scholarly journals The Relationship between Adult Attachment and Mental Health Care Utilization: A Systematic Review

2018 ◽  
Vol 63 (10) ◽  
pp. 651-660 ◽  
Author(s):  
G. Camelia Adams ◽  
Andrew J. Wrath ◽  
Xiangfei Meng

Objective: Several studies have shown a relationship between individual attachment and various aspects of treatment utilization in individuals with medical problems as well as mental health disorders. This review systematically evaluates existing literature targeting the relationship between attachment and all aspects of treatment utilization, such as engagement, participation, and completion, in adults with mental health problems. Method: A computerized search of PsycINFO, Medline, Embase, PubMed, and Healthstar and a manual search were employed. Of 5733 titles, 105 abstracts were selected. Of these, 18 studies met full inclusion criteria. The quality of studies was evaluated and scored according to 9 characteristics. Results: Most studies supported an association between attachment and treatment engagement and participation. In general, attachment anxiety was associated with higher engagement and participation in services while attachment avoidance was associated with less. Data regarding attachment dimensions and treatment completion were less conclusive. Conclusions: The review suggests a clear relationship between attachment and stages of treatment engagement and participation in a variety of psychiatric populations and treatments. The 2 attachment dimensions appear to have opposite effects, with possible risks for either treatment over- or underutilization. Clinical implications are discussed.

1988 ◽  
Vol 62 (2) ◽  
pp. 519-522 ◽  
Author(s):  
Ron L. Evans ◽  
Robert D. Hendricks ◽  
Kaye V. Lawrence

To estimate the relationship between mental health problems and use of medical resources, this study compared readmission rates of medical/surgical patients who had a comorbid psychiatric disorder with those who did not. Patients with mental disorders were no more likely to be readmitted for medical problems after their index hospitalization than patients without psychiatric comorbidity. Results may assist in determining whether to include psychiatric variables as risk factors that might predict poor outcome after medical care.


2021 ◽  
pp. 009164712199240
Author(s):  
Noah S. Love ◽  
Cassidy A. Merlo ◽  
M. Elizabeth Lewis Hall ◽  
Peter C. Hill

The present study examined attachment to God and quest as potential moderators of the relationship between religious doubt and mental health. A sample of Christian participants ( N = 235) completed a survey which included measures of attachment to God, quest, religious doubt, and mental health. As hypothesized, attachment to God and quest significantly moderated an individual’s experience of religious doubt. Low avoidant attachment to God (i.e., a more secure attachment) was associated with a more negative relationship between cognitive religious doubt and positive mental health than high avoidant attachment. In contrast, low avoidant attachment to God also ameliorated the positive relationship between affective religious doubt and mental health problems. Low anxious attachment was associated with a stronger negative relationship between both measures of religious doubt (i.e., cognitive and affective) and positive mental health. In addition, high soft quest weakened all four of the relationships between measures of religious doubt and mental health. High hard quest ameliorated the positive relationship between both measures of religious doubt and mental health problems. These results indicate that an individual’s attachment to God and the way an individual is oriented toward religion each play a role in the mental health outcomes associated with religious doubt.


Author(s):  
Rachel A. Fusco ◽  
Yan Yuan ◽  
Hyunji Lee ◽  
Christina E. Newhill

Low-income young adults are more likely to have exposure to trauma, which increases risk for mental health problems. Although adequate sleep promotes good health, people with histories of trauma are more likely to have sleep problems. The current study explored whether poor sleep mediated the relationship between trauma exposure and mental health. A sample of 143 low-income 18–24-year-old young adults completed depression, anxiety, and trauma exposure measures and wore sleep monitors for four nights. Structural equation modeling (SEM) was used to examine both direct and indirect effects of variables. Results showed that higher trauma exposure was associated with depression and anxiety. Mean sleep hours per night was fewer than six, far below recommended guidelines for optimal health and functioning. Fewer sleep hours partially mediated the relationship between both trauma exposure and depression and anxiety, and the direct effect from trauma remained significant after adjusting for the partial mediation from sleep.


1989 ◽  
Vol 18 (4) ◽  
pp. 325-338 ◽  
Author(s):  
Bruce R. Deforge ◽  
Jeffery Sobal

Depression is one of the most common mental health problems in the elderly, but there is little consensus about the best way to assess depression in the aged. The relationship between the CES-D and the ZUNG self-report depression scales was investigated in seventy-eight elderly people with osteoarthritis (mean age 71). The correlation between the scales was r = .69, with the CES-D classifying 15 percent of the participants as depressed, as compared to 6 percent by the ZUNG. Psychological symptoms had the strongest relationship with overall depression scores on both scales. No sex differences were found on psychological items on either scale, but females reported more somatic symptoms on the ZUNG. People over age seventy-four reported more psychological symptoms than their younger counterparts.


Author(s):  
Farah Iylia Binti Fauzi ◽  
Siti Fatimah Binti Salleh ◽  
Mohammad Shahadat Hossen

COVID-19 is a highly contagious virus that first appeared in China in December 2019. It has affected over 157 million people and killed over 3.2 million. The paper reviews the function of the immune system for COVID-19 prevention, depression, and anxiety due to COVID-19 and their effects on the immune system and the relationship of aging with the immune system and depression and anxiety. It has been found that several elderly people lack the coping mechanisms required to deal with the stress caused by COVID-19. Hence, identifying the factors and mechanisms that lead to this resilience will aid in the development of preventive measures for certain elderly people and groups with more severe mental health problems. Additionally, it would be beneficial to understand how technology could be leveraged to accomplish this goal. During the pandemic, various steps such as social isolation, quarantine, and self-isolation are needed to be implemented properly to slow the spread of the virus. Meanwhile, to help halt the pandemic, everybody must be vaccinated as soon as possible until any bans on social gatherings and social isolation can be removed, allowing other sectors such as schooling, social activities, and life to resume normalcy.


Healthcare ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1588
Author(s):  
Sunhwa Shin ◽  
Eunhye Lee

The purpose of this study was to confirm the relationship between internal health locus of control, mental health problems, and subjective well-being in adults during the prolonged COVID-19 pandemic. In particular, the mediating effect of mental health problems on the relationship between internal health locus of control and subjective well-being was examined. A cross-sectional descriptive design was conducted via online survey. The participants were 600 adults over 20 years of age living in South Korea. The collected data were analyzed using hierarchical regression analysis and SPSS Process Macro (Model 4). As a result of the study, the internal health locus of control had a significant negative effect on mental health problems. In addition, in the process of the internal health locus of control affecting subjective well-being, the mediating effect of mental health problems was significantly shown. In the period of an infectious disease pandemic such as COVID-19, it is necessary to establish a strong internal health locus of control of individuals and to promote monitoring and treatment introduction for those with a low internal health locus of control. In addition, it was discussed that controlling mental health problems can improve subjective well-being, which is life satisfaction and happiness.


2016 ◽  
Vol 1 (1) ◽  
pp. 11
Author(s):  
Abdelaziz M. Thabet ◽  
Sanaa S. Thabet

<p><em>Aim:</em><em> This study investigated the relationship between trauma due to winter storm Alexa, PTSD and other mental health problems of Palestinian in Gaza Strip.</em><em> </em><em>Method:</em><em> The sample consisted of 105 males (50%) and 105 females (50%) selected from three of the most affected areas by flooding in 2014 due to Alexa storm in Gaza Strip. Participants age range was 20-65 years, with a mean age 40.88 (SD = 9.8)</em><em>,</em><em> with a mean age of years. Mental health status was assessed by a sociodemographic scale, the Trauma Due to Flood Scale, PTSD scale, and General Health Questionnaire (28 items). Results: Mean traumatic events experienced were 7.8. There were no statistically significant differences between males and females in reporting traumatic events. Mean post-traumatic stress disorder was 18.65, re-experiences symptoms was 6.4, avoidance symptoms was 5.7 and mean arousal symptoms was 5.73. </em></p><p><em>The study showed that 34.8% reported full criteria of PTSD. There were no statistically significant differences in PTSD total scores and subscales and sex of participants. Mean GHQ-28 was 12.12, somatization mean was 3.21, anxiety was 3.31, social dysfunction was 3.34, and depression was 2.27, 91% of the participants were rated as psychiatric morbidity cases and need further investigation. Males significantly scored more in social dysfunction than females. Traumatic events were significantly correlated with PTSD and general mental health and all subscales.</em><em> </em><em>Conclusion and implications</em><em>: </em><em>This study has important implications for need of establishing and implementing psychosocial intervention programs for in the Gaza Strip not only for those victims of political violence but also for people exposed to other types of traumatic events such as natural disasters. </em></p>


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