Bonds of security and their patterns across life.
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Tafsīr
التفسير6 shownCommentary on the verses above, at most two editions per verse.
en-al-jalalayn on 30:21en-al-jalalayncommentary on an ayah this subject surfaced
And of His signs is that He created for you from yourselves mates — Eve was created from Adam’s rib and the remainder of mankind from the reproductive fluids of men and women — that you might find peace by their side and become intimate with them and He ordained between you all affection and mercy. Surely in that mentioned there are signs for a people who reflect upon God’s handiwork exalted be He.
en-tafisr-ibn-kathir on 30:21en-tafisr-ibn-kathircommentary on an ayah this subject surfaced
And among His signs is this that He created you from dust, and then – behold you are human beings scattered (20)And among His signs is this that He created for you wives from among yourselves, that you may find repose in them, and He has put between you affection and mercy. Verily, in that are indeed signs for a people who reflect (21)
Among the Signs of Allah
Allah says:
وَمِنْ آيَاتِهِ
(And among His signs) – which speak of His might and power, is the fact that He created your father Adam out of dust.
ثُمَّ إِذَا أَنْتُمْ بَشَرٌ تَنْتَشِرُونَ
(and then – behold you are human beings scattered!) So man's origins lie in dust, then in a despised liquid, then he is formed and becomes a clot, then a lump of flesh, then bones in the form of a human being. Then Allah clothes the bones with flesh. Then the soul is breathed into him and he can hear and see. Then he comes forth from his mot
en-asbab-al-nuzul-by-al-wahidi on 11:90en-asbab-al-nuzul-by-al-wahidicommentary on an ayah this subject surfaced
And ask forgiveness from your Lord, then repent to Him. Surely my Lord is ever-merciful, loving. He says, " Ask forgiveness from your Lord, for He is the forgiver and the servant-caresser-not as is fitting for the servant, but as is fitting for Him. No matter how many offenses the servant may have, in the end the Patron's bounty is more. It is the gentleness of lordhood that offers its gentle- ness to the attribute of servanthood: Whatever shortcoming servants may have, My unneediness is equal to it. Whatever may be unapproved from him, My loving kindness is on top of that. What- ever the servant may hope, My bounty is greater than that. " Surely my Lord is ever-merciful, loving. The loving is He who shows His love to His servants by His beautiful doing toward them. The loving is He who caresses the servant with His loving kindness and pours over him continual blessings so that the serva
en-asbab-al-nuzul-by-al-wahidi on 2:222en-asbab-al-nuzul-by-al-wahidicommentary on an ayah this subject surfaced
(They question thee (O Muhammad) concerning menstruation�.) [2:222]. Abu 'Abd al-Rahman Muhammad ibn Ahmad ibn Ja'far informed us> Muhammad ibn 'Abd Allah ibn Muhammad ibn Zakariyya> Muhammad ibn 'Abd al-Rahman al-Daghuli> Muhammad ibn Mishkan> Hayyan> Hammad> Thabit> Anas who said: �The Jews used to banish women in their menstruation out of the house and refrain from eating, drinking and having sex with them. The Messenger of Allah, Allah bless him and give him peace, was asked about this, and as a response Allah, exalted is He, revealed (They question thee (O Muhammad) concerning menstruation. Say: It is an illness, so let women alone at such times and go not in unto them till they are cleansed�)�. This was narrated by Muslim from Zuhayr ibn Harb from 'Abd al-Rahman ibn Mahdi from Hammad. Abu Bakr Muhammad ibn 'Umar al-Khashshab informed us> Abu 'Amr ibn Hamdan> Abu 'Imran Musa ibn al-
en-asbab-al-nuzul-by-al-wahidi on 3:159en-asbab-al-nuzul-by-al-wahidicommentary on an ayah this subject surfaced
It was by a mercy of God that thou wert soft with them. Hadst thou been harsh and hard of heart, they would have scattered from around thee. So pardon them, ask forgiveness for them, and consult with them in the affair. And when thou art resolved, trust in God. Surely God loves those who trust. “O master of masters! O paragon of engendered beings! You are generous and lovingly kind, gentle and ever-merciful to everyone. You drive everyone by customs that hit the mark. You call everyone to the table of exaltedness and convey to everlasting felicity. You are like a father for the orphans, a husband for the widowed. You caress the familiar and you show the road to the estranged. You are mercy itself for the world's folk, a cause of generous giving to all the servants. O master, there is all of this, but take care not to see yourself. Do not consider these as your own acquisitions, for all o
en-al-jalalayn on 2:222en-al-jalalayncommentary on an ayah this subject surfaced
They will ask you about the monthly period that is menstruation and the spot in which it occurs and how should one treat women during it. Say ‘It is an ailment filth or the place whence it issues is so; so part with women refrain from sexual intercourse with them in the monthly period in this time or in the part affected; and do not approach them for sexual intercourse until they are pure yathurna or yattahharna the original tā’ of yatatahharna has been assimilated with the tā’ that is until they have cleansed themselves after its cessation; when they have cleansed themselves then come to them in sexual intercourse as God has commanded you’ by avoiding it the female organ during menstruation and not resorting to any other part. Truly God loves that is He rewards and honours those who repent of sins and He loves those who cleanse themselves from impurities.
Research library, full list
26 to 50 of 452Adult attachment as a moderator of treatment outcome for generalized anxiety disorder: Comparison between cognitive-behavioral therapy (CBT) plus supportive listening and CBT plus interpersonal and emotional processing therapy.
Objective: To determine whether baseline dimensions of adult insecure attachment (avoidant and anxious) moderated outcome in a secondary analysis of a randomized controlled trial comparing cognitive-behavioral therapy (CBT) plus supportive listening (CBT + SL) versus CBT plus interpersonal and emotional processing therapy (CBT + I/EP).
Method: Eighty-three participants diagnosed with generalized anxiety disorder (GAD) were recruited from the community and assigned randomly to CBT + SL (n = 40) or to CBT + I/EP (n = 43) within a study using an additive design. PhD-level psychologists treated participants. Blind assessors evaluated participants at pretreatment, posttreatment, 6-month, 12-month, and 2-year follow-up with a composite of self-report and assessor-rated GAD symptom measures (Penn State Worry Questionnaire, Hamilton Anxiety Rating Scale, Clinician's Severity Rating). Avoidant an…
matched on Object Attachment (mesh), adult attachment (text), insecure attachment (text)
The Role of Therapist Attachment in Alliance and Outcome: A Systematic Literature Review.
Objectives: This review examined the impact of therapist attachment style on therapeutic alliance and outcomes.
Methods: Systematic search procedures yielded 11 studies for inclusion that measured associations between therapist attachment style and alliance and/or outcome.
Results: There is some preliminary evidence that therapist attachment style and interactions between therapist and client attachment style contribute to alliance and therapy outcomes. However, methodological weaknesses and heterogeneity across studies highlight the need for more rigorously designed research in this area.
Conclusions: There is sufficient evidence to suggest that therapists need to pay attention to the influence of their own attachment style in therapeutic processes and that there is merit in pursing this area of research further. The review is important in highlighting key design issues to consider in f…
matched on Object Attachment (mesh), attachment style (text)
Sleep tight: exploring the relationship between sleep and attachment style across the life span.
Based on early life experiences in which developmental, genetic, and environmental components interact, humans learn to trust themselves and others and connect emotionally in consistent ways that are broadly defined as "attachment styles." These relatively stable patterns of interpersonal interaction are associated with either vulnerability to various health risks or resilience. Similarly, the mechanisms involved in sleep regulation undergo developmental changes that overlap temporally with attachment formation and remain sensitive to a series of biological, environmental and psychological influences. Interestingly, while sleep has been conceptualized as a fundamental attachment behavior given its dyadic context, few studies have explored its relationship with attachment style in various ages. We present the first systematic review of the published literature examining the relationship b…
matched on Object Attachment (mesh), attachment style (text)
A systematic review of psychosocial factors associated with emotional adjustment in in vitro fertilization patients.
Background: IVF treatment is usually stressful for patients, but individual differences in emotional response do exist. Differences in the stress response may be related to reproductive outcomes as well as to the development of psychiatric problems. This review collates research exploring which psychosocial factors (e.g. personality traits and coping strategies) are associated with the emotional adjustment of IVF patients. The aim is to reveal what is currently known about risk and protective factors for coping with the stress of IVF treatment and where further enquiry would be most beneficial.
Methods: The databases, MEDLINE/PUBMED (US National Library of Medicine), PsycINFO (American Psychological Association), Web of Science (Social Sciences Citation Index) and EMbase, were searched from 1978 to September 2012 using relevant key words. All published peer-reviewed studies exploring ass…
matched on Object Attachment (mesh), attachment style (text)
Female domestic violence offenders: their attachment security, trauma symptoms, and personality organization.
Unlike male domestic violence offenders, female domestic violence offenders have traditionally been overlooked in research and theory, despite the fact that females also have high rates of domestic violence perpetration. Towards the aim of extending extant research on male and female pepetrators of domestic violence, we examined attachment style, trauma symptoms, and personality organization in 33 female offenders receiving mandated treatment for domestic violence. These offenders were compared to 32 nonoffending women receiving psychological treatment. The Experiences in Close Relationships Revised (ECR-Revised) was used to examine adult attachment, the Trauma Symptom Inventory (TSI) was used to examine trauma symptomology, and finally, the Millon Clinical Multiaxial Inventory III (MCMI-III) was used to examine cluster B personality traits. Analyses indicated that female domestic violen…
matched on Object Attachment (mesh), attachment security (text), attachment style (text), adult attachment (text)
Recurrent depression and the role of adult attachment: a prospective and a retrospective study.
Background: Recurrent depression is associated with interpersonal dysfunctioning which is related to underlying insecure attachment. In this study we examined associations between adult attachment and the long-term course of depression in depressed primary care patients.
Methods: Depressed primary care patients were 3-monthly assessed during a prospective 3-year follow-up regarding: (1) severity of depression (BDI); and proportions of: (2) depression-free time; (3) depressive symptom-free time; and (4) time on antidepressants (all CIDI interview). Attachment style was assessed by the Experiences in Close Relationships questionnaire at two points in time: (1) one year before the end of follow-up (1-year prospectively followed subsample; n=68); and (2) at the end of the 3-year follow-up (3-year retrospective subsample; n=145). Mixed model analyses and non-parametric tests were used to dete…
matched on Object Attachment (mesh), attachment style (text), adult attachment (text), insecure attachment (text)
Improving Maternal Representations in High-Risk Mothers: A Randomized, Controlled Trial of the Mom Power Parenting Intervention.
A key mechanism of risk transmission between maternal risk and child outcomes are the mother's representations. The current study examined the effects of an attachment-based, trauma-informed parenting intervention, the Mom Power (MP) program, in optimizing maternal representations of high-risk mothers utilizing a randomized, controlled trial design (NCT01554215). High-risk mothers were recruited from low-income community locations and randomized to either the MP Intervention (n = 42) or a control condition (n = 33) in a parallel design. Maternal representations were assessed before and after the intervention using the Working Model of the Child Interview. The proportion of women with balanced (secure) representations increased in the MP group but not in the control group. Parenting Reflectivity for mothers in the treatment group significantly increased, with no change in the control cond…
matched on Object Attachment (mesh), Mother-Child Relations (mesh)
An equivalence evaluation of a nurse-moderated group-based internet support program for new mothers versus standard care: a pragmatic preference randomised controlled trial.
Background: All mothers in South Australia are offered a clinic or home-visit by a Child and Family Health community nurse in the initial postnatal weeks. Subsequent support is available on request from staff in community clinics and from a telephone helpline. The aim of the present study is to compare equivalence of a single clinic-based appointment plus a nurse-moderated group-based internet intervention when infants were aged 0-6 months versus a single home-visit together with subsequent standard services (the latter support was available to mothers in both study groups).
Methods/design: The evaluation utilised a pragmatic preference randomised trial comparing the equivalence of outcomes for mothers and infants across the two study groups. Eligible mothers were those whose services were provided by nurses working in one of six community clinics in the metropolitan region of Adelaide. …
matched on Object Attachment (mesh), Mother-Child Relations (mesh)
New Beginnings for mothers and babies in prison: a cluster randomized controlled trial.
Mothers in prison represent a high-risk parenting population. New Beginnings is an attachment-based group intervention designed specifically for mothers and babies in prison. This cluster randomized trial examined the outcomes for 88 mothers and babies participating in the New Beginnings program and 75 dyads residing in prisons where the intervention did not take place. Outcomes were measured in terms of parental reflective functioning, the quality of parent-infant interaction, maternal depression, and maternal representations. Mothers in the control group deteriorated in their level of reflective functioning and behavioral interaction with their babies over time, whereas the mothers in the intervention group did not. There were no significant group effects on levels of maternal depression or mothers' self-reported representations of their babies over time. An attachment-based interventi…
matched on Object Attachment (mesh), Mother-Child Relations (mesh)
Minding the Baby®: Enhancing parental reflective functioning and infant attachment in an attachment-based, interdisciplinary home visiting program.
In this article, we describe the results of the second phase of a randomized controlled trial of Minding the Baby (MTB), an interdisciplinary reflective parenting intervention for infants and their families. Young first-time mothers living in underserved, poor, urban communities received intensive home visiting services from a nurse and social worker team for 27 months, from pregnancy to the child's second birthday. Results indicate that MTB mothers' levels of reflective functioning was more likely to increase over the course of the intervention than were those of control group mothers. Likewise, infants in the MTB group were significantly more likely to be securely attached, and significantly less likely to be disorganized, than infants in the control group. We discuss our findings in terms of their contribution to understanding the impacts and import of intensive intervention with vuln…
matched on Object Attachment (mesh), insecure attachment (text)
Promoting forgiveness: Characteristics of the treatment, the clients, and their interaction.
Forgiveness-based group treatments to address interpersonal hurts have been shown to be efficacious across a range of therapy models (Wade, Hoyt, Kidwell, & Worthington, 2014). However, little is known about how treatment and individual characteristics may interact in predicting outcomes. The present study examined a sample of 162 community adults randomly assigned to three treatment conditions; an 8-week REACH Forgiveness intervention (Worthington, 2006), an 8-week process group, and a waitlist control. Hierarchical linear modeling (HLM) indicated that the forgiveness-based treatment was more effective than the waitlist control across a range of forgiveness-related constructs but no more effective than the process condition. Furthermore, attachment avoidance and anxiety interacted with treatment type to predict certain outcomes, indicating that the REACH Forgiveness model may be more he…
matched on Object Attachment (mesh), insecure attachment (text)
Change in attachment patterns and reflective function in a randomized control trial of transference-focused psychotherapy for borderline personality disorder.
Changes in attachment organization and reflective function (RF) were assessed as putative mechanisms of change in 1 of 3 year-long psychotherapy treatments for patients with borderline personality disorder (BPD). Ninety patients reliably diagnosed with BPD were randomized to transference-focused psychotherapy (TFP), dialectical behavior therapy, or a modified psychodynamic supportive psychotherapy. Attachment organization was assessed with the Adult Attachment Interview and the RF coding scale. After 12 months of treatment, participants showed a significant increase in the number classified secure with respect to attachment state of mind for TFP but not for the other 2 treatments. Significant changes in narrative coherence and RF were found as a function of treatment, with TFP showing increases in both constructs during treatment. No changes in resolution of loss or trauma were observed …
matched on Object Attachment (mesh), adult attachment (text)
Jane Barlow; Cathy Bennett; Nick Midgley and 3 others (2015)meta-analysisMEDLINE-indexed journal, not yet read by usCochrane Database of Systematic Reviews104 citations
Parent-infant psychotherapy for improving parental and infant mental health
BACKGROUND: Parent-infant psychotherapy (PIP) is a dyadic intervention that works with parent and infant together, with the aim of improving the parent-infant relationship and promoting infant attachment and optimal infant development. PIP aims to achieve this by targeting the mother's view of her infant, which may be affected by her own experiences, and linking them to her current relationship to her child, in order to improve the parent-infant relationship directly. OBJECTIVES: 1. To assess the effectiveness of PIP in improving parental and infant mental health and the parent-infant relationship.2. To identify the programme components that appear to be associated with more effective outcomes and factors that modify intervention effectiveness (e.g. programme duration, programme focus). SEARCH METHODS: We searched the following electronic databases on 13 January 2014: Cochrane Central Re…
matched on attachment security (text), attachment style (text), insecure attachment (text)
Park Y, Sanscartier S, Impett EA, Algoe SB, Leonhardt ND, Schrage K, Carmichael CL, Collins NL, Conte F, De Rosa O, Ficca G, Fredrickson BL, Harris P, Keltner D, West TN, MacDonald G (2023)meta-analysisMEDLINE-indexed journal, not yet read by usJournal of personality5 citations Meta-analytic evidence that attachment insecurity is associated with less frequent experiences of discrete positive emotions.
Objective: Individual differences in attachment insecurity can have important implications for experiences of positive emotions. However, existing research on the link between attachment insecurity and positive emotional experiences has typically used a composite measure of positive emotions, overlooking the potential importance of differentiating discrete emotions.
Method: We conducted a meta-analysis of 10 cross-sectional samples (N = 3215), examining how attachment insecurity is associated with self-reported frequency of experiencing positive emotions, with a distinction made between more social (i.e., love and gratitude) and less social (i.e., peace and awe or curiosity) positive emotions.
Results: High (vs. low) levels of both attachment anxiety and avoidance were associated with less frequent experience of positive emotions regardless of their social relevance. When analyzing each …
matched on Object Attachment (mesh)
Alliance rupture repair: A meta-analysis.
A rupture is a deterioration in the therapeutic alliance, manifested by a disagreement between the patient and therapist on treatment goals, a lack of collaboration on therapeutic tasks, or a strain in their emotional bond. We present the most frequently used measures of alliance ruptures and clinical examples to illustrate their repair. To examine the relation of rupture repairs to outcome, and the impact of rupture resolution training on outcome, we conducted two meta-analyses. In the first meta-analysis, we examined 11 studies (1,314 patients) that examined the relation between rupture repair episodes and patient treatment outcomes. Results yielded an effect size of r = .29, d = .62, 95% confidence interval [.10, .47], p = .003, indicating a moderate relation between rupture resolution and positive patient outcome. Our second meta-analysis examined the impact of rupture resolution tra…
matched on Object Attachment (mesh)
Parent-child attachment: meta-analysis of associations with parenting behaviors in middle childhood and adolescence.
Maternal sensitivity predicts mother-child attachment in young children, but no meta-analysis has investigated the link between parenting and parent-child attachment in older children. This study examined the relationship between parent-child attachment and multiple components of parenting in children 5-18 years of age. A series of meta-analyses showed that parents of children with more secure attachment are more responsive, more supportive of the child's autonomy, use more behavioral control strategies, and use less harsh control strategies. Parents of children with more avoidant attachment were less responsive and used less behavioral control strategies. Ambivalent attachment was not significantly related to any of the parenting behaviors, and there were not enough studies to reliably test the relationship between disorganized attachment and parenting. There were few significant modera…
matched on Object Attachment (mesh)
Treatment refusal and premature termination in psychotherapy, pharmacotherapy, and their combination: A meta-analysis of head-to-head comparisons.
The purpose of this meta-analysis was to examine rates of treatment refusal and premature termination for pharmacotherapy alone, psychotherapy alone, pharmacotherapy plus psychotherapy, and psychotherapy plus pill placebo treatments. A systematic review of the literature resulted in 186 comparative trials that included a report of treatment refusal and/or premature termination for at least 2 of the 4 treatment conditions. The data from these studies were pooled using a random-effects analysis. Odds Ratio effect sizes were then calculated to compare the rates between treatment conditions, once across all studies and then again for specific client disorder categories. An average treatment refusal rate of 8.2% was found across studies. Clients who were assigned to pharmacotherapy were 1.76 times more likely to refuse treatment compared with clients who were assigned psychotherapy. Differenc…
matched on Object Attachment (mesh)
Narrowing the transmission gap: A synthesis of three decades of research on intergenerational transmission of attachment.
Twenty years ago, meta-analytic results (k = 19) confirmed the association between caregiver attachment representations and child-caregiver attachment (Van IJzendoorn, 1995). A test of caregiver sensitivity as the mechanism behind this intergenerational transmission showed an intriguing "transmission gap." Since then, the intergenerational transmission of attachment and the transmission gap have been studied extensively, and now extend to diverse populations from all over the globe. Two decades later, the current review revisited the effect sizes of intergenerational transmission, the heterogeneity of the transmission effects, and the size of the transmission gap. Analyses were carried out with a total of 95 samples (total N = 4,819). All analyses confirmed intergenerational transmission of attachment, with larger effect sizes for secure-autonomous transmission (r = .31) than for unresol…
matched on Object Attachment (mesh)
Parental bonding and alexithymia: a meta-analysis.
Aim: The primary purpose of this meta-analysis was to explore, clarify and report the strength of the relationship between alexithymia, as measured by the Toronto Alexithymia Scale (TAS-20), and parenting style as measured by the Parental Bonding Instrument (PBI).
Methods: Web of Science, PsycInfo, PubMed and ProQuest: Dissertations and Theses searches were undertaken, yielding nine samples with sufficient data to be included in the meta-analysis.
Results: Evidence indicated moderate to strong relationships between maternal care and alexithymia, and between maternal care and two of the three TAS-20 alexithymia facets (Difficulties Describing Feelings and Difficulties Identifying Feelings, but not Externally Oriented Thinking). Moderate relationships were observed for both maternal- and paternal-overprotection and alexithymia respectively, and for overprotection (both maternal and paterna…
matched on Object Attachment (mesh)
Plusnin N, Pepping CA, Kashima ES (2018)systematic reviewMEDLINE-indexed journal, not yet read by usPersonality and social psychology review : an official journal of the Society for Personality and Social Psychology, Inc28 citations The Role of Close Relationships in Terror Management: A Systematic Review and Research Agenda.
Terror management theory outlines how humans seek self-esteem and worldview validation to manage death-related anxiety. Accumulating evidence reveals that close relationships serve a similar role. However, to date, there has been no synthesis of the literature that delineates when close relationships buffer mortality concerns, under what conditions, on which specific outcomes, and for whom. This systematic review presents over two decades of research to address these questions. Findings from 73 reviewed studies revealed that close relationships serve an important role in buffering death-related anxiety. A range of dispositional and situational moderating factors influence either the activation or inhibition of relational strivings to manage heightened death awareness, the most influential being attachment, gender, and relationship-contingent self-esteem. These findings were integrated in…
matched on Object Attachment (mesh)
Psychological and social aspects of pregnancy, childbirth and early parenting after assisted conception: a systematic review.
Background: It is known that infertility affects emotional well-being, satisfaction with life and self-esteem and that failed assisted reproductive technology (ART) treatment is associated with diminished life satisfaction, reduced self-confidence and substantial psychological distress. Investigations of whether these persist when treatment results in a pregnancy and live birth have been undertaken.
Methods: A systematic search for English-language research articles on psychological and social aspects of pregnancy, childbirth and the first post-partum year after ART conception.
Results: Of 466 retrieved papers, 46 met inclusion criteria. These reported data from 28 studies. There is consistent evidence that marital satisfaction, emotional well-being and self-regard in pregnancy, attachment to the fetus and parent-infant relationship in ART groups are similar to comparison groups. Anxiety…
matched on Object Attachment (mesh)
The impact of COVID-19 epidemic on eating disorders: A longitudinal observation of pre versus post psychopathological features in a sample of patients with eating disorders and a group of healthy controls.
Objective: the aim of this longitudinal study was to evaluate the impact of COVID-19 epidemic on Eating Disorders (EDs) patients, considering the role of pre-existing vulnerabilities.
Method: 74 patients with Anorexia Nervosa (AN) or Bulimia Nervosa (BN) and 97 healthy controls (HCs) were evaluated before lockdown (T1) and during lockdown (T2). Patients were also evaluated at the beginning of treatment (T0). Questionnaires were collected to assess psychopathology, childhood trauma, attachment style, and COVID-19-related post-traumatic symptoms.
Results: A different trend between patients and HCs was observed only for pathological eating behaviors. Patients experienced increased compensatory exercise during lockdown; BN patients also exacerbated binge eating. Lockdown interfered with treatment outcomes: the descending trend of ED-specific psychopathology was interrupted during the epidemi…
matched on Object Attachment (mesh), attachment style (text), insecure attachment (text)
Does adult attachment style mediate the relationship between childhood maltreatment and mental and physical health outcomes?
Attachment theory has been proposed as one explanation for the relationship between childhood maltreatment and problematic mental and physical health outcomes in adulthood. This study seeks to determine whether: (1) childhood physical abuse and neglect lead to different attachment styles in adulthood, (2) adult attachment styles predict subsequent mental and physical health outcomes, and (3) adult attachment styles mediate the relationship between childhood physical abuse and neglect and mental and physical health outcomes. Children with documented cases of physical abuse and neglect (ages 0-11) were matched with children without these histories and followed up in adulthood. Adult attachment style was assessed at mean age 39.5 and outcomes at 41.1. Separate path models examined mental and physical health outcomes. Individuals with histories of childhood neglect and physical abuse had hig…
matched on Object Attachment (mesh), attachment style (text), adult attachment (text)
Attachment style, relationship quality, and psychological distress in patients with psychogenic non-epileptic seizures versus epilepsy.
Objectives: Psychopathology levels are elevated in patients with psychogenic non-epileptic seizures (PNES) and those with epilepsy. However, patients with PNES report higher rates of trauma and neglect, poorer health-related quality of life (HRQoL), and an increased prevalence of insecure attachment. We examined to what extent attachment style and relationship quality with their main informal carer impact on levels of HRQoL, depression, and anxiety in patients with PNES versus those with epilepsy.
Method: Consecutive patients with PNES (N=23) and epilepsy (N=72) completed questionnaires about attachment style, quality of their relationship with their main informal carer, seizure severity, HRQoL, depression, and anxiety.
Results: Patients with PNES reported higher levels of anxiety and depression and lower HRQoL than those with epilepsy. PNES: No significant correlations were found with H…
matched on Object Attachment (mesh), attachment style (text), insecure attachment (text)
Do patients trust their physician? The role of attachment style in the patient-physician relationship within one year after a cancer diagnosis.
Background: The degree of trust in and satisfaction with the physician has been shown to have important implications for treatment outcomes. This study aims to examine individual differences in patients' trust, satisfaction and general distress from an attachment theoretical perspective.
Material and methods: One hundred and thirty recently diagnosed cancer patients of three medical hospitals were extensively interviewed by trained psychologists to assess attachment style. Patients completed standardized questionnaires three and nine months after diagnosis to assess trust, satisfaction and distress. t-tests and repeated measures ANOVAs were used to examine differences between securely and insecurely attached patients and changes over time. A mediation model based on a bootstrapping method was used to examine whether trust mediated between attachment and satisfaction, and attachment and d…
matched on Object Attachment (mesh), attachment style (text), insecure attachment (text)