What's in a (neutral) face? Personality disorders, attachment styles, and the appraisal of ambiguous social cues

Attachment theory suggests that borderline, avoidant, and schizoid personality disorders are differentially associated with anxious and avoidant attachment styles. The variations of insecure attachment in these disorders, in turn, might influence how others are perceived or appraised. To test these ideas, 176 college students completed questionnaires measuring attachment styles and personality disorder features, and each rated 10 emotionally neutral faces on 18 bipolar appraisal dimensions. As expected, borderline personality was associated with anxious attachment, avoidant personality was associated with anxious and avoidant attachment, and schizoid personality was weakly associated only with avoidant attachment. Furthermore, path analyses showed that borderline and avoidant personality features were associated with anxious attachment, which in turn related to negative face appraisals (e.g., tendencies to rate faces as less friendly and more rejecting). Discussion highlights the potential of simultaneously studying biases in social information processing and attachment disturbances among individuals with personality disorders.     

Types of Aggression among Incarcerated Juveniles: The Roles of Gender and Offense Type

A new instrument, the Psychological Maltreatment Review (PMR), is introduced and its psychometrics are described. The PMR examines adult retrospective reports of child psychological abuse, psychological neglect, and psychological support, measured separately for maternal and paternal figures. Male and female participants (N?=?1,051) completed the PMR and a measure of adult attachment, the Revised Experiences in Close Relationships scale (Fraley, Waller, &; Brennan, 2000). The three scales of the PMR demonstrated very good internal consistency. The structural validity of the PMR was supported by both exploratory and confirmatory factor analyses, as was the notion of an independent parental support/nonsupport variable. Indicative of the construct validity of this measure, all PMR scales were significantly correlated with anxious and avoidant attachment in close relationships. Hierarchical multiple regression analyses indicated that paternal neglect and maternal psychological abuse predicted participants' anxious attachment, whereas less paternal and maternal support was associated with avoidant attachment.     

Insecure Attachment,Gender Roles,and Interpersonal Dependency in the Basque Country

Gender, gender role, and attachment style were used to predict emotional and instrumental dependency in a Basque student sample (N = 602). Psychometrically sound Spanish adaptations of English–language measures of dependency and attachment were created. As predicted, women were more emotionally and instrumentally dependent than men, but the sex differences were mediated by psychological masculinity and femininity. The anxious attachment dimension was correlated with emotional and instrumental dependency, the preoccupied rating with emotional dependency, and the avoidant attachment dimension and fearful rating with instrumental dependency. When the two attachment dimensions and the two gender–role variables were combined to predict dependency, emotional dependency was a function of anxious attachment and femininity; instrumental dependency was a function of anxious and avoidant attachment and low masculinity. Limitations and future directions are discussed.     

Adult attachment style and partner choice: Correlational and experimental findings

Three studies were conducted to assess the role of attachment style in partner selection using both correlational and experimental methods. Study 1 (n = 83 couples) assessed correlations between partner ratings on attachment-style dimensions and the relations between own and partner attachment style and relationship satisfaction. In Study 2 (n = 226) and Study 3 (n = 146), participants who varied in terms of attachment style rated the desirability of potential partners who also differed in terms of attachment style. Results of all three studies generally suggested that individuals were most attracted to partners with similar attachment styles. For example, anxious individuals tended to be dating anxious partners in Study 1, and they preferred anxious partners over secure and avoidant partners in Studies 2 and 3 (combined data). Thus, not all individuals preferred secure partners. Second, unlike previous studies that looked primarily at partner correlations, there was no evidence of anxious/avoidant matching. In fact, anxious individuals seemed particularly averse to avoidant partners. Finally, ratings of parental caregiving styles (especially ratings of mothers) were associated with adult attachment dimensions and partner choices. For example, individuals who rated their mothers as more cold and ambivalent were less attracted to secure partners. Clinical and research implications are discussed.     

The associations between insecure attachment,rooming‐in,and postpartum depression: A 2 months’ longitudinal study

Postpartum depression (PPD) is the most common complication of childbearing, and recent studies have attempted to examine risk factors associated with it. The main study hypothesis was that a protective situational factor at a sensitive time period (full rooming‐in postpartum) would moderate the associations between insecure attachment dimensions and PPD. Three hundred twelve women, in either full or partial rooming‐in, participated in a longitudinal study at the maternity ward of a tertiary healthcare center. A Demographic questionnaire and the Experiences in Close Relationships Scale were administered at 1–4 days postpartum, and the Edinburgh Postnatal Depression scale at 2 months postpartum. PPD was significantly associated with both anxious and avoidant attachment dimensions, but not with rooming‐in conditions. In addition, women in partial rooming‐in showed a positive correlation between insecure attachment dimensions and PPD, whereas no such correlation was found for full rooming‐in women. A situational factor such as full rooming‐in, which occurs at a critical time point for the mother–infant relationship, can moderate the association between maternal avoidant or anxious attachment dimensions and the mother's PPD levels. Postpartum practices, such as rooming‐in, can be personalized and thus beneficial in moderating personal risk factors for PPD.     

The relationship between five-factor personality measurements and ICD-10 personality disorder dimensions: results from a sample of 229 subjects

This article examines the relationship between the five-factor model (FFM) and dimensional ICD-10 personality disorders. In a follow-up study of a child and adolescent psychiatric cohort, former patients and controls were assessed with NEO-FFI and the IPDE interview (CD-10 personality disorder). Full data were available for 229 subjects (149 former patients, 80 controls). Multiple regression analysis showed that the five factors of the FFM as independent variables explained between 5% (schizoid personality disorder) and 32% (anxious personality disorder) of the variance of ICD-10 dimensional personality disorder scores. For the two types of emotionally unstable personality disorder dimension (impulsive and borderline), for anxious (avoidant) personality disorder dimension and for the total score of any personality disorder dimension, FFM explained between 17% and 32% of the variance with almost identical results for the former patient group and the control group. High neuroticism was a feature of paranoid, emotionally unstable, histrionic, anankastic, anxious (avoidant), and dependent personality disorder dimensions, whereas low agreeableness was found in dissocial, emotionally unstable and histrionic personality disorder dimensions. Low extraversion was found in schizoid, anxious (avoidant) and dependent personality disorder dimensions, whereas histrionic PD dimension correlated with high extraversion. We find that the FFM is valuable for the further understanding not only of DSM-IV but also of ICD-10 personality disorder dimensions. The differences between ICD-10 and DSM-IV in this respect seem to be small.     

Adult Attachment,Multidimensional Perfectionism,and the Alliances Among Counselor Supervisees

This study examined the moderating role that 2 dimensions of perfectionism (standards [adaptive] and discrepancy [maladaptive]) had on 2 dimensions of adult attachment (anxious and avoidant) and both client and supervisory alliances among 170 counselor supervisees. Anxious attachment and discrepancy were significant negative predictors of the client working alliance. A significant 3‐way interaction was found between anxious attachment, standards, and discrepancy on the supervisory working alliance. Implications from these findings are discussed.     

Structure and Measurement Invariance of Adult Romantic Attachment

Romantic attachment is a popular theory for explaining affect, cognition, and behavior in romantic contexts. This popularity has led to a surge of self-report measures assessing dimensions of attachment. In this study, we considered the ability of 2 common attachment measures, the Adult Attachment Questionnaire (AAQ) and the Experience in Close Relationships–Revised (ECR–R), to replicate the avoidant and anxious attachment factors. We also determined the degree of measurement invariance across, and mean differences between, genders and single and nonsingle individuals. Both the AAQ (N = 650) and the ECR–R (N = 1,271) successfully distinguished avoidant and attachment factors. The AAQ showed evidence for partial strong measurement invariance, whereas the ECR-R showed strict factorial invariance for both gender and relationship status. Gender differences were detected on both measures in a direction consistent with previous research, with males exhibiting higher levels of avoidant attachment (relative to females) and females exhibiting higher levels of anxious attachment (relative to males). Furthermore, when compared to individuals who were currently single, those in romantic relationships exhibited lower levels of avoidant tendencies. This research aligns with the notion that the AAQ and ECR–R reliably assess similar constructs, across genders and single and nonsingle individuals.     

Adult attachment dimensions and specificity of emotional distress symptoms: prospective investigations of cognitive risk and interpersonal stress generation as mediating mechanisms

Three prospective studies examined the relation between adult attachment dimensions and symptoms of emotional distress (anxiety and depression). Across all three studies, avoidant and anxious attachment prospectively predicted depressive symptoms, and anxious attachment was associated concurrently with anxiety symptoms. Study 2 tested a cognitive risk factors mediational model, and Study 3 tested an interpersonal stress generation mediational model. Both cognitive and interpersonal mediating processes were supported. The cognitive risk factors pathway, including elevated dysfunctional attitudes and low self-esteem, specifically mediated the relation between insecure attachment and prospective elevations in depression but not anxiety. For the interpersonal stress generation model, experiencing additional interpersonal, but not achievement, stressors over time mediated the association between insecure attachment and prospective elevations in depressive and anxious symptoms. Results advance theory and empirical knowledge about why these interpersonal and cognitive mechanisms explain how insecurely attached people become depressed and anxious.     

Understanding alexithymia in female adolescents: The role of attachment style

Adults with alexithymia retrospectively report emotional difficulties with caregivers during childhood. However, the association between attachment style and alexithymic traits may be evident at an earlier stage than adulthood, i.e. during adolescence. Sixty school-based healthy females aged 9–18 years (mean 14.08, SD 2.71 years) participated in an Attachment Style Interview (ASI) and completed the Toronto Alexithymia Scale (TAS-20). Greater levels of alexithymia were exhibited by both anxious and avoidant insecurely attached groups compared to securely attached participants. Fear of separation (characteristic of anxious attachment style) predicted both overall alexithymia scores and the specific alexithymic trait of ‘difficulty identifying feelings’ (DIF). Constraints on closeness (an avoidant attachment attitude) predicted ‘difficulty describing feelings’ (DDF). Low felt attachment to primary caregiver was a predictor of ‘externally oriented thinking’ (EOT). These findings indicate that features of anxious and avoidant insecure attachment styles are differentially related to the separate facets of alexithymia in female adolescents. Specifically, the findings concerning fear of separation may reflect the adolescent struggle for autonomy and the resulting effects on the affect regulation system. Our results also suggest that the normative differentiation of the emotional and cognitive aspects of alexithymia may occur on a developmental trajectory.     

Equality Discrepancy Between Women in Same-Sex Relationships: The Mediating Role of Attachment in Relationship Satisfaction

This internet study explored the mediating effects of anxious and avoidant attachment on the link between relationship equality discrepancy and relationship satisfaction among 75 cohabitating U.S. and Canadian women’s same-sex couples. Multiple regression results indicated that both anxious and avoidant attachment were found to mediate the relationship between dyadic equality discrepancy and relationship satisfaction, suggesting that the more partners perceived their relationships to be unequal, the more individual partners’ fears and discomforts about their relationships increased, and in turn, anxious and avoidant attachment was associated with reduced relationship satisfaction. Results reinforced the importance of equality within women’s same-sex relationships; clinical implications are discussed in light of the connection between equality and attachment for adult sexual minority women.     

Personality disorders and personality dimensions in anorexia nervosa

Information on the relationship between anorexia nervosa (AN) and personality disorders (PDs) and dimensions of temperament and character (measured by the Temperament and Character Inventory [TCI; Cloninger, Przybeck Svrakic, & Wetzel, 1994]) is limited. This study examines the predictive validity of the TCI for PD diagnoses assessed by the International Personality Disorder Examination-ICD-10 (IPDE-ICD-10; Loranger, Janca, & Sartorius, 1997) interviews of 46 women with DSM-IV-defined AN. Patients with a PD reported higher levels of harm-avoidance and lower levels of self-directedness than those without a PD. Scores on the TCI were predictive of the number of PD features present, particularly for those PDs in the anankastic, anxious, and dependent groups accounting for 40% to 51% of the variance. Cluster analysis based on scores on the TCI identified a subgroup of patients characterized by low levels of novelty seeking, self-directedness, and cooperativeness and high levels of harm avoidance. This cluster included the majority of those with avoidant, anxious, or dependent PDs. Assessment of particular personality dimensions was able to predict PDs in an anorexic sample. Since normal personality dimensions have greater validity than the categorical PDs, a consideration of normal temperament and character may assist in clinical decisionmaking and considerations concerning treatment.     

Two Dimensions of Attachment to God and Their Relation to Affect, Religiosity, and Personality Constructs

In this study we sought to address several limitations of previous research on attachment theory and religion by (1) developing a dimensional attachment to God scale, and (2) demonstrating that dimensions of attachment to God are predictive of measures of affect and personality after controlling for social desirability and other related dimensions of religiosity. Questionnaire measures of these constructs were completed by a sample of university students and community adults (total n = 374). Consistent with prior research on adult romantic attachment, two dimensions of attachment to God were identified: avoidance and anxiety . After statistically controlling for social desirability, intrinsic religiousness, doctrinal orthodoxy, and loving God image, anxious attachment to God remained a significant predictor of neuroticism , negative affect , and (inversely) positive affect ; avoidant attachment to God remained a significant inverse predictor of religious symbolic immortality and agreeableness . These findings are evidence that correlations between attachment to God and measures of personality and affect are not merely byproducts of confounding effects of socially desirable responding or other dimensions of religiosity.     

The role of attachment in responses to victims of life crises

Attachment effects on affect, cognitions, and behavior during an interaction with a confederate who purportedly had cancer and whose attachment orientation had been manipulated in a prior context were examined among 241 participants. Results supported theoretically derived predictions: Participant anxious attachment predicted anxiety, participant avoidant attachment predicted supportiveness, and participant avoidant attachment interacted with confederate avoidant attachment to predict rejection. Results suggest (a) the importance of attachment in predicting interpersonal responses in a nonromantic stressful context, (b) that anxious attachment is an important predictor of anxiety in a situation with implicit support demands, (c) that avoidant attachment is a potentially important predictor of the likelihood of supportive responses to victims, and (d) that attachment orientation can be successfully manipulated in experimental studies of attachment.     

The self‐esteem roller coaster: Adult attachment moderates the impact of daily feedback

People with different attachment orientations rely on different sources of self‐esteem. This 14‐day diary study examined the impact of different types of feedback on self‐esteem for adults of different attachment orientations. Consistent with theory, higher (vs. lower) anxious participants' daily self‐esteem fluctuated more with daily interpersonal feedback conveying rejection or coming from a romantic partner; they also self‐reported stronger reactions to idiosyncratic negative interpersonal feedback. Higher (vs. lower) avoidant participants showed weaker daily self‐esteem fluctuation with positive interpersonal feedback, and those with a fearful‐avoidant attachment pattern reported stronger reactions to positive agentic feedback. Self‐reported emotional reactions mediated links between attachment dimensions and self‐reported impact of feedback on self‐evaluations. Results highlight the importance of affect‐regulation strategies in influencing regulation of self‐esteem.     

Insecure attachment and career indecision: Mediating effects of anxiety and pessimism

The purpose of this study was to examine a theoretically-based model in which insecure attachment is related to career indecision through the mediation of negative emotions. Two hundred college students completed questionnaires measuring anxious and avoidant dimensions of insecure attachment, negative emotions (trait and career-choice anxiety, trait and career-choice pessimism), and career indecision. Path analysis indicated that anxious attachment was indirectly related to career indecision through a full mediation of career-choice anxiety and career-choice pessimism (but not through the trait emotions). Avoidant attachment was neither related to the negative emotions nor to career indecision. These findings contribute to the understanding of the linkage between internalized relationships with significant others and career planning and development, and highlight the important role that career-choice-related emotions play in the process of career decision making. In light of the findings, implications and recommendations regarding career development, career counseling interventions, and preventive measures aimed at reducing career indecision are presented.     

Shyness and Social Anxiety Assessed Through Self-Report: What Are We Measuring?

The distinction between shyness and social anxiety remains unclear in the literature. In an attempt to shed further light on this issue, our research evaluated whether shyness and social anxiety were the same construct underlying various measurement scales. Participants (N = 801, M_age = 36.21, range = 18–74, female = 53.10%) responded to 10 questionnaires assessing either shyness or social anxiety. Evidence indicated that the scales were highly correlated and loaded onto 1 factor. Confirmatory factor analysis corroborated this finding. A second exploratory factor analysis revealed that all the shyness and social anxiety items best loaded together onto 3 factors: one corresponding to fear of negative evaluation, embarrassment, self-consciousness, scrutiny, authority, interaction anxiety, and shyness (71.0%); a second comprised of primarily interaction anxiety and shyness (17.7%); and a third associated with performance anxiety (7.5%). All scales were similarly discriminated from sociability. Overall, the constructs of shyness and social anxiety were not differentiated from each other. Researchers should carefully consider what items are included in shyness and social anxiety scales if these constructs are to be distinguished from one another.     

Examining Attachment to God and Health Risk-Taking Behaviors in College Students

Drawing on insights from attachment theory, this study examined whether three types of attachment to God—secure, avoidant, and anxious—were associated with health-risk behaviors, over and above the effects of religious attendance, peer support, and demographic covariates, in a sample of 328 undergraduate college students. Contrary to prior theory, secure attachment to God is not inversely associated with recent alcohol or marijuana use, or substance use prior to last sexual intercourse. Instead, avoidant and anxious attachment to God are associated with higher levels of drinking; anxious attachment to God is associated with marijuana use; and avoidant attachment to God is associated with substance use prior to last sexual intercourse. These patterns are gender-specific; problematic attachment to God is linked with negative outcomes solely among men.     

Self-reported attachment, interpersonal aggression, and personality disorder in a prospective community sample of adolescents and adults

Anxious and avoidant attachment were assessed in the Children in the Community (CIC) Study during adolescence and adulthood using self-report scales developed for this prospective study. The convergent and discriminant validity of the new CIC attachment scales were evaluated and their stability was assessed across a 17-year interval. Attachment scales predicted DSM-IV personality disorders in theoretically coherent and clinically meaningful ways, especially when supplemented with a separate measure of interpersonal aggression. Cluster B and C personality disorder symptoms were associated with elevated anxious attachment. Avoidant attachment was positively associated with Cluster A symptoms and inversely associated with Cluster B and C symptoms. Interpersonal aggression was higher in Cluster B symptoms and lower in Cluster C symptoms, thus differentiating between these symptom clusters.