Bonds of security and their patterns across life.
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51 to 75 of 452Are attachment dimensions associated with infertility-related stress in couples undergoing their first IVF treatment? A study on the individual and cross-partner effect.
Study question: Are attachment anxiety and avoidance dimensions in female and male partners in couples seeking infertility treatment associated with her and his infertility-related stress?
Summary answer: Attachment dimensions are significantly associated with several aspects of infertility stress in couples undergoing IVF treatment.
What is known and what this paper adds: Attachment dimensions of anxiety and avoidance (where highly anxious individuals fear rejection and are preoccupied with maintaining proximity to their partner and highly avoidant individuals are uncomfortable with intimacy and prefer to maintain distance from their partner) may influence the well being of individuals undergoing IVF/ICSI treatment. This study showed that one partner's attachment dimensions had a direct effect on the infertility-related stress of the other partner.
Design: Cross-sectional study of conse…
matched on Object Attachment (mesh), attachment style (text), adult attachment (text)
Enhancing attachment security in the infants of women in a jail-diversion program.
Pregnant female offenders face multiple adversities that make successful parenting difficult. As a result, their children are at risk of developing insecure attachment and attachment disorganization, both of which are associated with an increased likelihood of poor developmental outcomes. We evaluated the outcomes of participants in Tamar's Children, a 15-month jail-diversion intervention for pregnant, nonviolent offenders with a history of substance abuse. All women received extensive wrap-around social services as well as the Circle of Security Perinatal Protocol (Cooper, Hoffman, & Powell, 2003). We present data on 20 women and their infants who completed the full dosage of treatment (a residential-living phase from pregnancy until infant age six months and community-living phase until 12 months). Results indicated that (1) program infants had rates of attachment security and attachme…
matched on Object Attachment (mesh), attachment security (text), insecure attachment (text)
Genetic correlates of adult attachment style.
Attachment theory attempts to explain effects of social experiences, not genes, on personality development. Most studies of the development of attachment insecurities support this emphasis on social experiences rather than genes, although there are exceptions. In the present study, the authors examine associations between attachment insecurities and particular genetic polymorphisms related to emotions and social behavior. They find that (a) anxious attachment is associated with a polymorphism of the DRD2 dopamine receptor gene, (b) avoidant attachment is associated with a polymorphism of the 5HT2A serotonin receptor gene, and (c) the rs53576 A polymorphism of the OXTR oxytocin receptor gene is not associated with attachment insecurities. These findings suggest that attachment insecurities are partially explained by particular genes, although there is still a great deal of individual diff…
matched on Object Attachment (mesh), attachment style (text), adult attachment (text)
Attachment theory: a framework for understanding symptoms and interpersonal relationships in psychosis.
We investigated associations between adult attachment, symptoms and interpersonal functioning, including therapeutic relationships in 96 patients with psychosis. Using a prospective design, we also assessed changes in attachment in both psychiatrically unstable and stable groups. We measured attachment using the Psychosis Attachment Measure (PAM) and interpersonal problems and therapeutic relationships were assessed from both psychiatric staff and patient perspectives. Avoidant attachment was associated with positive symptoms, negative symptoms and paranoia. Attachment ratings were relatively stable over time, although changes in attachment anxiety were positively correlated with changes in symptoms. Predicted associations between high levels of attachment anxiety and avoidance and interpersonal problems were supported, and attachment avoidance was associated with difficulties in therape…
matched on Object Attachment (mesh), attachment style (text), adult attachment (text)
Social position, early deprivation and the development of attachment.
The effects of childhood social adversity on developing parent/child attachments may partially explain the effects of less advantaged childhood social position on adulthood mental health. Associations between social position, retrospectively recalled parental style and childhood emotional and physical deprivation and attachment were examined in 7,276 civil servants from the Whitehall II Study. Depressive symptoms were associated with insecure attachment style. Social position was not associated with attachment styles. However, fathers' social class was strongly associated with material and emotional deprivation. In turn, deprivation was associated with lower parental warmth. High parental warmth was associated with decreased risk of insecure attachment styles. Despite the methodological shortcomings of retrospective childhood data the results suggest material and emotional adversity infl…
matched on Object Attachment (mesh), attachment style (text), insecure attachment (text)
Relationships among attachment styles, personality characteristics, and disordered eating.
Objective: Insecure attachment styles and certain personality characteristics (i.e., high levels of neuroticism) have been associated with eating pathology. However, previous research has not examined these variables simultaneously and has not examined possible mediating relationships between attachment and personality characteristics for disordered eating. Because personality characteristics have emerged as some of the most robust predictors of disordered eating, it was predicted that the link between attachment and disordered eating might be through personality styles.
Method: Participants included 85 female twins and triplets who took part in the Michigan State University Twin Study. Disordered eating, attachment style, and personality characteristics were assessed. Hierarchical linear models were used to examine relationships among the variables.
Results: Overall, neuroticism, and ex…
matched on Object Attachment (mesh), attachment style (text), insecure attachment (text)
Teenage pregnancy, attachment style, and depression: a comparison of teenage and adult pregnant women in a Portuguese series.
The aim of this Portuguese study is to compare the experience of pregnancy in teenage years and later adulthood and to examine insecure attachment style as a risk factor for depression during pregnancy. The Attachment Style Interview (ASI) and the Edinburgh Postnatal Depression Scale (EPDS) were administered to 66 pregnant adolescents and 64 adult women. Pregnant teenagers were found to be nearly three times more likely to have an insecure attachment style of Enmeshed, Angry-Dismissive, or Fearful style than adults, all at high levels of impairment (54% vs.19%, p < .02). Logistic regression showed, when all risk factors were entered, highly Enmeshed style and poor partner support provided the best model for depression with age at pregnancy no longer adding. Insecure attachment style should be addressed in prevention and intervention strategies with teenage mothers.
matched on Object Attachment (mesh), attachment style (text), insecure attachment (text)
Can patients be 'attached' to healthcare providers? An observational study to measure attachment phenomena in patient-provider relationships.
Objectives: To develop and assess the validity of measures of patients' attachment-related perceptions of experiences with healthcare providers (HCPs).
Setting: Online survey.
Participants: 181 people provided consent and 119 completed the survey (66%). Most participants were women (80%).
Primary and secondary outcome measures: Questions were developed to assess possible attachment functions served by an HCP and patients' attachment-related attitudes towards an HCP. Scales were constructed based on exploratory factor analysis. Measures of adult attachment, therapeutic alliance, perceived HCP characteristics and health utilisation were used to validate scales.
Results: Possible safe haven and secure base functions served by HCPs were strongly endorsed. A model with good fit (root mean square error of approximation=0.056) yielded 3 factors: 'HCP experienced as supportive and safe' (SUPPORT…
matched on Object Attachment (mesh), adult attachment (text), insecure attachment (text)
Parental sensitivity mediates the sustained effect of Attachment and Biobehavioral Catch-up on cortisol in middle childhood: A randomized clinical trial.
Importance: Parenting interventions have been found to normalize cortisol regulation among high-risk children early in development; it is important to investigate the sustainability of these effects and their mechanisms, given the maladaptive outcomes associated with cortisol dysregulation.
Objective: To determine whether the Attachment and Biobehavioral Catch-up (ABC) intervention, implemented in infancy, predicts cortisol regulation in middle childhood via changes in early parental sensitivity.
Design: Double blind randomized clinical trial design; started January 2006, the follow-up for this project concluded March 2016.
Setting: Parents of children under age 2 referred from child protective services agencies in a large, mid-Atlantic city.
Participants: 103 parent-child dyads (45.6% female children) with histories of child protective services involvement, randomly assigned to receive …
matched on Object Attachment (mesh)
A Randomized Controlled Trial of the Impact of a Family-Based Adolescent Depression Intervention on both Youth and Parent Mental Health Outcomes.
This paper presents findings from a multi-centre, double-blind, randomized controlled trial that tested the hypothesis that parent and youth mental health improvements would be superior in a family-based intervention for adolescent depression (BEST MOOD) compared to a treatment-as-usual supportive parenting program (PAST). Eligible participants were families with a young person aged between 12 and 18 years who met diagnostic criteria for a depressive disorder (major, minor or dysthymic). Participating families (N = 64; 73.4% of youth were female) were recruited in Victoria, Australia and allocated to treatment condition using a block randomization procedure (parallel design) with two levels of blinding. This paper reports on the trial's secondary outcomes on youth and parent mental health. General linear mixed models were used to examine the longitudinal effect of treatment group on outc…
matched on Object Attachment (mesh)
Høglend P, Hersoug AG, Bøgwald KP, Amlo S, Marble A, Sørbye Ø, Røssberg JI, Ulberg R, Gabbard GO, Crits-Christoph P (2011)randomised controlled trialMEDLINE-indexed journal, not yet read by usJournal of consulting and clinical psychology34 citations Effects of transference work in the context of therapeutic alliance and quality of object relations.
Objective: Transference interpretation is considered as a core active ingredient in dynamic psychotherapy. In common clinical theory, it is maintained that more mature relationships, as well as a strong therapeutic alliance, may be prerequisites for successful transference work. In this study, the interaction between quality of object relations, transference interpretation, and alliance is estimated.
Method: One hundred outpatients seeking psychotherapy for depression, anxiety, and personality disorders were randomly assigned to 1 year of weekly sessions of dynamic psychotherapy with transference interpretation or to the same type and duration of treatment, but without the use of transference interpretation. Quality of Object Relations (QOR)-lifelong pattern was evaluated before treatment (P. Høglend, 1994). The Working Alliance Inventory (A. O. Horvath & L. S. Greenberg, 1989; T. J. Tra…
matched on Object Attachment (mesh)
Oxytocin indexes relational distress following interpersonal harms in women.
The hypothalamic neuropeptide oxytocin, known for its involvement in social affiliation and bonding in animals, has recently been associated with a host of prosocial behaviors that are beneficial for maintaining positive social relationships in humans. Paradoxically, however, people with high endogenous levels of oxytocin also tend to report relational distress and interpersonal difficulties in their everyday lives. To address these contradictory findings, oxytocin reactivity was measured in response to a well-defined laboratory task in young adult women following recent interpersonal harms. Elevated mean peripheral oxytocin reactivity (but not baseline levels of oxytocin or cortisol reactivity) was associated with increased post-conflict anxiety and decreased levels of forgiveness. These results corroborate previous research implicating oxytocin as a neuroendocrine marker of relational …
matched on Object Attachment (mesh)
Prevalence and severity of college student bereavement examined in a randomly selected sample.
The authors used stratified random sampling to assess the prevalence and severity of bereavement in college undergraduates, providing an advance over findings that emerge from convenience sampling methods or from anecdotal observations. Prior research using convenience sampling indicated that 22% to 30% of college students are within 12 months of having experienced the death of a family member or friend. Using an ethnically diverse sample from a private, Midwestern university, 118 randomly selected students answered demographic and life experience questions and indicated whether a family member or friend had died within the last 24 months. Those who reported experiencing such a loss also completed the PG-13, a questionnaire used to assess prolonged grief disorder. Results indicated that 30% of the sample was within 12 months of experiencing a loss and 39% was within 24 months of experien…
matched on Object Attachment (mesh)
Animal-assisted therapy and loneliness in nursing homes: use of robotic versus living dogs.
Loneliness is a common problem in long-term care facilities (LTCF) and previous work has shown that animal-assisted therapy (AAT) can to some degree reverse loneliness. Here, we compared the ability of a living dog (Dog) and a robotic dog (AIBO) to treat loneliness in elderly patients living in LTCF. In comparison with a control group not receiving AAT, both the Dog and AIBO groups had statistically significant improvements in their levels of loneliness. As measured by a modified Lexington Attachment to Pets Scale (MLAPS), residents showed high levels of attachment to both the dog and AIBO. Subscale analysis showed that the AIBO group scored lower than the living dog on "animal rights/animal welfare" but not on "general attachment" or "people substituting." However, MLAPS measures did not correlate with changes in loneliness, showing that attachment was not the mechanism by which AAT dec…
matched on Object Attachment (mesh)
A developmental approach to mentalizing communities: II. The Peaceful Schools experiment.
This paper summarizes a theoretical argument for the use of a mentalization-based approach to the systemic problem of school bullying. The Peaceful Schools Project of the Menninger Department of Psychiatry, Baylor College of Medicine, is an experimental test of this model. Data is presented from a randomized controlled trial of this intervention in nine elementary schools in the Midwest.
matched on Object Attachment (mesh)
Benjamin W.; Hadden; C. and 3 others (2013)meta-analysisMEDLINE-indexed journal, not yet read by usPersonality and Social Psychology Review135 citations
Relationship Duration Moderates Associations Between Attachment and Relationship Quality
Although research has examined associations between attachment dimensions and relationship outcomes, theory has ignored how these associations change over time in adult romantic relationships. We proposed the Temporal Adult Romantic Attachment (TARA) model, which predicts that the negative associations between anxious and avoidant attachment on one hand and relationship satisfaction and commitment on the other will be more negative as relationship durations increase. Meta-analyses largely confirmed that negative associations between both insecure attachment dimensions and both relationship outcomes were more negative among longer relationship durations in cross-sectional samples. We also explored gender differences in these associations. The present review not only integrates the literature on adult attachment and romantic relationship satisfaction/commitment but also highlights the impo…
matched on adult attachment (text), insecure attachment (text)
Adult attachment and physical health.
This article examines how individual differences in adult attachment shape regulatory strategies and relationship behaviors, which in turn influence health-related responses, behaviors, and outcomes. We review links between attachment and physiological responses to stress (e.g., hypothalamic-pituitary-adrenal axis responses, cardiovascular responses, immune responses), health behavior (e.g., substance use, diet), and downstream health and disease outcomes. Recent evidence suggests that attachment insecurity (attachment anxiety and/or attachment avoidance) is associated with dysregulated physiological responses to stress, risky health behaviors, susceptibility to physical illness, and poorer disease outcomes. These associations depend, in part, on the relationship context, including the other partner's attachment style and behavior. We suggest that a dyadic approach considering both partn…
matched on Object Attachment (mesh), attachment style (text), adult attachment (text), insecure attachment (text)
A review of the role of adult attachment style in psychosis: unexplored issues and questions for further research.
Attachment styles reflect individual differences in beliefs about self and others, interpersonal functioning and affect regulation. We review and critically appraise studies suggesting higher levels of insecure attachment, and dismissing attachment in particular, in samples with psychosis compared to controls. We also review the role of social cognition, interpersonal factors, and affect regulation in the development and maintenance of psychosis, and specific symptoms associated with the diagnosis. We review studies showing that insecure attachment is associated with poorer interpersonal relationships and less integrative recovery styles and highlight how recent theories and empirical findings in the psychosis literature can be understood within the framework of attachment theory. In doing so, we argue that investigations of the nature of attachment styles in psychosis and how they relat…
matched on Object Attachment (mesh), attachment style (text), adult attachment (text), insecure attachment (text)
The cumulative burden borne by offspring whose mothers were sexually abused as children: descriptive results from a multigenerational study.
This multigenerational study empirically demonstrates the extent to which offspring whose parents experienced childhood abuse are at increased risk of being abused or neglected. Females with substantiated childhood sexual abuse and non abused comparison females were assessed at six points spanning 18 years in a prospective, longitudinal study. Non abusing parents or caregivers and offspring were also assessed. Descriptive results indicate that offspring born to mothers with histories of sexual abuse were more likely to be born preterm, have a teenage mother, and be involved in protective services. Abused mothers were more likely to be high-school dropouts, be obese, and have experienced psychiatric problems, substance dependence, and domestic violence. Results provide evidence for the advantages of intervention and prevention programs for victims of childhood maltreatment and their famil…
matched on Object Attachment (mesh), Mother-Child Relations (mesh)
Social networking addiction, attachment style, and validation of the Italian version of the Bergen Social Media Addiction Scale.
Aim Research into social networking addiction has greatly increased over the last decade. However, the number of validated instruments assessing addiction to social networking sites (SNSs) remains few, and none have been validated in the Italian language. Consequently, this study tested the psychometric properties of the Italian version of the Bergen Social Media Addiction Scale (BSMAS), as well as providing empirical data concerning the relationship between attachment styles and SNS addiction. Methods A total of 769 participants were recruited to this study. Confirmatory factor analysis (CFA) and multigroup analyses were applied to assess construct validity of the Italian version of the BSMAS. Reliability analyses comprised the average variance extracted, the standard error of measurement, and the factor determinacy coefficient. Results Indices obtained from the CFA showed the Italian v…
matched on Object Attachment (mesh), attachment style (text)
The relationship between self-reported attachment styles, interpersonal dysfunction, and borderline personality disorder.
Clinical theories of borderline personality disorder (BPD) identify attachment insecurity as the basis of its characteristic disturbed interpersonal functioning. The purpose of this study was to compare attachment ratings in rigorously diagnosed BPD, depressed (MDD), and nonborderline comparison groups and their correlations to features of interpersonal disturbance. Subjects self-reported ratings on attachment styles using the relationship questionnaire. BPD subjects reported higher scores on both preoccupied and fearful attachment styles than both MDD and nonborderline comparison groups. A mixed model of preoccupied and fearful attachment was more prevalent in the BPD group and was associated with 3 to 20 times greater risk for diagnosis of BPD. Scores on preoccupied and fearful attachment styles were correlated with features of interpersonal disturbance in BPD. A combination of preoccu…
matched on Object Attachment (mesh), attachment style (text)
Parental self-efficacy and stress-related growth in the transition to parenthood: a comparison between parents of pre- and full-term babies.
The purpose of the study reported in this article was to examine how the unique circumstances of the birth of a premature baby affect the perception of parental self-efficacy and stress-related growth--which is the experience of positive change in one's life following stressful circumstances--among first-time parents and to examine the contribution of the parents' personal resources of self-esteem and attachment style, and their infant's temperament and medical condition, to their self-efficacy and stress-related growth. Forty-nine sets of parents of preterm babies and 50 sets of parents of full-term babies completed questionnaires about one month after the birth of their child. Parents of premature infants reported a higher level of stress-related growth than those of full-term infants, but no difference was found between them on parental self-efficacy In addition, gender differences in…
matched on Object Attachment (mesh), attachment style (text)
Relations among perceived parental rearing behaviors, attachment style, and worry in anxious children.
The present study extended the findings of Muris et al. [Muris, P., Meesters, C., Merckelbach, H., & Hulsenbeck, P. (2000). Worry in children is related to perceived parental rearing and attachment. Behavior Research and Therapy, 38, 487-497] regarding the relations between perceived parental rearing behaviors, self-reported attachment style, and worry in a community sample to a clinical sample of anxious children. Sixty-four children and adolescents, aged 7-18 years, with a primary anxiety disorder completed (a) the EMBU-C, a questionnaire measuring perceptions of parental rearing behaviors, (b) a single-item measure of attachment style, and (c) an index of worry severity. Findings revealed that child rated parental rearing behaviors, particularly parental rejection, were positively related to child worry. Self-reported attachment style was also related to worry, such that children who …
matched on Object Attachment (mesh), attachment style (text)
Personality characteristics and attachment in first episode psychosis: impact on social functioning.
Research has suggested those with chronic schizophrenia are impaired in social functioning, and that those early in the illness also exhibit these impairments. However, the factors underlying and contributing to social dysfunction have not yet been well delineated, particularly within a first episode sample. The current study sought to investigate the role of attachment style and personality characteristics in the social dysfunction of those diagnosed with a first episode of psychosis. Ninety-six participants experiencing a first episode of psychosis were compared with control participants from 2 different samples on attachment and personality variables. Results suggested that those with a first episode of psychosis may experience more problematic attachment in peer relationships compared with nonclinical controls, and that the type and amount of differences observed may vary by gender. …
matched on Object Attachment (mesh), attachment style (text)
Autism, attachment and parenting: a comparison of children with autism spectrum disorder, mental retardation, language disorder, and non-clinical children.
Children with Autism Spectrum Disorder (ASD) have severe and pervasive impairments in the development of social interaction, which may affect the attachment relationship with their parents and may have an impact on parenting. In the current investigation 89 families with young children (mean age 26.5 months) were involved, who were diagnosed as ASD, mentally retarded (MR), or language delayed (LD), or part of a non-clinical comparison group. Attachment security was observed with the Brief Attachment Screening Questionnaire, and several parental self-report questionnaires assessed the parenting style, parental efficacy, parental experiences of daily hassles, social support, and psychological problems. Children with ASD were rated as less secure compared to the other clinical and normal comparison groups. Parents of non-clinical children reported higher levels of authoritative parenting th…
matched on Object Attachment (mesh), attachment security (text)