scholarly journals Evaluation of Attachment Style and Social Support in Patients With Severe Migraine. Applications in Doctor-Patient Relationships and Treatment Adherence

2021 ◽  
Vol 12 ◽  
Author(s):  
Rose-Angélique Belot ◽  
Margaux Bouteloup ◽  
Magalie Bonnet ◽  
Anne-Laure Parmentier ◽  
Eloi Magnin ◽  
...  
Keyword(s):  
Social Support ◽  
General Population ◽  
Treatment Adherence ◽  
Attachment Style ◽  
Attachment Styles ◽  
Short Form ◽  
Treatment Plan ◽  
Insecure Attachment ◽  
University Hospital ◽  
Primary Headaches

Objectives: The aim of this observational study was to describe social support and patterns of attachment among patients with migraine. We hypothesized that in comparison to the general population, insecure attachment is overrepresented in migraine patients, and that these patients have less social support. We also aimed to study the specific relationship between attachment and social support. We hypothesized that patients with an insecure attachment style have less social support than patients with a secure attachment style.Methods: A total of 101 consecutive patients (88.1% women) aged between 25 and 60 (average age = 41.4) were recruited at the Specialized Center for the Consultation of Primary Headaches at the Regional University Hospital Center of Besançon (France). Migraine impact and disability were evaluated using the Headache Impact Test (HIT-6) questionnaire and Migraine Disability Assessment (MIDAS) questionnaire. Patients also completed several self-administered psychological questionnaires in their validated French versions: the Medical Outcome Survey 36-Item Short-Form Health Survey, the Cungi Scale, the State-Trait Anxiety Inventory, the Beck Depression Inventory, the Relationship Scales Questionnaire and the Sarason's Social Support Questionnaire.Results: The distribution of attachment profiles was different from that of the general population, with an overrepresentation of insecure attachment styles (p = 0.018). Our study showed that migraine patients had less social support than the general population, both in terms of the number of people providing support (p = 0.002) and the level of satisfaction concerning this social support (p = 0.000). We also found that neither the number of available persons score nor the satisfaction score were statistically different between the four attachment categories (p = 0.49). Patient's attachment style and social support influence the patient-doctor relationship, the therapeutic alliance and health behaviors such as treatment adherence.Conclusions: Based on the data we obtained, we developed applications in patient care for people with particular attachment styles and low social support. A treatment plan adapted to the patient's attachment profile should be created to develop “precision medicine” using a personalized approach to the doctor-patient relationship. We would also recommend encouraging patients to participate in support groups, in order to strengthen their attachment systems and gain social support.Clinical Trial Registration:https://clinicaltrials.gov/ct2/show/NCT03577548, identifier NCT03577548.

Attachment Styles and Posttraumatic Growth Among Suicide-Loss Survivors

Crisis ◽  
2019 ◽  
Vol 40 (3) ◽  
pp. 186-195 ◽  
Author(s):  
Yossi Levi-Belz ◽  
Lilac Lev-Ari
Keyword(s):  
Social Support ◽  
Posttraumatic Growth ◽  
Attachment Style ◽  
Attachment Styles ◽  
Structural Equation ◽  
Community Sample ◽  
Equation Model ◽  
Insecure Attachment ◽  
Self Disclosure ◽  
Male Suicide

Abstract. Background and aims: The world loses approximately one million people to suicide every year, leaving behind many suicide-loss survivors, family members and friends, who are significantly affected by the traumatic loss. Yet some suicide-loss survivors not only manage to cope with the loss, but actually experience posttraumatic growth (PTG). To date, no studies have fully examined the psychological processes that underlie this personal positive change. We hypothesized that attachment style would predict PTG and this association would be mediated by self-disclosure and social support. Method: A community sample of 131 suicide-loss survivors (108 women), aged 18–70, self-reported on attachment style, self-disclosure, social support, and PTG. Results: Securely attached individuals scored highest on PTG compared with other attachment styles. A structural equation model confirmed that self-disclosure and social support mediated the association between attachment and PTG. Suicide-loss survivors with secure attachment tended to self-disclose more and to perceive greater support from others than did suicide-loss survivors with insecure attachment, thus enhancing their chances of PTG. Limitations: The sample comprised mostly female participants, and the findings may not be directly generalizable to male suicide-loss survivors. Conclusion: Our results suggest that different psychological interventions should be utilized for suicide-loss survivors with particular attachment styles. Psychotherapies aiming to modify internal working models may be useful for enhancing PTG among survivors characterized by insecure attachment styles.

scholarly journals Measuring attachment and parental bonding in psychosis and its clinical implications

2014 ◽  
Vol 25 (2) ◽  
pp. 142-149 ◽  
Author(s):  
S. Mathews ◽  
J. Onwumere ◽  
S. Bissoli ◽  
M. Ruggeri ◽  
E. Kuipers ◽  
...  
Keyword(s):  
Attachment Theory ◽  
Attachment Style ◽  
Attachment Styles ◽  
Parental Bonding ◽  
Insecure Attachment ◽  
Self Report ◽  
Future Research ◽  
Clinical Implications ◽  
Term Outcome ◽  
Long Term Outcome

Background.Attachment theory proposes that psychological functioning and affect regulations are influenced by the attachment we form with others. Early relationships with parents or caregivers lay the foundations for attachment styles. These styles are proposed to influence how we relate to others during our life can be modified by the relationships and events we experience in our lifespan. A secure attachment style is associated with a capacity to manage distress, comfort with autonomy and the ability to form relationships with others, whereas insecure attachment can lead to dysfunctional relationships, emotional and behaviour avoidance. Attachment theory provides a useful framework to inform our understanding of relationship difficulties in people with psychosis. This paper aims to complement recent systematic reviews by providing an overview of attachment theory, its application to psychosis, including an understanding of measurement issues and the clinical implications offered.Method.A narrative review was completed of the measures of attachment and parental bonding in psychosis. Its clinical implications are also discussed. The paper also explores the link between insecure attachment styles and illness course, social functioning and symptomatology. The following questions are addressed: What are the key attachment measures that have been used within the attachment and psychosis literature? What are the results of studies that have measured attachment or parental bonding in psychosis and what clinical implications can we derive from it? What are some of the key questions for future research from these findings in relation to the onset of psychosis research field?Results.The most commonly used measures of attachment in psychosis research are reviewed. Self-report questionnaires and semi-structured interviews have mainly been used to examine attachment styles in adult samples and in recent years comprise a measure specifically developed for a psychosis group. The review suggests that insecure attachment styles are common in psychosis samples. Key relationships were observed between insecure, avoidant and anxious attachment styles and psychosis development, expression and long-term outcome.Conclusions.Attachment theory can provide a useful framework to facilitate our understanding of interpersonal difficulties in psychosis that may predate its onset and impact on observed variability in outcomes, including treatment engagement. Greater attention should be given to the assessment of attachment needs and to the development of interventions that seek to compensate for these difficulties. However, further investigations are required on specifying the exact mechanisms by which specific attachment styles impact on the development of psychosis and its course.

Insecure attachment is associated with paranoia but not hallucinations in psychotic patients: the mediating role of negative self-esteem

2014 ◽  
Vol 45 (7) ◽  
pp. 1495-1507 ◽  
Author(s):  
S. Wickham ◽  
K. Sitko ◽  
R. P. Bentall
Keyword(s):  
Attachment Style ◽  
Attachment Styles ◽  
Self Esteem ◽  
Insecure Attachment ◽  
Future Research ◽  
Schizophrenia Spectrum Disorders ◽  
Attachment Representations ◽  
Co Morbidity ◽  
The Relationship

BackgroundA growing body of research has investigated associations between insecure attachment styles and psychosis. However, despite good theoretical and epidemiological reasons for hypothesising that insecure attachment may be specifically implicated in paranoid delusions, few studies have considered the role it plays in specific symptoms.MethodWe examined the relationship between attachment style, paranoid beliefs and hallucinatory experiences in a sample of 176 people with a diagnosis of schizophrenia spectrum disorders and 113 healthy controls. We also investigated the possible role of negative self-esteem in mediating this association.ResultsInsecure attachment predicted paranoia but not hallucinations after co-morbidity between the symptoms was controlled for. Negative self-esteem partially mediated the association between attachment anxiety and clinical paranoia, and fully mediated the relationship between attachment avoidance and clinical paranoia.ConclusionsIt may be fruitful to explore attachment representations in psychological treatments for paranoid patients. If future research confirms the importance of disrupted attachment as a risk factor for persecutory delusions, consideration might be given to how to protect vulnerable young people, for example those raised in children's homes.

scholarly journals Problems with Recall-Based Attachment Style Priming Paradigms: Exclusion Criteria, Sample Bias and Reduced Power

2017 ◽  
Author(s):  
John Kitchener Sakaluk
Keyword(s):  
Attachment Style ◽  
External Validity ◽  
Attachment Styles ◽  
Sexual Experience ◽  
Insecure Attachment ◽  
Exclusion Criteria ◽  
Sample Bias ◽  
Internal And External Validity

Attachment styles are often primed by having participants recall and describe a relationship that is prototypical of a given attachment style. Researchers may exclude participants who cannot recall such a relationship, or who describe relationships that do not conform to the assigned prime. I suggest that excluding participants is untenable, and may threaten a study’s validity. In the present research, I examine predictors of exclusion from an attachment priming study. Priming insecure attachment resulted in greater odds of exclusion relative to a control condition. Female participants with greater sexual experience also had lesser odds of exclusion. These results suggest that attachment-priming procedures contribute to participant exclusion that compromise internal and external validity. Discussion focuses on directions for future attachment-priming research.

scholarly journals Is attachment style in early childhood associated with mental health difficulties in late adolescence?

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S15-S15
Author(s):  
Philippa Clery ◽  
Angela Rowe ◽  
Marcus Munafò ◽  
Liam Mahedy
Keyword(s):  
Mental Health ◽  
Early Childhood ◽  
Attachment Style ◽  
Attachment Styles ◽  
Late Adolescence ◽  
Insecure Attachment ◽  
Secure Attachment ◽  
Childhood Attachment ◽  
Mental Health Difficulties ◽  
Self Harm

AimsIdentifying factors that contribute to mental health difficulties in young people as early in life as possible are needed to inform prevention strategies. One area of interest is attachment. Although existing research has suggested an association between insecure attachment styles and mental health difficulties, these studies often have small sample sizes, use cross-sectional designs, and measure attachment as a discrete variable at a single point or use romantic relationship attachment as a proxy for childhood attachment. It is also unclear whether these associations persist into late adolescence. In this large prospective study we aimed to determine whether an insecure attachment style measured at repeated points in early childhood, is associated with depression and self-harm at 18 years.MethodWe used data from the Avon Longitudinal Study of Parents and Children cohort. Mothers completed attachment related questionnaires when their child was 18, 30, and 42 months old. Offspring depression and lifetime self-harm was assessed at 18 years in clinic using the Clinical Interview Schedule-Revised. Attachment was derived as a continuous latent variable in a structural equation modelling framework. Logistic regression was performed on participants with complete attachment data (n = 7032) to examine the association between attachment style and depression and self-harm, with adjustment for potential confounders. Differential dropout was accounted for using multiple imputation.ResultWe found some evidence for an association between a more insecure attachment style in childhood, and a diagnosis of depression and life-time self-harm at age 18. In the fully adjusted imputed model, a one standard deviation increase in insecure attachment was associated with a 13% increase in the odds of depression (OR = 1.13; 95%CI = 1.00 to 1.27) and a 14% increase in the odds of self-harm at age 18 (OR = 1.14; 95%CI = 1.02 to 1.25), for children who had more insecure attachment in early childhood, compared with children who had more secure attachment.ConclusionThis is the largest longitudinal study to examine the prospective association between childhood attachment and depression and self-harm in late adolescence. Our findings strengthen the evidence suggesting that a childhood insecure attachment style is associated with mental health difficulties in late adolescence. Policies and interventions to support parenting behaviours that foster the development of secure attachment styles, or attachment-based therapies to improve attachment quality, could help reduce depression and self-harm in adolescence/young adulthood.Philippa Clery is supported by the Elizabeth Blackwell Institute for Health Research at the University of Bristol and the Wellcome Trust Institutional Strategic Support Fund.

Dismissive Attachment and Posttraumatic Stress Disorder among Securely and Insecurely Attached Belgian Security Workers

2009 ◽  
Vol 105 (3) ◽  
pp. 889-899 ◽  
Author(s):  
Stefan Bogaerts ◽  
Maarten J. J. Kunst ◽  
Frans W. Winkel
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Attachment Style ◽  
Attachment Styles ◽  
Stress Disorder ◽  
Ptsd Symptom ◽  
Traumatic Event ◽  
Insecure Attachment ◽  
Grandiose Narcissism ◽  
Preoccupied Attachment

This study examined Posttraumatic Stress Disorder in relation to secure and insecure attachment styles based on data collected in a sample of 81 Belgian security workers. All had experienced one traumatic event in the previous year. The sample was divided into a securely attached and an insecurely attached group. The three PTSD symptom scales, Re-experiencing, Avoidance, and Hyperarousal, differentiated significantly between the two attachment groups; the dismissive attachment style was negatively related to PTSD. Individuals with a positive view of themselves and a negative view of others have less risk of developing PTSD than those with a fearful or preoccupied attachment style. A relationship between the dismissive attachment style with grandiose narcissism seems possible. Interest has been expressed in medical approaches; therefore, the importance of medical research on PTSD is emphasized.

Measure of Attachment Style

2016 ◽  
Vol 3 (4) ◽  
Author(s):  
Naseem Ahmad ◽  
Azmat Jahan ◽  
Nasheed Imtiaz
Keyword(s):  
Construct Validity ◽  
Attachment Style ◽  
Attachment Styles ◽  
Insecure Attachment ◽  
Validity And Reliability ◽  
Mary Ainsworth

This paper describes the development and standardization of a measure of perceived attachment styles. The four attachment styles namely secure, avoidant insecure, ambivalent insecure, and disorganized insecure attachment proposed by Mary Ainsworth (1970), Main and Soloman 1986 (Disorganized- insecure attachment). The items are constructed on socio-cultural and educational circumstances of the individuals using mix strategy for construction of the scale by selecting the items from various attachment scales and by writing some original items. Hence the tool will be largely suitable for measuring the attachment styles among the adults and adolescents in India. The tool has good construct validity and reliability.

scholarly journals Insecure Attachment and Other Help-Seeking Barriers among Women Depressed Postpartum

2020 ◽  
Vol 17 (11) ◽  
pp. 3887
Author(s):  
Emily Cacciola ◽  
Elia Psouni
Keyword(s):  
Attachment Style ◽  
Help Seeking ◽  
Attachment Styles ◽  
Qualitative Methodology ◽  
Insecure Attachment ◽  
Treatment Programs ◽  
Entire Family ◽  
Relational Experiences ◽  
Avoidant Attachment ◽  
Seeking Behavior

When untreated, postpartum depression (PPD) can severely, negatively affect maternal health, child development, and the wellbeing and functioning of the entire family. Yet, despite screening and treatment programs for PPD, many women who experience depression with onset in the postpartum year do not communicate their symptoms. Negative relational experiences early in life, such as not receiving sensitive help and support when needed, often result in so-called insecure attachment styles, and there is evidence that these may contribute to the development and maintenance of PPD. However, the role of insecure attachment styles in non-help-seeking is unknown for this group. Using mixed quantitative and qualitative methodology, we identified help-seeking barriers of women who experienced depression with onset in the postpartum year but who had not sought help for their depression (N = 37), and explored links to their attachment orientations as assessed through both self-reported attachment style and narrative based attachment script assessment. The sample was non-normative regarding attachment, with an over-representation of avoidant attachment styles. Help-seeking barriers varied systematically with the mother’s adult attachment style. Specifically, convictions of a strong self and lack of trust in healthcare professionals constituted a common barrier among women with avoidant attachment styles, while unrealistic expectations about motherhood constituted a barrier for women with secure attachment styles. This new knowledge on how barriers to communicating symptoms and seeking help when suffering from PPD vary systematically with attachment orientation can help formulate individualized, and therefore more efficient, approaches to addressing non-help-seeking behavior in women who suffer in silence.

Romantic relationships in adults with ADHD: The effect of partner attachment style on relationship quality

2020 ◽  
Vol 38 (1) ◽  
pp. 42-64
Author(s):  
Katherine Knies ◽  
Elizabeth A. Bodalski ◽  
Kate Flory
Keyword(s):  
Romantic Relationships ◽  
Relationship Quality ◽  
Attachment Style ◽  
Attachment Styles ◽  
Romantic Relationship ◽  
Insecure Attachment ◽  
Adhd Symptoms ◽  
Anxious Attachment ◽  
Avoidant Attachment ◽  
Romantic Relationship Quality

Prior literature indicates that insecure attachment styles (i.e., anxious or avoidant) and attention-deficit/hyperactivity disorder (ADHD) both have negative impacts on romantic relationships, but relatively little is known about how these factors interact among couples where one partner has ADHD and the other does not. One hundred and fifty-nine partners of adults with significant ADHD symptoms completed measures of their own attachment styles, their partner’s ADHD symptoms, and relationship quality. Anxious attachment was associated with lower romantic relationship quality, but avoidant attachment was associated with more positive relationship outcomes. Results also indicated that the negative effect of ADHD symptoms on romantic relationship quality may be exacerbated by a partner’s high level of anxious attachment. Though insecure attachment styles are generally thought to have a negative impact on romantic relationships, avoidant attachment was generally associated with more positive outcomes in this study. Several possible explanations based on theoretical support are included in the discussion along with clinical applications and future directions.

scholarly journals Attachment, perceived social support and mental health problems in women with primary infertility

2019 ◽  
Vol 8 (6) ◽  
pp. 2533 ◽  
Author(s):  
Sadia Saleem ◽  
Namra S. Qureshi ◽  
Zahid Mahmood
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Attachment Style ◽  
Attachment Styles ◽  
Mental Health Problems ◽  
Perceived Social Support ◽  
Health Problems ◽  
Depression Anxiety Stress Scale ◽  
Cross Sectional ◽  
Attachment Pattern

Background: Infertility is one of the fastest growing concerns when it comes to reproductive health and most often, women get the blame. Consequently, females suffer from major psycho-social and emotional problems that may lead to serious mental health concerns.Methods: To fill the gap in literature, a cross-sectional research design was used to measure the attachment styles with spouse, perceived social support, and predict mental health problems in women attending infertility clinics with ages ranging from 19-45 (M 27.21, SD 4.79). Adult Attachment Questionnaire, Multidimensional Perceived Social Support, and Depression Anxiety Stress Scale were used among experimental subjects selected through purposive sampling technique.Results: About 32% women reported themselves as secure, 49% as ambivalent, and 19% as avoidant in their attachment style with spouse. The results revealed that a significant negative correlation exists between perceived social support and mental health problems among women with infertility. Moreover, women who identify their attachment pattern as Ambivalent perceive less social support and experience more mental health problems.Conclusions: Education is one of the strongest predictors of how likely infertility is to cause mental health issues while Attachment style is another strong indicator since infertile women with secure attachment pattern have fewer mental health problems. However, the sample size was modest to make any wide-scale assumptions, so further trials with larger participant pools must be performed. Additionally, future studies should include both rural and urban samples with different psychological variables to find the similarities and differences between various groups of people with diverse backgrounds.

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