The role of attachment to the foster parent with regard to suicidal risk among adult survivors of childhood maltreatment

Touati, Camille Danner; Miljkovitch, Raphaële; Sirparanta, Aino; Deborde, Anne-Sophie

doi:10.1016/j.chiabu.2020.104886

Cited by 6 publications

(4 citation statements)

References 66 publications

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“…In addition, attachment anxiety was also positively associated with suicidal ideation, thus partially mediating the relationship between TLE and suicidal ideation (H2). This is in line with previous studies that found associations between insecure attachment and increased risk for suicide (Salzinger et al, 2007;Grunebaum et al, 2010;Palitsky et al, 2013;Miniati et al, 2017;Wrath and Adams, 2019;Zortea et al, 2021;Danner Touati et al, 2022;Ihme et al, 2022). Consistent with and extending Adam's model of suicide risk (1994), the lifetime suicidal ideation among adults with TLE has been found to be related with the development of internal working models characterized by fear of separation and fear of rejection.…”

Section: Discussionsupporting

confidence: 91%

Insecure adult attachment and reflective functioning as mechanisms of the relationship between traumatic life events and suicidal ideation: A path analysis

Musetti

Pingani²,

Zagaria³

et al. 2022

Front. Psychol.

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The relationship between traumatic life events and increased suicide risk has been well reported in literature. However, the complex nature of suicidality phenomena still hinders our ability to comprehend the mediation mechanism underlying this association. In this study, we examined the mediating role of adult attachment and reflective functioning in the relationship between traumatic life events and suicidal ideation. Nine hundred and fifty Italian adults completed an online survey evaluating traumatic life events, adult attachment, reflective functioning and suicidal ideation. The path analysis showed that the positive relationship between traumatic life events and suicidal ideation was partially mediated by attachment anxiety and reflective functioning. From a clinical point of view, these results support the relevance of evaluating and improving patients’ ability to mentalize as a part of psychotherapeutic intervention aimed at reducing suicidality in people with a history of traumatic experiences and attachment anxiety.

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Section: Discussionsupporting

confidence: 91%

Insecure adult attachment and reflective functioning as mechanisms of the relationship between traumatic life events and suicidal ideation: A path analysis

Musetti

Pingani²,

Zagaria³

et al. 2022

Front. Psychol.

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“…Its validity has also been established with longitudinal data gathered from age 4 to 23, suggesting that AMMI scores at age 23 reflect corresponding cumulated lifetime scores for security, deactivation, and hyperactivation [ 29 ]. Also, theoretically consistent links between disorganization and unresolved trauma, maltreatment severity, suicidal risk, and child abuse [ 29 , 31 , 46 ] further confirm its validity.…”

Section: Methodsmentioning

confidence: 85%

“…More recent research also suggests that attachment in different relationships explains psychological outcomes better than attachment to a single person [ 31 , 32 , 33 ]. Consequently, investigating the combined or cascade effects of young mothers’ relationship-specific attachment models (to mother, father, and romantic partner) can be worthwhile to better understand postpartum depression.…”

Section: Introductionmentioning

confidence: 99%

Maternal Attachment Networks and Mother–Infant Bonding Disturbances among Mothers with Postpartum Major Depression

Vanwalleghem

Miljkovitch

Sirparanta

et al. 2023

IJERPH

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The literature suggests that insecure maternal attachment is a risk factor for postpartum depression which, in turn, affects mother–infant bonding. However, recent research on attachment has suggested that investigations of attachment networks provide further insight into the understanding of psychological outcomes. This study aimed to test a model, according to which, mothers’ attachments towards each of their parents contribute to explaining their attachment towards their romantic partners, which itself is associated with maternal postpartum depression and, in turn, mother–infant bonding. The Attachment Multiple Model Interview, Edinburgh Postnatal Depression Scale, and Postpartum Bonding Questionnaire were administered to 90 mothers of infants under 6 months of age (32 with postpartum major depression). The results showed that the attachment towards the partner (1) was best explained by the attachment towards the father and (2) mediated the link between the attachment to the father and the depression severity. Additionally, the depression severity mediated the link between the attachment to the partner and mother–infant bonding. These results highlight the role of attachment models towards the romantic partner and father in the perinatal period and the relevance of attachment-focused therapeutic programs for treating postpartum maternal depression.

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“…Consequently, it seems important to understand which factors, such as environmental stressors or trait-dependent variables, are involved in the genesis of suicidal ideation [6,7]. Recent literature has focused on the importance of childhood trauma (CT) [1,8,9] and the neurobehavioral attachment system [10][11][12][13][14] in the suicidal process.…”

Section: Introductionmentioning

confidence: 99%

Mediation effect of anxious attachment on relationship between childhood trauma and suicidal ideation sensitive to psychological pain levels

Ihme,

Courtet,

Risch

et al. 2023

Eur. Psychiatr.

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Background Childhood trauma (CT), depression, and psychological pain are known predictors of suicidal ideation. Recent literature additionally highlights the importance of the attachment system. Methods We aimed to predict suicidal ideation through CT, attachment, and psychological and social pain by using mediation models aiming to predict suicidal ideation through CT (predictor) and attachment (mediator). In the same models, we introduced psychological or social pain as a moderator of the relationship between attachment, CT, and suicidal ideation. We included 161 depressed patients and assessed depression, attachment, CT, suicidal ideation, psychological pain, and social pain. Results We found (1) a complete mediating effect of anxious attachment (a2b2 = 0.0035, CI95% = [0.0010; 0.0069]) on the relationship between CT on suicidal ideation, and (2) a significant complete conditional mediating effect of anxious attachment and psychological pain (index of moderated mediation VAS: 0.0014; CI95% = [0.0002; 0.0032]) but not social pain on the relationship between CT and suicidal ideation. Both models were controlled for history of suicidal attempt, depression severity, and sex. Conclusions Our results suggest a developmental profile of suicidal ideation in mood disorder that is characterized by the presence of CT and insecure attachment, especially anxious attachment, that is sensitive to experiences of psychological pain. Nevertheless, we cannot conclude that avoidantly attached individuals do not present the same mechanism, as they may not disclose those ideas.

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The role of attachment to the foster parent with regard to suicidal risk among adult survivors of childhood maltreatment

Cited by 6 publications

References 66 publications

Insecure adult attachment and reflective functioning as mechanisms of the relationship between traumatic life events and suicidal ideation: A path analysis

Insecure adult attachment and reflective functioning as mechanisms of the relationship between traumatic life events and suicidal ideation: A path analysis

Maternal Attachment Networks and Mother–Infant Bonding Disturbances among Mothers with Postpartum Major Depression

Mediation effect of anxious attachment on relationship between childhood trauma and suicidal ideation sensitive to psychological pain levels

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