Bonds of security and their patterns across life.
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151 to 175 of 452Adult Attachment Styles, Destructive Conflict Resolution, and the Experience of Intimate Partner Violence.
Although there is ample evidence linking insecure attachment styles and intimate partner violence (IPV), little is known about the psychological processes underlying this association, especially from the victim's perspective. The present study examined how attachment styles relate to the experience of sexual and psychological abuse, directly or indirectly through destructive conflict resolution strategies, both self-reported and attributed to their opposite-sex romantic partner. In an online survey, 216 Spanish undergraduates completed measures of adult attachment style, engagement and withdrawal conflict resolution styles shown by self and partner, and victimization by an intimate partner in the form of sexual coercion and psychological abuse. As predicted, anxious and avoidant attachment styles were directly related to both forms of victimization. Also, an indirect path from anxious at…
matched on Object Attachment (mesh), attachment style (text), adult attachment (text), insecure attachment (text)
Therapist Reflective Functioning, Therapist Attachment Style and Therapist Effectiveness.
This study investigated the relationship between two therapist attributes (reflective functioning and attachment style) and client outcome. Twenty-five therapists treated a total of 1001 clients. Therapists were assessed for reflective functioning and attachment style using the Adult Attachment Interview and the Experiences in Close Relationships Scale. Clinical outcome was measured using the Outcome Questionnaire (OQ-45). Data were analysed using hierarchical linear modelling. Results indicated that therapist reflective functioning predicted therapist effectiveness, whereas attachment style did not. However, there was evidence of an interaction between therapist attachment style and therapist reflective functioning. Secure attachment compensated somewhat for low reflective functioning and high reflective functioning compensated for insecure attachment. Possible implications for the sele…
matched on Object Attachment (mesh), attachment style (text), adult attachment (text), insecure attachment (text)
Adult attachment style and anxiety - The mediating role of emotion regulation.
Background: Although there is substantial evidence for the role of emotion regulation in the etiology and maintenance of anxiety disorders, knowledge about what contributes to emotion dysregulation is sparse. Attachment style is related to emotion regulation and anxiety symptoms, but these variables have rarely been examined together. Examining emotion dysregulation within the context of anxiety disorders through an attachment theory framework will lead to a better understanding of the etiology and maintenance of anxiety disorders. In the present study we combined theoretically and empirically derived knowledge to examine the mediating role of emotion regulation between attachment dimensions (avoidance and anxiety) and anxiety symptoms.
Methods: A total of 147 individuals were assessed with Beck Anxiety Inventory (BAI), Experiences in Close Relationships-Revised (ECR-R) and Difficulties …
matched on Object Attachment (mesh), attachment style (text), adult attachment (text), insecure attachment (text)
Attachment style and oxytocin receptor gene variation interact in influencing social anxiety.
Objectives: Social anxiety has been suggested to be promoted by an insecure attachment style. Oxytocin is discussed as a mediator of trust and social bonding as well as a modulator of social anxiety. Applying a gene-environment (G × E) interaction approach, in the present pilot study the main and interactive effects of attachment styles and oxytocin receptor (OXTR) gene variation were probed in a combined risk factor model of social anxiety in healthy probands.
Methods: Participants (N = 388; 219 females, 169 males; age 24.7 ± 4.7 years) were assessed for anxiety in social situations (Social Phobia and Anxiety Inventory) depending on attachment style (Adult Attachment Scale, AAS) and OXTR rs53576 A/G genotype.
Results: A less secure attachment style was significantly associated with higher social anxiety. This association was partly modulated by OXTR genotype, with a stronger negative in…
matched on Object Attachment (mesh), attachment style (text), adult attachment (text), insecure attachment (text)
Intimate partner violence: relationships between alexithymia, depression, attachment styles, and coping strategies of battered women.
Introduction: One of the most common forms of violence against women is the intimate partner violence (IPV). This term includes physical, sexual, and emotional abuse and controlling behaviors by an intimate partner.
Aim: This exploratory study investigates the relationship between alexithymia, adult attachment styles, depression, and coping strategies in a group of female victims of IPV and a control group.
Methods: Participants were 80 female victims of IPV with an age range from 18 years to 54 years (mean 31.62; standard deviation 9.81). The control group included 80 women with no history of IPV with an age range from 19 years to 37 years (mean 25.05; standard deviation 3.67).
Main outcome measures: We administered the following self-report questionnaires: (i) 20-Item Toronto Alexithymia Scale (TAS-20); (ii) Coping Orientation Problems Experienced; (iii) Beck Depression Inventory (BDI)…
matched on Object Attachment (mesh), attachment style (text), adult attachment (text), insecure attachment (text)
The relationship between attachment style and postpartum depression.
Although an increasing number of studies show an association between adult attachment style and mood disorders, the relationship between adult attachment style and depression associated with childbirth is largely unknown. This study investigated the association between women's attachment style, postpartum depression (PPD), and other risk factors. During the 32nd week of pregnancy, 84 women were interviewed using the Attachment Style Interview. Participants also completed self-report questionnaires about reaction to pregnancy, family relationships, current life stresses, and symptoms of depression and anxiety. At one-month postpartum, they were evaluated for postpartum depressive symptoms using the Mini-International Neuropsychiatric Interview. Eighty-two women completed the second self-report questionnaires and were evaluated for PPD. The data of 76 women were eligible for analysis. PPD …
matched on Object Attachment (mesh), attachment style (text), adult attachment (text), insecure attachment (text)
Childhood maltreatment, adult attachment and psychotic symptomatology: a study in patients, siblings and controls.
Purpose: The association between childhood maltreatment (ChM) and psychotic disorders is well established. However, there is an ongoing debate about which factors account for this relationship. One explanation is that the relationship between ChM and psychosis is mediated by adult attachment style. Therefore, in this study, we aimed to investigate whether adult attachment style mediates the relationship between ChM and positive and negative symptomatology.
Methods: We investigated the relation between ChM and psychotic symptoms, taking into account levels of (insecure) attachment, in 131 patients with psychotic illness, 123 siblings and 72 controls. ChM was assessed with the Childhood Trauma Questionnaire (CTQ). Attachment dimensions of anxiety and avoidance were measured using the Psychosis Attachment Measure (PAM).
Results: In both patients and siblings, ChM predicted positive symptoms…
matched on Object Attachment (mesh), attachment style (text), adult attachment (text), insecure attachment (text)
The association between adult attachment style, mental disorders, and suicidality: findings from a population-based study.
Attachment theory categorically assesses how a person perceives and experiences interpersonal relationships. Attachment style is linked to numerous physical and psychological phenomena; however, there is a paucity of research examining its relationship to suicide ideation and attempt in adults. Our study addresses this and investigates the relationship of adult attachment style and mental disorders in a nationally representative sample. Using data from the National Comorbidity Survey Replication (N = 5692, aged >18 years), multiple logistic regression analyses were conducted to examine these relationships. After adjusting for confounding variables, insecure attachment styles were associated with greater reporting of suicidal ideation, attempt, and all mental disorder categories analyzed (adjusted odds ratio range, 1.13-1.81). Secure attachment styles were associated with a decreased like…
matched on Object Attachment (mesh), attachment style (text), adult attachment (text), insecure attachment (text)
Adult attachment, emotion dysregulation, and symptoms of depression and generalized anxiety disorder.
Differences in attachment style have been linked to both emotion regulation and psychological functioning, but the emotion regulatory mechanism through which attachment style might impact symptoms of depression and anxiety is unclear. The present study examined the explanatory role of emotion dysregulation in the relation between adult attachment style and symptoms of depression and generalized anxiety disorder (GAD) in a sample of 284 adults. Secure attachment was associated with lower depression and GAD symptoms and lower emotion dysregulation, whereas insecure attachment styles were generally associated with higher depression and GAD scores and higher emotion dysregulation. Perceived inability to generate effective emotion regulation strategies mediated the relation between insecure attachment and both depression and GAD symptoms. Nonacceptance of negative emotions and inability to co…
matched on Object Attachment (mesh), attachment style (text), adult attachment (text), insecure attachment (text)
Insecure attachment and frequent attendance in primary care: a longitudinal cohort study of medically unexplained symptom presentations in ten UK general practices.
Background: In primary care frequent attenders with medically unexplained symptoms (MUS) pose a clinical and health resource challenge. We sought to understand these presentations in terms of the doctor-patient relationship, specifically to test the hypothesis that such patients have insecure emotional attachment.
Method: We undertook a cohort follow-up study of 410 patients with MUS. Baseline questionnaires assessed adult attachment style, psychological distress, beliefs about the symptom, non-specific somatic symptoms, and physical function. A telephone interview following consultation assessed health worry, general practitioner (GP) management and satisfaction with consultation. The main outcome was annual GP consultation rate.
Results: Of consecutive attenders, 18% had an MUS. This group had a high mean consultation frequency of 5.24 [95% confidence interval (CI) 4.79-5.69] over the …
matched on Object Attachment (mesh), attachment style (text), adult attachment (text), insecure attachment (text)
Fears of compassion: development of three self-report measures.
Objectives: There is increasing evidence that helping people develop compassion for themselves and others has powerful impacts on negative affect and promotes positive affect. However, clinical observations suggest that some individuals, particularly those high in self-criticism, can find self-compassion and receiving compassion difficult and can be fearful of it. This study therefore developed measures of fear of: compassion for others, compassion from others, and compassion for self. We also explored the relationship of these fears with established compassion for self and compassion for others measures, self-criticism, attachment styles, and depression, anxiety, and stress.
Method: Students (N= 222) and therapists (N= 53) completed measures of fears of compassion, self-compassion, compassion for others, self-criticism, adult attachment, and psychopathology.
Results: Fear of compassion …
matched on Object Attachment (mesh), attachment style (text), adult attachment (text), insecure attachment (text)
Attachment styles, earlier interpersonal relationships and schizotypy in a non-clinical sample.
Objectives: This paper investigates associations between adult attachment style, relationships with significant others during childhood, traumatic life-events and schizotypy.
Design: Relationships between attachment and hypothesized correlates were investigated in a cross-sectional design using an analogue sample. The reliability of the attachment and trauma measures was investigated using a test-retest design.
Methods: Three hundred and four students completed the self-report version of the Psychosis Attachment Measure (PAM), maternal and paternal versions of the Parental Bonding Instrument, the Attachment History Questionnaire, a measure of trauma and the Oxford-Liverpool Inventory of Feelings and Experiences scale through an internet website.
Results: As predicted, there were statistically significant associations between insecure attachment in adult relationships and experiences of n…
matched on Object Attachment (mesh), attachment style (text), adult attachment (text), insecure attachment (text)
Adult attachment style as mediator between childhood neglect/abuse and adult depression and anxiety.
Background: There has been little prospective investigation of the relationship between adult attachment style and clinical levels of anxiety and major depression. This paper seeks to address this, as well as examining the potentially mediating role of adult insecure attachment styles in the relationship between childhood adverse experience and adult disorder.
Methods: 154 high-risk community women studied in 1990-1995, were followed-up in 1995-1999 to test the role of insecure attachment style in predicting new episodes of anxiety and/or major depressive disorder. The Childhood Experience of Care and Abuse (CECA) and the Attachment Style Interview (ASI) were administered at first interview and the Structured Clinical Interview for DSM-IV (SCID) administered at first and follow-up interview. Major depression and clinical level anxiety disorders (GAD, Social Phobia or Panic and/or Agoraph…
matched on Object Attachment (mesh), attachment style (text), adult attachment (text), insecure attachment (text)
Mapping the road from childhood trauma to adult somatization: the role of attachment.
Objective: This study tested whether insecure attachment mediates the link between childhood trauma and adult somatization.
Methods: A community sample of 101 couples completed self-report measures, including the Relationship Scales Questionnaire, the Childhood Trauma Questionnaire, the Somatic Symptom Inventory, the Beck Depression Inventory, and the Conflict Tactics Scale.
Results: Childhood trauma was associated with higher levels of somatization and insecure attachment. Insecure attachment style was also associated with higher levels of somatization. Controlling for age, income, and recent intimate partner violence, analyses showed that fearful attachment fully mediated the link between childhood trauma and somatization for women. For men, there was no such mediation, but both childhood trauma and insecure attachment styles made independent contributions to predicting levels of somat…
matched on Object Attachment (mesh), attachment style (text), adult attachment (text), insecure attachment (text)
Body dissatisfaction in women with eating disorders: relationship to early separation anxiety and insecure attachment.
Objective: It has been suggested that an insecure style of attachment may be one of the factors implicated in the etiology of body dissatisfaction, which, in turn, is a risk factor for eating disorders. The present study analyzed the association among early separation anxiety, insecure attachment, and body dissatisfaction in a clinical sample of 96 women with anorexia nervosa (n = 31) or bulimia nervosa (n = 65).
Methods: Body dissatisfaction was measured using the Body Shape Questionnaire (BSQ), early separation anxiety was measured using the Separation Anxiety Symptom Inventory (SASI), and adult attachment style was measured using the Attachment Style Questionnaire (ASQ).
Results: In both anorectic and bulimic women, BSQ scores were strongly correlated with SASI and ASQ scores. In a hierarchical regression model controlling for the confounding effects of body mass index and depressive …
matched on Object Attachment (mesh), attachment style (text), adult attachment (text), insecure attachment (text)
Arriaga, X.; Kumashiro, M.; Simpson, J. and 1 others (2017)reviewreviewed by us, tier BPersonality and Social Psychology Review151 citations
Revising Working Models Across Time: Relationship Situations That Enhance Attachment Security
We propose the Attachment Security Enhancement Model (ASEM) to suggest how romantic relationships can promote chronic attachment security. One part of the ASEM examines partner responses that protect relationships from the erosive effects of immediate insecurity, but such responses may not necessarily address underlying insecurities in a person's mental models. Therefore, a second part of the ASEM examines relationship situations that foster more secure mental models. Both parts may work in tandem. We posit that attachment anxiety should decline most in situations that foster greater personal confidence and more secure mental models of the self. In contrast, attachment avoidance should decline most in situations that involve positive dependence and foster more secure models of close others. The ASEM integrates research and theory, suggests novel directions for future research, and has pr…
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Brüne M (2016)reviewMEDLINE-indexed journal, not yet read by usThe British journal of clinical psychology30 citations On the role of oxytocin in borderline personality disorder.
Objectives: Interpersonal dysfunction is central to borderline personality disorder (BPD). Recent research has focused on the role of oxytocin (OT) in BPD, particularly regarding associations of OT activity with symptoms, genetic polymorphisms of the oxytocin receptor coding gene (OXTR) in BPD, and experimental modification of interpersonal core problems of patients with BPD such as hypervigilance towards threat detection, mistrust, and non-verbal behaviour during social interaction by intranasal application of OT.
Methods: A literature ('medline') review was performed using the keywords 'oxytocin' and 'borderline personality disorder'. Secondary literature on trauma and attachment in relation to OT was also considered relevant.
Results: Together, findings suggest that in BPD OT is associated with enhanced defensive mechanisms and avoidance behaviour. Moreover, gene-environment interacti…
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Andreas Schindler; Rainer Thomasius; Peter‐Michael Sack and 4 others (2005)reviewMEDLINE-indexed journal, not yet read by usAttachment & Human Development154 citations
Attachment and substance use disorders: A review of the literature and a study in drug dependent adolescents
Earlier studies on attachment and substance use disorders using the Hazan and Shaver (1987 Hazan, C. and Shaver, P. 1987. Conceptualizing romantic love as an attachment process. Journal of Personality and Social Psychology, 52: 511–524. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar]) self-report mainly indicate a link with “avoidant” attachment styles. Studies working with the Adult Attachment Interview (Main & Goldwyn, 1998 Main, M. and Goldwyn, R. 1998. Adult attachment scoring and classification system, Berkeley: University of California. Unpublished manuscript [Google Scholar]) have produced inconsistent results. The present study used the Bartholomew (1990 Bartholomew, K. 1990. Avoidance of intimacy - An attachment perspective. Journal of Social and Personal Relationships, 7: 147–178. [Crossref], [Web of Science ®] , [Google Scholar]) interview coding system to assess a…
matched on attachment style (text), adult attachment (text)
Children's emotion understanding and attachment security to mothers and fathers across the transition to siblinghood.
The transition to siblinghood represents a period of adjustment for parents and firstborn children, influencing child-parent attachment relationships and children's emotional development. This study examined the longitudinal bidirectional relations between firstborn children's emotion understanding and their attachment security to their mothers and fathers during this transition. Firstborn children (N = 230, 55% girls/45% boys, 86% White, 5% Black, 3% Asian, 4% Latinx, and Mage = 29.75 months) completed the Emotion Understanding in Early Childhood scale, and both mothers and fathers completed the Attachment Q-Set at three time points: prenatal, 4, and 12 months after the birth of an infant sibling. Structural equation modeling revealed that firstborn children's attachment security to mothers was associated with their emotion understanding before the sibling's birth. However, we found no …
matched on Object Attachment (mesh), Mother-Child Relations (mesh), attachment security (text)
Separation anxiety, attachment and inter-personal representations: disentangling the role of oxytocin in the perinatal period.
In this paper, we aimed to assess cross-sectionally and longitudinally associations between disturbances in maternal early attachment experiences, symptoms of separation anxiety and depression and oxytocin plasma levels. We examined a mediational model that tested the hypothesis that anxious attachment style arising from the mothers' early bonding experiences with her own parents was associated with high levels of separation anxiety which, via its impact on depression, was associated with reduced levels of oxytocin in the postnatal period. Data is reported on a structured sample of 127 women recruited during pregnancy from a general hospital antenatal clinic and an initial follow up cohort of 57 women who were re-assessed at 3-months post-partum. We found an association between lower oxytocin level in the post partum period and symptoms of separation anxiety and depression during pregnan…
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Borderline symptoms and suicidality/self-injury in late adolescence: prospectively observed relationship correlates in infancy and childhood.
The primary objective was to assess whether prospectively observed quality of parent-child interaction in infancy and middle childhood contributed to the prediction of borderline symptoms and recurrent suicidality/self-injury in late adolescence. Adolescents (mean 19.9 years) from 56 families participating in a longitudinal study since infancy (retention rate 74%) were assessed on the SCID-II for symptoms of borderline personality disorder (BPD), including suicidality/self-injury. Early clinical risk was indexed by clinical referral to parent-infant services. Attachment security and parent-child interaction were assessed from videotape at 18 months and 8 years. Severity of childhood abuse was rated from interview and self-report measures. Maternal withdrawal in infancy was a significant predictor of both borderline symptoms and suicidality/self-injury in late adolescence. Disorganized co…
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Mothers' attachment style, their mental health, and their children's emotional vulnerabilities: a 7-year study of children with congenital heart disease.
The long-term contribution of mothers' attachment insecurities to their own and their children's psychological functioning was examined in a 7-year prospective longitudinal study of children with Congenital Heart Disease (CHD). Sixty-three mothers of newborns with CHD participated in a three-wave study, beginning with the CHD diagnosis (T1), then 1 year later (T2), and again 7 years later (T3). At T1, the mothers reported on their attachment style and mental health. At T2, the mental health measure was administered again, along with a marital satisfaction scale. At T3, participants completed these two measures again, and their children reported on their self-concept and completed the Children's Apperception Test. Maternal avoidant attachment at T1 was the best predictor of deterioration in the mothers' mental health and marital satisfaction over the 7-year period, especially in a subgrou…
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Scharf M (2007)MEDLINE-indexed journal, not yet read by usDevelopment and psychopathology70 citations Long-term effects of trauma: psychosocial functioning of the second and third generation of Holocaust survivors.
The long-term effects of extreme war-related trauma on the second and the third generation of Holocaust survivors (HS) were examined in 88 middle-class families. Differences in functioning between adult offspring of HS (HSO) and a comparison group, as well as the psychosocial functioning of adolescent grandchildren of HS, were studied. Degree of presence of Holocaust in the family was examined in families in which both parents were HSO, either mother or father was HSO, and neither parent was HSO. Mothers' Holocaust background was associated with higher levels of psychological distress and less positive parenting representations. In line with synergic (multiplicative) models of risk, adolescents in families where both parents were HSO perceived their mothers as less accepting and less encouraging independence, and reported less positive self-perceptions than their counterparts. They also …
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Maternal secure base scripts, children's attachment security, and mother-child narrative styles.
This paper reports the results of a study examining links between maternal representations of attachment, child attachment security, and mother and child narrative styles assessed in the context of reminiscences about shared experiences. Participants were 90 mother - child dyads. Child attachment security was assessed using the attachment Q-set and maternal attachment representations were measured using a recently designed instrument that assesses the script-like qualities of those representations. Analyses examined dependencies in the mother - child memory talk data and then assessed the overlap between both mother and child reminiscing styles and the attachment variables. Narrative styles of both the mothers and their children were coherent and consistent for each dyad member. Furthermore, maternal narrative style (e.g., specific and elaborative questions, using confirming evaluation c…
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Parents of Children with ASD Experience More Psychological Distress, Parenting Stress, and Attachment-Related Anxiety.
There has been limited study of the relationship between child attachment and caregiver wellbeing amongst children with autism spectrum disorder (ASD). This study examined self-reported child attachment quality alongside caregivers' report of their own psychological distress, parenting stress and attachment style, amongst 24 children with high-functioning autism or Asperger's disorder (ASD; aged 7-14 years) and 24 typically developing children (aged 7-12 years), and their primary caregiver. Children with ASD were no less secure, but their caregivers were more stressed and reported more attachment-related anxiety, compared to typically developing dyads. Child attachment security was related to caregiver psychological distress and attachment style, but only amongst typically developing children. Impacts of emotion processing impairments on caregiver-child relationships in ASD are discussed…
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