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Andrew Steptoe - One of the best experts on this subject based on the ideXlab platform.
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Attachment Anxiety predicts depression and Anxiety symptoms following coronary artery bypass graft surgery
British Journal of Health Psychology, 2016Co-Authors: Tara Kidd, Lydia Poole, Amy Ronaldson, Elizabeth Leigh, Marjan Jahangiri, Andrew SteptoeAbstract:OBJECTIVE: Depression and Anxiety are associated with poor recovery in coronary artery bypass graft (CABG) patients, but little is known about predictors of depression and Anxiety symptoms. DESIGN: We tested the prospective association between Attachment orientation, and symptoms of depression and Anxiety in CABG patients, 6-8 weeks, and 12 months following surgery. METHOD: One hundred and fifty-five patients who were undergoing planned CABG surgery were recruited. Patients completed questionnaires measuring Attachment, depression, and Anxiety prior to surgery, then 6-8 weeks, and 12 months after surgery. RESULTS: Attachment Anxiety predicted symptoms of depression and Anxiety at both follow-up time points, whereas Attachment avoidance was not associated with depression or Anxiety symptoms. The findings remained significant when controlling for baseline mood scores, social support, demographic, and clinical risk factors. CONCLUSION: These results suggest that Attachment Anxiety is associated with short-term and long-term depression and Anxiety symptoms following CABG surgery. These results may offer important insight into understanding the recovery process in CABG surgery. Statement of contribution What is already known on this subject? Depression and Anxiety symptoms are twice more likely to occur in coronary artery bypass graft (CABG) populations than in any other medical group. Depression and Anxiety are associated with poor recovery following cardiac surgery. Predictors of depression and Anxiety in CABG patients have been underexplored. What does this study add? This study highlights the importance of close interpersonal relationships on health. Attachment Anxiety was prospectively associated with higher levels of depression and Anxiety. These results add to understanding mechanisms linked to recovery following CABG.
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Attachment Anxiety predicts il 6 and length of hospital stay in coronary artery bypass graft surgery cabg patients
Journal of Psychosomatic Research, 2014Co-Authors: Tara Kidd, Lydia Poole, Amy Ronaldson, Elizabeth Leigh, Marjan Jahangiri, Andrew SteptoeAbstract:Objective The mechanisms underlying the association between adult Attachment and health are not well understood. In the current study, we investigated the relationship between Attachment Anxiety, Attachment avoidance, inflammation, and length of hospital stay in coronary artery bypass graft (CABG) surgery patients.
Tara Kidd - One of the best experts on this subject based on the ideXlab platform.
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Attachment Anxiety predicts depression and Anxiety symptoms following coronary artery bypass graft surgery
British Journal of Health Psychology, 2016Co-Authors: Tara Kidd, Lydia Poole, Amy Ronaldson, Elizabeth Leigh, Marjan Jahangiri, Andrew SteptoeAbstract:OBJECTIVE: Depression and Anxiety are associated with poor recovery in coronary artery bypass graft (CABG) patients, but little is known about predictors of depression and Anxiety symptoms. DESIGN: We tested the prospective association between Attachment orientation, and symptoms of depression and Anxiety in CABG patients, 6-8 weeks, and 12 months following surgery. METHOD: One hundred and fifty-five patients who were undergoing planned CABG surgery were recruited. Patients completed questionnaires measuring Attachment, depression, and Anxiety prior to surgery, then 6-8 weeks, and 12 months after surgery. RESULTS: Attachment Anxiety predicted symptoms of depression and Anxiety at both follow-up time points, whereas Attachment avoidance was not associated with depression or Anxiety symptoms. The findings remained significant when controlling for baseline mood scores, social support, demographic, and clinical risk factors. CONCLUSION: These results suggest that Attachment Anxiety is associated with short-term and long-term depression and Anxiety symptoms following CABG surgery. These results may offer important insight into understanding the recovery process in CABG surgery. Statement of contribution What is already known on this subject? Depression and Anxiety symptoms are twice more likely to occur in coronary artery bypass graft (CABG) populations than in any other medical group. Depression and Anxiety are associated with poor recovery following cardiac surgery. Predictors of depression and Anxiety in CABG patients have been underexplored. What does this study add? This study highlights the importance of close interpersonal relationships on health. Attachment Anxiety was prospectively associated with higher levels of depression and Anxiety. These results add to understanding mechanisms linked to recovery following CABG.
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Attachment Anxiety predicts il 6 and length of hospital stay in coronary artery bypass graft surgery cabg patients
Journal of Psychosomatic Research, 2014Co-Authors: Tara Kidd, Lydia Poole, Amy Ronaldson, Elizabeth Leigh, Marjan Jahangiri, Andrew SteptoeAbstract:Objective The mechanisms underlying the association between adult Attachment and health are not well understood. In the current study, we investigated the relationship between Attachment Anxiety, Attachment avoidance, inflammation, and length of hospital stay in coronary artery bypass graft (CABG) surgery patients.
Brent Mallinckrodt - One of the best experts on this subject based on the ideXlab platform.
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experienced therapists approach to psychotherapy for adults with Attachment avoidance or Attachment Anxiety
Journal of Counseling Psychology, 2009Co-Authors: Katherine D Daly, Brent MallinckrodtAbstract:Interviews were conducted with therapists (N 12) nominated by peers as especially effective in working with clients with adult interpersonal problems. Open-ended questions asked how these therapists would approach 2 adult clients described in brief vignettes as having high Attachment avoidance or Anxiety. A coding team used a grounded theory approach to identify 8 higher order themes in the interviews: Conceptualization, Client Defenses, Managing Boundaries, Markers of Progress, Therapist Reactions, Targeted Interventions, Corrective Relational Patterns, and Internal Representations and Models. These themes were integrated into an inclusive theoretical model based on the core concept of therapists’ strategic management of therapeutic distance. The distance necessary to engage clients initially is adjusted later in therapy to create a corrective Attachment in the psychotherapy relationship that facilitates change. Therapists described how, after engagement, they gradually increase therapeutic distance for clients with Attachment Anxiety who must then manage resulting frustration while learning to function more autonomously. Therapists gradually insist on decreased therapeutic distance to help clients with Attachment avoidance overcome their fears of intimacy. Therapists discussed the specific techniques they use to manage therapeutic distance.
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parental bonds anxious Attachment media internalization and body image dissatisfaction exploring a mediation model
Journal of Counseling Psychology, 2009Co-Authors: Hsiulan Cheng, Brent MallinckrodtAbstract:The first purpose of this study was to investigate direct links between body image dissatisfaction (BID) in college women and their memories of either parent as cold and emotionally aloof. Theory, clinical case evidence, and a small (but growing) number of studies support these links. After estimating the strength of the associations between parental "care" and BID, the second goal of this study was to investigate a 2-stage model in which adult Attachment Anxiety and internalization of media images each serve as mediators of this relationship. Thus, in a sample of 224 college women, the authors tested a causal chain with 3 links and 4 sets of variables. Results suggested that both mother and father care were negatively associated with Attachment Anxiety; Attachment Anxiety was positively associated with internalization of media influence; and media influence was positively associated with BID. Most important, the authors found that the significant negative associations between mother and father care and BID were mediated by both Attachment Anxiety and media internalization. The data supported a 2-stage mediation model of hypothesized links of BID etiology.
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Attachment social competencies social support and psychological distress
Journal of Counseling Psychology, 2005Co-Authors: Brent MallinckrodtAbstract:In this survey study of 430 undergraduates, elements of the social competencies and interpersonal processes model (B. Mallinckrodt, 2000) were tested. Two social competencies were hypothesized to mediate the direct effects of 2 independent variables, Attachment Anxiety and avoidance, on 2 outcomes, psychological distress and perceived social support. Social self-efficacy was expected to be a significant mediator only for Attachment Anxiety. Emotional awareness, construed as low levels of alexithymia, was expected to be a significant mediator only for Attachment avoidance. A bootstrap method was used to estimate the significance of indirect effects. Structural equation analyses suggested that, instead of specialized significant parings of one mediator with one independent variable, both social self-efficacy and emotional awareness served as significant mediators for both Attachment Anxiety and Attachment avoidance.
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maladaptive perfectionism as a mediator and moderator between adult Attachment and depressive mood
Journal of Counseling Psychology, 2004Co-Authors: Meifen Wei, Brent Mallinckrodt, Daniel W Russell, Todd W AbrahamAbstract:This study examined maladaptive perfectionism (concern over mistakes, doubts about one’s ability to accomplish tasks, and failure to meet high standards) as both a mediator and a moderator between adult Attachment (Anxiety and avoidance) and depressive mood (depression and hopelessness). Survey data were collected from 310 undergraduates and analyzed using structural equation modeling (SEM) methods. Results indicated that maladaptive perfectionism partially mediated the relationship between Attachment Anxiety and depressive mood and fully mediated the relationship between Attachment avoidance and depressive mood. Bootstrap methods were used to assess the magnitude of the indirect effects. Significant moderator effects were also found with SEM methods. The association between Attachment Anxiety and depressive mood was stronger as perfectionism increased. Perfectionism was not a significant moderator for Attachment avoidance and depressive mood.
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perceived coping as a mediator between Attachment and psychological distress a structural equation modeling approach
Journal of Counseling Psychology, 2003Co-Authors: Paul P Heppner, Brent MallinckrodtAbstract:This study examined perceived coping (perceived problem-solving ability and progress in coping with problems) as a mediator between adult Attachment (Anxiety and avoidance) and psychological distress (depression, hopelessness, Anxiety, anger, and interpersonal problems). Survey data from 515 undergraduate students were analyzed using structural equation modeling. Results indicated that perceived coping fully mediated the relationship between Attachment Anxiety and psychological distress and partially mediated the relationship between Attachment avoidance and psychological distress. These findings suggest not only that it is important to consider Attachment Anxiety or avoidance in understanding distress but also that perceived coping plays an important role in these relationships. Implications for these more complex relations are discussed for both counseling interventions and further research.
Elizabeth Leigh - One of the best experts on this subject based on the ideXlab platform.
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Attachment Anxiety predicts depression and Anxiety symptoms following coronary artery bypass graft surgery
British Journal of Health Psychology, 2016Co-Authors: Tara Kidd, Lydia Poole, Amy Ronaldson, Elizabeth Leigh, Marjan Jahangiri, Andrew SteptoeAbstract:OBJECTIVE: Depression and Anxiety are associated with poor recovery in coronary artery bypass graft (CABG) patients, but little is known about predictors of depression and Anxiety symptoms. DESIGN: We tested the prospective association between Attachment orientation, and symptoms of depression and Anxiety in CABG patients, 6-8 weeks, and 12 months following surgery. METHOD: One hundred and fifty-five patients who were undergoing planned CABG surgery were recruited. Patients completed questionnaires measuring Attachment, depression, and Anxiety prior to surgery, then 6-8 weeks, and 12 months after surgery. RESULTS: Attachment Anxiety predicted symptoms of depression and Anxiety at both follow-up time points, whereas Attachment avoidance was not associated with depression or Anxiety symptoms. The findings remained significant when controlling for baseline mood scores, social support, demographic, and clinical risk factors. CONCLUSION: These results suggest that Attachment Anxiety is associated with short-term and long-term depression and Anxiety symptoms following CABG surgery. These results may offer important insight into understanding the recovery process in CABG surgery. Statement of contribution What is already known on this subject? Depression and Anxiety symptoms are twice more likely to occur in coronary artery bypass graft (CABG) populations than in any other medical group. Depression and Anxiety are associated with poor recovery following cardiac surgery. Predictors of depression and Anxiety in CABG patients have been underexplored. What does this study add? This study highlights the importance of close interpersonal relationships on health. Attachment Anxiety was prospectively associated with higher levels of depression and Anxiety. These results add to understanding mechanisms linked to recovery following CABG.
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Attachment Anxiety predicts il 6 and length of hospital stay in coronary artery bypass graft surgery cabg patients
Journal of Psychosomatic Research, 2014Co-Authors: Tara Kidd, Lydia Poole, Amy Ronaldson, Elizabeth Leigh, Marjan Jahangiri, Andrew SteptoeAbstract:Objective The mechanisms underlying the association between adult Attachment and health are not well understood. In the current study, we investigated the relationship between Attachment Anxiety, Attachment avoidance, inflammation, and length of hospital stay in coronary artery bypass graft (CABG) surgery patients.
Lydia Poole - One of the best experts on this subject based on the ideXlab platform.
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Attachment Anxiety predicts depression and Anxiety symptoms following coronary artery bypass graft surgery
British Journal of Health Psychology, 2016Co-Authors: Tara Kidd, Lydia Poole, Amy Ronaldson, Elizabeth Leigh, Marjan Jahangiri, Andrew SteptoeAbstract:OBJECTIVE: Depression and Anxiety are associated with poor recovery in coronary artery bypass graft (CABG) patients, but little is known about predictors of depression and Anxiety symptoms. DESIGN: We tested the prospective association between Attachment orientation, and symptoms of depression and Anxiety in CABG patients, 6-8 weeks, and 12 months following surgery. METHOD: One hundred and fifty-five patients who were undergoing planned CABG surgery were recruited. Patients completed questionnaires measuring Attachment, depression, and Anxiety prior to surgery, then 6-8 weeks, and 12 months after surgery. RESULTS: Attachment Anxiety predicted symptoms of depression and Anxiety at both follow-up time points, whereas Attachment avoidance was not associated with depression or Anxiety symptoms. The findings remained significant when controlling for baseline mood scores, social support, demographic, and clinical risk factors. CONCLUSION: These results suggest that Attachment Anxiety is associated with short-term and long-term depression and Anxiety symptoms following CABG surgery. These results may offer important insight into understanding the recovery process in CABG surgery. Statement of contribution What is already known on this subject? Depression and Anxiety symptoms are twice more likely to occur in coronary artery bypass graft (CABG) populations than in any other medical group. Depression and Anxiety are associated with poor recovery following cardiac surgery. Predictors of depression and Anxiety in CABG patients have been underexplored. What does this study add? This study highlights the importance of close interpersonal relationships on health. Attachment Anxiety was prospectively associated with higher levels of depression and Anxiety. These results add to understanding mechanisms linked to recovery following CABG.
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Attachment Anxiety predicts il 6 and length of hospital stay in coronary artery bypass graft surgery cabg patients
Journal of Psychosomatic Research, 2014Co-Authors: Tara Kidd, Lydia Poole, Amy Ronaldson, Elizabeth Leigh, Marjan Jahangiri, Andrew SteptoeAbstract:Objective The mechanisms underlying the association between adult Attachment and health are not well understood. In the current study, we investigated the relationship between Attachment Anxiety, Attachment avoidance, inflammation, and length of hospital stay in coronary artery bypass graft (CABG) surgery patients.
