Adult attachment representations and depressive symptoms: A meta-analysis

Dagan, Or; Facompré, Christopher R.; Bernard, Kristin

doi:10.1016/j.jad.2018.04.091

Cited by 125 publications

(93 citation statements)

References 118 publications

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“…Thus, patients with an insecure attachment style might be more likely to develop symptoms of psychological burden. This is congruent with previous studies [57–59]. In our research project, however, the correlation coefficients are quite small and would have to be confirmed in further research.…”

Section: Discussionsupporting

confidence: 92%

Psychological burden and resilience factors in patients with Alveolar Echinococcosis – A cross-sectional study

et al. 2019

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BackgroundAlveolar echinococcosis (AE) is a parasitic zoonosis resembling malignancy due to its clinically silent infiltrative growth, predominately in the liver. The comorbid psychological burden and fear of disease progression in AE patients have hardly been examined to date. The aim of this study was to evaluate depression, anxiety, quality of life, and fear of disease progression in AE patients.Methodology/Principal findingsIn a cross-sectional study, n = 57 AE patients were invited to report on depression (PHQ-9), anxiety (GAD-7), somatic symptom load (SSS 8), trauma symptoms (PTSS-10), quality of life (SF-12) and on fear of disease progression (FoP-Q-SF) using validated psychometric instruments. Furthermore, attachment style was assessed (RQ-2). N = 47 patients completed the questionnaires (response rate 82.5%). Depression, anxiety, and somatic symptom load were above norm sample means, while physical quality of life was below norm sample means. Existing traumatic symptoms were comparable to those in cancer patients, while fear of disease progression even exceeded cancer patient scores. Patients with a secure attachment style showed less pronounced psychological burden than patients with other attachment styles. Adequate, guideline-based depression and anxiety treatment was very rarely installed.Conclusion/SignificanceThe present study revealed remarkable levels of psychological burden in AE patients. In our study sample, we discovered high depression and anxiety levels, a significant reduction of physical quality of life, and fear of disease progression. These results show how important it is for AE patients to be thoroughly assessed with regard to psychological symptoms and mental disorders so that those in need can receive sufficient psychosocial support and treatment according to official guidelines.

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Section: Discussionsupporting

confidence: 92%

Psychological burden and resilience factors in patients with Alveolar Echinococcosis – A cross-sectional study

et al. 2019

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“…Because early life attachment is thought to shape subsequent relationships, attachment theory 18–20 offers an important framework for understanding the etiology and development of depression across the lifespan 21 . Insecure attachment is a risk factor for depression onset 22 , illness severity, and relapse 23 .…”

Section: Psychological Resilience Factorsmentioning

confidence: 99%

Psychobiological factors of resilience and depression in late life

Laird¹,

Krause²,

Funes³

et al. 2019

Transl Psychiatry

159

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In contrast to traditional perspectives of resilience as a stable, trait-like characteristic, resilience is now recognized as a multidimentional, dynamic capacity influenced by life-long interactions between internal and environmental resources. We review psychosocial and neurobiological factors associated with resilience to late-life depression (LLD). Recent research has identified both psychosocial characteristics associated with elevated LLD risk (e.g., insecure attachment, neuroticism) and psychosocial processes that may be useful intervention targets (e.g., self-efficacy, sense of purpose, coping behaviors, social support). Psychobiological factors include a variety of endocrine, genetic, inflammatory, metabolic, neural, and cardiovascular processes that bidirectionally interact to affect risk for LLD onset and course of illness. Several resilience-enhancing intervention modalities show promise for the prevention and treatment of LLD, including cognitive/psychological or mind–body (positive psychology; psychotherapy; heart rate variability biofeedback; meditation), movement-based (aerobic exercise; yoga; tai chi), and biological approaches (pharmacotherapy, electroconvulsive therapy). Additional research is needed to further elucidate psychosocial and biological factors that affect risk and course of LLD. In addition, research to identify psychobiological factors predicting differential treatment response to various interventions will be essential to the development of more individualized and effective approaches to the prevention and treatment of LLD.

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“…Thus, previous research indicates that there are several indications that attachment is a predictive factor of depression symptoms in youth and that attachment insecurity and depression co-occur. However, empirical evidence for this relation comes mainly from individual studies testing the relation between attachment and depression, from metaanalyses on broad internalizing problems (e.g., Groh et al 2012;Madigan et al 2016) or a meta-analysis on adult samples (Dagan et al 2018).…”

Section: The Relation Between Attachment and Depressionmentioning

confidence: 99%

The Relation Between Attachment and Depression in Children and Adolescents: A Multilevel Meta-Analysis

Spruit

Goos²,

Weenink

et al. 2019

Clin Child Fam Psychol Rev

150

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Insecure attachment to primary caregivers is associated with the development of depression symptoms in children and youth. This association has been shown by individual studies testing the relation between attachment and depression and by meta-analyses focusing on broad internalizing problems instead of depression or adult samples only. We therefore metaanalytically examined the associations between attachment security and depression in children and adolescents, using a multilevel approach. In total, 643 effect sizes were extracted from 123 independent samples. A significant moderate overall effect size was found (r = .31), indicating that insecure attachment to primary caregivers is associated with depression. Multivariate analysis of the significant moderators that impacted on the strength of the association between attachment security and depression showed that country of the study, study design, gender, the type of attachment, and the type of instrument to assess attachment uniquely contributed to the explanation of variance. This study suggests that insecure attachment may be a predictor of the development of depression in children and adolescents. When treating depression in children, attachment should therefore be addressed.

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Adult attachment representations and depressive symptoms: A meta-analysis

Cited by 125 publications

References 118 publications

Psychological burden and resilience factors in patients with Alveolar Echinococcosis – A cross-sectional study

Psychological burden and resilience factors in patients with Alveolar Echinococcosis – A cross-sectional study

Psychobiological factors of resilience and depression in late life

The Relation Between Attachment and Depression in Children and Adolescents: A Multilevel Meta-Analysis

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