Mindfulness-based stress reduction for patients with anxiety disorders: evaluation in a randomized controlled trial

The aim of this study was to investigate the effect of mindfulness-based stress reduction (MBSR) for patients with heterogeneous anxiety disorders. Seventy-six self-referred patients were randomized to MBSR or a waiting-list control condition. Eight participants did not complete the eight-week MBSR intervention. Treatment completers improved significantly on all outcome measures compared to controls. The completer sample showed medium to large effect sizes on measures of anxiety (Cohen’s d = 0.55–0.97), and a large effect size for symptoms of depression (Cohen’s d = 0.97). Intention-to-treat analyses yielded effect sizes in the small to moderate range (Cohen’s d = 0.32–0.76). Gains were maintained at six months follow-up. The percentage of participants reaching recovered status was highest for symptom measures of depression and anxiety, and lower for worry and trait anxiety. Mediation analyses indicated that mindfulness fully mediated changes in acute anxiety symptoms, and partially mediated changes in worry and trait anxiety. However, the present study did not find evidence of temporal precedence for the proposed mediator. In the absence of true mediation and an active control condition, it cannot be ruled out that results are due to non-specific aspects of treatment. Despite these and other limitations, we conclude that MBSR is an effective treatment for anxiety disorders and related symptomatology.     

The relationship between psychopathic traits and attachment behavior in a non-clinical population

Attachment processes have been proposed to play a key role in the development of the core features of psychopathy (Fowles & Dindo, 2006). The findings reported in the literature regarding the associations between attachment and psychopathic traits are far from conclusive, especially in non-clinical populations. The present study investigated the relationship between self-reported attachment behavior and psychopathic traits in a college sample. Two-hundred nine participants completed the Experiences in Close Relationships-Revised scale and the Levenson Self-Report Psychopathy scale. Controlling for gender and race, hierarchical multiple regression analyses indicated that individuals high in both attachment avoidance and attachment anxiety had higher primary psychopathy scores. Both individuals high in attachment avoidance and individuals high in attachment anxiety had higher secondary psychopathy scores. Implications of these findings for future research and clinical practice are discussed.     

Relapse Prevention Techniques in the Treatment of Childhood Anxiety Disorders: A Case Example

Research has shown that cognitive behavioral therapy (CBT) is an efficacious treatment for children and adolescents with anxiety disorders. CBT incorporates techniques such as cognitive restructuring and exposure, which foster symptom reduction. While these components promote sustained fear reduction, greater attention to relapse prevention (RP) may be warranted, particularly given the comorbidity associated with anxiety disorders. A case example demonstrates a comprehensive relapse prevention (RP) component. Specifically, parental involvement was emphasized as well as the creation of a bound book that consolidated skills and provided a concrete resource for potential future anxious episodes.     

Sensitivity to reward and sensitivity to punishment rating scales: A validation study on the Romanian population

The “BIS/BAS” Scales (Carver & White, 1994) and the Sensitivity to Punishment and Sensitivity to Reward Questionnaire (SPSRQ; Torrubia, Avila, Molto, & Caseras, 2001) are two self-report instruments used for the assessment of Gray’s concepts of impulsivity and anxiety. In this paper, we examined both instruments in terms of their factorial structure and their construct validity using data from 345 Romanian undergraduate students. The results supported the original factor structure of the BIS/BAS scales, but indicated that a three-factor solution is preferable to the original two-factor solution in the case of the SPSRQ. Both instruments demonstrated good construct validity, correlating with other constructs such as Eysenck’s extraversion, neuroticism and some facets from Strelau’s temperament survey in the expected direction.     

Psychobiological Roots of Early Attachment

ABSTRACT— New laboratory research has revealed a network of simple behavioral, physiological, and neural processes that underlie the psychological constructs of attachment theory. It has become apparent that the unique features of early infant attachment reflect certain unique features of early infant sensory and motor integration, learning, communication, and motivation, as well as the regulation of biobehavioral systems by the mother–infant interaction. In this article, I will use this new knowledge to answer three major questions that have remained unsettled in our understanding of early human attachment: What creates an attachment bond? Why is early maternal separation stressful? How can early relationships have lasting effects? I will discuss the implications of these new answers for human infants and for the development of mental processes. Attachment remains useful as a concept that, like hunger, describes the operation of subprocesses that work together within the frame of a vital biological function.     

On the Links Between Attachment Style, Parental Rearing Behaviors, and Internalizing and Externalizing Problems in Non-Clinical Children

  We sought to investigate the relationships between negative family factors such as insecure attachment and adverse parental rearing, and internalizing and externalizing symptoms in a large sample of non-clinical children (N = 237) aged 9 to 12 years. All children completed a set of self-report questionnaires including a single-item measure of attachment style towards the mother and the father as well as an index of perceived parental rearing behaviors. Further, measures of internalizing symptoms (e.g., anxiety and depression) and externalizing symptoms (e.g., aggression) were completed. Results showed that perceived rearing behaviors of both mother and father (in particular rejection and anxious rearing) consistently accounted for a significant proportion of the variance in internalizing and externalizing symptoms. Attachment style was found to play a less prominent role. Some support for gender-specific relationships was found, indicating that the presence of negative family factors in fathers had more impact on symptoms in boys, whereas the presence of such factors in the mothers had more influence on symptoms in girls. Altogether, these results suggest that in addition to common pathways by which both parents promote psychopathological symptoms in children, there may also be separate pathways by which the father or the mother may have a unique impact on the development of such symptoms in boys or girls respectively.     

Attachment and sensitivity in family context: the roles of parent and infant gender

This study examined the role of child gender in fathers' and mothers' sensitivity to and attachment relationships with their infants from a family systems perspective. Eighty‐seven 1‐year‐olds participated in the Strange Situation with each parent. Parental sensitivity was examined during a competing demands task. Results indicated that fathers and mothers were equally sensitive to sons, but fathers were less sensitive than mothers to daughters, and mothers were more sensitive to daughters than to sons. Although mothers and fathers within the same families were similarly sensitive to daughters and sons, daughters' attachment security with fathers and mothers was similar whereas sons' was not. Further analyses revealed that fathers were more sensitive to sons with an insecure relationship with their mothers. Results of this investigation suggest that child gender is relevant for parent–infant, especially father–infant, attachment relationships. Copyright © 2006 John Wiley & Sons, Ltd.     

Revisiting the African origins of attachment research—50 years on from Ainsworth: A descriptive review

Culture plays a significant role in the variations observed in the manifestation, expression, and meaning of attachment behaviors. Africa is home to multiple cultures, with distinct organizations of caregiving relationships underlying the development of attachment. This review aims to consolidate knowledge about African attachment by describing studies of infant attachment conducted in Africa since Mary Ainsworth's Ugandan findings in 1967. Electronic databases were searched with the terms “Africa” (“attachment” or “bond”) and “infant.” Nine studies that assessed infant attachment style with self-report or observation methods were included, but spanned only five countries. The Strange Situation Procedure was most frequently used. Most studies described dyads living in peri-urban or township areas. Multiple socioeconomic factors affecting living conditions were identified, including, unemployment, financial difficulties, limited education, poor housing, single parenthood, lack of partner support, substance abuse, and depression. Overall distributions of attachment classification proportions appear consistent with global attachment-classification patterns. Despite adverse conditions, secure attachment was relatively widespread, and some populations had low rates of avoidant attachment. Relatively high rates of disorganized attachment were found when the category was included. Africa remains an understudied continent regarding infant attachment. The continent's cultural diversity may hold important truths necessary for understanding the complex relationship between infant and attachment figure.     

The association between attachment orientations and partner evaluations: An ideal standards perspective

This research examined links between attachment orientations and evaluations of potential and existing relationship partners with respect to ideal standards. In Study 1, attachment anxiety and avoidance predicted the tradeoffs individuals made when choosing between potential mates. In Studies 2 and 3, attachment anxiety and avoidance were associated with ideal partner discrepancies within existing relationships. The findings across the three studies suggest that highly anxious individuals are more likely to use the ideal partner warmth/trustworthiness and status/resources dimensions when evaluating hypothetical and actual romantic partners, whereas highly avoidant individuals are more inclined to use the ideal partner vitality/attractiveness and status/resources dimensions when making partner evaluations. These novel findings are discussed in terms of evolutionary models of mating strategies and evaluations.     

Adaptation of a Muslim Spiritual Attachment Scale (God attachment) for Turkish Muslims: a validity and reliability study

ABSTRACT

Despite the importance of a believer’s attachment relationship with God for mental health, there are few measures relevant to Muslims, and little work on cross-cultural validation of such measures. The objective of the present study was to examine the validity and reliability of the Muslim Spiritual Attachment Scale (M-SAS) in Turkish Muslim samples. In analyzing the data, three different samples of college students (N?=?525, N?=?341, and N?=?47 respectively) were used. The validity and reliability of M-SAS were examined through exploratory factor analysis, confirmatory factor analysis, the internal consistency coefficient and the split-half reliability coefficient. Results supported a three-factor model of M-SAS with good reliability for the factors, and convergence with an alternative God Attachment measure. As a result, it may be concluded that M-SAS can be used as a valid and reliable measurement instrument in Turkish Muslim samples. The results are discussed in the light of the relevant literature.