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

Author(s):  
Emily Cacciola ◽  
Elia Psouni

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.

2020 ◽  
Vol 38 (1) ◽  
pp. 42-64
Author(s):  
Katherine Knies ◽  
Elizabeth A. Bodalski ◽  
Kate Flory

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.


2017 ◽  
Vol 11 (4) ◽  
pp. 304-323 ◽  
Author(s):  
Luke Felton ◽  
Sophia Jowett

The current study aimed to examine whether (a) mean differences and changes in athletes’ attachment style predicted psychological need satisfaction within two diverse relational contexts (coach and parent) and well-being, and (b) mean differences and changes in need satisfaction within the two relational contexts predicted well-being. One hundred and ten athletes aged between 15 and 32 years old completed a multisection questionnaire at three time points over a span of 6 months to assess the main study variables. Multilevel modeling revealed that insecure attachment styles (anxious and avoidant) predicted well-being outcomes at the within- and between-person levels. Avoidant attachment predicted need satisfaction within the parent relational context at both levels, and need satisfaction within the coach relational context at the between-person level. Need satisfaction within both relational contexts predicted various well-being outcomes at the between-person level, while need satisfaction within the parent relational context predicted vitality at the within-person level.


2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Melina Skentzos ◽  
Anissa Naeli ◽  
Anastasia Hronis

AbstractSubstance Use Disorders (SUDs) are prevalent, long-term conditions, commonly treated via group intervention. Additionally, interpersonal learning (IL) is a therapeutic factor unique to group treatment programs, which has been associated with successful group therapy outcomes. While previous research has suggested attachment styles may predict experiences of IL within groups, research in this area is limited. Therefore, this study aims to investigate if attachment style impacts IL, within SUD group treatment programs and specifically, if anxious and avoidant attachment styles influence IL. Participants (N = 38) were recruited voluntarily from an outpatient SUD open group therapy program at a private mental health hospital in Sydney. All participants completed paper-based self-report questionnaires to assess attachment style and IL. Two separate Multiple Linear Regressions (MLRs) revealed anxious attachment was not a significant predictor of IL and avoidant attachment was a significant, negative predictor of IL. Additionally, thematic analysis of qualitative data revealed themes and behaviours which may improve IL. Thus, future directions and implications of the study’s findings indicate the need to conduct additional research into members attachment-based needs to enhance SUD group treatment outcomes.


2022 ◽  
pp. 026540752110616
Author(s):  
Rami Tolmacz ◽  
Rachel Bachner-Melman ◽  
Lilac Lev-Ari ◽  
Karen Almagor

Early experiences and childhood perceptions of interparental conflict (IPC) have consistently been shown to have detrimental consequences for future psychological adjustment, in particular for attachment and couple relationships during adolescence and adulthood. We hypothesized that 1. IPC would predict anxious and avoidant attachment styles, and three relational attitudes associated with couple relationships: sense of relational entitlement, pathological concern, and authenticity; and 2. Attachment style would mediate the associations between IPC and these three relational attitudes. Measures of perceived IPC, attachment orientations, relational entitlement, pathological concern, and authenticity in romantic relationships were completed online by 280 young adults aged 19–32. IPC was positively correlated with anxious and avoidant attachment styles, restricted and inflated sense of entitlement, and pathological concern and negatively with authenticity. A structural equations model showed that IPC predicted avoidant and anxious attachment styles, which positively predicted an inflated and restricted sense of relational entitlement and pathological concern and negatively predicted authenticity. Attachment styles fully mediated the relationships between IPC and the relational attitudes. IPC therefore seems to be related to imbalanced attitudes in romantic relationships, due in part to a propensity toward insecure attachment orientations. Children with insecure attachment who are exposed to significant levels of IPC may be at high risk for relationship problems later in life because of difficulties exposing their vulnerability, assessing need fulfillment realistically, and caring for themselves as well as others. They should therefore be helped to communicate their relational needs to significant others, in particular to their partners.


2017 ◽  
Vol 38 (7) ◽  
pp. 966-987
Author(s):  
Meenakshi Menon ◽  
Harriet C. A. Moyes ◽  
Christina M. Bradley

We hypothesized that in adolescence, maladaptive narcissism interacts with low self-esteem to predict a preoccupied attachment style ( attachment for self-affirmation hypothesis), and with high self-esteem to predict an avoidant attachment style ( attachment for self-enhancement hypothesis). We expected gender differences in narcissistic adolescents’ attachment strategies, with girls more likely to be motivated to self-affirm, and boys more likely to self-enhance. Early adolescents in England ( N = 306, 156 girls, 150 boys, [Formula: see text] age = 13.38 years) responded to self-report measures of narcissism, self-esteem, and attachment styles to mother and a friend. Results supported the attachment for self-enhancement hypothesis only. For adolescent boys (but not girls) with high self-esteem, narcissism was associated with higher avoidant attachment toward the mother and a friend. The results suggest that maladaptive narcissism might derail normative separation-individuation processes in adolescent boys, thus contributing to their adoption of an avoidant attachment style with close relationship partners.


Animals ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. 315 ◽  
Author(s):  
Elena Gobbo ◽  
Manja Zupan

A dog’s aggressive behavior is influenced by external and internal factors, including its psychological profile. In this study, dogs’ and owners’ personalities and the owners’ attachment style to their dogs were identified and associated with owner-reported dog aggression towards humans and animals. Forty Slovenian owners participated with their dogs, of different breeds and aggression history, sorted into three groups (non-aggressive dogs, dogs aggressive towards humans, and dogs aggressive towards animals). The owners filled out three separate questionnaires that assessed dog aggression history towards different targets, owner’s personality and degree of insecure attachment styles to dogs; namely anxious and avoidant attachment. Dog personality was characterized using a standardized dog mentality assessment test, during which the dog was exposed to nine tasks, performed outside, and dogs were scored based on behaviors they exhibited. The results indicated that dogs which were aggressive towards humans were less sociable than non-aggressive dogs and this was associated with the higher neuroticism scores of their owners. We also found that dogs which were aggressive towards strangers had owners with lower scores for anxious attachment and that dogs which were aggressive towards owners had owners with higher scores for avoidant attachment. These results imply that the psychological profiles of both a dog and its owner influence dog aggression towards humans.


Animals ◽  
2020 ◽  
Vol 11 (1) ◽  
pp. 14
Author(s):  
Giacomo Riggio ◽  
Angelo Gazzano ◽  
Borbála Zsilák ◽  
Beatrice Carlone ◽  
Chiara Mariti

Since several modified Strange Situation Procedures (SSP) have been used to investigate dog-to-owner attachment, in this study two different samples of dog-owner dyads underwent two modified versions of the SSP. Dogs’ attachment style to the owner was assessed based on a novel adaptation of the attachment pattern classification used for infant-caregivers. Dogs’ behavioral data were collected using continuous sampling and, in the second protocol, also with a scoring system for greeting and social play. In both studies, secure and avoidant dogs’ behavior was compared using the Mann Whitney test, while differences within each group across episodes were analyzed using the Wilcoxon paired sample test. The classification seemed to be effective at identifying both avoidant and secure attachment patterns in dogs. As expected, differences in key attachment behaviors, such as proximity/contact seeking toward the caregiver, between secure and avoidant dogs were more evident in the final episodes of the test. Differently from secure dogs, avoidant dogs did not show an increase in proximity/contact seeking behavior with the caregiver in any of the procedures. Further studies with larger samples are needed to support the effectiveness of this classification and investigate on the remaining attachment styles.


2014 ◽  
Vol 25 (2) ◽  
pp. 142-149 ◽  
Author(s):  
S. Mathews ◽  
J. Onwumere ◽  
S. Bissoli ◽  
M. Ruggeri ◽  
E. Kuipers ◽  
...  

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.


2014 ◽  
Vol 115 (1) ◽  
pp. 279-295 ◽  
Author(s):  
Yuko Shibue ◽  
Makiko Kasai

This study investigated the relations between attachment, resilience, and earned security in Japanese university students. It was hypothesized that resilience would have a positive relationship with attachment and that people who had an insecure attachment style but high resilience would also have high earned security. An earned security scale was developed, based on the Naikan thought scale and attachment theory. The earned-security scales, a resilience scale, and an internal working model scale were administered to 343 university students. Three trends were apparent: (1) positive correlations between secure attachment scores and resilience scores; (2) negative correlations between insecure ambivalent attachment scores and resilience scores, but people classified in the ambivalent attachment cluster and high resilience group had higher earned security; and (3) avoidant attachment scores had negligible correlations with resilience and earned security.


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.


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