Abstract
The present study investigated the relationship between attachment style with adjustment and resiliency in chronic pain patients and probable mediating role of resiliency between attachment and adjustment. 
 Adult Attachment Inventory; Depression‚ Anxiety‚ Stress Scale (DASS_21) Resiliency Scale (CS_RISC) and Roland–Morris Disability Questionnaire (RDQ). Data were analyzed using parson’s correlation and regression.
 Results revealed that avoidant and ambivalent attachment styles negatively correlated with adjustment (positively correlated with depression, anxiety and stress) and positively with resiliency. Secure attachment wasn’t correlated with none of them. Resiliency didn’t mediate the impact of attachment style on adjustment. These findings suggest that insecure attachment style is a vulnerability factor for adjustment with chronic pain and predicts lower resiliency in these patients.
 Briefly present the conclusions and importance of the results. Concisely summarize the study’s implications. Please do not include any citations in the abstract.
Highlights
In recent years, attachment theory, which was originally formulated to describe and explain infant-parent emotional bonding, has been applied to the study of adolescent and adult romantic relationships and to the study of psychological processes, such as interpersonal functioning, emotion regulation, coping with stress, and mental health[1] In particular, research on adult attachment processes and individual differences in attachment orientations has provided strong evidence for the anxiety-buffering function of what Bowlby [2] called the attachment behavioral system and for the relevance of attachment-related individual differences to coping with stress, managing distress, and retaining psychological resilience [3]
The present study investigated the relationship between attachment style with adjustment and resiliency in chronic pain patients and probable mediating role of resiliency between attachment and adjustment
[9] Results demonstrated that higher levels of secure attachment were associated with lower levels of activity avoidance, which was fully mediated by lower levels of pain catastrophizing; higher levels of preoccupied or fearful attachment were directly associated with higher levels over activity; higher levels of preoccupied attachment were associated with higher levels of activity avoidance, which was partially mediated by higher levels of pain catastrophizing; and higher levels of fearful attachment were indirectly associated with higher levels of activity avoidance through higher levels of catastrophizing[10]
Summary
Attachment theory, which was originally formulated to describe and explain infant-parent emotional bonding, has been applied to the study of adolescent and adult romantic relationships and to the study of psychological processes, such as interpersonal functioning, emotion regulation, coping with stress, and mental health[1] In particular, research on adult attachment processes and individual differences in attachment orientations has provided strong evidence for the anxiety-buffering function of what Bowlby [2] called the attachment behavioral system and for the relevance of attachment-related individual differences to coping with stress, managing distress, and retaining psychological resilience [3]. Given that pain is aversive and may present a threat to well-being, attachment processes could theoretically be activated by the experience of pain and influence individuals’ response to pain. Consistent with this model, empirical studies have shown that insecure attachment is associated with chronic widespread pain [9]. It is important to note that both stable personal characteristics (resilience resources) and more dynamic processes (resilience mechanisms) can play a prominent role in determining the effectiveness of individual pain adaptation. It should be noted that individual differences are unquestionably present in the process of resilience to pain, both in recovery of homeostasis following upset and sustainability of positive engagements [11]. According to above conversation we decided to investigate this question: Is resiliency has moderating role between attachment styles and coping with chronic pain?
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