Attachment insecurity hinders cardiac patients’ ability to receive partners’ care: A longitudinal dyadic study

2020 ◽  
Vol 37 (5) ◽  
pp. 1494-1512
Author(s):  
Sivan George-Levi ◽  
Shira Peleg ◽  
Noa Vilchinsky ◽  
Eshkol Rafaeli ◽  
Abid Khaskiaa ◽  
...  

Objectives: The fact that spousal support is not always beneficial for the recipient continues to intrigue researchers in the dyadic support field. One possible explanation for this phenomenon may be individual differences in attachment orientations, which might promote or, conversely, hinder the ability to capitalize on one’s partner’s support. We therefore assessed the interactive contribution of cardiac patients’ attachment orientations (anxious and avoidant) and partners’ caregiving styles (sensitive and compulsive) to patients’ anxiety symptoms 6 months after a first acute coronary syndrome (ACS). Design and methods: A longitudinal design was employed among 114 couples coping with one partner’s ACS. During hospitalization, patients completed the Experiences in Close Relationships scale, tapping attachment orientation, and 6 months later, the anxiety scale of the Brief Symptom Inventory. Partners completed the Adult Caregiving Questionnaire during patients’ hospitalization. Results: Regression analyses showed that partners’ caregiving styles moderated the positive association between patients’ anxious attachment and anxiety symptoms. This association was stronger when partners were characterized with high levels of compulsive caregiving, but also, and surprisingly, when partners were characterized with high levels of sensitive caregiving. No significant effects were found for highly avoidant patients. Conclusions: The findings suggest that patients’ personalities play a crucial role in determining the consequences of partners’ caregiving styles. Integrating the personality perspective into the dyadic paradigm may allow a more comprehensive understanding of the circumstances under which partners’ care reduces patients’ distress.

2009 ◽  
Vol 24 (4) ◽  
pp. 419-438 ◽  
Author(s):  
Anne M. Mauricio ◽  
Frederick G. Lopez

Regression latent class analysis was used to identify batterer subgroups with distinct violence patterns and to examine associations between class membership and adult attachment orientations as well as antisocial and borderline personality disorders. Results supported three batterer subgroups, with classes varying on frequency and severity of violence. The high-level violence class represented 40% of batterers, and both anxious and avoidant adult attachment orientations as well as borderline personality characteristics predicted membership in this class. The moderate-level violence class represented 35% of the batterers, and adult anxious attachment orientation was associated with membership in this class. The low-level violence class represented 25% of the sample and reported significantly less violence than other classes. Neither adult attachment orientations nor personality disorders predicted membership in this class.


2018 ◽  
Vol 64 (7) ◽  
pp. 668-678 ◽  
Author(s):  
Xinguang Chen ◽  
Mengting Gao ◽  
Yayun Xu ◽  
Yan Wang ◽  
Shiyue Li

Background: Rapid socioeconomic changes in China present a mental health challenge and also an opportunity to investigate the relationship between social capital and depression. Materials and methods: Participants (18–45 years old, N = 1,250) were selected using a probability sampling method. The relationship between social capital (measured using the Personal Social Capital Scale) and depression (measured using the Brief Symptom Inventory Depression Subscale) was examined using bivariate analysis, followed by multiple regression to control for covariates. Results: Of the total sample, 54.64% were female with mean age = 35.1 (standard deviation ( SD) = 7.5) years old. Depression score was 10.40 ( SD = 3.62) for males and 10.36 ( SD) = 3.30) for females. The social capital measures (including the total, bonding and bridging) were all negatively associated with depression scores, while the negative social capital was positively associated, after controlling for covariates. Subgroup analysis revealed some differences in the social capital–depression associations. Conclusion: The protective effect of social capital for mental health reported in other countries is also evident in this study. In addition, we found a positive association between negative social capital and depression. In addition to adding new knowledge, findings of this study, if verified with longitudinal design, can be used to support social and behavioral interventions in China to promote mental health by social capital enhancement.


2018 ◽  
Vol 7 (1) ◽  
pp. 41-59 ◽  
Author(s):  
Kristi Chin ◽  
Robin S. Edelstein ◽  
Philip A. Vernon

Our study examines attachment-related differences in the use of dating applications (dating apps). We collected online survey data regarding people’s attachment orientation and dating app preferences. People with a more anxious attachment orientation were more likely to report using dating apps than people lower in anxious attachment; people with a more avoidant attachment orientation were less likely to report using dating apps than people lower in avoidant attachment. Participants who used dating apps cited Tinder, OkCupid, and Plenty of Fish as those most commonly used. The most common reason people reported for using apps was to meet others, and the most common reason people reported for not using apps was difficulty trusting people online. Our findings suggest that individual differences in attachment may be relevant for understanding online behavior, and that dating apps might be a fruitful avenue for future research on attachment-related differences.


2021 ◽  
pp. tobaccocontrol-2021-056528
Author(s):  
Thomas Martinelli ◽  
Math J J M Candel ◽  
Hein de Vries ◽  
Reinskje Talhout ◽  
Vera Knapen ◽  
...  

BackgroundStudies demonstrated that adolescent e-cigarette use is associated with subsequent tobacco smoking, commonly referred to as the gateway effect. However, most studies only investigated gateways from e-cigarettes to tobacco smoking. This study replicates a cornerstone study revealing a positive association between both adolescent e-cigarette use and subsequent tobacco use; and tobacco and subsequent e-cigarette use in the Netherlands and Flanders.DesignThe longitudinal design included baseline (n=2839) and 6-month (n=1276) and 12-month (n=1025) follow-up surveys among a school-based cohort (mean age: 13.62). Ten high schools were recruited as a convenience sample. The analyses involved (1) associations of baseline e-cigarette use and subsequent tobacco smoking among never smokers; (2) associations of e-cigarette use frequency at baseline and tobacco smoking frequency at follow-up; and (3) the association of baseline tobacco smoking and subsequent e-cigarette use among non-users of e-cigarettes.FindingsConsistent with prior findings, baseline e-cigarette use was associated with higher odds of tobacco smoking at 6-month (OR=1.89; 95% CI 1.05 to 3.37) and 12-month (OR=5.63; 95% CI 3.04 to 10.42) follow-ups. More frequent use of e-cigarettes at baseline was associated with more frequent smoking at follow-ups. Baseline tobacco smoking was associated with subsequent e-cigarette use (OR=3.10; 95% CI 1.58 to 6.06 at both follow-ups).ConclusionOur study replicated the positive relation between e-cigarette use and tobacco smoking in both directions for adolescents. This may mean that the gateway works in two directions, that e-cigarette and tobacco use share common risk factors, or that both mechanisms apply.


Author(s):  
Haocheng Luo ◽  
Qingqi Liu ◽  
Chengfu Yu ◽  
Yangang Nie

Parental warmth plays an important role in the development of adolescents’ physical and mental health. There are numerous empirical studies indicating a relationship between parental warmth and prosocial behavior among adolescents, although the underlying mechanisms of this association remain unclear. Adopting a longitudinal design across two time points, the present study proposes a moderated mediation model to explore the mediating role of gratitude and the moderating role of the school climate between parental warmth and prosocial behavior. The sample consisted of 943 participants (483 boys and 451 girls) who participated in the second assessment and completed questionnaires assessing gratitude, school climate, and prosocial behavior in April 2019. Their parents participated in the first assessment and completed a questionnaire pertaining to parental warmth in October 2018. After controlling for the gender and age of the adolescents, the results showed that the positive association between parental warmth and prosocial behavior is mediated by gratitude, and school climate does play a moderating role in the second half of the mediating path. Specifically, the school climate can play a protective role in adolescents with low levels of gratitude. For adolescents with less gratitude, a strong school climate can promote more prosocial behaviors and can effectively alleviate the negative prediction of low levels of gratitude. This study provides a theoretical explanation for the generation of adolescents’ prosocial behavior and provides theoretical guidance for the interventions of schools and parents.


2018 ◽  
Vol 7 (5) ◽  
pp. 342-351 ◽  
Author(s):  
Mallory Lucier-Greer ◽  
Davina Quichocho ◽  
Ross W. May ◽  
Gregory S. Seibert ◽  
Frank D. Fincham

Experiencing a traumatic event is generally posited to increase vulnerability. Informed by a stress process framework, this study investigated the relation of posttraumatic stress to depressive symptoms, risky drinking, and school burnout in emerging adulthood, a developmental period during which common behavioral and psychological disorders reach their peak. Whether self-control acts as a mechanism linking posttraumatic stress to these outcomes was also examined. Using a short-term longitudinal design ( N = 373 undergraduate students), we found a direct, positive association between heightened levels of posttraumatic stress and heightened depressive symptoms, risky drinking, and school burnout. Posttraumatic stress was also indirectly linked to depressive symptoms, risky drinking, and school burnout via self-control. Experiences of posttraumatic stress are thought to erode self-control capacity, and depleted self-control is thought to be adversely associated with mental health, decision-making, and school success. Implications for intervention across multiple lines of defense are discussed.


2021 ◽  
Vol 10 (21) ◽  
pp. 5171
Author(s):  
Dorota Wołyńczyk-Gmaj ◽  
Aleksandra Ziółkowska ◽  
Piotr Rogala ◽  
Dawid Ścigała ◽  
Ludwik Bryła ◽  
...  

Few studies have explored the influence of an Animal-Assisted Intervention on patients with mental disorders. We investigated it’s impact on anxiety symptoms. We divided 51 patients with anxiety symptoms into two groups—treatment group, that went for a short 15–20 min’ walk with a dog, his handler and a researcher and control group, that went for a walk only with a researcher. We used State-Trait Anxiety Inventory (STAI), Visual Analogue Scale (VAS) of fear, Beck Depression Inventory (BDI), Ford Insomnia Response to Stress (FIRST), Brief symptom Inventory (BSI) and VAS of satisfaction after trial to assess. We also checked the resting blood pressure and resting heart rate before and after performing psychological tests while sitting. We have obtained full data of 21 people from the research group and 26 people from the control group. After the intervention, the treatment group reported lower anxiety levels as a state (Mean (M) = 34.35; Standard Deviation (SD) = 6.9 vs. M = 40.94; SD = 8.6) and fear (M = 1.05; SD = 1.0 vs. M = 2.04; SD = 2.2) than the control group. After a walk with a dog, trait anxiety (M = 34.35; SD = 6.9 vs. M = 46.3; SD = 9.6), state anxiety (M = 48.9; SD = 7.2 vs. M = 53.9; SD = 7.8), fear (M = 1.05; SD= 1.0 vs. M = 2.57; SD = 2.3) and resting heart rate (M = 71.05; SD = 12.3 vs. M = 73.67; SD = 13.1) decreased significantly, while walking without a dog only reduced state anxiety (M = 47.24; SD = 11.0 vs. M = 40.94; SD = 8.6). Multivariate analysis of variance showed that after the walk, state anxiety was significantly lower in the treatment group than in the control group, F(1.35) = 6.706, p <0.05, η2 = 0.161. Among those who walked with a dog, the intervention also led to significant decreases in fear and resting heart rate, F(1.44) = 11.694, p < 0.01, η2 = 0.210 and F(1.45) = 8.503; p < 0.01; η2 = 0.159, respectively. For anxious patients, a short walk with a dog is more beneficial than a walk without one. We found significant positive effects of a dog’s company on vegetative arousal and mental comfort. This is another study confirming the possible therapeutic effect of the animal on anxiety symptoms. Further research is required, especially in the large groups of patients, as recommendations on the use of Animal Assisted Interventions (AAI) are needed.


2021 ◽  
Author(s):  
Sarah Stock ◽  
Feifei Bu ◽  
Daisy Fancourt ◽  
Hei Wan Mak

The COVID-19 pandemic led to national lockdowns in countries around the world. Whilst lockdowns were shown to be effective in reducing the spread of disease, they were also associated with adverse effects on people’s mental health and wellbeing. Previous studies have suggested that time spent outside may have played a role in mitigating these negative effects, but research on this topic remains limited. Therefore, this study was designed to explore the longitudinal associations between going outdoors and people’s mental health and wellbeing during the first national lockdown (March-May 2020) in the UK. Data from 35,301 participants from the COVID-19 Social Study were analysed. Fixed effects regression was used to explore the longitudinal association between changes in going outdoors (the number of days spent outside) and changes in depressive symptoms, anxiety symptoms, life satisfaction and loneliness. A range of household and neighbourhood moderators were examined. Results show that an increase in the number of days spent outside was associated with decreases in depressive and anxiety symptoms and an increase in life satisfaction. No longitudinal association was found with loneliness. Further analysis revealed some moderating effects of household and neighbourhood factors, including living arrangement, perceived walkability satisfaction, and satisfaction with green space/park within neighbourhood. Overall, our analyses showed a positive association between going outdoors and improved mental health and wellbeing during the first COVID-19 lockdown in the UK. Associations were more salient amongst people living with others, and those with greater satisfaction with their neighbourhood walkability and green spaces. These findings are important for formulating guidance for people to stay well at home during pandemics and for the on-going nature-based social prescribing scheme.


2019 ◽  
Vol 46 (4) ◽  
pp. 525-546 ◽  
Author(s):  
Dritjon Gruda ◽  
Konstantinos Kafetsios

Two experiments tested the role of global and relationship-specific attachment orientations in leader transference, a social-cognitive process in which mental representations of past leaders are associated with the evaluations of new, similar leaders. Individuals scoring higher on anxious attachment were more likely to hold high just treatment expectations of new leaders who were similar to their previous leaders. Conversely, avoidant individuals evaluated new similar leaders low on just treatment expectations and perceived them as less effective. Relationship-specific attachment orientations predicted transfer of behavioral judgments of just treatment, while global attachment orientations predicted transfer of perceived leader effectiveness. These effects were moderated by culture. In two collectivistic cultures (Greece and India), avoidant individuals demonstrated low just treatment expectations of their new similar leader. In an individualistic culture (United States), avoidant participants showed high behavioral expectations of their new, similar, leader. The results inform emerging views on relational social-cognitive processes in leader–follower interactions.


2020 ◽  
pp. 088626052094567
Author(s):  
Kathryn M. Bell ◽  
Leanne Howard ◽  
Tara L. Cornelius

The dependency-possessiveness model proposes that individuals who are highly dependent on their intimate partner and fear partner abandonment, particularly among those with emotion dysregulation problems, may be at heightened risk for intimate partner aggression (IPA) perpetration. Despite prior research establishing a link between relationship dependency and male IPA perpetration, it is unknown whether this association extends to female-perpetrated aggression, occurs in dating relationships, and is moderated by emotion dysregulation. Thus, the purpose of the current study was to investigate the association between relationship dependency and female-perpetrated dating aggression and determine if emotion dysregulation moderated this hypothesized relationship. Female undergraduate students ( N = 119) completed measures assessing relationship dependency, emotion dysregulation, and female-perpetrated physical and psychological dating aggression as part of a larger study investigating the context of dating aggression episodes. Anxious attachment was significantly correlated with female-perpetrated psychological and physical dating aggression. Regression analyses indicated a significant interaction between the Spouse-Specific Dependency Scale [SSDS] Anxious Attachment subscale and emotion dysregulation predicting female-perpetrated physical dating aggression, suggesting moderation. There was a positive association between anxious attachment relationship dependency and female-perpetrated physical dating aggression at high levels of emotion dysregulation. A significant interaction was also found between the SSDS Emotional Dependency subscale and emotion dysregulation predicting female-perpetrated physical dating aggression, such that among those with low scores in emotion dysregulation, there was a positive relationship between emotional dependency and female-perpetrated physical dating aggression. Findings suggest that the ability to regulate emotions may play an important role in the association between relationship dependency and female-perpetrated dating aggression.


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