Relationship between recalled parental bonding, adult attachment patterns and severity of heroin addiction

Durjava, Lana

doi:10.15406/mojamt.2018.05.00114

Cited by 2 publications

(2 citation statements)

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“…Most AAS studies report anxious attachment in substance-abusing college students (60), in alcohol abusers in Korea (59), in alcohol addicts (61), and heroin addicts (57). An exception is the study by Durjava (56), which reports heightened scores on all insecure scales in heroin addicts.…”

Section: Resultsmentioning

confidence: 99%

“…Studies in specific groups provide some additional information about heroin, alcohol, and cigarette smoking. With regard to heroin addiction, they indicate fearful–avoidance (1, 52), as well as hostile–helpless representations in the AAI (45) and insecurity in general in the AAS (56). Studies in samples of alcohol users also showed avoidant and highly insecure patterns, but higher rates of preoccupied/ambivalent attachment (67) and a relation with the anxiety dimension, too (59, 61, 63, 66).…”

Section: Resultsmentioning

confidence: 99%

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Attachment and Substance Use Disorders—Theoretical Models, Empirical Evidence, and Implications for Treatment

Schindler

2019

Front. Psychiatry

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introduction: The article reviews attachment-oriented research in individuals with substance use disorders (SUDs). Based on attachment theory, substance abuse can be understood as "self-medication," as an attempt to compensate for lacking attachment strategies. Attachment theory suggests a developmental pathway from insecure attachment to SUD and, on the other hand, a negative impact of substance abuse on attachment security. Earlier reviews have indicated a general link but have been inconclusive with regard to other aspects. In the light of a growing body of research, this review is looking for evidence for the general link, for its direction, for differences due to different patterns of attachment, different substances and severities, comorbid psychiatric disorders, and age groups.Methods: Using medical and psychological databases, 34 cross-sectional studies, three longitudinal studies, and a systematic meta-analysis were identified. Methodological problems such as poor assessment of SUD and the use of different measures of attachment limit comparability. Results:All cross-sectional studies in the review confirm a link between insecure attachment and SUD. Results of longitudinal studies show insecure attachment to be a risk factor for SUD, while continued substance abuse impairs the ability to form close relationships. With regard to specific patterns of attachment, results mainly point toward very insecure patterns. They indicate different patterns of attachment in different groups of substance abusers, suggesting different developmental pathways. Fearful-avoidant attachment was frequent in heroin addicts, while alcohol abusers displayed more heterogeneous patterns. Comorbid mental disorders and severity of SUD seem to be important factors, but data are still inconclusive. The link between insecure attachment and SUD seems to be stronger in adolescence compared to adulthood.Discussion: The last decades have seen a substantial growth in studies on attachment and SUDs. Despite methodological problems, the general link between insecure attachment and SUD today is well established. Attachment theory might contribute to

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Attachment and Substance Use Disorders—Theoretical Models, Empirical Evidence, and Implications for Treatment

Schindler

2019

Front. Psychiatry

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The mediation role of shame proneness in the association between perceived parenting and the severity of addictive behaviors: risk or protective factor?

et al. 2022

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Adverse early interactions with parents deeply affect the socio-emotional development of an individual, leading to feelings of inferiority and negatively influencing the development of self-conscious emotions, such as shame. Moreover, dysfunctional parenting was found in the histories of people suffering from substance and behavioral addictions. In this context, there is currently no agreement in the literature regarding the role of shame proneness on the severity of the addiction. The present study aimed to evaluate the mediating (risk or protective) role of the two shame dimensions (withdrawal action tendencies and negative self-evaluation) in the association between dysfunctional parenting and the severity of addiction, testing two structural equation models (SEMs; for substance and behavioral addiction respectively). An online survey recruiting 710 Italian young adults was administered using the Measure of Parental Styles, the Guilt and Shame Proneness Scale, and the brief Screener for Substance and Behavioral Addiction. The SEMs confirmed the predictive role of dysfunctional parenting on the severity of the addiction. Moreover, two dimensions of shame mediated the association in opposite ways. The withdrawal action tendencies positively mediated the association between dysfunctional parenting and the severity of substance and behavioral addiction, potentially acting as a risk factor. Negative self-evaluation negatively mediated the association between dysfunctional parenting and the severity of substance addiction, playing a potential protective role. In a therapeutic context, the findings emphasized the importance of evaluating the different dimensions of shame experiences among addicted individuals and assessing the strategies used to withdraw from these experiences.

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Relationship between recalled parental bonding, adult attachment patterns and severity of heroin addiction

Abstract: Attachment theory is one of the most influential theories of development and has implications for both personality and psychopathology across the life span. Integrating the principles from psychoanalysis, ethology, evolution, cognitive psychology, and

Cited by 2 publications

References 40 publications

Attachment and Substance Use Disorders—Theoretical Models, Empirical Evidence, and Implications for Treatment

Attachment and Substance Use Disorders—Theoretical Models, Empirical Evidence, and Implications for Treatment

The mediation role of shame proneness in the association between perceived parenting and the severity of addictive behaviors: risk or protective factor?

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