Insecure attachment predicts depression and death anxiety in advanced cancer patients

Scheffold, Katharina; Philipp, Robin; Koranyi, Susan; Engelmann, D.; Schulz-Kindermann, Frank; Härter, Martin; Mehnert, Anja

doi:10.1017/s1478951517000281

Cited by 32 publications

(21 citation statements)

References 50 publications

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“…In patients with cancer, insecurely attached individuals use less active and less positive coping strategies to manage their diagnosis of cancer and survivorship issues, such as physical and emotional consequences of the cancer treatment (Schmidt et al, 2012;Arambasic et al, 2019;Romeo et al, 2019). Moreover, related studies have shown that attachment anxiety is associated with depression (Hunter et al, 2006;Porter et al, 2012;Nissen, 2016;Scheffold et al, 2017), higher symptoms of anxiety and reduced social well-being and quality of life among cancer patients (Porter et al, 2012;Smith et al, 2018;Arambasic et al, 2019;Romeo et al, 2019). This is of special relevance as the effect of attachment anxiety on health-related outcomes (e.g., medical symptoms, overall health and bodily pain) may be moderated by the perception of social support (Stanton and Campbell, 2014;McWilliams, 2017).…”

Section: Introductionmentioning

confidence: 99%

Unmet Supportive Care Needs Among Women With Breast and Gynecological Cancer: Relevance of Attachment Anxiety and Psychological Distress

Graf¹,

Junne²,

Ehrenthal

et al. 2020

Front. Psychol.

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Objective: Attachment anxiety and avoidance are known risk factors for the development of unmet needs and poor well-being among patients with chronic diseases. Few studies have addressed this in individuals with cancer. We aimed to explore the relationship between supportive care needs, attachment styles and distress in women with breast and gynecological cancer. Methods: Using a cross-sectional paper-pencil (n = 157) and online survey (n = 614), a total of 771 patients with breast or gynecological cancer completed a set of validated questionnaires. From September 2013 to January 2014, consecutive inpatients and outpatients of the university hospital Tuebingen were included in the study. Further, participants were recruited through social media, patient internet platforms, self-help group leaders and patient networks. We used the Supportive Care Needs Survey (SCNS-SF-34) with the need dimensions: health system, patient care, psychological, physical, and sexual needs, as well as the Experiences in Close Relationships-Revised Questionnaire, and the Distress Thermometer. A multiple linear regression model was used to analyze the influence of attachment styles (anxiety and avoidance) on the SCNS-SF-34 dimensions. A moderation analysis was used to explore the influence of the interaction between attachment anxiety and distress for all SCNS-SF-34 dimensions. Results: Attachment anxiety was a significant determinant and led to higher unmet supportive care needs in all dimensions, whereas attachment avoidance was not significant. Distress did moderate the relationship between attachment anxiety and

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Section: Introductionmentioning

confidence: 99%

Unmet Supportive Care Needs Among Women With Breast and Gynecological Cancer: Relevance of Attachment Anxiety and Psychological Distress

Graf¹,

Junne²,

Ehrenthal

et al. 2020

Front. Psychol.

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“…Prämorbide Persönlichkeitsmuster sowie bisheriges Bewältigungsrepertoire und das Unterstützungspotenzial vom Umfeld können neben Alter und Bildung sowohl die Stressbewertung als auch das Auftreten psychische Störungen beeinflussen (22). Zu den häufigsten psychischen Störungen bei Krebs-Patienten zählen Anpassungsstörungen, Angststörungen und affektive Störungen (12,30,34) trum an Symptomen und Syndromen unterschiedlicher Ausprägung. Nicht unerwähnt sollte an dieser Stelle bleiben, dass sich eine umfassende psychosoziale Diagnostik in der Onkologie darüber hinaus nicht nur auf Patienten orientiert, sondern auch Partner und Angehörige mit einschließen sollte (31,32).…”

Section: Angststörungen Bei Krebskrankenunclassified

Krebs – zum Fürchten!?

Hornemann¹,

Schuler²

2017

Nervenheilkunde

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ZusammenfassungPsychosoziale und psychoonkologische Aspekte finden mittlerweile im Rahmen einer ganzheitlichen Behandlung von Tumor-Patienten, welche körperliche, psychische und soziale Faktoren im Sinne des bio-psychosozialen Verständnisses gleichgewichtig einbezieht, zunehmend Beachtung.Dieser Beitrag gibt einen Überblick über die psychische Belastung sowie Verteilung von subsyndromalen und Störungsbildern bei Krebs-Patienten mit dem Schwerpunkt Progressionsangst und gibt anhand von Fallvignetten exemplarisch Einblick in häufig thematisierte Probleme im Umgang mit Angst.

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“…The diagnosis of cancer leads to profound emotional and physiological effects on patients [1,6]. Since the treatment process (combinations of chemotherapy, radiotherapy, and surgery) is complex and problematic, patients' physical health, mental well-being, and relationships with loved ones may be adversely affected [1].…”

Section: Introductionmentioning

confidence: 99%

“…The attachment system gets activated in stressful times such as a life-threatening medical disease. In this sense, advanced cancer causes the patients to return to their first attachment experience by revealing the problems of addiction and loss of control [6]. The security attachment behaviors provide individuals' psychological adjustment to a new life after the diagnosis of cancer [12].…”

Section: Introductionmentioning

confidence: 99%

Does a Secure Attachment Style Predict High Psychological Resilience in Patients With Cancer Receiving Chemotherapy?

Başal

Önür

Yamaç

et al. 2020

Cureus

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Introduction To investigate the level of psychological resilience and the impact of attachment styles on the degree of resilience to distress in patients with cancer receiving chemotherapy. Methods Patients with cancer receiving chemotherapy were included in the study. Participants were requested to complete the Relationship Scales Questionnaire (RSQ), Resilience Scale for Adults (RSA), and a personal information form during the data collection phase. One-way analysis of variance (ANOVA) was used to compare that parameter among the attachment styles. Logistic regression analysis was carried out to identify independent factors affecting resilience. Results A total of 384 individuals were included in this study (mean age 53.5 ± 12.1, 27.1 % male). The RSQ results showed that the attachment styles of 190 (49.5%) participants were secure, whereas 194 (50.5%) subjects had an insecure attachment. The median RSA score of participants with a secure attachment was significantly higher than that of patients with insecure attachment (133.15 ± 16.6 vs. 127.0 ± 20.0, p=0.001). Patients with the RSA score of >130 were more educated, were in better economic condition, had better perceived social support, and had a higher frequency of secure attachment than those defined as low resilient. Logistic regression analysis revealed that poor and medium perceived social support and insecure attachment style independently predicted low resilience (RSA≤130). Conclusion This study demonstrates that the secure attachment style in patients with cancer improves stress resilience as compared to the insecure attachment style. Our findings also show that insufficient perceived social support is likely a negative factor in resilience.

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Insecure attachment predicts depression and death anxiety in advanced cancer patients

Cited by 32 publications

References 50 publications

Unmet Supportive Care Needs Among Women With Breast and Gynecological Cancer: Relevance of Attachment Anxiety and Psychological Distress

Unmet Supportive Care Needs Among Women With Breast and Gynecological Cancer: Relevance of Attachment Anxiety and Psychological Distress

Krebs – zum Fürchten!?

Does a Secure Attachment Style Predict High Psychological Resilience in Patients With Cancer Receiving Chemotherapy?

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