Attachment styles and clinical correlates in people at ultra high risk for psychosis

Evidence suggests that attachment styles may influence subclinical psychosis phenotypes (schizotypy) and affective disorders and may play a part in the association between psychosis and childhood adversity. However, the role of attachment in the initial stages of psychosis remains poorly understood. Our main aim was to describe and compare attachment styles in 60 individuals at ultra high risk for psychosis (UHR) and a matched sample of 60 healthy volunteers (HV). The HV had lower anxious and avoidant attachment scores than the UHR individuals (p < .001). Sixty-nine percentage of the UHR group had more than one DSM-IV diagnosis, mainly affective and anxiety disorders. The UHR group experienced more trauma (p < .001) and more mood and anxiety symptoms (p < .001). Interestingly, in our UHR group, only schizotypy paranoia was correlated with insecure attachment. In the HV group, depression, anxiety, schizotypy paranoia, and social anxiety were correlated with insecure attachment. This difference and some discrepancies with previous studies involving UHR suggest that individuals at UHR may compose a heterogeneous group; some experience significant mood and/or anxiety symptoms that may not be explained by specific attachment styles. Nonetheless, measuring attachment in UHR individuals could help maximize therapeutic relationships to enhance recovery.     

The association of Big Five personality traits and religiosity on Internet addiction among Israeli-Palestinian Muslim college students in Israel

ABSTRACT

Prior studies have demonstrated that personality traits and religiosity may be protective/risk factors for the development of Internet addiction; however, these associations have not been examined among the unique population of Israeli-Palestinian young adults. This study was the first to investigate the relationships between Internet addiction (Internet Addiction Test; IAT) with the Big Five personality traits (Big Five Personality Trait Short Questionnaire; BFPTSQ) and religiosity (Positions Regarding Religion Questionnaire) among a sample of Israeli-Palestinian Muslim college students (n?=?350). IAT scores were positively associated with BFPTSQ openness (r?=?.33, p?<?.01), BFPTSQ extraversion (r?=?.30, p?<?.01), and BFPTSQ agreeableness (r?=?.36, p?<?.01), whereas IAT scores were negatively related to religiosity (r?=??.46, p?<?.01), BFPTSQ conscientiousness (r?=??.33, p?<?.01), and BFPTSQ emotional stability (r?=??.36, p?<?.01). The present work may provide insight into risk factors for developing Internet addiction in a manner that may increase early identification and intervention efforts.     

Child maltreatment types and risk behaviors: Associations with attachment style and emotion regulation dimensions

Child maltreatment is a robust psychosocial risk factor linked to the development of a wide range of risk behaviors among young adults. Adult attachment style and emotion dysregulation are two potential mechanisms through which maltreatment leads to risk behaviors. Yet, less is known about the specificity of the relations among different maltreatment types, attachment styles, emotion regulation strategies, and risk behaviors. The present study examined the relations among various forms of maltreatment and risk behaviors (e.g., substance use; risky sex) among 361 undergraduate students and tested whether attachment styles and emotion dysregulation might underlie these relations. Emotional, and sexual but not verbal abuse (although verbal abuse was directly related to alcohol use), were related to anxious and avoidant attachment styles, emotion dysregulation, and a variety of risk behaviors. Among the emotion regulation dimensions, impulsivity showed the strongest indirect effect from child maltreatment to risk behaviors. Results support a cross-sectional link between child maltreatment and risk behavior outcomes via attachment styles and emotion regulation. Implications for treatment and prevention of these risk behaviors in young adults are discussed.     

The relationship between cooperative,competitive, and individualistic attitudes and differentiated aspects of self-esteem1

Four studies to clarify the relationship between attitudes toward styles of social interdependence and ways of deriving self-esteem were conducted among 821 white, middle-class, secondary school students in a midwest suburban community. Correlations between attitudes toward three styles of interdependence and four ways of deriving self-esteem indicate distinctive and theoretically predictable patterns of relationship. Students who indicate a cathexis for cooperative relationships report patterns of higher self-esteem related to freedom of personal expressiveness and feelings of personal well-being; students indicating a cathexis for competitive or individualized patterns of interdependence report greater vulnerability on dimensions of self-esteem reflecting sensitivity to experiences of success, approval, and support of others. The magnitudes of correlations between a global measure of personal worth and attitudes toward the three types of interdependence reflect the extent to which positive social reinforcement is available in these settings. Specific correlations that reflect these findings are significant, p < .01.     

Being “Single and Unattached”: The Role of Adult Attachment Styles1

This study compared adult attachment styles across 3 groups of young adults: those seriously dating someone (n= 89), casually dating someone (n= 39), or not dating (n= 33). Respondents who were casually dating and not dating rated themselves higher on fearful attachment compared to those who were seriously dating. Higher proportions of respondents in the casually dating and non‐dating groups compared to seriously dating individuals also categorized themselves into fearful or dismissing attachment groups and a lower proportion into the secure attachment group. Logistic regression analyses indicate that higher scores on fearful attachment significantly increased the odds of being single and unattached. These findings confirm a link between adult attachment and relationship status, not only in theory but also in practice.     

The Importance of Emotional Intelligence and Cognitive Style in Institutionalized Older Adults' Quality of Life

Despite previous evidence showing a positive relationship between emotional intelligence (EI) and quality of life (QoL), associating older adults' emotional processing with several health indicators, few studies have explored both the IE and the a mechanisms through which they affect QoL. This cross-sectional study analyzes the mediator role of optimistic and pessimistic cognitive styles in the relationship between perceived EI (PEI) and QoL in 115 institutionalized older adults from Southern Spain. Regression analyses showed, after controlling for cognitive style, that PEI predicted a significant percentage of variance in: Health (β = .25, p < .01), Functional abilities (β = .20, p < .05), Activity and leisure (β = .17, p < .05) and Life satisfaction (β = .21, p < .05). Additionally, multiple mediation analysis revealed that cognitive style partially mediated the relationship between PEI and Health, Activity and leisure and Life satisfaction. Thus, PEI could promote personal but not external or environmental QoL aspects, highlighting the importance of developing emotional skills for healthy aging.     

Does community violence exposure moderate the associations between maternal spanking and early child behavior problems?

A robust research literature links parental spanking with negative behavioral outcomes for children, however, it remains unclear whether conditions in the community may moderate the associations between spanking and behavior problems in early childhood. In the current study, we examined whether community violence exposure moderated the associations of maternal spanking with externalizing and internalizing behavior problems of young children. The sample used in this study was urban families and their children ages 3–5 (n = 2,472). We used fixed effects regression models, which yield stronger statistical control for baseline behavior problems, selection bias, and omitted variables bias. Mother's spanking was associated with elevated levels of both externalizing (β = .037, p < .001) and internalizing (β = .016, p < .001) behavior problems. Community violence exposure also predicted higher levels of externalizing (β = .071, p < .01) and internalizing (β = .043, p < .05) behavior problems. Community violence exposure did not moderate the associations between maternal spanking and behavior problems. Professionals working with families should promote the use of nonphysical disciplinary practices, regardless of the level of violence and crime in the community in which the family resides.     

Influence of Attachment Style on Sexual Abuse Survivors' Posttraumatic Growth

This study investigated the directional relationship between adults' (N = 292) attachment styles and perceived impact of child sexual abuse with their experience of posttraumatic growth (PTG). Structural equation modeling results identified that attachment style served as a partial mediator between trauma and PTG scores, with the mediating effect contributing to 8% of the variance in the presence of PTG (p < .05; standardized coefficient = ?.31).     

Perceived Benefits and Costs of Romantic Relationships for Young People: Differences by Adult Attachment Style

Bowlby's attachment theory suggested that the attachment experiences of early childhood influence adult approaches to close relationships. As a result of these experiences, the child develops typical mental schemas or internal working models. The aim of this study was to analyze how young people with different attachment styles perceive the benefits and costs involved in spending as much time as possible with their partner, and to determine whether their beliefs reflect the internal working models associated with their attachment style. A sample of 1,539 university students responded to the Relationship Questionnaire (Bartholomew & Horowith, 1991), and to a questionnaire about behavioral beliefs (perceived benefits and costs). Results show that young people with different attachment styles hold different beliefs about the consequences derived from engaging in a specific behavior in romantic relationships. Secure and preoccupied individuals perceived more benefits than costs associated with the behavior, whereas dismissing and fearful individuals perceived more costs than benefits. Furthermore, secure and preoccupied individuals rated those behavioral consequences leading to enhanced intimacy or closeness more positively than avoidant individuals, whereas dismissing individuals rated more negatively those consequences that involved a loss of independence. These results confirm that a congruity exists between the beliefs associated with the behavior studied and the internal working models related to each adult attachment style.     

Rethinking barriers: a novel conceptualization of exercise barriers in cancer survivors

Previous research suggests different types of barriers may demonstrate different relationships with intention to engage in health behaviors. This study explored global, practical, and health-related barriers’ relationships with exercise intention and behavior among cancer survivors. The mediating role of intention in the barriers-behavior relationships was also evaluated. Cancer survivors (N = 152) completed self-report measures of exercise barriers, intention, and behavior at baseline and of exercise behavior two months later. Global barriers were negatively related (p < .01) and practical and health-related barriers were unrelated (ps ≥ .07) to exercise intention. Global and practical barriers were negatively related (ps < .01) and health-related barriers were unrelated (p = .48) to subsequent exercise behavior. Exercise intention did not mediate any barriers-behavior relationships. Results suggest that global and practical barriers should be targeted in barriers reduction interventions and highlight the intention-behavior gap problem. Future research should explore multidimensionality of barriers for other health behaviors.     

Attentional bias for doping words and its relation with physical self-esteem in young adolescents

ObjectivesPrevious studies revealed that adolescence is a period of risk for doping and drug addiction and that young athletes who used doping agents reported low self-esteem. We conducted a preventive study with the aims to investigate whether young adolescents displayed an attentional bias to doping-related words and whether this attentional bias was related to physical self-esteem.MethodNinety seven adolescents (44 girls and 53 boys) from 11 to 15 years-old participated to a study designed to measure reaction times (RT) in a Stroop emotional task related to doping, cheating and control words. They also completed the Physical Self-Perception Profile subscales assessing perceived general self-esteem, physical self-worth, physical condition, sport competence, body attractiveness, and physical strength.ResultsParticipants exhibited longer RT after doping words than after control words. RT was also longer after doping than after cheating words. Participants belonging to the low physical self-esteem group exhibited larger carry-over effects than those who were in the high physical self-esteem group.ConclusionsThese findings suggest that attentional resources allocated to doping words are already present at the onset of adolescence, and that they may be linked to a psychological feature (physical self-esteem) considered as a risk factor of substance abuse in young adults involved in competitive sports.     

Message Valence,Familiarity, Sex,and Personality Effects on the Perceptual Distortion of Height

The perceptual distortion of height was examined in a group of American male and female college student volunteers (n = 139). A message which announced either good or bad news was delivered by a familiar or unfamiliar person who was either male or female. After hearing the message, the students were asked to estimate the height of the communicator. Additionally, the variables of self-esteem and independence of judgment were measured. Results indicated that familiarity with the message source (p <.0025) as well as sex of the communicator (p <.024) were predictors of the perceptual distortion of height, but message valence was not. Neither self-esteem nor independence of judgment was functionally related to the proclivity to distort the heights of the communicators.     

Psychosocial correlates of depressive rumination

The study examined the relationship between brooding, the maladaptive sub-component of depressive rumination, an important cognitive mechanism implicated in the aetiology of depression, and a range of depressogenic psychosocial factors, including insecure attachment styles and maladaptive interpersonal behaviours. It was hypothesised that brooding (but not the more adaptive reflection component) is associated with an attachment pattern characterised by fear of rejection, and an interpersonal style characterised by submissiveness. Currently depressed (n = 29), previously depressed (n = 42) and never-depressed (n = 32) adults completed self-report measures assessing depressive symptoms, rumination (brooding and reflection), attachment orientation and maladaptive interpersonal behaviours. The study hypotheses were partially supported: After controlling for gender and depressive symptoms, brooding was significantly associated with one indicator of underlying rejection concerns (rejection sensitivity, p = .05), but was not associated with another indicator of underlying rejection concerns (anxious attachment style) or with avoidant attachment style. After controlling for depressive symptoms, brooding was uniquely associated with the submissive interpersonal style (p < .01). Brooding was not correlated with needy or cold interpersonal styles after controlling for depressive symptoms.     

The Association Between Religious Beliefs and Practices and End-of-Life Fears Among Members of the Presbyterian Church (U.S.A)

This study examines the association between various religious beliefs and practices and fears pertaining to death and dying in a national sample of liberal Protestant U.S. adults. Data were analyzed from a 2002 survey of members and elders of the Presbyterian Church (U.S.A) (N = 935). Four measures of religion were tested together in models predicting four end-of-life fears. Church attendance (p < .01), other church involvement (p < .05), and belief in life after death (p < .001) had negative associations with the fear of what happens after death. Private devotion was inversely related to the fear of dying in pain (p < .05). Involvement in church activities (p < .05), aside from religious services, was inversely related to the fear of leaving loved ones behind. Females tended to be more fearful than males of dying alone and dying in pain and older adults tended to be less fearful than younger adults of the unknown and of leaving loved ones behind.     

Attachment and exploration in adulthood: The mediating effect of social support

Research examining the relationship between adult attachment styles and exploratory behavior has shown that anxious and avoidant attachment styles are negatively related to exploration. However, little research has been conducted on the mediation process between adult attachment styles and exploration. Given that perceived social support has been shown to be the basis for secure attachment and may be related to exploration behavior, the current study examines whether perceived social support mediates the relationship between adult attachment and exploration. University students in Taiwan (N = 168) completed questionnaires that assessed attachment styles; perceived social support from their father, mother, and best friend; and their intellectual, social, and environmental exploration. Our results revealed that perceived social support mediates the relationship between avoidant attachment and exploration behavior.     

Motivation for physical activity in young adults with physical disabilities during a rehabilitation stay: a longitudinal test of self‐determination theory

We tested a self‐determination theory (SDT) process model during a 3 week physical activity rehabilitation stay among young adults with a physical disability (N = 44, M_age = 24.7, SD = 5.1). As hypothesized, perceived autonomy support positively predicted needs satisfaction at the end of the stay (r = .38, p < .01). Further, needs satisfaction was positively linked to changes in autonomous motivation for physical activity (r = .47, p < .01). Both changes in autonomous motivation and self‐efficacy were associated with physical activity increases over the stay (r = .57, p < .01 and r = .47, p < .01, respectively). Bootstrapping results supported the SDT process model, indicating a support for a development toward more self‐determined motivation in rehabilitation.     

A Case-Control Study of Psychosocial and Aerobic Exercise Factors in Women With Symptoms of Depression

The study is an examination of specific aspects of psychosocial constructs and health-promoting behavior that may be related to symptoms of depression. The authors used a case-control design to investigate possible differences between provisional social support, hardiness dimensions, and exercise behavior and related perceptions in a sample of 94 White, middle-aged women with and without symptoms of depression. The results indicated that women with symptoms of depression have significantly fewer (p < .001) specific forms of social support resources (i.e., reassurance of worth, social integration, guidance, and attachment) and significantly lower (p < .0001) perceptions of control and commitment in their lives. The results also indicated no difference in perceptions and behaviors related to physical activity between women with and without symptoms of depression. Those results suggest that provisional social support, as well as specific dimensions of hardiness, should be the focus of interventions for women with symptoms of depression.     

Parents Plus Systemic,Solution‐Focused Parent Training Programs: Description,Review of the Evidence Base,and Meta‐Analysis

Parents Plus (PP) programs are systemic, solution‐focused, group‐based interventions. They are designed for delivery in clinical and community settings as treatment programs for families with child‐focused problems, such as behavioral difficulties, disruptive behavior disorders, and emotional disorders in young people with and without developmental disabilities. PP programs have been developed for families of preschoolers, preadolescent children, and teenagers, as well as for separated or divorced families. Seventeen evaluation studies involving over 1,000 families have shown that PP programs have a significant impact on child behavior problems, goal attainment, and parental satisfaction and stress. The effect size of 0.57 (p < .001) from a meta‐analysis of 10 controlled studies for child behavior problems compares favorably with those of meta‐analyses of other well‐established parent training programs with large evidence bases. In controlled studies, PP programs yielded significant (p < .001) effect sizes for goal attainment (d = 1.51), parental satisfaction (d = 0.78), and parental stress reduction (d = 0.54). PP programs may be facilitated by trained front‐line mental health and educational professionals.     

Attachment theory as a framework for explaining engagement with Facebook

Research on the relation between personality and styles of engagement with social media is surprisingly limited and has generated mixed results. The present research applied attachment theory to illuminate individual differences in styles of Facebook engagement. Two studies (N = 583) supported a mediational model explaining various forms of active Facebook use as stemming from attachment anxiety, which predisposes individuals to sensitivity about social feedback, thereby leading them to engage in attention-seeking social media behavior. These results held while controlling for extraversion, neuroticism, and self-esteem. Attachment avoidance predicted restrained Facebook use, primarily due to its association with (low) extraversion. These findings resolve inconsistencies in previous research and demonstrate that attachment theory is a particularly useful framework through which to study the influence of personality on social-media behavior.