinsic motivation to affiliate with others, stemming from attachment relationships, modulates individuals' engagement in facial mimicry (FM). Participants (N = 100; MAge = 24.54 years, SDAge = 3.90 years) observed faces with happy, sad, and neutral expressions, while their facial muscle activity was recorded with electromyography. Attachment was measured with the Attachment Styles Questionnaire, which provides a multidimensional profile for preoccupied and dismissing styles. It was proposed that the preoccupied and dismissing styles are characterized by high and low intrinsic affiliation motivation, respectively, and these were hypothesized to manifest in enhanced and diminished FM. Participants showed happy and sad FM, yet attachment styles did not significantly predict FM. Bayes Factor analyses lend evidence favoring the null hypothesis, suggesting that adult attachment do not contribute to FM.
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16
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Karveli S, Galanis P, Mitropoulou EM, Karademas E, Markopoulos C. The Role of Attachment Styles on Quality of Life and Distress Among Early-Stage Female Breast Cancer Patients: A Systematic Review. J Clin Psychol Med Settings 2023; 30:724-739. [PMID: 36773123 PMCID: PMC10560157 DOI: 10.1007/s10880-023-09940-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/10/2023] [Indexed: 02/12/2023]
Abstract
Cancer patients' quality of life (QoL) and distress are affected by dispositional factors such as attachment anxiety or avoidance. In this review, we aimed to provide a thorough overview of the relationship between attachment dimensions and QoL and distress among early-stage breast cancer patients. Following PRISMA guidelines, we conducted a systematic search using PubMed, PsycINFO, Scopus, Cinahl, Google Scholar, and PMC Europe. We reviewed 8 eligible studies describing 1180 patients. Insecure attachment appeared to be related to poorer QoL and higher distress levels. Avoidant attachment was more frequent and was more often associated with more negative outcomes. Healthcare providers should consider investigating modifiable personality traits in the immediate post diagnosis period to identify patients more vulnerable to mental health problems, deliver personalized care, and reduce emotional burden.
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Affiliation(s)
- Spyridoula Karveli
- School of Medicine, National and Kapodistrian University of Athens, 75 Mikras Asias Str, 11527, Athens, Greece.
| | - Petros Galanis
- Clinical Epidemiology Laboratory, Faculty of Nursing, National and Kapodistrian University of Athens, Athens, Greece
| | | | - Evangelos Karademas
- Department of Psychology, Faculty of Social Sciences, University of Crete, Rethymnon, Greece
| | - Christos Markopoulos
- School of Medicine, National and Kapodistrian University of Athens, 75 Mikras Asias Str, 11527, Athens, Greece
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17
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Dinzinger A, Ismair S, Brisch KH, Sperl W, Deneault AA, Nolte T, Hitzl W, Priewasser B. Mentalizing in first-time fathers: reflective functioning as a mediator between attachment representation and sensitivity. Attach Hum Dev 2023; 25:544-565. [PMID: 37815537 DOI: 10.1080/14616734.2023.2258354] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2022] [Accepted: 09/09/2023] [Indexed: 10/11/2023]
Abstract
Sensitivity in parent-child interaction is essential for child development. Since fathers are increasingly involved in childrearing, identifying factors leading to paternal sensitivity is crucial. We examined the relation between attachment representation and reflective functioning (RF) as factors influencing paternal sensitivity in a longitudinal study including N = 40 first-time fathers (Mage = 33) and their 6-month-old children. We used the Adult Attachment Interview during pregnancy to assess paternal attachment representation and general RF, the Parental Development Interview to assess fathers' parental RF, and the Emotional Availability Scale to measure sensitivity at child's age of 6 month. Data show that secure paternal attachment representation, high general and parental RF are associated with higher levels of paternal sensitivity. Further, parental RF mediates the association between attachment representation and paternal sensitivity. These findings contribute to the identification of a causal interplay in that they suggest an explanatory effect of RF on the association between fathers' attachment representation, and sensitivity.
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Affiliation(s)
- Antonia Dinzinger
- Institute for Early Life Care, Paracelsus Medical University, Salzburg, Austria
- Department of Pediatrics, University Hospital Salzburg, Paracelsus Medical University, Salzburg, Austria
| | - Selina Ismair
- Institute for Early Life Care, Paracelsus Medical University, Salzburg, Austria
- Department of Pediatrics, University Hospital Salzburg, Paracelsus Medical University, Salzburg, Austria
| | - Karl Heinz Brisch
- Institute for Early Life Care, Paracelsus Medical University, Salzburg, Austria
- Dr. von Hauner Children's Hospital Ludwig Maximilians University, Munich, Germany
| | - Wolfang Sperl
- Department of Pediatrics, University Hospital Salzburg, Paracelsus Medical University, Salzburg, Austria
| | | | - Tobias Nolte
- Research Department for Clinical, Educational and Health Psychology, University College London, UK
| | - Wolfgang Hitzl
- Research and Innovation Management, Biostatistics, Paracelsus Medical University, Salzburg, Austria
| | - Beate Priewasser
- Institute for Early Life Care, Paracelsus Medical University, Salzburg, Austria
- Department of Pediatrics, University Hospital Salzburg, Paracelsus Medical University, Salzburg, Austria
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18
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Eilert DW, Buchheim A. Attachment-Related Differences in Emotion Regulation in Adults: A Systematic Review on Attachment Representations. Brain Sci 2023; 13:884. [PMID: 37371364 DOI: 10.3390/brainsci13060884] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2023] [Revised: 05/24/2023] [Accepted: 05/29/2023] [Indexed: 06/29/2023] Open
Abstract
In recent years, there has been an increase in the prevalence of mental disorders connected with affective dysregulation and insecure attachment. Therefore, it is even more important to understand the interplay between an individual's attachment representation and patterns of emotion regulation. To our knowledge, this is the first systematic review to examine this association. PsycInfo, PsyArticles, and PubMed were searched for studies that examined attachment-related differences in emotion regulation in adults. To examine the unconscious attachment representation, only studies using the Adult Attachment Interview or the Adult Attachment Projective Picture System were included. Thirty-seven peer-reviewed studies (with a total of 2006 subjects) matched the PICO criteria. Emotion regulation was measured via four objective approaches: autonomic nervous system, brain activity, biochemistry, or nonverbal behavior. Across all measurements, results reveal a significant correlation between attachment representation and emotion regulation. Secure attachment correlates consistently with balanced emotion regulation, whereas it is impaired in insecure and dysfunctional in unresolved attachment. Specifically, unresolved individuals display counterintuitive responses and fail to use attachment as a resource. Insecure-dismissing attachment is associated with an emotionally deactivating strategy, while on a physiological, biochemical, and nonverbal level, emotional stress is still present. There is still a lack of studies examining preoccupied individuals. In addition to interpreting the results, we also discuss the risk of bias, implications for psychotherapy and coaching, and an outlook for future research.
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Affiliation(s)
- Dirk W Eilert
- Institute of Psychology, University of Innsbruck, 6020 Innsbruck, Austria
| | - Anna Buchheim
- Institute of Psychology, University of Innsbruck, 6020 Innsbruck, Austria
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Jewell T, Apostolidou E, Sadikovic K, Tahta-Wraith K, Liston S, Simic M, Eisler I, Fonagy P, Yorke I. Attachment in individuals with eating disorders compared to community controls: A systematic review and meta-analysis. Int J Eat Disord 2023; 56:888-908. [PMID: 36916409 DOI: 10.1002/eat.23922] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/07/2022] [Revised: 02/03/2023] [Accepted: 02/06/2023] [Indexed: 03/16/2023]
Abstract
OBJECTIVE Individuals with eating disorders are known to have higher rates of insecure attachment compared to community controls, but the factors underlying this finding are poorly understood. We conducted the first meta-analysis comparing attachment in eating disorder samples compared to community controls that included quality assessment, publication bias and moderation analysis. METHOD We pre-registered our meta-analysis (CRD42019146799) and followed PRISMA guidelines. We searched PsychINFO, Embase, Medline, CINAHL, and Scopus for publications. Attachment scores were extracted, and Cohen's d calculated for each study using a random effects model. RESULTS In total, 35 studies were included in the meta-analysis and six studies were summarized in a narrative review. Eating disorder samples showed higher rates of insecure attachment compared to community controls, with a large effect size, across measurement methods and different attachment dimensions. Blinding of assessors moderated effect sizes for attachment interview studies, but no other moderators were significant. DISCUSSION Risk of insecure attachment is elevated in individuals with eating disorders, albeit heterogeneity is high and largely unexplained. Clinicians may need to take this into account in their work, particularly given the association between attachment insecurity and challenges to therapeutic alliance. Future studies comparing eating disorder samples with community samples should control for general psychopathology. PUBLIC SIGNIFICANCE Attachment is a broad concept referring to a person's thoughts, feelings and behaviors in relation to close others. This systematic review and meta-analysis found that individuals with eating disorders are lower in attachment security than community controls, regardless of attachment construct or measurement approach. Attachment may be relevant in influencing eating disorder recovery, the development of therapeutic alliance, and potentially clinical outcomes, although more research is needed.
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Affiliation(s)
- Tom Jewell
- Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, UK.,Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
| | - Eleni Apostolidou
- Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
| | - Kevser Sadikovic
- Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, UK
| | | | - Sarah Liston
- Leicestershire Partnership NHS Foundation Trust, Leicester, UK
| | - Mima Simic
- South London and Maudsley NHS Foundation Trust, London, UK
| | - Ivan Eisler
- South London and Maudsley NHS Foundation Trust, London, UK
| | - Peter Fonagy
- Research Department of Clinical, Educational and Health Psychology, University College London, London, UK.,Anna Freud Centre, London, UK
| | - Isabel Yorke
- Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
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20
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Gross JT, Stern JA, Brett BE, Fitter MH, Cassidy J. Mothers' Attachment Style Predicts Response to Child Distress: The Role of Maternal Emotions and Attributions. JOURNAL OF CHILD AND FAMILY STUDIES 2023; 32:876-891. [PMID: 37859978 PMCID: PMC10586594 DOI: 10.1007/s10826-022-02517-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 12/07/2022] [Indexed: 10/21/2023]
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21
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Pollard C, Bucci S, Berry K. A systematic review of measures of adult disorganized attachment. BRITISH JOURNAL OF CLINICAL PSYCHOLOGY 2023; 62:329-355. [PMID: 36775812 DOI: 10.1111/bjc.12411] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2022] [Revised: 01/13/2023] [Accepted: 01/22/2023] [Indexed: 02/14/2023]
Abstract
BACKGROUND Disorganized attachment has been identified as an important factor in the development and maintenance of mental health problems. Further research is required to understand the mechanism by which this attachment pattern predisposes individuals to develop, and maintain, personal and social difficulties and mental health problems utilizing valid and reliable measurement tools. The assessment of adult disorganized attachment is therefore important for both applied psychologists and researchers. METHOD We conducted a systematic review using the COSMIN guidelines to identify and critically appraise instruments which measure adult disorganized attachment. A systematic database search was performed using MEDLINE, EMBASE, Web of Science, PsychInfo and CINHAL in accordance with PRISMA guidelines. RESULTS Database searching provided 5757 results, with 18 measures identified across 27 eligible papers which were critically evaluated. Measurement properties were promising for the Childhood Disorganization and Role Reversal Scale, Psychological Treatment Inventory-Attachment Styles Scale, Attachment Style Questionnaire - Short Form and the Adult Attachment Interview. However, overall, due to inconsistent quality of methodology and reporting of results, it is challenging to reach sufficient conclusions and suggestions regarding the best instrument to use to measure adult disorganized attachment. CONCLUSION The Childhood Disorganization and Role Reversal Scale, Psychological Treatment Inventory-Attachment Styles Scale. Attachment Style Questionnaire-Short-Form and Adult Attachment Interview are the best available measures of disorganized attachment in adulthood. This review highlights the need for further psychometric testing of existing measures, or development of new instruments, grounded in sound methodology.
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Affiliation(s)
- Catherine Pollard
- Division of Psychology and Mental Health, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester, Manchester, UK.,Greater Manchester Mental Health NHS Foundation Trust, Manchester, UK
| | - Sandra Bucci
- Division of Psychology and Mental Health, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester, Manchester, UK.,Greater Manchester Mental Health NHS Foundation Trust, Manchester, UK
| | - Katherine Berry
- Division of Psychology and Mental Health, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester, Manchester, UK.,Greater Manchester Mental Health NHS Foundation Trust, Manchester, UK
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22
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Hoenicka MAK, López-de-la-Nieta O, Martínez Rubio JL, Shinohara K, Neoh MJY, Dimitriou D, Esposito G, Iandolo G. Parental bonding in retrospect and adult attachment style: A comparative study between Spanish, Italian and Japanese cultures. PLoS One 2022; 17:e0278185. [PMID: 36454730 PMCID: PMC9714759 DOI: 10.1371/journal.pone.0278185] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2022] [Accepted: 11/11/2022] [Indexed: 12/05/2022] Open
Abstract
Attachment is an innate human relational mechanism that develops progressively from early childhood, influences individuals' representations and behaviors, shapes relationships, and affects the social and cultural environment. Parental bonding refers to the ability of parents to be emotionally and behaviorally available to the child during infancy. Attachment style refers to the individual's relational attitude in close relationships that influences adult love, bonding, handling relationships, and social exploration. The role of intergenerational, cultural and developmental factors influencing the relationship between the attachment style in adulthood and the parental bonding style recalled during childhood has been debated. This study explores the relationships between recalled parental bonding, adult attachment style, and cultural background in a sample of Spanish, Italian, and Japanese adults using a cross-sectional and cross-cultural design. For this purpose, the validated versions of the Experience in Close Relationship Scale and the Parental Bonding Instrument were administered to a non-clinical population of three hundred and five participants in the three countries. Results show that the most frequent adult attachment style is the secure style, followed by the dismissing-avoidant, the preoccupied, and the fearful-avoidant style. The dismissing-avoidant style was the most frequent insecure attachment style in the Japanese sample whereas the preoccupied style was the most frequent insecure attachment style in the Italians and Spaniards. Japanese are more anchored to the memory of maternal and paternal overprotection, which is related to more avoidance in actual close relationships. Spaniard's current relationships are mildly independent of recalled parental bonding, showing an association between lower current avoidance to primary parental care. In the Italian sample, there is no significant relationship between current adult close relationships and recalled parental bonding. These results suggest that different cultural models influence adult attachment representations differently, in terms of the weight placed on attachment-related avoidance, attachment-related anxiety, care, and overprotection in infant and adult relationships.
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Affiliation(s)
| | - Oscar López-de-la-Nieta
- Department of Psychology, School of Biomedical Sciences, European University of Madrid, Madrid, Spain
- Clinical Research & Diagnosis Division, SerenaMente Psychology & Consulting Service, Pinto, Madrid, Spain
| | - José Luis Martínez Rubio
- Department of Psychology, School of Biomedical Sciences, European University of Madrid, Madrid, Spain
| | - Kazuyuki Shinohara
- Department of Neurobiology & Behavior, School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan
| | - Michelle Jin Yee Neoh
- Psychology Program, School of Social Sciences, Nanyang Technological University, Singapore, Singapore
| | - Dagmara Dimitriou
- Sleep Education and Research Laboratory, University College London Institute of Education, London, United Kingdom
| | - Gianluca Esposito
- Affiliative Behaviour and Physiology Lab, Department of Psychology and Cognitive Science, University of Trento, Rovereto, Italy
| | - Giuseppe Iandolo
- Department of Psychology, School of Biomedical Sciences, European University of Madrid, Madrid, Spain
- Observation and Functional Diagnosis Division, PSISE Clinical and Developmental Psychological Service, Madrid, Spain
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23
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Brenk-Franz K, Leonhardt LJ, Strauß B. Attachment and patient activation as predictors of the interest and use of telemedical health applications –results of an observational study in primary health care. BMC PRIMARY CARE 2022; 23:96. [PMID: 35488203 PMCID: PMC9052500 DOI: 10.1186/s12875-022-01711-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/31/2022] [Accepted: 04/20/2022] [Indexed: 11/10/2022]
Abstract
Abstract
Background
Telemedicine applications are becoming more accepted and offer great potential to support physicians and patients. However, there is an increasing need for research, especially in personal predictors that determine the interest and use of telemedicine and e-health applications. This study aims to identify if attachment and patient activation are potential predictors of the interest in and the use of e-health applications in primary care patients.
Methods
We used data from the cross-sectional observational Weimar TelMed study on 192 patients treated by general practitioners from a practice of family medicine in Thuringia, the middle of Germany. The adult attachment was measured using the ECR-RD12 and patient activation with the PAM-13D. Multiple regression analysis by the General Linear Model was used to evaluate the association between attachment, patient activation, and interest in and use of e-health applications.
Results
Patient activation was associated with a higher interest in e-health care. The attachment dimension avoidance was a potential predictor of interest in e-health and e-health-care use.
Conclusion
Adult attachment is an essential predictor of different ways of healthcare use. While avoidant patients evade contact with general practitioners, self-determined access via e-health seems to improve the health care of these patients. A personalized view might be a basis for the evaluation of individual approaches in Primary Care.
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24
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Wang K, Li F, Xu J, Chen S, Zhou M. Insecure attachment may not hamper relationships: a dyadic fit perspective. CURRENT PSYCHOLOGY 2022. [DOI: 10.1007/s12144-022-04005-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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25
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Shi S, Rioux M, Dhariwal AK, Silverberg ND. Attachment and Clinical Outcomes Among Treatment-Seeking Adults With Persistent Symptoms After Mild Traumatic Brain Injury. J Neuropsychiatry Clin Neurosci 2022; 35:151-157. [PMID: 36353819 DOI: 10.1176/appi.neuropsych.20220073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
OBJECTIVE Interpersonal attachment influences the development and course of disease. Overreliance on insecure attachment strategies may increase risk for poor disease outcomes. This study aimed to investigate largely unexplored relationships between attachment strategies and clinical outcomes among adults with persistent symptoms after mild traumatic brain injury (mTBI). METHODS Participants with persistent symptoms after mTBI (N=83) completed measures assessing dimensions of insecure attachment (Relationship Scales Questionnaire [RSQ]), persistent symptoms (Rivermead Post-Concussion Symptoms Questionnaire), depression (Patient Health Questionnaire-9), anxiety (Generalized Anxiety Disorder-7), and health-related quality of life (HRQOL) (Quality of Life After Brain Injury-Overall Scale). Questionnaires were administered at clinic intake (mean=18.1 weeks postinjury) and again 3-4 months later (mean=32.2 weeks postinjury), except the RSQ, which was administered only in the follow-up assessment. Treatment response for each outcome was calculated as the difference between scores at clinic intake and follow-up. Generalized linear models were fitted for each clinical outcome, with RSQ variables as predictors. RESULTS Higher attachment anxiety was associated with greater persistent symptom severity, greater depression and anxiety symptoms, and worse HRQOL at follow-up. Higher attachment anxiety was also associated with less improvement in depression and HRQOL over time. In contrast, attachment avoidance was unrelated to any of the clinical outcomes. CONCLUSIONS Attachment anxiety, the fear that a significant other will not be available in stressful circumstances, may be a particularly important social factor associated with health among adults with persistent symptoms after mTBI. Greater consideration of the attachment system is warranted in mTBI care and research.
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Affiliation(s)
- Shuyuan Shi
- Department of Psychology (Shi, Rioux, Silverberg) and Department of Psychiatry (Dhariwal), University of British Columbia, Vancouver
| | - Mathilde Rioux
- Department of Psychology (Shi, Rioux, Silverberg) and Department of Psychiatry (Dhariwal), University of British Columbia, Vancouver
| | - Amrit K Dhariwal
- Department of Psychology (Shi, Rioux, Silverberg) and Department of Psychiatry (Dhariwal), University of British Columbia, Vancouver
| | - Noah D Silverberg
- Department of Psychology (Shi, Rioux, Silverberg) and Department of Psychiatry (Dhariwal), University of British Columbia, Vancouver
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26
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An D, Kochanska G. Mothers' and fathers' attachment styles and power-assertive control: Indirect associations through parental representations. JOURNAL OF FAMILY PSYCHOLOGY : JFP : JOURNAL OF THE DIVISION OF FAMILY PSYCHOLOGY OF THE AMERICAN PSYCHOLOGICAL ASSOCIATION (DIVISION 43) 2022; 36:975-985. [PMID: 34694837 PMCID: PMC9842511 DOI: 10.1037/fam0000930] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Research on adults' self-reported attachment styles, investigated mostly in social and personality psychology, has rarely been bridged with research on parenting, studied mostly in developmental psychology. We proposed that parents' attachment insecurity (avoidance and anxiety) has an indirect association with their power-assertive control, mediated through their negative representations, or internal working models (IWM) of the child. In 200 community families from a Midwestern state (mothers, fathers, and children), we collected multimethod, parallel data for mother-child and father-child relationships. When children were infants, parents completed self-reports of their own attachment styles. When children were toddlers, we assessed parents' IWMs of the child in an interview and observed parental power-assertive control in structured, naturalistic discipline contexts in the laboratory. Mothers' avoidance showed a unique association with their IWM of their child. Consequently, there was an indirect association from the mother's avoidance to negative IWM to power-assertive control. Mothers' anxiety was associated directly with more power-assertive control. Fathers' avoidance and anxiety were also associated with their IWMs, but there were no unique associations, and the impact on parenting was limited. Forging a rapprochement between social and personality research on adults' attachment and developmental research on parenting, this work elucidates a potential mechanism of the intergenerational transmission of adaptive and maladaptive parenting in families. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
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Affiliation(s)
- Danming An
- Department of Psychological and Brain Sciences
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27
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Attachment mediates the link between childhood maltreatment and loneliness in persistent depressive disorder. J Affect Disord 2022; 312:61-68. [PMID: 35728677 DOI: 10.1016/j.jad.2022.06.021] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/30/2021] [Revised: 05/20/2022] [Accepted: 06/16/2022] [Indexed: 11/21/2022]
Abstract
BACKGROUND A central concept of attachment theory is that early experiences with close attachment figures shape the way we interact with and relate to other social partners throughout life. As such, early experiences of childhood maltreatment (CM) have been suggested as a key precursor of adult insecure attachment representations. As CM has been linked to feelings of loneliness in adulthood, this study examines whether insecure attachment could explain the relationship between CM and loneliness. Also, the moderating role of a diagnosis of persistent depressive disorder (PDD) is investigated, a disorder characterized by high levels of CM and loneliness. METHOD 60 patients with PDD (DSM-5) and 60 gender- and age-matched non-clinical control participants (NC) completed self-report questionnaires measuring attachment, loneliness, and CM. Mediation analyses (PDD as a moderator) were performed. RESULTS PDD patients reported higher levels of CM, attachment anxiety, attachment avoidance, and loneliness than NC. CM was positively associated with loneliness in both groups. Mediation analyses demonstrated that the relationship between CM and loneliness was mediated by avoidant, but not anxious attachment, regardless of a diagnosis of PDD. LIMITATIONS Caution when interpreting these results is crucial as the study lacked a clinical control group, relied on self-report measures, and the cross-sectional design limits the ability to draw causal inferences. CONCLUSIONS All constructs studied were present to a greater degree in PDD. Above, findings provide initial evidence that avoidant attachment may explain the relationship between CM and loneliness. Potentially, adult avoidant attachment may lead to and maintain feelings of loneliness, regardless of PDD.
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28
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Feniger-Schaal R, Koren-Karie N. Moving together with you: Bodily expression of attachment. ARTS IN PSYCHOTHERAPY 2022. [DOI: 10.1016/j.aip.2022.101950] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Tognasso G, Gorla L, Ambrosini C, Figurella F, De Carli P, Parolin L, Sarracino D, Santona A. Parenting Stress, Maternal Self-Efficacy and Confidence in Caretaking in a Sample of Mothers with Newborns (0-1 Month). INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:9651. [PMID: 35955005 PMCID: PMC9368401 DOI: 10.3390/ijerph19159651] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/07/2022] [Revised: 08/01/2022] [Accepted: 08/02/2022] [Indexed: 06/15/2023]
Abstract
A mother's responses to her newborn and her confidence in the child's caretaking depend on her attachment security, general parental stress, and perceived self-efficacy. However, few studies have analyzed maternal confidence in caretaking and how it is influenced by some mothers' characteristics. We aimed to examine the association between maternal adult attachment and confidence in a child's caretaking and to understand whether this relationship was mediated by parenting stress and maternal self-efficacy. The sample consisted of 96 mothers with a mean age of 33 years with newborn children aged between 3 and 30 days. The instruments used were the Experiences in Close Relationships-Revised (ECR-R), the Mother and Baby Scale (MABS), the Parenting Stress Index Short Form (PSI-SF), and the Maternal Self-Efficacy Questionnaire (MEQ). The results showed a positive association between attachment avoidance and lack of confidence in caretaking, and this association was mediated by parenting stress. Conversely, attachment anxiety appeared not to influence confidence in caretaking, and maternal self-efficacy did not appear to mediate the relationship between attachment and confidence in the caretaking of infants. Our results could guide new research in studying confidence in caretaking and enable healthcare professionals to recognize at-risk situations early from the first month after childbirth.
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Affiliation(s)
- Giacomo Tognasso
- Department of Psychology, University of Milano-Bicocca, 20126 Milano, Italy
| | - Laura Gorla
- Department of Psychology, University of Milano-Bicocca, 20126 Milano, Italy
| | - Carolina Ambrosini
- Department of Developmental Psychology and Socialisation, University of Padua, 35131 Padova, Italy
| | - Federica Figurella
- Department of Psychology, University of Milano-Bicocca, 20126 Milano, Italy
| | - Pietro De Carli
- Department of Psychology, University of Milano-Bicocca, 20126 Milano, Italy
| | - Laura Parolin
- Department of Psychology, University of Milano-Bicocca, 20126 Milano, Italy
| | - Diego Sarracino
- Department of Psychology, University of Milano-Bicocca, 20126 Milano, Italy
| | - Alessandra Santona
- Department of Psychology, University of Milano-Bicocca, 20126 Milano, Italy
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Identifying potential mechanisms between childhood trauma and the psychological response to the COVID-19 pandemic in Germany: a longitudinal study. Sci Rep 2022; 12:12964. [PMID: 35902702 PMCID: PMC9333057 DOI: 10.1038/s41598-022-13205-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2021] [Accepted: 05/23/2022] [Indexed: 11/23/2022] Open
Abstract
Childhood maltreatment (CM) has been associated with adverse psychosocial outcomes during the pandemic, but the underlying mechanisms are unclear. In a prospective online study using baseline and 10-week follow-up data of 391 German participants, we applied multiple mediation analyses to test to what extent COVID-19 perceived stressors mediate the association between CM and later adverse psychosocial outcomes compared to established mediators of rumination and insecure attachment. We also explored the relative importance of different COVID-19 related stressors in predicting adverse psychological trajectories using elastic net regression. Results showed that CM was longitudinally associated with all adverse psychosocial outcome. COVID-19 perceived stressors, rumination, and insecure attachment mediated this relationship and full mediation was observed for the outcomes anxiety, stress and psychological well-being. COVID-19-related concerns about the future was most strongly and consistently associated with adverse psychosocial functioning. These findings provide preliminary evidence that COVID-19 perceived stressors, in particular concerns about the future, may be a key mechanism underlying the development of adverse psychosocial outcomes in individuals with a CM history. Thus, COVID-19 perceived stressors may require a higher priority for prevention and treatment efforts in vulnerable groups. Our results warrant replication in more representative cross-cultural samples.
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31
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Condino V, Giovanardi G, Vagni M, Lingiardi V, Pajardi D, Colli A. Attachment, Trauma, and Mentalization in Intimate Partner Violence: A Preliminary Investigation. JOURNAL OF INTERPERSONAL VIOLENCE 2022; 37:NP9249-NP9276. [PMID: 35610949 DOI: 10.1177/0886260520980383] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Intimate partner violence (IPV) has been examined from a range of theoretical perspectives, including attachment theory, with the aim of assessing psychosocial risk factors. Previous research has shown that a child's exposure to violence in the family is a major predictor of IPV victimization later in life. Furthermore, research on abused and traumatized adult samples has shown high frequencies of unresolved/disorganized attachment styles. In particular, disorganized attachment is associated with major problems of affect regulation and deficits in mentalizing ability. The present research had three aims: (a) to assess the childhood traumatic experiences of female victims of IPV; (b) to investigate and identify the attachment patterns of female victims of IPV; and (c) to examine reflective functioning and prementalistic modes in female victims of IPV, in relation to attachment and trauma. A sample of 31 women, recruited through anti-violence centers, were administered the Adult Attachment Interview (AAI) and the Reflective Functioning Questionnaire. The Complex Trauma Questionnaire and the Reflective Functioning Scale (RFS) were also applied to the AAI transcripts. Interviews were audio recorded and transcribed verbatim. Coding was conducted by two trained coders and certified as reliable for the AAI and RFS. Clinicians completed the Modes of Mentalization Scale (MMS) to assess participants' mentalization style. The data showed a high percentage of women with insecure attachment and lower reflective functioning. The results are discussed in terms of their clinical and theoretical implications-particularly their application to psycho-forensics, through the development of preventive programs and interventions for IPV. Efforts to understand the etiology of IPV and to intervene to prevent recidivism are fundamental in reducing this public health threat.
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32
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Justo-Núñez M, Morris L, Berry K. Self-report measures of secure attachment in adulthood: A systematic review. Clin Psychol Psychother 2022; 29:1812-1842. [PMID: 35623630 DOI: 10.1002/cpp.2756] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2022] [Revised: 05/21/2022] [Accepted: 05/23/2022] [Indexed: 11/09/2022]
Abstract
BACKGROUND Secure attachment in adulthood is associated with many markers of adaptive functioning. Valid and reliable self-report measures of attachment security could provide a practical tool to help advance strengths-based research and clinical work. Previous reviews have not specifically examined the psychometric properties of self-report instruments with respect to secure attachment or systematically appraised the methodological quality of relevant validation studies. METHOD A systematic review was completed in accordance with the COSMIN guidelines for reviews of patient-reported outcome measures. The methodological quality of individual studies was evaluated, and results were rated against criteria for good measurement properties. RESULTS A total of 40 studies were included in the review, which collectively reported on 24 self-report instruments. The methodological quality of individual studies was variable, and no single instrument was identified as having sufficient evidence of a range of psychometric properties. However, the Attachment Style Questionnaire-Short Form (ASQ-SF), the Cartes-Modèles Individuels de Relations (CAMIR), Cartes-Modèles Individuels de Relations-Reduced (CAMIR-R), and the Psychological Treatment Inventory-Attachment Style Scales (PTI-ASS) had the most robust evidence for the properties assessed. CONCLUSION Existing self-report measures assessing adult secure attachment have limited psychometric support. More methodologically robust studies of content validity, reliability, measurement invariance, and construct validity in particular are needed.
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Affiliation(s)
- Miranda Justo-Núñez
- Division of Psychology and Mental Health, University of Manchester, Manchester, UK
| | - Lydia Morris
- Division of Psychology and Mental Health, University of Manchester, Manchester, UK
| | - Katherine Berry
- Division of Psychology and Mental Health, University of Manchester, Manchester, UK.,Complex Trauma and Resilience Research Unit, Greater Manchester Mental Health NHS Foundation Trust, Manchester, UK
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33
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Leonard SJ, Zegel M, Venta A, Vujanovic AA. Insecure Adult Attachment Style and PTSD Symptom Severity among Firefighters: The Role of Distress Tolerance. JOURNAL OF AGGRESSION, MALTREATMENT & TRAUMA 2022; 32:592-610. [PMID: 37377579 PMCID: PMC10292721 DOI: 10.1080/10926771.2022.2078681] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/13/2021] [Revised: 03/07/2022] [Accepted: 05/01/2022] [Indexed: 06/29/2023]
Abstract
Trauma exposure and posttraumatic stress disorder (PTSD) symptoms among firefighters are prevalent and well-documented. Insecure adult attachment style (AAS) and distress tolerance (DT) present two factors with demonstrated relevance to the etiology and maintenance of PTSD. Few studies have examined these constructs in relation to PTSD symptomatology among firefighter populations. The present investigation examined the indirect effect of insecure romantic AAS (i.e., anxious AAS, avoidant AAS) on PTSD symptom severity through DT among firefighters. Exploratory analyses examined this model with each of the PTSD symptom clusters as outcomes. The sample was comprised of 105 firefighters (Mage=40.43, SD=9.15, 95.2% male) recruited from various departments in the southern U.S. An indirect effect was calculated using 10,000 bootstrapped samples. Indirect effects models in the primary analyses were significant when both anxious AAS (β=.20, SE=.10, CI=.06-.43) and avoidant AAS (β=.28, SE=.12, CI=.08-.54) were evaluated as predictors. Effects were evident after accounting for gender, relationship status, years of fire service, and trauma load (i.e., number of potentially traumatic event types experienced). Exploratory analyses revealed that anxious and avoidant AAS are both indirectly related to the PTSD intrusion, negative alterations in cognitions and mood, and alterations in arousal and reactivity symptom clusters through DT. Anxious AAS also demonstrated an indirect association with PTSD avoidance symptoms through DT. Attachment styles may influence PTSD symptoms among firefighters through a firefighter's perceived ability to withstand emotional distress. This line of inquiry has potential to inform specialized intervention programs for firefighters. Clinical and empirical implications are discussed.
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34
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Altmann U, Brenk-Franz K, Strauss B, Petrowski K. Factor Structure and Convergent Validity of the Short Version of the Bielefeld Partnership Expectations Questionnaire in Patients With Anxiety Disorder and Healthy Controls. Front Psychol 2022; 13:638644. [PMID: 35356340 PMCID: PMC8959848 DOI: 10.3389/fpsyg.2022.638644] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2020] [Accepted: 02/01/2022] [Indexed: 11/13/2022] Open
Abstract
The short version of the Bielefeld Partnership Expectations Questionnaire (BPEQ-12) assesses the partner-related attachment dimensions fear of rejection, readiness for self-disclosure, and conscious need for care. The presented study investigated the factor structure in two samples and evaluated the convergent validity of scales. The sample included N = 175 patients with panic disorder and/or agoraphobia and N = 143 healthy controls. Besides, the BPEQ, the Experiences in Close Relationships Questionnaire (ECR), and the Brief Symptom Inventory (BSI) were assessed as well, and the Adult Attachment Prototype Rating (AAPR) was conducted. A confirmatory factor analysis of the three factor model (using a WLSMV estimator) revealed an acceptable model fit for the entire sample, patients and controls in terms of low RMSEA and SRMR (< 0.08) and high CFI and TLI (> 0.95). We found metric, scalar, and strict measurement invariance for the presence of anxiety disorder (ΔCFI ≤ –0.01 and ΔRMSEA ≥ 0.01). However, only for fear of rejection and readiness for self-disclosure the reliability was acceptable (Cronbach’s α > 0.7), and convergent validity in terms of large correlations (r > 0.7) with the ECR scales was found in both samples. The scale conscious need for care had a questionable reliability (Cronbach’s α > 0.6) and correlated only slightly with ECR-R scales. We conclude that fear of rejection and readiness for self-disclosure of the BPEQ-12 are reliable and valid scales for measuring partner-related attachment in healthy and clinical samples.
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Affiliation(s)
- Uwe Altmann
- Institute of Psychosocial Medicine, Psychotherapy and Psycho-oncology, University Hospital Jena, Jena, Germany
| | - Katja Brenk-Franz
- Institute of Psychosocial Medicine, Psychotherapy and Psycho-oncology, University Hospital Jena, Jena, Germany
| | - Bernhard Strauss
- Institute of Psychosocial Medicine, Psychotherapy and Psycho-oncology, University Hospital Jena, Jena, Germany
| | - Katja Petrowski
- Clinic and Polyclinic for Psychotherapy and Psychosomatics, Technische Universität Dresden, Dresden, Germany.,Institute of Medical Psychology and Medical Sociology, Johannes Gutenberg-Universität Mainz, Mainz, Germany
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35
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Gander M, Karabatsiakis A, Nuderscher K, Bernheim D, Doyen-Waldecker C, Buchheim A. Secure Attachment Representation in Adolescence Buffers Heart-Rate Reactivity in Response to Attachment-Related Stressors. Front Hum Neurosci 2022; 16:806987. [PMID: 35250517 PMCID: PMC8891161 DOI: 10.3389/fnhum.2022.806987] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2021] [Accepted: 01/26/2022] [Indexed: 12/14/2022] Open
Abstract
To date, we know very little about the effects of the differences in attachment classifications on the physiological correlates of stress regulation in adolescent age groups. The present study examined for the first time heart rate (HR) and heart rate variability (HRV) during an attachment interview in adolescents. HR and HRV data were collected during a baseline assessment as well as during the administration of the Adult Attachment Projective Picture System (AAP) in a community-based sample of 56 adolescents (26 females and 30 males, mean age = 16.05 years [SD = 1.10]). We additionally used the Adult Attachment Interview (AAI) in 50% of our sample to test the convergent validity. Adolescents with a secure attachment representation showed a higher HRV from baseline to the AAP interview compared to those with an insecure-dismissing (Ds) and the unresolved group. A comparison between the two insecure attachment groups showed no significant difference related to HR and HRV. Cohen’s Kappa (κ = 0.81) revealed an almost perfect agreement between the AAP and the AAI for the four-group classification. Our results indicate that adolescents with a secure attachment representation are more capable of dealing with attachment-related distress which is represented in higher HRV during an attachment interview.
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Affiliation(s)
- Manuela Gander
- Institute of Psychology, University of Innsbruck, Innsbruck, Austria
- *Correspondence: Manuela Gander,
| | | | | | - Dorothee Bernheim
- Department of Child and Adolescent Psychiatry and Psychotherapy, University of Ulm, Ulm, Germany
| | | | - Anna Buchheim
- Institute of Psychology, University of Innsbruck, Innsbruck, Austria
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36
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Nottage MK, Oei NY, Wolters N, Klein A, Van der Heijde CM, Vonk P, Wiers RW, Koelen J. Loneliness mediates the association between insecure attachment and mental health among university students. PERSONALITY AND INDIVIDUAL DIFFERENCES 2022. [DOI: 10.1016/j.paid.2021.111233] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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37
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Strauss B, Altmann U, Schönherr D, Schurig S, Singh S, Petrowski K. Is there an elephant in the room? A study of convergences and divergences of adult attachment measures commonly used in clinical studies. Psychother Res 2022; 32:695-709. [PMID: 34983333 DOI: 10.1080/10503307.2021.2020930] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Abstract
Objective: In view of the persisting conceptual confusion related to the convergence of attachment measures, we investigated several common measures within a clinical and a non-clinical sample, tested the convergence/divergence of different measures, and tried to find a dimensional model. Method: 175 patients with panic disorder/agoraphobia and 143 matched non-clinical individuals completed seven self-report attachment measures/ clinical self-reports and were interviewed by applying the Adult Attachment Interview (AAI), the Adult Attachment Rating (AAR) and the Adult Attachment Projective (AAP). Results: The categorical and most dimensional attachment measures differentiated between the samples. The convergence of the categorical measures was low, whereas we found moderate to high correlations between similar scales in the dimensional self-report measures. Expectedly, the convergence of dimensional and categorical attachment measures was low. In a factorial (exploratory as well as confirmatory) model, four independent dimensions were extracted reflecting self-rated attachment anxiety and avoidance, the categories of the AAI and those of the AAP, indicating significant differences between the measures. Discussion: Measures of adult attachment are only partially convergent, underlining the need for clarification of which aspect of attachment is actually being assessed in individual clinical investigations. The question remains whether the different measures are in fact related to one construct.
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Affiliation(s)
- Bernhard Strauss
- Institute of Psychosocial Medicine, Psychotherapy and Psychooncology, University Hospital Jena, Jena, Germany
| | - Uwe Altmann
- Institute of Psychosocial Medicine, Psychotherapy and Psychooncology, University Hospital Jena, Jena, Germany
| | - Desiree Schönherr
- Institute of Psychosocial Medicine, Psychotherapy and Psychooncology, University Hospital Jena, Jena, Germany
| | - Susan Schurig
- Department of Psychotherapy and Psychosomatic Medicine, Technische Universität Dresden, University Hospital Carl Gustav Carus, Dresden, Germany
| | - Sashi Singh
- Institute of Psychosocial Medicine, Psychotherapy and Psychooncology, University Hospital Jena, Jena, Germany
| | - Katja Petrowski
- Medical Psychology and Medical Sociology, Clinic for Psychotherapy and Psychosomatic Medicine, School of Medicine, University of Mainz, Mainz, Germany.,Department of Psychotherapy and Psychosomatic Medicine, Technische Universität Dresden, University Hospital Carl Gustav Carus, Dresden, Germany
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38
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Herstell S, Betz LT, Penzel N, Chechelnizki R, Filihagh L, Antonucci L, Kambeitz J. Insecure attachment as a transdiagnostic risk factor for major psychiatric conditions: A meta-analysis in bipolar disorder, depression and schizophrenia spectrum disorder. J Psychiatr Res 2021; 144:190-201. [PMID: 34678669 DOI: 10.1016/j.jpsychires.2021.10.002] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/08/2021] [Revised: 10/04/2021] [Accepted: 10/10/2021] [Indexed: 01/15/2023]
Abstract
Insecure attachment has been suggested as a major risk factor for mental health problems as well as a key element for the development and trajectory of psychiatric disorders. The aim of this meta-analysis was to assess whether insecure attachment constitutes a global transdiagnostic risk factor in bipolar disorder, depression, and schizophrenia spectrum disorders. We conducted a PRISMA-based systematic quantitative review to explore the prevalence of insecure attachment among patients of three representative psychiatric disorders - major depression, schizophrenia spectrum disorders and bipolar disorder - in comparison with healthy controls (HC) from a transdiagnostic point of view. Effect sizes on differences of anxious, avoidant and insecure prevalence were calculated based on 40 samples including a total of n = 2927 individuals. Overall, results indicated a large effect on prevalence of insecure attachment across all disorders compared to HC (k = 30, g = 0.88, I2 = 71.0%, p < 0.001). In a transdiagnostic comparison, the only difference was found in avoidant attachment, which was significantly lower (p = 0.04) compared to HC in the schizophrenia spectrum disorder subgroup (k = 10, g = 0.31, I2 = 76.60%, p < 0.0001) than the depression subgroup subgroup (k = 12, g = 0.83, I2 = 46.65%, p < 0.0001). The lack of further transdiagnostic differences between three distinct psychiatric disorders corroborates insecure attachment as a general vulnerability factor to psychopathology. Our findings warrant further investigations, which should explore the pathways from attachment insecurity towards psychopathology. Insecure attachment likely has implications on assessment, prediction and treatment of psychiatric patients.
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Affiliation(s)
- Simon Herstell
- Department of Psychiatry and Psychotherapy, Faculty of Medicine and University Hospital of Cologne, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
| | - Linda T Betz
- Department of Psychiatry and Psychotherapy, Faculty of Medicine and University Hospital of Cologne, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
| | - Nora Penzel
- Department of Psychiatry and Psychotherapy, Faculty of Medicine and University Hospital of Cologne, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany; Department of Psychiatry and Psychotherapy, Ludwig-Maximilian-University, Munich, Nußbaumstraße 7, 80336, Munich, Germany.
| | - Ruth Chechelnizki
- Department of Psychiatry and Psychotherapy, Faculty of Medicine and University Hospital of Cologne, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
| | - Laura Filihagh
- Department of Psychiatry and Psychotherapy, Faculty of Medicine and University Hospital of Cologne, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
| | - Linda Antonucci
- Department of Education, Psychology and Communication - University of Bari Aldo Moro, Piazza Umberto I, 1, 70121, Bari BA, Italy; Department of Basic Medical Sciences, Neuroscience and Sense Organs - University of Bari Aldo Moro, Piazza Umberto I, 1, 70121, Bari BA, Italy.
| | - Joseph Kambeitz
- Department of Psychiatry and Psychotherapy, Faculty of Medicine and University Hospital of Cologne, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
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Non-suicidal self-injury and attachment trauma in adolescent inpatients with psychiatric disorders. Compr Psychiatry 2021; 111:152273. [PMID: 34555553 DOI: 10.1016/j.comppsych.2021.152273] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/09/2021] [Revised: 07/31/2021] [Accepted: 09/08/2021] [Indexed: 01/04/2023] Open
Abstract
This study examined how non-suicidal self-injury disorder (NSSID) differs with respect to mental disorders, gender and attachment status in adolescent psychiatric patients. In particular, we analyzed attachment-related traumatic material underlying adolescent NSSID. Our sample consisted of 137 in-patient adolescents aged 12 to 18 years (73% female, Mage = 15.09, SD = 1.44; 27% male, Mage = 14.65, SD = 1.53). Forty-four patients (32.1%) fulfilled the diagnostic criteria for NSSID according to the DSM-5 and ninety-three patients (67.9%) did not meet diagnostic criteria for NSSID. Our results revealed a higher prevalence of NSSID in female patients and in patients with mood disorders. In the total sample, 52% of our in-patients were classified with an unresolved attachment status. The diagnostic subgroup analysis demonstrated a higher percentage of unresolved attachment status only in patients with eating disorders and NSSID. However, our in-depth analysis of the total sample revealed that patients with NSSID demonstrated more traumatic material in their attachment interviews indicating a greater severity of attachment trauma. In particular the theme of helplessness in interpersonal conflicts left them in a state of attachment dysregulation. Intervention strategies targeting traumatic attachment-related themes might be useful to reduce the number of adolescents engaging in NSSI.
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40
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Smith MS, South SC. Call to arms: Research directions to substantiate a unified model of attachment and personality pathology. SOCIAL AND PERSONALITY PSYCHOLOGY COMPASS 2021. [DOI: 10.1111/spc3.12644] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Madison Shea Smith
- Department of Psychological Sciences Purdue University West Lafayette Indiana USA
| | - Susan C. South
- Department of Psychological Sciences Purdue University West Lafayette Indiana USA
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41
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Erkoreka L, Zumarraga M, Arrue A, Zamalloa MI, Arnaiz A, Olivas O, Moreno-Calle T, Saez E, Garcia J, Marin E, Varela N, Gonzalez-Pinto A, Basterreche N. Genetics of adult attachment: An updated review of the literature. World J Psychiatry 2021; 11:530-542. [PMID: 34631458 PMCID: PMC8474999 DOI: 10.5498/wjp.v11.i9.530] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/25/2021] [Revised: 05/04/2021] [Accepted: 07/29/2021] [Indexed: 02/06/2023] Open
Abstract
Attachment style, which has been theorized to be rooted in childhood bonding experiences, influences adult cognitive, emotional and interpersonal functioning. Despite its relationship with early experiences, research indicates that the continuity of attachment style across childhood and adulthood is only partial, being a malleable tendency that is shaped throughout development, with an increasing influence of genetics, as it occurs in other cognitive and behavioral phenotypes. Genetic research indicates that up to 45% of the variability in anxious and 39% in avoidant adult attachment style could be explained by genetic causes, but the precise mechanisms remain unclear. A narrative review is conducted analyzing the existing literature regarding the implication of candidate genes related to oxytocin, dopaminergic pathways, serotonergic pathways and brain-derived neurotrophic factor in adult attachment, with both vulnerability and differential susceptibility approaches, yielding mixed results. We highlight the lack of genome-wide studies and the scarcity of epigenetic investigation. Based on the existing data, we conclude that the genetics of adult attachment is an area that requires further research to clarify its etiological role and that it should be preferably approached as an interaction between nature and nurture.
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Affiliation(s)
- Leire Erkoreka
- Department of Psychiatry, Galdakao-Usansolo Hospital, Osakidetza Basque Health Service, Galdakao 48960, Spain
- Department of Neurosciences, University of the Basque Country UPV/EHU, Leioa 48940, Spain
- Grupo Red de Salud Mental, Biocruces Bizkaia Health Research Institute, Barakaldo 48903, Spain
| | - Mercedes Zumarraga
- Grupo Red de Salud Mental, Biocruces Bizkaia Health Research Institute, Barakaldo 48903, Spain
- Department of Neurochemical Research, Bizkaia Mental Health Network, Osakidetza Basque Health Service, Barakaldo 48903, Spain
| | - Aurora Arrue
- Grupo Red de Salud Mental, Biocruces Bizkaia Health Research Institute, Barakaldo 48903, Spain
- Department of Neurochemical Research, Bizkaia Mental Health Network, Osakidetza Basque Health Service, Barakaldo 48903, Spain
| | - M Isabel Zamalloa
- Grupo Red de Salud Mental, Biocruces Bizkaia Health Research Institute, Barakaldo 48903, Spain
- Department of Neurochemical Research, Bizkaia Mental Health Network, Osakidetza Basque Health Service, Barakaldo 48903, Spain
| | - Ainara Arnaiz
- Grupo Red de Salud Mental, Biocruces Bizkaia Health Research Institute, Barakaldo 48903, Spain
- Erandio Mental Health Center, Bizkaia Mental Health Network, Osakidetza Basque Health Service, Erandio 48950, Spain
| | - Olga Olivas
- Grupo Red de Salud Mental, Biocruces Bizkaia Health Research Institute, Barakaldo 48903, Spain
- Zaldibar Hospital, Bizkaia Mental Health Network, Osakidetza Basque Health Service, Zaldibar 48250, Spain
| | - Teresa Moreno-Calle
- Department of Psychiatry, Galdakao-Usansolo Hospital, Osakidetza Basque Health Service, Galdakao 48960, Spain
- Grupo Red de Salud Mental, Biocruces Bizkaia Health Research Institute, Barakaldo 48903, Spain
| | - Estela Saez
- Department of Psychiatry, Galdakao-Usansolo Hospital, Osakidetza Basque Health Service, Galdakao 48960, Spain
| | - Jon Garcia
- Department of Neurosciences, University of the Basque Country UPV/EHU, Leioa 48940, Spain
- Grupo Red de Salud Mental, Biocruces Bizkaia Health Research Institute, Barakaldo 48903, Spain
- Zamudio Hospital, Bizkaia Mental Health Network, Osakidetza Basque Health Service, Zamudio 48170, Spain
| | - Elena Marin
- Grupo Red de Salud Mental, Biocruces Bizkaia Health Research Institute, Barakaldo 48903, Spain
- Bermeo Hospital, Bizkaia Mental Health Network, Osakidetza Basque Health Service, Bermeo 48370, Spain
| | - Noemi Varela
- Grupo Red de Salud Mental, Biocruces Bizkaia Health Research Institute, Barakaldo 48903, Spain
- Zamudio Hospital, Bizkaia Mental Health Network, Osakidetza Basque Health Service, Zamudio 48170, Spain
| | - Ana Gonzalez-Pinto
- Department of Psychiatry, BioAraba Research Institute, Araba University Hospital, University of the Basque Country (UPV/EHU), CIBERSAM, Vitoria-Gasteiz 01004, Spain
| | - Nieves Basterreche
- Zamudio Hospital, Bizkaia Mental Health Network, Osakidetza Basque Health Service, Zamudio 48170, Spain
- Grupo de investigación integradora en Salud Mental, Biocruces Bizkaia Health Research Institute, Barakaldo 48903, Spain
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Ehrenthal JC, Zimmermann J, Brenk-Franz K, Dinger U, Schauenburg H, Brähler E, Strauß B. Evaluation of a short version of the Experiences in Close Relationships-Revised questionnaire (ECR-RD8): results from a representative German sample. BMC Psychol 2021; 9:140. [PMID: 34521473 PMCID: PMC8439023 DOI: 10.1186/s40359-021-00637-z] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2021] [Accepted: 08/14/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Attachment insecurity is a prominent risk factor for the development and course of psychiatric and psychosomatic disorders. The Experiences in Close Relationships - Revised (ECR-R) questionnaire is a widely used self-report to assess attachment related anxiety and avoidance. However, its length has the potential to restrict its use in large, multi-instrument studies. The aim of this study was to develop and evaluate a brief version of the ECR-R, and provide norm values for the German population. METHODS A screening version of the original ECR-R was developed through principal components analysis of datasets from several previous studies. In a representative sample of 2428 randomly selected individuals from the German population, we compared fit indices of different models by means of confirmatory factor analyses (CFA). We investigated the convergent validity of the screening version in an independent convenience sample of 557 participants. Correlations between the short and the full scale were investigated in a re-analysis of the original German ECR-R evaluation sample. RESULTS CFA indicated a satisfactory model fit for an eight-item version (ECR-RD8). The ECR-RD8 demonstrated adequate reliability. The subscales correlated as expected with another self-report measure of attachment in an independent sample. Individuals with higher levels of attachment anxiety, but especially higher levels of attachment avoidance were significantly more likely to not be in a relationship, across all age groups. Correlations between the short and the full scale were high. CONCLUSIONS The ECR-RD8 appears to be a reliable, valid, and economic questionnaire for assessing attachment insecurity. In addition, the reported population-based norm values will help to contextualize future research findings.
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Affiliation(s)
- Johannes C Ehrenthal
- Department of Psychology, University of Cologne, Bernhard-Feilchenfeld-Str. 11, 50969, Cologne, Germany.
| | | | - Katja Brenk-Franz
- Institute of Psychosocial Medicine, Psychotherapy and Psychooncology, Jena University Hospital, Jena, Germany
| | - Ulrike Dinger
- Department of General Internal Medicine and Psychosomatics, University Hospital Heidelberg, Heidelberg, Germany
| | - Henning Schauenburg
- Department of General Internal Medicine and Psychosomatics, University Hospital Heidelberg, Heidelberg, Germany
| | - Elmar Brähler
- Department of Medical Psychology and Medical Sociology, University Hospital Leipzig, Leipzig, Germany.,Department for Psychosomatic Medicine and Psychotherapy, University Medical Center Mainz, Mainz, Germany
| | - Bernhard Strauß
- Institute of Psychosocial Medicine, Psychotherapy and Psychooncology, Jena University Hospital, Jena, Germany
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Venta A, Bailey C, Mercado A, Colunga-Rodríguez C. Family separation and attachment in young adults who were once left behind by caregiver migration. Psychiatry Res 2021; 302:114039. [PMID: 34139595 DOI: 10.1016/j.psychres.2021.114039] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/02/2020] [Accepted: 05/28/2021] [Indexed: 10/21/2022]
Abstract
This study examined young adults' attachment with their mothers and fathers after experiencing separation from these caregivers in childhood due to one or more caregivers migrating out of the family's home country. From 774 respondents, 110 reported parental migration. Participants (M = 20.98; SD = 3.12; 68.1% female) were recruited from Latin American universities. Regarding maternal attachment, young adults who experienced separation from their mothers due to maternal migration were not significantly different from young adults who had not experienced such separation. In contrast, young adults who experienced separation from their fathers due to paternal migration (n = 79) reported higher alienation from their fathers, as well as lower attachment security, communication, and trust, than respondents who had not experienced separation. These differences were significant and moderately sized. Respondents who had frequent phone/video contact with their fathers after separation reported higher attachment security than respondents who did not maintain frequent contact with their fathers. This effect was strongest when respondents were older at the time of their fathers' migration. Findings suggest that the effects of separation from fathers on attachment persist into young adulthood, even when the separation occurred, on average, nearly 15 years earlier.
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Affiliation(s)
- Amanda Venta
- Department of Psychology, University of Houston, 4849 Calhoun Rd. Room 373, Houston, TX 77204, USA.
| | - Cassandra Bailey
- Department of Psychology & Philosophy, Sam Houston State University, Campus Box 2447, Huntsville, TX, USA
| | - Alfonso Mercado
- Department of Psychological Science, University of Texas Rio Grande Valley, Campus Box SBS 356, Edinburg, TX, USA
| | - Cecilia Colunga-Rodríguez
- Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Sierra Mojada N° 950. Col. Independencia. C.P. 44350, Guadalajara, Jalisco, Mexico
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Nakash O, Nagar M, Razon L, Westen D. Association Between Attachment Patterns and Personality Disorders: A Multimethod Multi-Informant Study Using a Clinical Sample. J Nerv Ment Dis 2021; 209:386-394. [PMID: 33625070 DOI: 10.1097/nmd.0000000000001310] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
ABSTRACT We investigated the association between personality disorders (PDs) and attachment patterns, and examined the construct validity of attachment patterns against adaptive functioning. We used a multimeasure multi-informant approach, which allowed us to disentangle the effects of the methods and to examine the utility of the various methods for measuring these constructs. The participants included 80 clinicians and 170 clinical outpatients, recruited via convenience sampling. Results showed that secure attachment was positively associated with adaptive functioning, whereas insecure patterns were negatively associated with adaptive functioning. Both categorical and dimensional PD diagnoses were associated with insecure attachment patterns. However, after controlling for comorbidity among the PD diagnoses, only some findings remained significant, most notably the association between borderline PD and the clinicians' assessment of preoccupied and incoherent/disorganized attachment, and the patients' self-reported attachment anxiety. Our findings underscore the importance of controlling for comorbidity in examining the associations between attachment patterns and PDs.
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Affiliation(s)
| | | | - Liat Razon
- Baruch Ivcher School of Psychology, Interdisciplinary Center (IDC), Herzliya, Israel
| | - Drew Westen
- Department of Psychology and Psychiatry, Emory University, Atlanta, Georgia
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Dagan O, Bernard K. It takes a village: a call for engaging attachment with adjunct disciplines to clarify "in-house" clinical conundrums. Attach Hum Dev 2021; 23:455-467. [PMID: 33886408 DOI: 10.1080/14616734.2021.1918455] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Researchers have long discussed the rich clinical applications of attachment theory. Specifically, clinicians have been compelled by the idea that insecure attachment, broadly speaking, may bring about stressful (real or perceived) interpersonal experiences that increases risk for internalizing symptoms. However, recent meta-analyses examining the links between attachment representations and internalizing symptoms have challenged this assumption, highlighting the importance of considering insecure attachment subtypes in understanding one's vulnerability for internalizing symptoms. Here we expand on this special issue's target papers and propose that, despite an increase in citation impact of clinically relevant attachment research, there are still core theoretical and methodological questions left unanswered. We highlight three clinical conundrums: (1) hyperactivating, but not deactivating, attachment is linked to increased internalizing symptoms in adolescence and adulthood; (2) the magnitude of the associations between insecure attachment subtypes and internalizing symptoms varies depending on the developmental period; and (3) self-reported, but not narrative-based, deactivating attachment is associated with increased internalizing symptoms. We call for engagement with adjunct academic disciplines to elucidate these issues. These clinical conundrums have important ethical implications regarding how we understand insecure attachment and necessitate close theoretical and empirical attention before attachment findings can truly inform clinical practice.
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Affiliation(s)
- Or Dagan
- Department of Psychology, Stony Brook University, Stony Brook, NY, USA
| | - Kristin Bernard
- Department of Psychology, Stony Brook University, Stony Brook, NY, USA
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46
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Dollberg DG. Mothers' parental mentalization, attachment dimensions and mother-infant relational patterns. Attach Hum Dev 2021; 24:189-207. [PMID: 33729095 DOI: 10.1080/14616734.2021.1901297] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
We examined the links between mothers' prenatal attachment dimensions, parental mentalization and mother-infant relational patterns. The sample consisted of 68 mother-infant dyads. During pregnancy, mothers reported on attachment-related anxiety and avoidance. When the infants were three months old, the mothers' parental reflective functioning (PRF) was assessed via the PDI-R2-S interview. Mothers-infant free play interactions were coded for maternal sensitivity and dyadic reciprocity and mothers' utterances were coded for appropriate and non-attuned mind-mindedness (MM). Prenatal attachment anxiety was associated with less appropriate MM. Appropriate MM was associated with maternal sensitivity and mother-infant dyadic reciprocity. The models predicting maternal sensitivity and dyadic reciprocity from dimensions of the mothers' prenatal anxiety/avoidance attachment, mediated by their PRF, appropriate and non-attuned MM, were significant. Univariate analyses revealed a significant direct link only between appropriate MM and mother-infant dyadic reciprocity. We discuss these results as well as the differences between the PRF and MM constructs.
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Affiliation(s)
- Daphna G Dollberg
- School of Behavioral Sciences, Academic College of Tel Aviv-Yaffo, Tel Aviv-Yafo, Israel
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Girme YU, Jones RE, Fleck C, Simpson JA, Overall NC. Infants' attachment insecurity predicts attachment-relevant emotion regulation strategies in adulthood. Emotion 2021; 21:260-272. [PMID: 31916790 PMCID: PMC7343591 DOI: 10.1037/emo0000721] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
Infant attachment is theorized to lay the foundation of emotion regulation across the life span. However, testing this proposition requires prospective designs examining whether attachment assessed in infancy predicts emotion regulation strategies observed in adult relationships. Using unique data from the Minnesota Longitudinal Study of Risk and Adaptation, we examined whether infant attachment assessed at 12 and 18 months in the Strange Situation were associated with attachment-relevant emotion regulation strategies coded from video-recorded conflict discussions with romantic partners at ages 20, 23, 26, and/or 35. The current research first integrated the developmental and emotion regulation literatures to identify three specific attachment-relevant emotion regulation strategies. Balanced-regulation involves being open, approach-orientated, and engaging in collaborative problem-solving. Hypo-regulation involves suppressing emotions, disengaging from close others, and engaging in superficial problem-solving. Hyper-regulation involves exaggerating emotional expressions, ruminating, and being self-focused in processing issues. Compared to stable secure infants (secure at 12 and 18 months), stable insecure infants (insecure at 12 and 18 months) displayed worse balanced-regulation and greater hypo-regulation strategies, and unstable insecure infants (insecure at 12 or 18 months) displayed greater hyper-regulation strategies, in relationship-threatening situations 20-35 years later. Conceptually replicating these results, greater friendship insecurity at age 16 predicted worse balanced-regulation and greater hypo- and hyper-regulation strategies during relationship-threatening situations in adulthood. These findings highlight that infant attachment insecurity is associated with distinct emotion regulation strategies in adulthood 20-35 years later. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
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Affiliation(s)
| | | | - Cory Fleck
- Department of Psychology, University of Minnesota
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Schreiber AM, Pilkonis PA, Hallquist MN. Dispositional attachment style moderates the effects of physiological coregulation on short-term changes in attachment anxiety and avoidance. Personal Disord 2021; 12:570-580. [PMID: 33411560 DOI: 10.1037/per0000472] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
Individuals with personality disorders often experience romantic relationship dysfunction and have an insecure attachment style. Here, we examined attachment dynamics in dyadic interactions, focusing specifically on the role of physiological coregulation in state attachment processes in couples oversampled for personality pathology. A total of 121 couples completed a 10-minute discussion about an area of disagreement in their relationship and a 5-minute discussion in which they planned an event together. We used a dynamical model of heart rate changes to estimate coregulation. We found that (a) increases in state attachment avoidance were associated with contrarian coregulation (heart rate becoming misaligned with the partner's physiology) and (b) conversely, increases in state attachment anxiety were associated with dependent coregulation (heart rate becoming aligned with the partners' physiology). Dispositional attachment insecurity moderated the effects of state attachment insecurity on physiological coregulation. Whereas dispositional anxiety predicted individuals exhibiting dependent coregulation in response to state insecurity, dispositional avoidance predicted contrarian coregulation in response to state insecurity. This work provides insight into the role of physiological coregulation in attachment dynamics among couples oversampled for personality pathology, suggesting that disruptions to coregulation contribute to impaired emotion regulation during romantic conflicts. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
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Affiliation(s)
- Alison M Schreiber
- Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill
| | - Paul A Pilkonis
- Department of Psychiatry, University of Pittsburgh School of Medicine
| | - Michael N Hallquist
- Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill
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Sierau S, Herzberg PY. Conflict Resolution as a Dyadic Mediator: Considering the Partner Perspective on Conflict Resolution. EUROPEAN JOURNAL OF PERSONALITY 2020. [DOI: 10.1002/per.828] [Citation(s) in RCA: 25] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
So far, relationship research has only considered an intrapersonal perspective on links between adult attachment, conflict resolution and relationship satisfaction. This study investigated the mediating effects of partner–reported conflict resolution styles among the attachment dimensions of avoidance and anxiety, and relationship satisfaction in a sample of 207 heterosexual couples. Dyadic and structural aspects of mediation were tested using the Actor–Partner Mediator Model with latent variables. Few significant partner–related meditational pathways were found indicating compensating effects of positive problem solving and compliance. More frequent positive problem solving could improve relationship satisfaction, even when the partner showed higher scores on anxious attachment. In addition, the use of compliance could suppress the negative effects of attachment avoidance on partner's relationship satisfaction. Copyright © 2011 John Wiley & Sons, Ltd.
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Affiliation(s)
- Susan Sierau
- Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University of Leipzig, Germany
| | - Philipp Yorck Herzberg
- Faculty of Educational and Social Science Department of Health Psychology and Applied Assessment, University of Wuppertal, Germany
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50
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Sidi R, Aisenberg Shafran D. Effects of Kibbutz communal upbringing in adulthood: trait emotional intelligence and attachment patterns. Heliyon 2020; 6:e05775. [PMID: 33364515 PMCID: PMC7753919 DOI: 10.1016/j.heliyon.2020.e05775] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2020] [Revised: 11/06/2020] [Accepted: 12/15/2020] [Indexed: 11/19/2022] Open
Abstract
Past research regarding the emotional characteristics of kibbutz children raised with communal sleeping arrangements (CSA) showed inconsistent findings for emotional difficulties, such as insecure attachment and lowered ability for intimacy. Only little research has examined these children's emotional characteristics in their adulthood. Trait emotional intelligence (trait EI) is a new concept measuring a constellation of correlated emotional traits that capture a person's typical way of processing emotional information and reacting to it. The present study examined if difficulties in intimacy and trait EI characterize adults who had been raised in CSA kibbutzim (Hebrew plural of kibbutz). Participants comprised 1185 adults, aged 30-79, of whom 735 were raised in CSA kibbutzim, and the rest did not grow up in a Kibbutz at all. The participants completed three self-report questionnaires: Schutte's Self-Report Emotional Intelligence Test (SSEIT) to measure trait EI; the Revised Adult Attachment Scale to measure adult attachment; and the Rosenberg Self-Esteem Questionnaire to measure self-esteem. Results showed that most of the kibbutz CSA participants revealed levels of intimacy and trait EI comparable to the non-kibbutz group. However, a significant difference was found among adults with low self-esteem and poor attachment quality: For these participants, trait EI and intimacy were significantly lower for the CSA kibbutz group than for the non-kibbutz group. Furthermore, the CSA kibbutz group reported poorer non-verbal communication skills than the non-kibbutz group. We suggest that a minority of the CSA kibbutz children were less resilient to the kibbutz ecology. These children might have been more vulnerable to the effects of limited social options, decreased parental support, and the kibbutz education's ideological demands. For these children, the effects of communal upbringing on intimacy and attachment appear to be long-lasting, extending throughout their adulthood.
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Affiliation(s)
- Ronen Sidi
- Department of Clinical Psychology, Ruppin Academic Center, Emek Hefer, Israel
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