Attachment anxiety predicts IL-6 and length of hospital stay in coronary artery bypass graft surgery (CABG) patients

Kidd, Tara; Poole, Lydia; Leigh, Elizabeth; Ronaldson, Amy; Jahangiri, Marjan; Steptoe, Andrew

doi:10.1016/j.jpsychores.2014.06.002

Cited by 32 publications

(18 citation statements)

References 27 publications

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“…Our group has previously demonstrated that depression and attachment anxiety are associated with length of hospital stay and increased levels of inflammation after CABG surgery. Depression was associated with increased levels of C‐reactive protein and longer hospital stay while attachment anxiety, but not attachment avoidance, predicted higher levels of interleukin‐6, greater sleep disturbance, and longer hospital stay following CABG surgery (Kidd et al ., ; Poole, Kidd et al ., ; Poole, Leigh et al ., ). The current study expands on our existing work and the wider literature by providing evidence that supports attachment as a framework for understanding the aetiology and presentation of depression and anxiety symptomatology in CABG patients, which may have implications for recovery.…”

Section: Discussionmentioning

confidence: 99%

Attachment anxiety predicts depression and anxiety symptoms following coronary artery bypass graft surgery

Kidd

Poole

Ronaldson

et al. 2016

British J Health Psychol

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ObjectiveDepression and anxiety are associated with poor recovery in coronary artery bypass graft (CABG) patients, but little is known about predictors of depression and anxiety symptoms.DesignWe tested the prospective association between attachment orientation, and symptoms of depression and anxiety in CABG patients, 6–8 weeks, and 12 months following surgery.MethodOne hundred and fifty‐five patients who were undergoing planned CABG surgery were recruited. Patients completed questionnaires measuring attachment, depression, and anxiety prior to surgery, then 6–8 weeks, and 12 months after surgery.ResultsAttachment anxiety predicted symptoms of depression and anxiety at both follow‐up time points, whereas attachment avoidance was not associated with depression or anxiety symptoms. The findings remained significant when controlling for baseline mood scores, social support, demographic, and clinical risk factors.ConclusionThese results suggest that attachment anxiety is associated with short‐term and long‐term depression and anxiety symptoms following CABG surgery. These results may offer important insight into understanding the recovery process in CABG surgery. Statement of contribution What is already known on this subject? Depression and anxiety symptoms are twice more likely to occur in coronary artery bypass graft (CABG) populations than in any other medical group.Depression and anxiety are associated with poor recovery following cardiac surgery.Predictors of depression and anxiety in CABG patients have been underexplored. What does this study add? This study highlights the importance of close interpersonal relationships on health.Attachment anxiety was prospectively associated with higher levels of depression and anxiety.These results add to understanding mechanisms linked to recovery following CABG.

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Section: Discussionmentioning

confidence: 99%

Attachment anxiety predicts depression and anxiety symptoms following coronary artery bypass graft surgery

Kidd

Poole

Ronaldson

et al. 2016

British J Health Psychol

Self Cite

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“…Overproduction of cortisol, in turn, is associated with alterations in the immune system. Recent work has linked attachment anxiety with indicators of weaker immune functioning, including lower T-cell counts (involved in activating immune cells and responding to infections) (Jaremka, et al, 2013), higher levels of latent herpesvirus reactivation (Fagundes, et al, 2014), and exacerbated inflammatory response to cardiac surgery (Kidd, et al, 2014), suggesting that failures to perceive one’s partner as responsive may lead to impairments in the immune system.…”

Section: Partner Responsiveness Attachment and Healthmentioning

confidence: 99%

A Social Psychological Perspective on the Links Between Close Relationships and Health

Slatcher

Selçuk

2017

Curr Dir Psychol Sci

113

109

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The association between the quality of people’s close relationships and their physical health is well-established. But from a psychological perspective, how do close relationships impact physical health? This article summarizes recent work seeking to identify the relationship processes, psychological mediators and moderators of the links between close relationships and health, with an emphasis on studies of married and cohabitating couples. We begin with a brief review of a recent meta-analysis of the links between marital quality and health. We then describe our strength and strain model of marriage and health, homing in on one process—partner responsiveness—and one moderator—adult attachment style—to illustrate ways in which basic relationship science can inform our understanding of how relationships impact physical health. We conclude with a brief discussion of promising directions in the study of close relationships and health.

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“…Other work further supports a link between anxious attachment and poorer immune function: Anxiously attached husbands and wives evidenced fewer T-cells over two days (together with higher cortisol levels) [30], and anxiously attached individuals showed elevated antibody titers to the Epstein-Barr virus on two tests one year apart [52]. Similarly, another recent study of adults (most males) found that individuals who were higher in attachment anxiety (but not those higher in avoidance) showed a greater increase in an inflammation marker (Il-6) after cardiac surgery [53]. (Attachment was unrelated to two other inflammation markers: TNF alpha and CRP.)…”

Section: Immune Responsesmentioning

confidence: 99%

Attachment and health-related physiological stress processes

Pietromonaco

Powers

2015

Current Opinion in Psychology

106

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People who are more securely attached to close partners show health benefits, but the mechanisms underlying this link are not well specified. We focus on physiological pathways that are potential mediators of the connection between attachment in childhood and adulthood and health and disease outcomes. Growing evidence indicates that attachment insecurity (vs. security) is associated with distinctive physiological responses to stress, including responses involving the HPA, SAM and immune systems, but these responses vary with type of stressor (e.g., social/nonsocial) and contextual factors (e.g., partner’s attachment style). Taking this more nuanced perspective will be important for understanding the conditions under which attachment shapes health-related physiological processes as well as downstream health and disease consequences.

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Attachment anxiety predicts IL-6 and length of hospital stay in coronary artery bypass graft surgery (CABG) patients

Cited by 32 publications

References 27 publications

Attachment anxiety predicts depression and anxiety symptoms following coronary artery bypass graft surgery

Attachment anxiety predicts depression and anxiety symptoms following coronary artery bypass graft surgery

A Social Psychological Perspective on the Links Between Close Relationships and Health

Attachment and health-related physiological stress processes

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