Prospective evaluation of the etiology of anxiety sensitivity: test of a scar model

A large body of research has suggested that anxiety sensitivity (AS) acts as a specific vulnerability factor in the development of anxiety pathology. More recently, attention has turned to the etiology of AS per se. The present study represents a specific test of a Scar model of AS. A Scar model posits that the experience of distress will affect the vulnerability factor. We were specifically interested in evaluating the effects of a specific stressor (spontaneous panic) as well as general distress on changes in AS over time. A large nonclinical sample of young adults (N = 1296) was prospectively followed over a five week highly stressful period of time (i.e. military basic training). Findings were consistent with the Scar model and suggested that the specific stressor of experiencing a panic attack as well as general stressors creating significant anxiety symptoms uniquely contributed to increased levels of AS (regardless of prior history of panic). Moreover, the experience of spontaneous panic in the context of generally low levels of distress (both anxiety and depression) appeared to be particularly pernicious in terms of resulting in greater increases in AS. In sum, anxiety-related stressors appear to have the potential to 'scar' individuals in regard to this cognitive vulnerability factor.     

Environmental threat influences psychological distress and marital satisfaction among avoidantly attached individuals

This research examined the impact of stressful environments on marital relationships. In all, 133 Israeli couples exposed to different levels of terror threat and political uncertainty completed measures of attachment orientation, psychological distress, and marital satisfaction. Results indicated that in low‐threat areas, spouses high on attachment avoidance did not express distress despite their marital dissatisfaction. In contrast, in high‐threat areas, spouses high on attachment avoidance exhibited greater psychological distress, and psychological distress mediated the relation between attachment avoidance and marital dissatisfaction. Psychological distress only partially mediated the relation between attachment anxiety and marital dissatisfaction in the entire sample. The discussion stresses the importance of considering attachment dimensions when studying the effects of external stressors on marital relations.     

Authoritarianism is good for you: Right‐wing authoritarianism as a buffering factor for mental distress

Although common knowledge seems to agree that authoritarianism is ‘bad to the self’, previous studies yielded inconclusive results with respect to the relationship between authoritarianism and mental distress. The present research explores whether the impact of facilitators of mental distress on actual mental distress depends on the level of authoritarianism. Study 1 includes a sample of 132 adults and demonstrated less negative consequences of D‐type personality on depression for individuals with high rather than low levels of authoritarianism. Study 2 conducted in a sample of 109 elderly revealed that the effects of negative stressful life events on mental distress were curbed by higher levels of authoritarianism. It is concluded that while previous studies have amply shown that authoritarianism has adverse consequences for other people, these negative effects do not appear to be particularly present for the self. Copyright © 2008 John Wiley & Sons, Ltd.     

Fear of death mediates ostracism distress and the moderating role of attachment internal working models

Ostracism is known to cause psychological distress; however, it remains unclear why ostracism evokes this response. Two experiments tested empirically whether fear of death mediates ostracism effects and whether attachment internal working models moderate this role. A total of 288 participants played Cyberball with two other ostensible players. After the game the accessibility of their death-related thoughts was assessed by a word completion task, and the Needs Satisfaction Scale was used to measure their distress. Participants’ attachment orientation was measured using the Experiences in Close Relationship scale. Death anxiety fully mediated ostracism distress. However, this effect was stronger in low-anxiety individuals. These studies contribute to the ostracism literature by providing further empirical support that death anxiety mediates ostracism distress, and to the attachment literature by documenting the moderation effect of attachment anxiety.     

Gender,attachment, and relationship duration on cardiovascular reactivity to stress in a laboratory study of dating couples

Stress related to relationship events has been a strong predictor of cardiovascular reactivity. This four‐phase laboratory study used a multiple‐nested design to examine variations in diastolic blood pressure (DBP) and rate‐pressure product (RPP: pulse rate [PR] × systolic blood pressure [SBP]) as a function of stress appraisal using 33 college‐aged dating couples. Individual participants filled out questionnaires designed to assess the length of their relationships (couple‐level factor), gender and attachment styles (individual‐level factors); watched a film clip depicting relationship distress; discussed relationship problems; then received instruction for relaxation. Individuals’ self‐reported stress and negative affect levels (experimental phase‐level factors), DBP, SBP, and PR were also measured at each study phase. Hierarchical linear modeling analyses revealed that relationships with longer duration were associated with higher levels of DBP and RPP as perceived stress levels increased. Also, as perceived stress levels increased, men or individuals high in the anxiety dimension of attachment showed higher DBP and RPP reactivity, whereas individuals high in the avoidance dimension of attachment showed lower RPP reactivity. As the negative affect level increased, individuals high in the avoidance dimension of attachment showed lower RPP reactivity. Findings imply that under relationship stress, individuals high in avoidance or anxiety dimensions of attachment may be vulnerable to a range of physical symptoms, such as cardiovascular disease or hypertension.     

Testing the function of attachment hierarchies during emerging adulthood

J. Bowlby (1969/1997) suggested that one aspect of healthy development included the shift of attachment functions from parent to peer. This proposal was tested in a sample of undergraduates and results suggested that there was no advantage for individuals with a peer network compared to those with a family network. There was, however, a difference in attachment–distress associations between groups. Consistent with previous research, attachment anxiety was positively associated with distress for both groups. Although attachment avoidance was positively associated with distress for individuals with a predominantly family network, avoidance was not associated with distress for individuals with a predominantly peer network. Discussion highlights two interpretations for these findings, which focus on the importance that attachment may have on the experience of distress as well as current research findings exploring the attachment–distress relationship over time.     

The Relation Between Anxiety Sensitivity and Attachment Style in Adolescence and Early Adulthood

Given the accumulating evidence for a role of anxiety sensitivity in the etiology of panic, it is important to understand the developmental origins of anxiety sensitivity. To this end, this study examined the relation between attachment beliefs and anxiety sensitivity in a sample of high school students (n = 203; mean age 15.7 years) and university students (n = 324; mean age 21.7 years). The Experiences in Close Relationships (ECR; K. Brennan, C. Clark, &; P. Shaver, 1998) was used to assess attachment beliefs and to classify participants into attachment groups. The Anxiety Sensitivity Index (ASI; R. A. Peterson &; S. Reiss, 1987) was used to assess participants' levels of anxiety sensitivity. Results supported the hypothesis that individuals with insecure attachment, specifically those classified as preoccupied and fearful (i.e., those with a negative model of self), had significantly higher anxiety sensitivity scores than securely attached individuals in both the high school and college samples.     

Attachment to God,Images of God,and Psychological Distress in a Nationwide Sample of Presbyterians

Drawing broadly on insights from attachment theory, the present study outlines a series of theoretical arguments linking styles of attachment to God, perceptions of the nature of God (i.e., God imagery), and stressful life events with psychological distress. Main effects and potential stress-moderator effects are then evaluated using data from a nationwide sample of elders and rank-and-file members of the Presbyterian Church (U.S.A.). Key findings indicate that secure attachment to God is inversely associated with distress, whereas both anxious attachment to God and stressful life events are positively related to distress. Once variations in patterns of attachment to God are controlled, there are no net effects of God imagery on levels of distress. There is only modest support for the hypothesis that God images moderate the effects of stressful life events on psychological distress, but no stress-moderator effects were found for attachment to God. Study limitations are identified, and findings are discussed in terms of their implications for religion-health research, as well as recent extensions of attachment theory.     

The role of attachment to God and spiritual self-awareness in predicting evangelical Christians’ appraisals of suffering

The present study examined how attachment to God and spiritual self-awareness are related to evangelical Christians’ appraisals of suffering. Specifically, we were interested in whether attachment anxiety and attachment avoidance with God were related to the appraised meaning of stressful life experiences as transformational and whether spiritual self-awareness mediated this relationship. A national sample (N?=?988) of students from Christian institutions completed an online survey. The results indicated that individuals with high levels of attachment anxiety or attachment avoidance with God were less likely to view suffering as a means of spiritual growth and connection with God. Mediation analyses also showed that higher levels of avoidant attachment to God were related to lower levels of spiritual self-awareness, which in turn were related to reduced ability to appraise suffering as transformational. Clinical implications and directions for future research are discussed.     

The attachment system in fledgling relationships: an activating role for attachment anxiety

Is it sensible to study attachment dynamics between potential romantic partners before they share a full-fledged attachment bond? The present data indicate that such an approach may reveal novel insights about initial attraction processes. Four studies suggest that the state-like experience of attachment anxiety has functional implications within fledgling (i.e., desired or undeveloped) romantic relationships, well before the formation of an attachment bond. Studies 1 and 3 reveal that attachment anxiety directed toward a particular romantic interest is elevated before (in comparison with after) participants report being in an established relationship. Studies 2 and 3 demonstrate that such partner-specific attachment anxiety predicts attachment-relevant outcomes in fledgling relationships, including proximity seeking, safe haven, secure base, passionate love, and other approach behaviors. These associations were reliable above and beyond (and were typically as strong as or stronger than) the effect of sexual desire. Finally, Study 4 presents evidence that partner-specific attachment anxiety may cause several of these attachment-relevant outcomes. Attachment anxiety seems to be a normative experience and may signal the activation of the attachment system during the earliest stages of romantic relationships.     

Testing the stress-buffering effects of self engagement among soldiers on a military operation

The present research examined whether self engagement moderated the stressor-strain relationship in a sample of U.S. soldiers deployed on a peacekeeping mission to Bosnia. Given that individuals were nested within groups (Army companies), we examined the relationships of interest using multilevel random coefficient models. The results of these analyses revealed that self engagement interacted with three different stressors (lower amounts of sleep, work stress, family stress) in the prediction of psychological distress. In support of self engagement as a buffer against stress, when stressors were low (high amounts of sleep, low levels of work stress, and family stress), soldiers reported relatively low levels of psychological distress and physical symptoms, regardless of whether they were engaged in or disengaged from their job. However, when stressor levels were high, soldiers who were engaged in their job reported less elevation in reports of psychological distress than soldiers who were disengaged from their job. The results are discussed in terms of the potential mechanisms by which self engagement might protect individuals from stressful circumstances.     

Attachment Insecurity and Perceived Partner Suffering as Predictors of Personal Distress

This study examined the extent to which perceptions of partner suffering mediate the association between attachment insecurity (anxiety and avoidance) and personal distress among spouses of older adults with osteoarthritis. Fifty-three spouses watched two videos of targets (their partner and an opposite sex stranger) perform a pain-eliciting household task, and spouses were asked to rate their own distress and perceptions of the targets' pain. Spouses also completed self-report measures of trait attachment. Results revealed that attachment anxiety was associated with greater personal distress in reaction to the partner's suffering, and heightened perceptions of partner pain mediated this association. Avoidant attachment was associated with less distress in reaction to the partner's suffering, but not with less perceived pain. The results of this study identify an important mechanism linking attachment insecurity and heightened distress responses when observing the suffering of a significant other.     

Anxiety and cancer treatment: response to stressful radiotherapy

Previous research with individuals undergoing surgery or diagnostic procedures provided a conceptual framework for analysis of radiation therapy, a common form of cancer treatment. The present investigation was designed to document the magnitude of anxiety patients experience in response to one particularly stressful form of radiation treatment. In addition, the change in anxiety responses with repeated exposures and individual differences among patients that may affect their adjustment were explored. In Part 1, gynecologic cancer patients receiving their first internal radiotherapy application were studied. As the time for treatment neared, subjective and physiologic indicants of anxiety and distress among the patients significantly increased. By 24 hours post-treatment, anxiety for all patients remained elevated. These post-treatment data are convergent with other investigations of post-treatment distress among cancer patients, but contrast with data obtained from those receiving treatment for benign conditions. A subset of the women who required two applications of radiotherapy participated in Part 2. These patients continued to respond negatively during the second treatment. Data on individual differences in anxiety responses (i.e., low vs. high anxiety) were obtained in both investigations and suggest that those with low levels of pre-treatment anxiety experience considerable disruption post-treatment.     

蒙汉族大学生父母教养方式、成人依恋与心理困扰的关系研究

通过整群抽样方法抽取了576名大学生,对其施测父母养育方式量表、亲密关系体验量表和心理困扰量表,运用结构方程模型技术,分别考察了父母养育方式的蒙汉族差异以及成人依恋模式在父母养育方式和心理困扰间的中介作用。结果表明:(1) 蒙古族父母对孩子的关爱程度和给孩子的自主性要显著高于汉族;(2) 汉族的成人依恋模式在父母过度保护与抑郁-焦虑-压力之间起着部分中介作用,而蒙古族成人依恋的中介作用不明显,但母亲的冷漠拒绝和过度保护会导致个体依恋回避和依恋焦虑,父亲的冷漠拒绝和过度保护会影响个体的抑郁和焦虑,母亲的过度保护和父亲的冷漠拒绝会影响个体的压力。     

恋爱中大学生依恋焦虑与心理健康的关系：恋爱关系质量的中介和调节作用

依恋焦虑与个体心理健康存在密切关联,恋爱关系质量可能在二者关系中发挥着重要作用。本文以595名处于恋爱关系中的大学生为被试,探讨了恋爱关系质量在大学生依恋焦虑与心理健康关系中的作用。结果表明,恋爱关系质量在大学生依恋焦虑与心理健康的关系中既发挥着中介作用,也发挥着调节作用。一方面,依恋焦虑能够通过影响恋爱关系质量对心理健康造成影响,另一方面,高质量的恋爱关系能够缓解依恋焦虑对心理健康的消极影响。     

Stability and change of attachment representations during emerging adulthood: An examination of mediators and moderators of change

Using Bartholomew’s model of attachment (K. Bartholomew, 1990; K. Bartholomew & L. Horowitz, 1991), we explored stability and change of attachment in a group of young adults graduating from university and examined reasons for change of attachment. Consistent with previous research, we found that attachment dimensions were moderately stable; however, several variables predicted change. We explored the effect of changing relationship status and parental divorce on attachment and found that individuals who remained single reported lower stability of avoidance over time. Next, we tested whether distress reported before the transition would mediate stability of attachment. The results provided some support for J. Bowlby’s (1969/1982) proposal that distress would be associated with stability and change of attachment. We found that participants who reported low distress at Time 1 (T1) were more likely to report changes in attachment anxiety than participants who reported high distress at T1.     

Perfectionism Cognitions, Rumination, and Psychological Distress

The current study examined the extent to which dimensions of perfectionism are associated with a ruminative response orientation and the experience of cognitive intrusions in response to stressful events. Our main goal was to test the hypothesis that individuals characterized by frequent automatic thoughts involving perfectionistic themes would also be characterized by a ruminative response orientation when distressed and they would report intrusive thoughts and images following the experience of a stressful event. A sample of 65 students completed several measures, including the Perfectionism Cognitions Inventory, the Multidimensional Perfectionism Scale, the Response Styles Questionnaire, the Impact of Events Scale, and indices of depression and anxiety. Correlational analyses confirmed that high scores on the Perfectionism Cognitions Inventory were correlated with a ruminative response orientation and the reported experience of intrusive thoughts and images following the experience of a stressful event. High levels of perfectionism cognitions, socially prescribed perfectionism, and rumination were also correlated with measures of depression and anxiety representingthe tripartite model. The results support the view that there is a salient cognitive aspect to perfectionism and the experience of frequent perfectionistic cognitions and related forms of rumination contribute to levels of psychological distress.     

Adult attachment styles and psychological disease: examining the mediating role of personality traits

The aim of the present study was to examine differences in anxiety and depression related to differences in attachment models of the self and of others and whether personality traits mediate this relationship. The authors assessed attachment styles, anxiety, depression, and personality traits among 274 adult volunteers. Participants were classified into 4 attachment groups (secure, preoccupied, fearful, and dismissing-avoidant) according to K. Bartholomew's (1990) model. The present authors found significant differences among attachment groups on anxiety and depressive symptoms with attachment styles involving a negative self-model showing higher scores than attachment styles characterized by a positive self-model. The authors also found that differences between attachment styles in anxiety and depression remained significant when personality factors related to attachment prototypes were entered as covariates. Results indicate that secure attachment in adults was associated with better mental health, while insecure attachment styles characterized by negative thinking about the self were associated with higher depression and anxiety scores. Our findings seem to evidence that attachment and personality are only partly overlapping and that attachment cannot be considered as redundant with personality in the explanation of psychological disease.     

Attachment styles in dating couples: Predicting relationship functioning over time

This study examined the associations between self‐reported attachment style dimensions and romantic relationship functioning over 1 year in a sample of heterosexual dating couples between the ages of 18 and 25 (115 dyads at T1, 57 dyads at T2; 74% Caucasian). Relationship functioning was assessed at multiple levels of analysis via self‐reports of interpersonal functioning, observers' ratings of dyadic interactions, and measures of autonomic responding during the interactions. No significant cross‐sectional associations were found between attachment style dimensions and interpersonal functioning. However, individuals who reported greater attachment‐related anxiety at T1 described their relationships as being of lower quality, were rated by observers as interacting less positively, and exhibited greater electrodermal reactivity during interactions 1 year later.     

The role of attachment in influencing reactions to manipulated feedback from romantic partners

A study of 80 couples (mean age 24) examined the impact of attachment patterns on reactions to manipulated positive or negative feedback, ostensibly from partners. As expected, individuals high in attachment anxiety reported more negative mood and the least indifference to partner feedback. In addition, those high in attachment anxiety reported more negative reactions to negative feedback compared to those low in anxiety. Those high in attachment anxiety reported lower self‐competence after receiving negative feedback than those low in anxiety. Further, reactions to manipulated feedback mediated the relationship between attachment anxiety and self‐competence. Attachment models play a role in determining reactions to partner feedback and moderate how feedback is used to maintain self‐views. Copyright © 2006 John Wiley & Sons, Ltd.