Attachment, dysfunctional attitudes, self-esteem, and association to depressive symptoms in patients with mood disorders

Fuhr, K; Reitenbach, Ivanina; Kraemer, Jan; Hautzinger, Martin; Meyer, Thomas D.

doi:10.1016/j.jad.2017.01.021

Cited by 28 publications

(33 citation statements)

References 52 publications

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“…Concerning cognitive processes, the negative attitudes rooted within the internal working models of insecurely attached individuals may negatively bias perceptions of the self and of close relationship partners [62]. Indeed, research suggests a mediating role for low self-esteem, low self-efficacy expectancies, threat appraisal, perceived lack of social support, maladaptive perfectionism, self-criticism, and hopelessness [17,27]. Regarding emotion regulation, attachment theory posits that secure individuals develop healthy emotion regulation skills through interactions with available caregivers.…”

Section: Discussionmentioning

confidence: 99%

“…The few studies performed on patients with bipolar disorder have consistently reported higher attachment insecurity in these patients as compared with healthy controls [27, 29, 35 -38]. However, inconsistent findings have emerged regarding the type of insecurity that mostly characterises these patients [35,37] and from studies comparing bipolar with unipolar depression [26,27,29,38].…”

Section: Introductionmentioning

confidence: 99%

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Attachment in Patients with Bipolar and Unipolar Depression: A Comparison with Clinical and Non-clinical Controls

Picardi¹,

Pallagrosi²,

Fonzi³

et al. 2019

CPEMH

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Background: A link between depression and insecure attachment has long been postulated. Although many studies examined the relationship between depressive symptoms and attachment, relatively few studies were performed on patients diagnosed with depression. Also, research on patients with bipolar disorder is scarce. Objective: We aimed at testing the association between attachment insecurity and unipolar and bipolar depression. Methods: We studied 21 patients with bipolar disorder, current episode depressed, and three age- and sex-matched groups, each consisting of 21 individuals: patients with major depressive disorder, recurrent episode; patients with epilepsy; non-clinical participants. The Experience in Close Relationships questionnaire was used to assess adult attachment style. Results: Patients with both bipolar and unipolar depression displayed significantly higher scores on attachment-related avoidance as compared with patients with epilepsy and non-clinical participants. Also, patients with bipolar depression scored significantly higher on attachment-related anxiety than all other groups. In both psychiatric groups, attachment dimensions were not significantly correlated with global clinical severity or severity of depression. Conclusion: Despite some study limitations, our results are consistent with some previous studies and provide support to Bowlby's seminal hypothesis that attachment insecurity may predispose to depression. Attachment theory may provide a valuable theoretical framework for future research and for guiding treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Attachment in Patients with Bipolar and Unipolar Depression: A Comparison with Clinical and Non-clinical Controls

Picardi¹,

Pallagrosi²,

Fonzi³

et al. 2019

CPEMH

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“…2007). Bağlanma tipi ile depresif semptomlar arasında işlevsel olmayan tutumlar ve özsaygı puanları ile ilişki kurulduğu saptanmıştır (Fuhr ve ark. 2017).…”

Section: Introductionunclassified

Relationship of Intolerance of Uncertainty and Attachment Styles with the Clinical Features of Bipolar Disorder in Remission

Şen¹,

Yıldızhan²

2020

Turkish Journal of Psychiatry

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Bipolar bozuklukta hastalık şiddeti ve klinik özellikler ile ilgili yordayıcı olma potansiyeli taşıyan belirsizliğe tahammülsüzlük ve bağlanma kavramlarının remisyondaki bipolar bozukluk hastalarında incelenmesi amaçlanmıştır. Yöntem: Çalışmamız kesitsel tipte tanımlayıcı bir çalışmadır. Bakırköy Prof. Dr. Mazhar Osman Ruh Sağlığı ve Sinir Hastalıkları Eğitim ve Araştırma Hastanesi polikliniklerinde ayaktan takip edilen, çalışmaya dahil edilme ve dışlama kriterlerini sağlayan, Young Mani Derecelendirme ve Hamilton Depresyon Derecelendirme ölçekleri kullanılarak remisyonda olduğu kaydedilen 150 bipolar bozukluk hastası çalışmaya alınmıştır. Klinik ve sosyodemografik veri formu, Belirsizliğe Tahammülsüzlük Ölçeği (BTÖ-12), İlişki Ölçekleri Anketi, Yakın İlişkilerde Yaşantılar Envanteri 2 (YİYE-2), Dünya Sağlık Örgütü Yetiyitimi Değerlendirme Çizelgesi (WHODASS 2.0) kullanılmıştır. Bulgular: İki ve daha çok kez intihar girişimi olmuş hastalarda YİYE-2 kaçınmacı alt tipi puanları anlamlı olarak daha yüksek saptanmıştır (p=0,001). YİYE-2 alt ölçeklerinden kaygılı puanlarının, BTÖ-12 alt ölçeklerinden ileriye yönelik kaygı puanları ile (p=0,000) ve engelleyici kaygı ile (p=0,000) pozitif yönde korele olduğu saptanmış; YİYE-2 (Kaçınmacı, Kaygılı), BTÖ-12 (İleriye Yönelik Kaygı, Engelleyici Kaygı) ve WHODASS 2.0 puanlarının dâhil edildiği basit doğrusal regresyon modelinin intihar girişimi sayılarını anlamlı düzeyde yordadığı görülmüştür. Sonuç: Yakın ilişkilerde kaçınmacı, kaygılı bağlanma özelliklerine sahip, belirsizliğe tahammülsüzlüğü yüksek ve yeti yitimi fazla olma durumlarının hepsinin birlikte yer aldığı bipolar bozukluk tanılı hastalarda intihar girişimi sayısının yüksek olması beklenir.

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“…Researches of both clinical and university samples have provided evidence that EMSs in all ve domains are associated with higher current levels of depressive symptoms (31,32,33,34 ). Most notably, there is substantial evidence that dysfunctional attitudes, which are another form of cognitive vulnerability (35,36,37) and interpersonal vulnerability factors (38,39) predict depressive symptoms when activated by stressful life events. Zautra et al (40) found consistent evidence that a history of depression increases risk of pain among rheumatoid patients.…”

Section: Introductionmentioning

confidence: 99%

The Mediating Role of Depression Between Early Maladaptive Schema and Pain: A Structural Equation Modelling

Vakili

Rezaei

Hosseini

2020

Preprint

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Background: Individuals with chronic pain frequently display comorbid depression. Depression and chronic pain may be related to childhood maltreatment and early distress. Early maladaptive schemas (EMSs) designed to assess early distress. EMSs are at the core of personality pathology and psychological distress.Objective: The main objective of this study was to test the hypothesis that depression mediates the relationship between EMSs and pain.Methods: One hundred chronic pain patients completed Young’s Schema Questionnaire, McGill Pain Questionnaire and depression subscale of Hospital Anxiety and Depression Scale. Results: We estimated two structural models; second model fitted the clinical sample well (chi2= 19.2; p= .31). In this model a latent variable (general maladaptive schema) was explored is directly associated with depression (β=0.39; p<0.01); Also depression is associated with the pain (β= -.57; p<0.01); General maladaptive schema had an indirect effect on pain that was mediated by depression (β= -.35; p<0.01). Conclusions: The results of the study suggested that early emotional maltreatment plays an important role in depression and pain in chronic pain patients. The model can help to adequate and establish targets for the psychological treatments included in multidisciplinary programs for this disorder.

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Attachment, dysfunctional attitudes, self-esteem, and association to depressive symptoms in patients with mood disorders

Cited by 28 publications

References 52 publications

Attachment in Patients with Bipolar and Unipolar Depression: A Comparison with Clinical and Non-clinical Controls

Attachment in Patients with Bipolar and Unipolar Depression: A Comparison with Clinical and Non-clinical Controls

Relationship of Intolerance of Uncertainty and Attachment Styles with the Clinical Features of Bipolar Disorder in Remission

The Mediating Role of Depression Between Early Maladaptive Schema and Pain: A Structural Equation Modelling

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