Modeling the Relationships between Adult Attachment Patterns and Borderline Personality Disorder: The Role of Impulsivity and Aggressiveness

Fossati, Andrea; Feeney, Judith A.; Carretta, Ilaria; Grazioli, Federica; Milesi, Rita; Leonardi, Barbara; Maffei, Cesare

doi:10.1521/jscp.2005.24.4.520

Cited by 31 publications

(36 citation statements)

References 34 publications

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“…As an example, studies by Critchfield et al [12,13] examined the relationship of impulsivity and attachment style using the Overt Aggression ScaleModified, which quantifies aggressive acts over the past week; thus, these studies were included. In contrast, Fossati et al [14] used the Buss and Perry Aggression Questionnaire, which does not measure aggressive acts within a certain time frame, so this study was excluded. For the purposes of this study, violence and aggression are used interchangeably from this point.…”

Section: Inclusion and Exclusion Criteriamentioning

confidence: 99%

Aggression in Borderline Personality Disorder: Evidence for Increased Risk and Clinical Predictors

Allen

Links

2011

Curr Psychiatry Rep

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This article aimed to systematically review the current literature regarding elevated risk of aggression in borderline personality disorder (BPD) and to review factors that differentiate aggressive from nonaggressive individuals with BPD. It has done so via a systematic review of the literature using Ovid MEDLINE and PsycINFO from 1980 to June 2010. Results indicate that BPD does not appear to be independently associated with increased risk of violence in the general population. History of childhood maltreatment, history of violence or criminality, and comorbid psychopathy or antisocial personality disorder appear to be predictors of violence in patients with BPD. This review concludes that the current evidence suggests that patients with BPD are not more violent than individuals in the general population. More studies are needed on factors that predict risk of aggression at an individual level.

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Section: Inclusion and Exclusion Criteriamentioning

confidence: 99%

Aggression in Borderline Personality Disorder: Evidence for Increased Risk and Clinical Predictors

Allen

Links

2011

Curr Psychiatry Rep

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“…Impulsivity was associated with insecure attachment 27 and anxious attachment, 29,31 but inversely associated with avoidant attachment in one study. 28 Our study differs from these in examining effects of parental attachment style on offspring.…”

Section: Discussionmentioning

confidence: 95%

Depressed Parents’ Attachment

MacGregor¹,

Grunebaum²,

Galfalvy³

et al. 2014

J. Clin. Psychiatry

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Objective To investigate relationships of depressed parents' attachment style to offspring suicidal behavior. Method 244 parents diagnosed with a DSM-IV depressive episode completed the Adult Attachment Questionnaire at study entry. Baseline and yearly follow-up interviews of their 488 offspring tracked suicidal behavior and psychopathology. Survival analysis and marginal regression models with correlated errors for siblings investigated the relationship between parent insecure attachment traits and offspring characteristics. Data analyzed were collected 1992–2008 during a longitudinal family study completed January 31, 2014. Results Parent avoidant attachment predicted offspring suicide attempts at a trend level (p=0.083). Parent anxious attachment did not predict offspring attempts (p=0.961). In secondary analyses, anxious attachment in parents was associated with offspring impulsivity (p=0.034), and in offspring suicide attempters, was associated with greater intent (p=0.045) and lethality of attempts (p=0.003). Avoidant attachment in parents was associated with offspring impulsivity (p=0.025) and major depressive disorder (p=0.012). Parent avoidant attachment predicted a greater number of suicide attempts (p=0.048) and greater intent in offspring attempters (p=0.003). Results were comparable after adjusting for parent diagnosis of borderline personality disorder. Conclusion Insecure avoidant, but not anxious, attachment in depressed parents may predict offspring suicide attempt. Insecure parent attachment traits were associated with impulsivity and major depressive disorder in all offspring, and with more severe suicidal behavior in offspring attempters. Insecure parental attachment merits further study as a potential target to reduce risk of offspring psychopathology and more severe suicidal behavior.

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“…Attachment disturbances negatively influence stress-sensitivity (Maunder & Hunter, 2008) and can contribute to distressful and depressive mood states (Tasca et al, 2009a;Van Durme et al, 2015). Based on different distress-reducing strategies such as hyperactivation or deactivation of emotions attachment dysfunctions can increase the degree of impulsivity (Fossati et al, 2005;Van Durme et al, 2015) and impair creative coping mechanisms (Mikulincer et al 2003), resulting in maladaptive emotion regulating actions including maladaptive eating (Ty & Francis, 2013).…”

Section: Attachment Emotion Regulation and Emotional Eatingmentioning

confidence: 99%

“…This can lead to higher tendencies for impulsivity and aggression coupled with impaired social conflict solution skills and worse emotion regulation (Fossati et al, 2005;Mikulincer et al, 2003). In line with these dysfunctions, Hernandez-Hons and Wooley (2011) evidenced attachment concerns among the most important themes related to emotional eating, including (a) relationship history; (b) degree of acceptance; (c) addiction as a coping mechanism for insecure attachment; and (d) emotional eating as reminiscent of ambivalent attachment.…”

Section: Characteristics Of Eating Disorder Patientsmentioning

confidence: 99%

Parental and Adult Attachment and Eating Symptomology in Eating Disorder Patients and Sine Morbo Individuals

Szalai¹,

Czeglédi²

2017

IJSSS

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Attachment can contribute to eating disorder symptomology through various paths, including emotion regulation. However, the relationship between parental and adult attachment and emotional eating and other eating disorder symptoms have been barely investigated on comparative samples. This cross-sectional, questionnaire-based online survey aimed to assess the relationship between parental and adult attachment qualities with the eating behavior severity, emotional eating, and the level of depression in 67 female anorexia nervosa, bulimia nervosa, and binge eating disorder patients, compared to 67 female sine morbo individuals. Eating disorder patients less frequently had secure attachment, and were more often fearful or preoccupied than sine morbo individuals. In sine morbo individuals lower adult attachment security, but in patients, lower parental care was related to eating disorder symptoms. In sine morbo individuals, higher preoccupation, but in patients, higher fearfulness and lower care was related to emotional eating. Lower attachment security (OR = 0.54), younger age (OR = 0.93) and higher depression (OR = 1.04) explained 36.6% of the variance of diagnosed eating disorders. A complex interplay could be highlighted between dysfunctional attachment dimensions and eating symptomology in both groups-but with different patterns. Perceived parental care may be influential for eating disorder patients, whilst the degree of adult attachment security can be influential for sine morbo individuals. Lower attachment security was a predictor of eating disorders, which suggests the protective value of enhancing attachment security. However, further attachment-based interventions are required.

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Modeling the Relationships between Adult Attachment Patterns and Borderline Personality Disorder: The Role of Impulsivity and Aggressiveness

Cited by 31 publications

References 34 publications

Aggression in Borderline Personality Disorder: Evidence for Increased Risk and Clinical Predictors

Aggression in Borderline Personality Disorder: Evidence for Increased Risk and Clinical Predictors

Depressed Parents’ Attachment

Parental and Adult Attachment and Eating Symptomology in Eating Disorder Patients and Sine Morbo Individuals

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