Insecure Attachment Research Articles

Pre-Loss Grief and Personal Growth in Taiwanese Cancer Patient Caregivers

Attachment insecurity has been linked to the intense grief of caregivers. However, limited studies have focused on the pre-loss grief and attachment insecurity of caregivers during end-of-life care. In this study, we examined potential correlates of caregivers’ pre-loss grief, personal growth, and relationships with the patients, focusing on attachment insecurity and relational closeness. 163 primary caregivers of terminally ill cancer patients were recruited. Sociodemographic, pre-loss grief, personal growth, attachment insecurity, and emotional closeness were assessed from caregivers during the palliative care for patients. The results showed that attachment anxiety, but not attachment avoidance, was significantly associated with pre-loss grief. Emotional closeness during the care of terminal patients, but not before cancer occurrence, was significantly associated with personal growth. The present study highlights the importance of dyadic relational quality between the caregiver and the patient, which is useful in clinical settings to identify at-risk populations for caregivers’ pre-loss grief.

The influence of insecure attachment on undergraduates' jealousy: the mediating effect of self-differentiation.

Jealousy is a complex emotion and can be healthy or pathological, depending on the intensity and the degree of control. Excessive jealousy was characterized by anxiety, anger, and alienation in the insecure attachment relationship. To explore how insecure attachment triggered this intense emotion, this study investigated the relationship between two insecure attachment dimensions and jealousy and explored the influence of self-differentiation on the relationship. A total of 477 undergraduates participated in the study, and the Bringle self-report jealousy scale (BSJS), the relationship questionnaire (RQ), the intimate relationship experience questionnaire (ECR), and the revised edition of self-the differentiation questionnaire (DSR) were used. The results showed that: (1) attachment anxiety had a significant positive predictive effect on jealousy, but attachment avoidance had no significant positive predictive effect; (2) self-differentiation partially mediated the relationship between attachment anxiety and jealousy, but it has no significant mediating effect between attachment avoidance and jealousy. The results suggest that attachment anxiety was correlated with jealousy because it strengthened the intensity of anxiety and anger toward their attachment figures and became out of control through a lower level of self-differentiation, which has important implications for clinical intervention.

Does Your Childhood Attachment Make You Bully Your Lover? The Role of Rejection Sensitivity and Romantic Relationship Satisfaction

Evidence has shown that insecure childhood attachment and aggression in romantic relationships in emerging adulthood are related. This study examined the psychological processes underlying this association. Based on the attachment theory and the rejection sensitivity model, this study investigated rejection sensitivity as a mediator and romantic relationship satisfaction as a moderator in the association between insecure childhood attachment to parents and relational aggression toward partners. A total of 336 college students, currently in heterosexual romantic relationships, completed self-report questionnaires. The results of the moderated mediation analysis showed that the mediating effect of rejection sensitivity on the association between insecure childhood attachment and romantic relational aggression weakened as college students were more satisfied in their romantic relationships. This finding suggests that romantic relationship satisfaction offers emerging adults protection against difficulties associated with rejection sensitivity in the link between insecure childhood attachment and romantic relational aggression.

A correlation study of music training, adult attachment, and personality traits using a large-sample questionnaire.

Music training can provide benefits to psychological health and is strongly associated with adult attachment style and personality traits through bidirectional interactions. A large sample including 10,191 Chinese musicians and non-musicians completed the Relationship Questionnaire and Big-Five Personality Inventory. Connections between music training, adult attachment, and personality were analyzed with the following results: (1) personality traits were correlated with attachment dimensions, with positive correlations between secure attachment and extroversion and between dismissing attachment and neuroticism; (2) music training was connected with the secure and fearful-avoidant attachment dimensions, which complemented the effect of educational level in the preoccupied and dismissing dimensions; (3) music training enhanced extroversion, openness, agreeableness, and conscientiousness, which interacted to affect extroversion and openness by gender; and (4) music training enhanced the regression of extroversion to preoccupied and secure attachments, and the regression of openness to preoccupied attachment. Conclusively, music training enhanced the connection between secure attachment and positive personality traits and regulated the correlation between insecure attachment and neuroticism. This analysis provides a large sample of statistical and practical evidence for the clinical practices of mental health and the educational and music training practices of co-cultivating cultural knowledge and artistic quality.

The role of family functioning, attachment style, and care setting on pre-loss grief symptoms and burden in caregivers of terminally cancer patients.

The aim of the present cross-sectional study was to investigate the associations between caregivers' attachment styles, family functioning, the care setting and pre-loss grief symptoms, the burden, and the caregivers' belief of patients' awareness of the terminal cancer diagnosis. A total of 101 caregivers of patients with terminal cancer in residential hospice care and home care were interviewed and completed self-report questionnaires. Insecure attachment style and home care setting were associated with worse psychological effects in caregivers of patients with terminal cancer. Moreover, family cohesion can promote low social burden and the patient's awareness of their terminal condition. This study highlighted the importance of evaluating the caregiver's attachment style, family functioning, and the setting of care during the terminal phase of the patient's life. These findings will be useful to planning interventions to prevent burden and the pre-loss grief symptoms in the caregivers.

Mentalizing partially mediates the association between attachment insecurity and global stress in preservice teachers.

Considering the fact that the teaching profession is a highly stressful occupation and that teachers' ineffective coping strategies contribute to higher levels of stress, the objective of the present study was to investigate whether insecure attachment is related to global stress experiences in preservice student teachers. Furthermore, it was examined whether this link is mediated by the preservice teachers' mentalizing-the capacity to perceive and consider one's own and others' behavior based on intentional mental states. Data of this cross-sectional study came from 202 preservice student teachers using self-report instruments (attachment: Expectation in Close Relationships; mentalizing: Reflective Functioning Questionnaire; stress: Trier Inventory of Chronic Stress). The hypotheses were tested using structural equation modelling. Anxious attachment was positively related to stress and impairments in mentalizing. In addition, the link between attachment-related anxiety and stress was partially mediated by mentalizing. Avoidant attachment was not associated with stress or mentalizing. Results indicate that anxious attachment is associated with higher perceived stress in preservice student teachers. Consequently, attachment-related anxiety may be a risk factor which, in turn, may foster perceptions of higher global stress experiences. Additional research needs to focus on exploring the link between attachment insecurity and global stress experiences among preservice student teachers. An examination of preservice student teachers' own attachment experiences proves to be useful, for example in the context of mentalization-based supervision or reflective practice.

‘I just know I am upset, and thats it!’: The role of adolescents’ attachment, emotions, and relationship with caregivers in residential care

AbstractAccording to the attachment theory, the establishment of emotional bonds with significant figures is an important process in human development throughout life. The quality of the relationships between adolescents and their caregivers in residential care (RC) may act as a protective factor for internal reorganisation and the development of emotional regulation skills. The present study aims to analyse the effect of insecure attachment orientation and the quality of relationships developed with caregivers in RC settings and adolescent emotion regulation. It also aims to assess the mediating role of emotion regulation in the association between attachment and the quality of the relationship with caregivers. The sample consisted of 249 adolescents, aged between 12 and 18 years old, living in RC facilities in Porto (Portugal). The results suggest that perceived insecurity of attachment to significant figures has a negative effect on emotional regulation and on the quality of the relationship with caregivers. We also found a negative mediating effect of the differentiating emotions dimension on the association between attachment and the quality of the relationship with caregivers. It is relevant to highlight the importance of close affective relationships in developing adolescents' ability to regulate their emotions and particularly the impact of caregivers and their work in residential care.

Attachment disorder symptoms in foster children: development and associations with attachment security

BackgroundChildren in foster care constitute a risk population for developing symptoms of attachment disorders. However, little is known about the longitudinal course of attachment disorders and their association with attachment security in foster children.MethodThis longitudinal study assessed attachment disorder symptoms in a sample of foster children (n = 55) aged 12 to 82 months. Foster parents with a newly placed foster child were assessed at three points during the first year of placement. At all assessment points, the Disturbance of Attachment Interview (DAI; Smyke and Zeanah in Disturbances of attachment interview, Tulane University, New Orleans, 1999) and the Attachment Q-sort (AQS; Waters and Deane in Monogr Soc Res Child Dev 50:41–65, 1985 German version as reported(Schölmerich and Leyendecker in Deutsche Übersetzung des attachment behavior Q-Set, revision 3.2. Unpublished manual, Ruhr UniversityBochum, Bochum, 1999) were used to investigate the interplay between disorder symptoms and attachment security.ResultsThe results revealed that the symptoms of attachment disorders decreased. The decrease was more pronounced for the inhibited than for the disinhibited symptoms with marked changes in the first 6 months of placement. There was a noticeable gender difference in the development with boys showing a more pronounced decrease in inhibited attachment disorder symptoms and a stronger increase of attachment security. After 12 months, no significant gender effects were found. Regarding the association between symptoms of attachment disorders and attachment security, a significant negative correlation between the inhibited attachment disorder symptoms and attachment security was found 12 months after placement.ConclusionsAttachment disorder symptoms decreased in the stable foster care environment. Thus, foster care seems to be an effective placement option regarding children’s attachment development.

Risk factors for traumatic bonding and associations with PTSD symptoms: A moderated mediation

BackgroundTraumatic bonding, defined as attachment to a perpetrator of intimate partner violence (IPV), offers one explanation as to why many people with abusive romantic partners do not break off these relationships. But what individual-level risk factors make some victims of IPV more likely than others to develop traumatic bonding toward their partners? What is the nature of the potential association between traumatic bonding and PTSD symptoms? ParticipantsA path model tested the potential roles of childhood maltreatment and attachment insecurity as risk factors for traumatic bonding, as well as the potential association between traumatic bonding and PTSD symptoms, in a high-risk sample of 354 participants in current abusive relationships. ResultsAs hypothesized, childhood maltreatment and attachment insecurity significantly predicted traumatic bonding over and above the effects of age, gender, and romantic love. In addition, attachment insecurity moderated the association between childhood maltreatment and traumatic bonding, such that at higher levels of attachment insecurity, the association between childhood maltreatment and traumatic bonding was stronger than at mean or lower levels of attachment insecurity. Traumatic bonding was positively associated with PTSD symptoms. ConclusionsOverall, the results support the role of childhood maltreatment as a risk factor for both traumatic bonding and PTSD symptoms and highlight the importance of attachment insecurity in these associations. This was the first study to examine a complex model of risk factors for traumatic bonding. Theoretical and clinical implications are discussed.

How attachment style, mentalization and preparedness for death are associated with pre-loss grief symptoms’ severity: A network analysis study in caregivers of terminally ill cancer patients

Several psychological dimensions influence the psychological adjustment of terminally ill cancer patients’ caregivers, during the end-of-life phase. The present study explored the associations between attachment styles, mentalization, preparedness for death, and the severity of pre-loss grief symptoms in 102 caregivers of terminal cancer patients. The results of the network analysis showed that insecure attachment dimensions were positively associated with several central pre-loss grief symptoms. Mentalization and preparedness for death showed negative associations with several pre-loss grief symptoms. Interestingly, bitterness showed a negative association with need for approval and a positive association with mentalization. The results provided insight into the grieving process for palliative care providers to implement effective caregiver support interventions.

Mentalization and Its Use in Schools

Th is article outlines the current state of theoretical knowledge about mentalization, which appears to be essential for eff ective practice in the teaching profession. Mentalization is the capacity to understand and make sense of our own and others' actions by recognising and giving meaning to intentional mental states, including needs, thoughts, feelings, beliefs, and motivations. It is the understanding of the background of the behaviour – the understanding of the mental states that have led to a certain behaviour. Thanks to mentalization theory, we are now able to think and discuss in more detail what happens between and within people as they interact in diff erent social contexts such as schools. Th ese skills are useful for teachers as they work with children, whose metalizing skills are still developing. At the same time, in their practice, teachers often encounter children who come to school with disruptive behaviours, insecure attachment styles, and negative internal working models of relationships that make the healthy development of mentalizing skills diffi cult. Th is article highlights the importance of mentalization in educational contexts and provides a framework for interventions aimed at increasing mentalization skills among teachers, parents, and students. Empirical evidence has shown that the implementation of mentalization-based programmes in schools can lead to signifi cant improvements in teacherresilience, as well as a reduction of aggressive behaviour among students and an improvement of their academic performance.

Close(d) to you? Avoidant attachment is associated with attenuated pupil responsivity to social stimuli

Insecure attachment is thought to impair romantic relationships, presumably also contributing to mental health problems. Previous research has suggested a link to biased automatic processing of social information, potentially reflected in pupil dilation responses. To address this hypothesis, 37 adults were presented with attachment-related, emotional pictures of erotic couples, everyday couples, or interpersonal violence after assessment with the Experiences in Close Relationships Scale. Considerable variation in self-reported attachment behaviors regarding both attachment anxiety and avoidance was observed in our sample. Overall, pupil dilation was most pronounced during viewing of erotica and violence-related pictures. Relative to nature pictures as control, attachment avoidance was associated with attenuated pupillary responses to social content. However, this was not significant with erotica. For pictures of violence, this avoidant bias was also evident in reduced subjective arousal. In contrast, attachment anxiety was unrelated to differential pupil dilation. Our findings, although preliminary, suggest that previous attachment-related experiences may bias the processing of social stimuli, which in turn may be reflected in altered patterns of pupillary responses.

The relationship between exercise addiction, eating disorders, and insecure attachment styles among recreational exercisers.

Exercise addiction (EA) and eating disorders (ED) frequently co-occur in both professional and amateur athletes, with up to 48% of individuals with EA also exhibiting symptoms of ED. Furthermore, pathological attachment styles have been linked to both EA and ED. The current study aimed to explore the unique association between types of insecure attachment styles (i.e., anxiety or avoidance) and EA and ED. Four hundred and five Israelis (199 women, 206 men) who were recreational exercisers (i.e., exercised at least four hours a week for at least one year) with ages ranging from 18 to 78 (M = 38, SD = 12.31) completed a set of questionnaires, including the Eating Attitudes Test (EAT-26), Exercise Addiction Inventory, and the Experiences in Close Relationship Scale. Path analysis was used to simultaneously examine the associations of attachment anxiety and avoidance with EA and ED symptoms. Attachment anxiety and avoidance were specified as independent variables predicting ED and EA symptoms and were entered into the analysis as two parallel dependent variables. The results of the study indicate that attachment anxiety is positively associated with symptoms of EDs, while the association between attachment anxiety and symptoms of EA is not significant. On the other hand, attachment avoidance shows a positive association with symptoms of exercise addiction, but no significant association with symptoms of EDs is found. These results imply that the anxious attachment regulation strategy is highly associated with body image concerns. Furthermore, individuals characterized by avoidance attachment manifest regulation strategies through excessive exercise. Scholars and practitioners could use these results to examine dispositional risk factors for insecure attachment styles and to assess specific pathologies among the population of recreational exercisers. The study also discusses limitations, future directions, and implications in detail.

Attachment Behaviour, Attachment Representations, and Symptoms of Reactive Attachment Disorder and Disinhibited Social Engagement Disorder in Foster Children With Different Preplacement Experiences

Foster care offers children a safe family environment and is effective in buffering the negative effects of early adversity. Specifically, foster care has been found to facilitate secure attachment to foster parents. However, there are limited data on attachment development in children entering foster care after the first year of life. In this study, we examined attachment behaviour and representations as well as symptoms of reactive attachment disorder (RAD) and disinhibited social engagement disorder (DSED) in 3–6 year-old foster children. We studied two subgroups of foster children with different preplacement experiences (Group 1: children entering foster care after living in institutions; Group 2: children entering foster care after living with their biological families) and compared them with a community sample. The results revealed that children in both foster care groups showed significantly lower attachment security at the behavioural level, higher hyperactivation and disorganization at the representational level, and significantly more symptoms of RAD and DSED than the children in the control group. Analyses did not indicate significant differences between the foster care groups. Moreover, no significant associations were found between attachment-related variables and preplacement experiences. This may be an indication that in long-term foster care, the quality of foster care becomes the major factor affecting a child’s attachment development. Thus, foster parents need supportive services and interventions with a focus on attachment development.

The Relationship between Environmental Bullying and Turnover Intention and the Mediating Effects of Secure Workplace Attachment and Environmental Satisfaction: Implications for Organizational Sustainability

Today, organizations must pay attention to countless aspects of work life to maintain high levels of organizational sustainability. One of the key aspects of organizational sustainability is maintaining low levels of turnover. In line with the Job Demands-Resources (JD-R) model and environmental psychology, the organizational environment must sustain employee well-being, motivation and performance. However, stressors such as environmental bullying, that is, bullying behaviors involving environmental elements (i.e., not giving colleagues the opportunity to adjust the temperature of the office or making noise near a colleague’s workspace), can have destructive effects on the employee and the organization. The present work aimed to test the impact of environmental bullying on employee turnover intention. In addition, to better understand the underlying psychosocial processes, we observed the mediating role played by secure workplace attachment and satisfaction toward the work environment. Using a cross-sectional design, we conducted a survey of 182 office employees and tested a serial mediation model. Hypotheses were tested using the PROCESS macro. The results show that employees who feel bullied through manipulation of their workspace or workplace have greater intention to leave, and secure workplace attachment and environmental satisfaction play a role in this relationship. The results confirm that while the environmental characteristics of the workplace can play a supportive role by meeting the employee’s needs, environmental bullying behaviors may have an adverse effects by promoting insecure attachment and an intention to leave. To reduce turnover intention, management should carefully consider the physical–spatial characteristics of workplaces as means of developing attachment to the place and environmental satisfaction in employees.

Attachment and resilience as mediators or moderators in the relationship between trauma and psychotic-like experiences.

A large body of evidence has established a tight relation between traumatic experiences (TEs) and psychotic-like experiences (PLEs). Nevertheless, more comprehensive models involving multiple interactions of serial or parallel mediations and moderations still need to be elucidated. Among the many potential mediators or moderators, insecure attachment and resilience play a key role in the association of stress with PLEs. Hence, we aim to explore the complex pathways that lead from different types of TEs to PLEs, involving attachment and resilience modeled as mediators or moderators. One thousand ten high school students completed the International Trauma Exposure Measure (ITEM), the 11-item Resilience Scale for Adults (RSA-11), the 16-item Prodromal Questionnaire (iPQ-16), and the Relationship Questionnaire (RQ). A path analysis was conducted to assess mediation and moderation. The final model showed that the impact of childhood TEs on PLEs was mediated by a pathway through anxious-insecure attachment styles (i.e., fearful and preoccupied, respectively, 8.75% and 8.53% of the total effect) and personal resilience resources. Conversely, the avoidant-insecure attachment was associated with lower interpersonal resilience (b=0.14 [0.08, 0.20]), which in turn moderated the impact of recent TEs on PLEs (interaction term b=0.34 [0.21, 0.47]). Our model examines a complex model that includes factors buffering the effect of traumatic experiences on PLEs. Our results highlight the importance of insecure-anxious attachment to personal resilience resources and of insecure-avoidant attachment to interpersonal resilience as potential targets for clinical practice.

Attachment Styles and Suicidal Thoughts and Behaviors: A Meta-Analysis

Introduction: This meta-analysis examined the association between dimensional and categorical conceptualizations of attachment styles and suicidal thoughts and behaviors (STBs). Methods: Random-effects meta-analysis was conducted to examine the associations between categorical secure attachment, categorical insecure attachment, and insecure attachment dimensions and STBs. Methodological moderators were also explored. This protocol was registered in PROSPERO (CRD42020152604). Results: Systematic search for articles published by December 2020 returned 58 eligible studies and 159 cross-sectional effects. Secure attachment was inversely associated with suicidal thoughts and not associated with suicide attempts. All categorical insecure attachment styles were positively associated with suicidal thoughts. Only fearful and preoccupied attachment were associated with risk for suicide attempts. Dimensional attachment anxiety was more strongly associated with suicidal thoughts and attempts than dimensional attachment avoidance. Discussion: Overall, attachment styles characterized by high attachment anxiety were associated with greatest vulnerability to STBs. Longitudinal studies are needed to better understand the association between attachment insecurity and STBs.

Attachment and trauma-informed programme to support forcibly displaced parents of youth in Sweden: feasibility and preliminary outcomes of the eConnect Online programme

ObjectivesTo assess the feasibility, acceptability and the impact of an online parenting programme for forcibly displaced parents of adolescents.DesignThe study was a single-arm feasibility study using pre-intervention post-intervention and follow-up...

Prevalence of OCD among Academics in a Public University: A Moderating Role of Power of Influence

Obsessive compulsive disorder (OCD) is a serious problem among children and adolescents. It will affect the sufferers’ social, emotional and academic functioning. In the long term, the problem will affect the individual, the family, the mental health system, and the society as the sufferers cannot play a significant role to contribute to the society. The present study was undertaken to investigate the main predictors of OCD among academics as they are also prone to suffering from this problem. At the same time, the present study was looking into the moderating effect of power of influence on the relationship between the four predictors and OCD among academics. Using 463 responses from academics in a public university, the study discovered that insecure attachment, external environment and role of genetics significantly contribute to OCD. Furthermore, power of influence is found to moderate the relationship between insecure attachment and OCD and between external environment and OCD among academics. The management of the university should encourage academics to involve in social activities in order to reduce the prevalence of OCD among the staff. Other implications are discussed in the paper.

Parental Attachment, Self-Esteem, Social Problem-Solving, Intimate Partner Violence Victimization in Emerging Adulthood

Emerging adults can experience conflicts with their dating partner, leading to intimate partner violence (IPV). In order to understand the vulnerability factors involved in IPV victimization, the current study explored a serial multiple mediation model to determine the links between parental attachment (to the father and mother), self-esteem, and social problem solving (SPS) on the three forms of IPV (psychological, physical and sexual). Based on an online survey, 756 emerging adults (84.8% women, mean age = 23.52) completed self-report questionnaires related to parental attachment, self-esteem, SPS (avoidance and impulsive/carelessness style), and IPV during the past year. The study design was cross-sectional and data were analyzed through partial least structural equation modeling (PLS-SEM) technique. The findings did not support serial multiple mediation model, as the indirect effects of the two specific mediation models were not significant. However, the total indirect effects were significant, indicating a cascade effect chain of events between the variables; insecure parental attachment was related to lower self-esteem, which was associated with poor SPS skills (especially impulsive/carelessness style), which in turn was associated with both psychological and physical violence victimization. The implications of the findings for promoting the life skills of emerging adults, such as problem solving or self-esteem, to enable them to handle their relationship conflicts are discussed.