scholarly journals Adult Attachment and Personal, Social, and Symptomatic Recovery From Psychosis: Systematic Review and Meta-Analysis

2021 ◽  
Vol 12 ◽  
Author(s):  
E. M. M. van Bussel ◽  
N. H. M. Nguyen ◽  
A. I. Wierdsma ◽  
B. C. van Aken ◽  
I. E. M. G. Willems ◽  
...  

Despite growing evidence for the role of attachment in psychosis, no quantitative review has yet been published on the relationship in this population between insecure attachment and recovery in a broad sense. We therefore used meta-analytic techniques to systematically appraise studies on the relationship between attachment and symptomatic, social and personal recovery in clients with a psychotic disorder. Using the keywords attachment, psychosis, recovery and related terms, we searched six databases: Embase, Medline Epub (OVID), Psycinfo (OVID), Cochrane Central (trials), Web of Science, and Google Scholar. This yielded 28 studies assessing the associations between adult attachment and recovery outcome in populations with a psychotic disorder. The findings indicated that insecure anxious and avoidant attachment are both associated with less symptomatic recovery (positive and general symptoms), and worse social and personal recovery outcomes in individuals diagnosed with a psychotic disorder. The associations were stronger for social and personal recovery than for symptomatic recovery. Attachment style is a clinically relevant construct in relation to the development and course of psychosis and recovery from it. Greater attention to the relationship between attachment and the broad scope of recovery (symptomatic, social, and personal) will improve our understanding of the illness and efficacy of treatment for this population.

2014 ◽  
Vol 45 (7) ◽  
pp. 1495-1507 ◽  
Author(s):  
S. Wickham ◽  
K. Sitko ◽  
R. P. Bentall

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.


2017 ◽  
Vol 20 (5) ◽  
pp. 706-719 ◽  
Author(s):  
Camilla K. M. Lo ◽  
Ko Ling Chan ◽  
Patrick Ip

Extant evidence has shown that insecure adult attachment is related to dysfunctional parenting styles that heighten parents’ risk of child maltreatment. However, there is a lack of studies appraising the evidence for the association between insecure adult attachment and child maltreatment. This meta-analytic study examined the relationship between parents’ adult attachment and child maltreatment perpetration/child abuse potential. Studies examining the relationship between parents’ adult attachment and child maltreatment/child abuse potential published before February 2017 were identified through a systematic search of online databases. In total, 16 studies ( N = 1,830) were selected. Meta-analysis based on random-effects models shows a significant positive association between insecure attachment and child maltreatment (pooled effect size: odds ratio [ OR] = 2.93, p = .000). Subgroup analyses show insecure attachment was more strongly associated with failure to thrive ( OR = 8.04, p = .000) and filicide ( OR = 5.00, p < .05). Medium effect sizes were found for subgroup analyses on insecure romantic attachment ( OR = 3.76, p = .000), general attachment ( OR = 3.38, p = .000), attachment to own child ( OR = 3.13, p = .001), and to own parents ( OR = 2.63, p = .000) in relation to child maltreatment.


2015 ◽  
Vol 11 (1) ◽  
pp. 139-154 ◽  
Author(s):  
Tamás Ináncsi ◽  
András Láng ◽  
Tamás Bereczkei

Up to the present, the relationship between Machiavellianism and adult attachment has remained a question to be answered in the psychological literature. That is why this study focused on the relationship between Machiavellianism and attachment towards significant others in general interpersonal relationships and in intimate-close relationships. Two attachment tests (Relationship Questionnaire and long-form of Experiences in Close Relationship) and the Mach-IV test were conducted on a sample consisting of 185 subjects. Results have revealed that Machiavellian subjects show a dismissing-avoidant attachment style in their general interpersonal relationships, while avoidance is further accompanied by some characteristics of attachment anxiety in their intimate-close relationships. Our findings further refine the relationship between Machiavellianism and dismissing-avoidant attachment. Machiavellian individuals not only have a negative representation of significant others, but they also tend to seek symbiotic closeness in order to exploit their partners. This ambitendency in distance regulation might be particularly important in understanding the vulnerability of Machiavellian individuals.


2018 ◽  
Vol 2 (9) ◽  
Author(s):  
Zeinab Mortazavizadeh ◽  
Simon Forstmeier

Attachment style is one of the most significant driving forces across the lifespan as identified by a variety of studies. Many studies have suggested that there might be an association between attachment and mental health. In a different thread of research, studies provided evidence that dysfunctional emotion regulation has a potential impact on an individual’s mental health. The present review has the purpose to examine available papers on the association of adult attachment with mental health with particular emphasis on the role of emotion regulation in this association. A database search was conducted for published data in Psych INFO, Elsevier and Google Scholar by combining search terms: ‘adult attachment’, ‘mental health, diseases or illnesses’ and ‘emotion regulation’. A total of 182 studies were identified and screened, and finally 19 studies met inclusion criteria. Results of this review revealed a moderate association between insecure attachment and several mental disorders. Also, individuals with insecure attachment showed more difficulty in emotion regulation. However, some studies found no positive association between avoidant attachment and mental disease. This review suggests that individual with insecure attachment showed an increased risk for mental disorders and that and emotion dysregulation might mediate this relationship. However, most of studies had non-clinical samples which could affect result. Therefore, further research is needed to examine clinical samples regarding the attachment in adulthood and mental health and the role of emotion regulation to come up with more accurate results in the future.


2021 ◽  
Vol 12 (1) ◽  
pp. 54-69
Author(s):  
Elena Morena Scarlat

The current study focuses on the idea that the relationship between attachment styles and emotional intelligence can be influenced by cognitive schemas. It is well known that the first interaction between the child and his mother lays the foundations of attachment. The extent to which it develops guides the individual throughout his life making him responsible for his own actions and decisions. In this way studying the three variables becomes the main objective of the study. The data were collected on an online form, using the snowball method by which subjects were able to share the questionnaire to acquaintances to gather a larger number of people. The study was attended by 281 people aged between 18 to 40 years, M = 21.98, SD = 4.10, of which, 52 were males (18.50%) and 229 females (81.50%), 134 were single (47.69%) and 147 were in a relationship (52.31%), 48 people come from single-parent families (17.08%) and 233 come from two-parent families (82.92%). The results were as expected, secure attachment constitutes a significant positive predictor of emotional intelligence while the anxious attachment was a significant negative predictor of emotional intelligence. The results also showed that avoidant attachment would be a significant positive predictor of emotional intelligence. Following the results it was observed that there is a mediation between cognitive schema and the relationship between attachment styles and emotional intelligence. The secure attachment style was significantly negatively associated with all three types of schemas as expected.


2020 ◽  
Author(s):  
Hossein Dabiriyan Tehrani ◽  
Sara Yamini

This systematic review aimed to find attitudes toward Altruistic and Game-playing love styles across individualistic and collectivistic cultures. Addressing major moderators concerning Altruistic and Game-playing love styles are the secondary objectives of this review. This review included 102 articles comprising samples from 37 countries (N = 41997). The findings of this meta-analysis show that there is a collectivistic and individualistic difference in Game-playing but not in the Altruistic love style. Collectivistic and individualistic cultures, on average, demonstrate the same perception concerning the Altruistic love style, whereas collectivistic culture shows the Game-playing love style more strongly. To explain the role of moderators in key measures, the subgroup analysis and meta-regression show that both Game-playing and Altruistic love styles decline by increasing the length of the relationship. Likewise, having children affects these love styles such that the Altruistic love style is improved, and the Game-playing love style is reduced by the presence of children in families.


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