Attachment-related Avoidance Research Articles

Exploring how attachment insecurities mediate the link between sexual and partnership satisfaction in adolescents and young adults with cancer.

Comprehensive data on factors affecting partnership satisfaction among adolescents and young adult (AYA) cancer survivors are limited. Our study examines partnership satisfaction, sexual satisfaction, and attachment insecurities, exploring how attachment-related anxiety and avoidance influence the relationship between sexual and partnership satisfaction across major tumor entities in this population. We utilized data from two measurement time points (t1 and t6) of the AYA-LE study, a prospective longitudinal investigation examining the temporal course and associated factors of life satisfaction and psychological distress among AYA cancer survivors. We examined the mediating effect of attachment insecurities (ECR-RD) on the relationship between sexual satisfaction (FLZ-Sex) and partnership satisfaction (PFB), while controlling for sociodemographic and clinical characteristics, in a sample of N = 275 participants. Higher sexual satisfaction was correlated with lower attachment-related anxiety (r = -0.51, p<0.001) and lower attachment-related avoidance (r = -0.49, p < 0.001). Both lower attachment-related anxiety and attachment-related avoidance were correlated with higher partnership satisfaction (r = -0.64, p < 0.001 and r = -0.72, p < 0.001, respectively). Sexual satisfaction partially predicted partnership satisfaction of AYA cancer survivors through attachment-related anxiety and attachment-related avoidance while the mediating effect accounted for 75% of the total effect. The associations between sexual satisfaction, partnership satisfaction, and attachment highlight the need to address emotional and relational aspects in supportive care for AYA cancer survivors. There is a clear need for more targeted studies on attachment patterns, sexual satisfaction, and partnership satisfaction in this specific population to further refine and validate these approaches.

Mentalizing Care: Adult Attachment and Structural Factors as Predictors of Representational Mind-Mindedness in Early Child-Care Professionals.

Out-of-home childcare is increasingly essential in many children's lives, significantly impacting their wellbeing and development. Central to high-quality care is the concept of caregiver mind-mindedness (MM), the ability to recognize a child as a unique psychological individual with thoughts, feelings, intentions etc., as this capacity is linked with more optimal responsiveness to children's needs. Despite its importance, the factors influencing MM in professional caregivers remain under-researched. We examined the association between structural factors, self-reported adult attachment, and caregiver representational MM assessed in an interview. The sample consisted of 128 childcare professionals from 30 Danish early childcare centers (children aged 0-2.9 years), participating in a randomized controlled trial. Overall, our results showed that longer employment in the current position was associated with higher levels of representational MM, i.e., increased tendency to describe children in terms of their mental states as opposed to more behavioral or external features. In contrast, more years of experience working in childcare as well as attachment-related avoidance were associated with lower levels of representational MM. These results indicate that personal characteristics, like adult attachment, may be a relevant focus for early education and care research and training.

Attachment styles and empathy in trainee nurses: the mediating and moderating roles of attitudes toward death.

A growing body of evidence has shown that attachment styles and death attitudes have a significant impact on empathy. This study aimed to explore the precise role of death attitudes in the relationship between attachment styles and empathy levels among trainee nurses. A total of 626 Chinese trainee nurses with different attachment types were enrolled, and their attachment styles, death attitudes, and empathy levels were assessed using the Revised Adult Attachment Scale, the Death Attitude Profile-Revised, and the Jefferson Scale of Empathy-Healthy Professionals, and finally, data from 566 participants were included for statistical analysis. We found that among trainee nurses with secure attachment type, fear of death, approach acceptance, escape acceptance, and neutral acceptance (-) mediated the relationships between attachment-related avoidance/anxiety and their overall empathy levels and all its dimensions; in the preoccupied type, only neutral acceptance (-) mediated the relationships between attachment-related avoidance and their overall empathy levels and compassionate care; and in the fearful type, only fear of death mediated the relationship between attachment-related avoidance and compassionate care. Furthermore, in the secure type, neutral acceptance attenuated the negative predictions of attachment-related avoidance on overall empathy level and perspective taking. Attitudes toward death played different mediating and moderating roles in the relationship between attachment styles and empathy among trainee nurses with different attachment types. In addition to acculturated empathy-specific training, targeted education related to death for trainee nurses with different attachment types is needed to prevent their compassion fatigue.

Unsichere Bindungsrepräsentationen, berufliche Selbstkonzepte und Mentalisierungsfähigkeiten bei angehenden sonderpädagogischen Lehrkräften

The aim of this study was to explore the associations between attachment representations and vocational self-concepts among prospective special teachers. Further, it was investigated whether this link was medi-ated 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 were collected from 202 student teachers. The hypotheses were tested via structural equation modelling. Results indicate a direct negative path from attachment-related avoidance to professional self-concepts as well as a partial media-tion through impairments in mentalizing. In contrast, the link between anxious attachment and professional self-concept was mediated fully by mentalizing. These results offer initial insights into the importance of prospective teachers' attachment biographies in shaping their vocational self-concepts, indicating that ex-ploring one's own attachment biography could be a valuable aspect of teacher training programs.

Attachment-related Anxiety &amp; Attachment-related Avoidance, and Self Esteem

This research investigated the relationship between components of the ERS-RS (attachment-related anxiety and attachment-related avoidance) and Self Esteem. The aim was to understand the impact of attachment-related anxiety and attachment-related avoidance on self esteem of young adults. The study sample consisted of young adults (18-25 years), and the results revealed significant and negative associations between attachment-related anxiety and attachment-related avoidance and self esteem. Further research is needed to address limitations and explore additional factors influencing the relationships.

Somatoform Symptoms and Functional Impairments During Middle Childhood

Abstract: Theoretical Background: Studies have shown that attachment is associated with somatoform symptoms in childhood, yet factors that mediate the association need to be explored. Objective: To examine emotion regulation strategies as a mediator between insecure attachment dimensions and somatoform symptoms and symptom-related impairments in quality of life (QoL). Method: A total of 221 fourth-grade school children in Germany completed the SOMS-KJ, FEEL-KJ, and ECR-RC. Results: In the path model, attachment-related anxiety was positively associated with social support seeking and emotional expression, while attachment-related avoidance was negatively associated with these, yet positively associated with emotional suppression. Both emotional suppression and social support seeking were positively associated with somatoform symptoms and symptom-related impaired QoL. Discussion and Conclusion: Differential pathways exist from insecure attachment dimensions to increased somatoform symptoms, indicating that children require specialized emotion competence training.

Anxiety and depressive symptoms in first-time parents: A dyadic longitudinal study based on attachment theory

BackgroundThe aim of this study was to examine the temporal and dyadic associations between anxiety and depressive symptoms during the transition to parenthood (TTP), while exploring the antecedence of attachment insecurities in these associations. MethodCouples of first-time parents (N = 211) completed the State-Trait Anxiety Inventory, the Edinburgh Postnatal Depression Scale, the Experiences in Close Relationships scale, and a sociodemographic questionnaire during the second trimester of pregnancy and at four and twelve months postpartum. ResultsBoth prenatal anxiety and depressive symptoms predicted postnatal depressive and anxiety symptoms. Prenatal attachment-related anxiety predicted higher postnatal anxiety and depressive symptoms whereas prenatal attachment-related avoidance predicted higher postnatal depressive symptoms only. Parents whose partners had a higher level of prenatal attachment-related anxiety experienced higher postnatal anxious and depressive symptoms via their own's prenatal depressive symptoms. Parents whose partners had a higher level of prenatal attachment-related avoidance experienced higher postnatal depressive symptoms via their own's prenatal anxious symptoms. No gender differences were found for these associations. LimitationsThe sample was predominantly composed of educated heterosexual French-Canadian Caucasian couples and all measures were self-reported. ConclusionsOur original findings suggest that professionals should routinely screen for anxiety and depressive symptoms in both partners from pregnancy up to one year postpartum. Also, our findings suggest addressing attachment insecurities with both partners to prevent the development of future symptoms during pregnancy or after childbirth. Finally, our study supports the relevance of considering these symptoms at subclinical levels during the TTP.

Psychological Aggression in Couples Seeking Relationship Therapy: A Dyadic Analysis of Individual and Relational Risk Factors

Several studies have investigated the risk factors for the perpetration of intimate partner violence (IPV) over the years. However, most research on IPV has focused on physical violence, limiting our understanding of psychological aggression. This study addressed this limitation by examining the relative contribution of several individual and relational risk factors (i.e., alcohol and cannabis use, relationship satisfaction, depressive symptoms, and attachment insecurities) with regard to the use of psychological aggression in both partners of couples reporting high relationship distress. The sample included 392 couples seeking relationship therapy. Couples were recruited by their therapist during the first therapy session and the partners completed the Revised Conflict Tactics Scale, the Alcohol, Smoking, and Substance Involvement Screening Test, the abbreviated Dyadic Adjustment Scale, the abbreviated Experiences in Close Relationships, and the Psychological Symptoms Index. We conducted path analyses based on the Actor–Partner Interdependence Model. When accounting for all factors in a single model, lower relationship satisfaction and higher attachment-related avoidance were associated with both partners’ higher use of psychological aggression. Cannabis use and harmful alcohol use were not associated with the individual’s own use of psychological aggression, but they were associated with their partner’s higher use of psychological aggression. Depressive symptoms and attachment anxiety were not significant predictors of psychological aggression. There were no gender differences in these associations. The findings of the present study suggest that several intrapersonal and interpersonal risk factors explain the use of psychological aggression in couples.

Longitudinal associations among adult attachment orientations, emotion regulation tendencies, and transdiagnostic anxiety and depression symptoms in young adults

Adult attachment orientations can influence emotion regulation. Such influence on the tendency to employ two strategies, cognitive reappraisal (which aims to modify emotional experiences) and expressive suppression (which inhibits emotional expression) and later symptoms is understudied. This longitudinal study evaluated indirect associations between adult attachment orientations—with a focus on the dimension of security—and transdiagnostic anxiety and depression symptoms (General Distress; GD) through reappraisal and suppression. Correlational analyses examined cross-sectional associations among constructs across four timepoints. A cross-lagged panel model was fit to examine prospective hypotheses using 30-month longitudinal data from young adults ( N = 270 at baseline). Correlational evidence provided support for expected cross-sectional associations. In prospective analyses, there was a significant unique effect of attachment-related avoidance on expressive suppression such that higher attachment-related avoidance predicted higher use of subsequent expressive suppression. There were significant unique effects of emotion regulation on symptoms such that higher reappraisal predicted lower subsequent GD and higher suppression predicted higher subsequent GD. There was no evidence for significant direct or indirect effects of attachment orientations on GD. Results suggest that adult attachment orientation may inform how one expresses emotions in the future, and how one regulates emotions may inform subsequent shared symptoms of depression and anxiety. There was no evidence that attachment orientations informed future transdiagnostic symptoms of depression and anxiety.

Dyadic approach to maturity to parenthood: multilevel study on attachment in expectant and non-expectant couples

ABSTRACT Objective This study examined links between attachment styles and maturity to parenthood and its dimensions across different age groups of childless young adult couples. The role of developmental factors (age, assuming parental role) for maturity to parenthood was also investigated. Background Relational and individual factors have both been confirmed to be crucial for the transition to parenthood. The concept of maturity to parenthood has been linked to individual values, personality traits, and close relationships. However, the question arises whether maturity to parenthood is related to one of the most crucial concepts in family psychology – attachment. Method Three hundred heterosexual young adult couples aged 20–35 years (M age = 26.20; SD = 3.63) took part. Couples were divided into three groups: 1) 110 couples aged 20–25 (emerging adulthood); 2) 90 couples aged 26–35 (young adulthood); and 3) 100 couples aged 20–35 expecting their first child (third trimester of pregnancy). The main questionnaires used were the Maturity to Parenthood Scale and Close Relationship Experience Scale. Results The results indicated that the more avoidant couples had lower maturity to parenthood. A moderation effect of group (pregnancy) was also observed – the effect of attachment-related avoidance was weaker in expectant couples. Women presented higher overall and behavioural maturity to parenthood than men. Furthermore, higher life satisfaction were associated with greater maturity to parenthood. Conclusion Maturity to parenthood is also created in the dyadic context. When related to lower attachment avoidance, it might greatly facilitate transition to parenthood and future parent – child relations.

The Impact of Romantic Attachment Styles on Jealousy in Young Adults.

Romantic attachment is reflected in various aspects of dyadic interaction in a couple, since it is a self-reinforcing system of cognitive, emotional and behavioral patterns. Romantic jealousy was shown to be associated with dimensions of attachment insecurity in various studies worldwide. To identify differences in expressions of romantic jealousy based on romantic attachment style. To determine the influence of attachment-related anxiety and attachment-related avoidance on cognitive, emotional, and behavioral jealousy. The sample comprised 171 heterosexual individuals. The "Experiences in Close Relationships - Revised" questionnaire (ECR-R; Fraley, Waller, & Brennan, 2000; adapted for Russian by Chursina, 2022) and "Multidimensional Jealousy Scale" (MJS; Pfeiffer, & Wong, 1989) were used. A number of significant differences were identified between insecure and secure attachment styles. Avoidant attachment is characterized by cognitive jealousy, ambivalent attachment is characterized by cognitive and behavioral jealousy, while dismissing attachment showed no significant differences in the manifestations of jealousy in comparison with secure attachment style. Emotional jealousy is equally characteristic of all types. The primacy of romantic attachment in relation to cognitive and behavioral jealousy was also proved. The experience of jealousy differs among romantic attachment styles. Attachment-related anxiety is a predictor of intrusive thoughts and behavioral manifestations of jealousy, while attachment-related avoidance is less, the greater the manifestation of jealousy behaviors.

Childhood exposure to parental violence, attachment insecurities, and intimate partner violence perpetration among Arab adults in Israel

BackgroundExtensive research supports the existence of a “cycle of violence” that links exposure to parental violence during childhood (i.e., witnessing interparental violence and child maltreatment) with intimate partner violence (IPV) perpetration. However, there is still a need to explore the mechanisms through which early exposure to parental violence may foster IPV perpetration during adulthood. ObjectiveIn this study, we examine the mediating role of attachment insecurities and gender differences in the relationship between exposure to parental violence during childhood and IPV perpetration during adulthood. Method, participants, and settingWe conducted a cross-sectional survey among a representative sample of 604 married Arab adults (M age = 33.5, SD = 6.52; 50.1 % women) in Israel using a self-administered questionnaire. ResultsExposure to physical violence, both as a victim and indirectly as a witness in childhood, was found positively correlated with adulthood IPV perpetration, with effect sizes ranging from weak (f2 = 0.01) to moderate (f2 = 0.15). Further, attachment-related avoidance was found to mediate the association between witnessing interparental physical violence and IPV perpetration. Gender differences were found in this relationship, with a stronger association indicated among male participants than among females. ConclusionExposure to physical violence may be understood as a risk factor for IPV perpetration directly and indirectly through the development of attachment-related avoidance.

The Role of Attachment and Dyadic Coping in Shaping Relational Intimacy: Actor–Partner Interdependence Model

People's attachment styles play a fundamental role in shaping their intimate relationships. Anxiously attached individuals have a strong need for closeness but a poor ability to obtain the closeness they seek. In contrast, people high in avoidance tend to avoid intimacy in close relationships. Dyadic coping can strengthen the bond between partners, and develop empathy, commitment, sensitivity, and responsiveness to the partner's needs, which may be the basis of shaping intimacy and closeness. The effects of attachment on relational intimacy were examined, using the actor-partner interdependence model and data from 144 heterosexual couples, aged 26 to 60. Both partners completed measures of attachment, intimacy as a relationship satisfaction dimension, and dyadic coping. The results showed that men's attachment-related avoidance is related to their own intimacy; also, the avoidant attachment of both spouses is related to each other's intimacy. The effect of having children on intimacy was significant for men; the effect of financial situation on intimacy was significant for women. Moreover, problem-focused common dyadic coping appeared to have a significant moderating effect on the relationship between attachment-related avoidance and intimacy. Adult attachment and dyadic coping significantly contributed to partners' relational intimacy.

Parental bonding in retrospect and adult attachment style: A comparative study between Spanish, Italian and Japanese cultures.

Attachment is an innate human relational mechanism that develops progressively from early childhood, influences individuals' representations and behaviors, shapes relationships, and affects the social and cultural environment. Parental bonding refers to the ability of parents to be emotionally and behaviorally available to the child during infancy. Attachment style refers to the individual's relational attitude in close relationships that influences adult love, bonding, handling relationships, and social exploration. The role of intergenerational, cultural and developmental factors influencing the relationship between the attachment style in adulthood and the parental bonding style recalled during childhood has been debated. This study explores the relationships between recalled parental bonding, adult attachment style, and cultural background in a sample of Spanish, Italian, and Japanese adults using a cross-sectional and cross-cultural design. For this purpose, the validated versions of the Experience in Close Relationship Scale and the Parental Bonding Instrument were administered to a non-clinical population of three hundred and five participants in the three countries. Results show that the most frequent adult attachment style is the secure style, followed by the dismissing-avoidant, the preoccupied, and the fearful-avoidant style. The dismissing-avoidant style was the most frequent insecure attachment style in the Japanese sample whereas the preoccupied style was the most frequent insecure attachment style in the Italians and Spaniards. Japanese are more anchored to the memory of maternal and paternal overprotection, which is related to more avoidance in actual close relationships. Spaniard's current relationships are mildly independent of recalled parental bonding, showing an association between lower current avoidance to primary parental care. In the Italian sample, there is no significant relationship between current adult close relationships and recalled parental bonding. These results suggest that different cultural models influence adult attachment representations differently, in terms of the weight placed on attachment-related avoidance, attachment-related anxiety, care, and overprotection in infant and adult relationships.

Friends, attachment and substance use in adolescence

Friends' alcohol and drug use is one of the best-known social predictors of substance use in adolescence and can be explained by two main mechanisms: socialization (being influenced by one's friends' substance use) and peer selection (choosing friends who have similar substance use habits). In this study, we first examined the bidirectional relations between 182 adolescents' and their friends' self-reported alcohol and cannabis use frequency from ages 14 to 16. Then, we tested the moderating role of the participants' attachment-related avoidance and anxiety, measured using the Attachment Scale Questionnaire, in how these relations unfold between ages 15 and 16. Cross-lagged models with interaction analyses supported both mechanisms for both substances, but selection was stronger. However, attachment moderated only socialization; Socialization of alcohol use was stronger for non-avoidant adolescents while socialization of cannabis use was stronger for preoccupied adolescents. These results may have implications for improving prevention and intervention.

Parental Divorce Process and Post-Divorce Parental Behaviors and Strategies: Examining Emerging Adult Children's Attachment-Related Anxiety and Avoidance.

The main goal of this study was to examine the role of parental behaviors during both the process of divorce and the post-divorce period on emerging adult children’s attachment-related anxiety and avoidance. Specifically, we analyzed how recalled coparental respect and cooperation, interparental conflict, positive parenting strategies, and both parents’ emotional state and instability from adult children’s perspective during the divorce process and the post-divorce period were associated with emerging adult children’s current attachment representations. Our sample consisted of 173 emerging adults (Mage = 22.01). The results of this study demonstrate that paternal coparental respect and cooperation along with freedom provided by the mother to talk about the father during the divorce process and post-divorce period were both related to lower attachment-related avoidance. Our findings also confirm a significant link between some paternal positive attitudes during the divorce process (i.e., freedom provided by the father to talk about the mother) and low attachment-related anxiety. Overall, the results of this research confirm that beyond divorce perse, several variables surrounding the divorce process better explain variations in adult children’s attachment representations, which contribute to better comprehending the effects of parental divorce.

Measurement Invariance and Validity of the Short Form of the Bielefeld Partnership Expectations Questionnaire (BPEQ12)

The short form of the Bielefeld Partnership Expectations Questionnaire (BPEQ12) measures three partner-related attachment scales: fear of rejection, readiness for self-disclosure and conscious need for care. In addition to factor structure and reliability, the present study examined measurement invariance and validity using a non-clinical and a clinical sample of college students (N=208). Besides the BFPE12, the following Questionnaires were assessed: Short Form of Experiences in Close Relationships - Revised (ECR-RD8), Outcome Questionnaire (OQ-30), revised Beck Depression Inventory (BDI-II), Social Phobia Inventory (SPIN), and Test Anxiety Inventory (TAI-G). The factor structure is tested using confirmatory factor analysis (CFA), the internal consistency of the scales is quantified using McDonald's ω, the measurement invariance is investigated with two-group structural equation models, and the validity is examined using correlation and regression analyses. In both samples, the factor structure was confirmed (CFI>0.93; TLI>0.93; RMSEA<0.08; SRMR<0.08) and the reliability of all three scales was acceptable (ω>.7) - with the exception of need for care in the non-clinical group. We found configurational, metric and scalar measurement invariance regarding to the assignment in the clinical and non-clinical sample. In terms of convergent validity, fear of rejection and conscious need for care were associated with attachment-related anxiety (r=0.771 and r=0.539, p<0.001) and low readiness for self-disclosure was correlated with attachment-related avoidance (measured with ECR-RD8, r=- 0.704, p<0.001). Overall, the present study supports the factor structure, measurement invariance, reliability, and validity of the BPEQ12 in clinical and non-clinical samples.

Young men of color lower on adult attachment anxiety have higher carotid-intima media thickness compared to white young men: The exploration of an unexpected finding

Cardiovascular disease (CVD) remains the number one cause of death among men in the United States. Emerging research demonstrates that socioemotional mechanisms such as adult attachment, or the ways in which individuals are able to form and maintain socioemotional bonds, may impact physical health via alterations in physiological stress functioning. However, there may be key differences in the relation between attachment and physical health by race and sexual orientation. Thus, this study sought to examine the potential moderating effect of race and sexual orientation on the association between adult attachment and carotid-intima media thickness (cIMT), a measure of subclinical cardiovascular disease, among young men. The sample consisted of 72 young men (mean [SD] age = 22.92 [3.23]: 30.6 % identified as White, 30.6 % as Black, and 38.8 % as Other), each of which were surveyed and underwent an ultrasound to measure cIMT. Ordinary Least Squares (OLS) regression was used in order to examine our study hypotheses. We first ran a main effects model to examine adult attachment’s (i.e., anxiety and avoidance) association with mean cIMT. We then ran two interaction models with an interaction between race/ethnicity and adult-related attachment and sexual orientation and adult attachment. We found that race significantly moderated the association between attachment-related anxiety and mean cIMT in our study sample. However, we did not find evidence to suggest that race moderated the association between attachment-related avoidance and mean cIMT in our study sample. In comparison to White individuals, Black individuals and those who identified as “Other” race with lower scores on attachment-related anxiety had higher mean cIMT. Additionally, higher scores on attachment-related anxiety were associated with lower mean cIMT among Black and “Other” respondents, but not among White respondents. We did not find evidence to suggest that sexual orientation moderated the association between adult attachment and mean cIMT in our study sample. Our findings suggest that adult attachment anxiety may be protective for young men of color but not for White young men. Future research should utilize longitudinal study designs in order to better understand how adult attachment influences CVD risk among racially/ethnically diverse young men.

In the state we trust? Attachment-related avoidance is related to lower trust, both in other people and in welfare state institutions

Social and political trust are crucial for societal well-being and are linked to lower levels of corruption as well as to the size of the welfare state. Interpersonal trust is shaped through attachment-related experiences in close interpersonal relationships. However, previous research has not linked these two strands of research, yielding an important knowledge gap about the potential implications of attachment for social and political trust. Therefore, we investigated whether attachment orientations are related to both social trust and trust in the welfare state. Data were collected in two countries with different organization and size of the welfare state, the United States (n = 284) and Sweden (n = 280). In both countries, attachment-related avoidance (but not anxiety) was negatively related both to social trust and trust in the welfare state, even after controlling for pertinent confounds. Our findings also suggested that social trust may mediate the link between avoidance and trust in the welfare state. These results cohere with an assumption that people’s attachment-related working models may extend to their models of the world at large. We conclude that interpersonal parameters should be considered to fully understand the development of trust in political institutions.

Older Patients in the Psychosomatic Clinic: Health, Attachment and Mentalisation

Up to now, little is known about the group of older people treated in psychosomatic clinics, although the number of people in this age group who undergo treatment is increasing. In the study presented here, a sample of patients (age: 60 and above; n=83) from two psychosomatic clinics and a sample of clinically inconspicuous subjects (n=89) of the same age were examined. In addition to health variables, in which the group of older patients differed from the clinically inconspicuous as well as from younger patients, the connection between attachment and mentalization was examined more closely within the framework of two regression analyses. This showed that attachment-related anxiety and attachment-related avoidance were significantly more pronounced in the clinical group, but both were associated with different mentalization aspects. Based on these observations, some conclusions are drawn with regard to the treatment of older patients in psychosomatic clinics.