Attachment, depressotypic cognitions, and dysphoria

Moderating Effects of Prevention-Focus on the Paths from Two Insecure Attachment Dimensions to Depression

The present study investigated the moderating effects of prevention-focus on the paths from the dimensions of insecure attachment (attachment avoidance and attachment anxiety) to depression. Two hundred twenty eight Korean college students completed the Experience in Close Relationship - Revised Scale; the Regulatory Focus Strategies Scale; and the Center for Epidemiologic Studies Depression Scale. Results revealed a significant moderating effect for prevention-focus on the path from attachment avoidance to depression, but not on the path from attachment anxiety to depression. They further suggest that different interventions are needed for different combinations of persons' insecure attachment dimensions and levels of prevention-focus. Counseling implications and suggestions for future research are discussed.

Early maladaptive schemas as mediators between childhood maltreatment and later psychological distress among Chinese college students

The aim of the current study was to examine whether early maladaptive schemas (EMSs) mediate the association between different kinds of childhood maltreatment and later psychopathology and the effect of different kinds of childhood maltreatment on psychological distress in later life. A total of 1102 college students from two local universities participated in the study; their average age was 20.46 ± 1.13 years. The participants completed the Childhood Trauma Questionnaire (CTQ), the Early Maladaptive Schemas Scale (EMSs), the Zung Self-Rating Depression Scale (SDS), and the Zung Self-Rating Anxiety Scale (SAS). Later psychological distress had a significant positive correlation with childhood EMSs, and almost all of the variables measuring childhood maltreatment had a significant positive correlation with EMSs. Structural equation modeling and mediation analyses were conducted based on Bootstrap estimations; the mediation analyses demonstrated the utility of EMSs as the mechanism through which childhood maltreatment has an indirect effect on later psychological distress. Moreover, the study found that emotional abuse had the strongest overall effect of all five types of child maltreatment on later psychological distress, followed in order of magnitude by emotional neglect, physical neglect, sexual abuse, and physical abuse.

Attachment, dysfunctional attitudes, self-esteem, and association to depressive symptoms in patients with mood disorders

BACKGROUND

Cognitive factors might be the link between early attachment experiences and later depression. Similar cognitive vulnerability factors are discussed as relevant for both unipolar and bipolar disorders. The goals of the study were to test if there are any differences concerning attachment style and cognitive factors between remitted unipolar and bipolar patients compared to controls, and to test if the association between attachment style and depressive symptoms is mediated by cognitive factors.

METHODS

A path model was tested in 182 participants (61 with remitted unipolar and 61 with remitted bipolar disorder, and 60 healthy subjects) in which adult attachment insecurity was hypothesized to affect subsyndromal depressive symptoms through the partial mediation of dysfunctional attitudes and self-esteem.

RESULTS

No differences between patients with remitted unipolar and bipolar disorders concerning attachment style, dysfunctional attitudes, self-esteem, and subsyndromal depressive symptoms were found, but both groups reported a more dysfunctional pattern than healthy controls. The path models confirmed that the relationship between attachment style and depressive symptoms was mediated by the cognitive variables 'dysfunctional attitudes' and 'self-esteem'.

LIMITATIONS

With the cross-sectional nature of the study, results cannot explain causal development over time.

CONCLUSIONS

The results emphasize the relevance of a more elaborate understanding of cognitive and interpersonal factors in mood disorders. It is important to address cognitive biases and interpersonal experiences in treatment of mood disorders.

Early maladaptive schemas and child and adult attachment: a 15-year longitudinal study

OBJECTIVES

To examine the relation between early maladaptive schemas (EMS), as defined in schema therapy, and both child and adult attachment.

DESIGN

A 15-year longitudinal design in which child attachment groups (secure, avoidant, ambivalent, and disorganized) were compared in early adulthood on their profile of scores across EMS domains. A similar strategy was used to examine EMS profiles as a function of adult attachment groups (secure, preoccupied, and fearful).

METHODS

Sixty participants, recruited from Montreal day-care centres, were assessed at 6 (Time 1) and 21 years of age (Time 2). Time 1 attachment was assessed using a separation-reunion procedure and Time 2 attachment, using the Experiences in Close Relationships questionnaire. EMS were evaluated with the Young Schema Questionnaire (Time 2).

RESULTS

There were more signs of EMS among young adults with either an insecure ambivalent child attachment, or an insecure preoccupied adult attachment style, compared to their secure peers. These differences were not specific to one domain of EMS; they were reported for various EMS.

CONCLUSIONS

The results suggest that specific elements of representational models are more likely to be related to the development of EMS: high anxiety over abandonment, negative self-view, and explicit manifestations of personal distress. Unmet childhood needs for secure attachment may lead to a large variety of EMS as defined in schema therapy.

The origins of cognitive vulnerability in early childhood: mechanisms linking early attachment to later depression

This paper examines the theory and research linking attachment relationships to cognitive vulnerability to depression and assesses evidence that early attachment experiences contribute to the development of these cognitive processes. Most research in this area has involved adult participants using self-report measures of both attachment and depressive vulnerabilities and thus cannot convincingly speak to the existence of such a developmental pathway. Several studies, however, have followed individuals from infancy and examined the emergence of self-esteem and responses to failure throughout childhood and adolescence. These studies suggest that early experiences in non-secure attachment relationships place an individual at-risk for developing a cognitive framework that increases their vulnerability to depression following stressful life events. The paper concludes with a discussion of how future research might best explore specific mechanisms through which distinct attachment relationships may lead to divergent developmental pathways sharing the common outcome of cognitive processes that place individuals at risk for depression.

Suporte familiar, crenças irracionais e sintomatologia depressiva em estudantes universitários

Este estudo teve como objetivo verificar as relações entre suporte familiar, sintomatologia depressiva e crenças irracionais. Participaram do estudo 377 voluntários de uma universidade do Estado de São Paulo, com idade média de 20,69 anos (DP= 2,29) e prevalência do sexo feminino (68,2%), que responderam ao Inventário de Percepção de Suporte Familiar - IPSF, o Inventário de Depressão de Beck - BDI e a Escala de Crenças Irracionais - ECI. Os resultados indicaram correlações entre o IPSF com o BDI e o ECI, indicando que, quanto maior a percepção de suporte familiar, menores são os escores de sintomas depressivos e de crenças irracionais. Correlações entre BDI e ECI também foram encontradas, indicando que, quanto maior o número de crenças irracionais, maiores os sintomas depressivos, o que vai ao encontro dos dados da literatura.

Insecure attachment, dysfunctional attitudes, and low self-esteem predicting prospective symptoms of depression and anxiety during adolescence

This study extends the existing adult literature on insecure attachment as a predictor of depression and anxiety by examining these pathways in a sample of adolescents. In addition, dysfunctional attitudes and low self-esteem were tested as mediators of the association between insecure attachment and symptoms of depression and anxiety. Youth (N = 350; 6th-10th graders) completed self-report measures of attachment, dysfunctional attitudes, self-esteem, and symptoms of depression and anxiety in a 4-wave prospective study. Results indicate that anxious and avoidant attachment each predicted changes in both depression and anxiety (after controlling for initial symptom levels). The association between anxious attachment, but not avoidant attachment, and later internalizing symptoms was mediated by dysfunctional attitudes and low self-esteem. Effects remained even after controlling for initial co-occurring symptoms.

Adult attachment dimensions and specificity of emotional distress symptoms: prospective investigations of cognitive risk and interpersonal stress generation as mediating mechanisms

Three prospective studies examined the relation between adult attachment dimensions and symptoms of emotional distress (anxiety and depression). Across all three studies, avoidant and anxious attachment prospectively predicted depressive symptoms, and anxious attachment was associated concurrently with anxiety symptoms. Study 2 tested a cognitive risk factors mediational model, and Study 3 tested an interpersonal stress generation mediational model. Both cognitive and interpersonal mediating processes were supported. The cognitive risk factors pathway, including elevated dysfunctional attitudes and low self-esteem, specifically mediated the relation between insecure attachment and prospective elevations in depression but not anxiety. For the interpersonal stress generation model, experiencing additional interpersonal, but not achievement, stressors over time mediated the association between insecure attachment and prospective elevations in depressive and anxious symptoms. Results advance theory and empirical knowledge about why these interpersonal and cognitive mechanisms explain how insecurely attached people become depressed and anxious.

Cognitive reactivity and vulnerability: Empirical evaluation of construct activation and cognitive diatheses in unipolar depression

Cognitive vulnerability is a central concept in cognitive theories of unipolar depression. This idea suggests that negative cognitive factors emerge during stressful situations, and that this cognitive reactivity is critical for the onset, relapse, and recurrence of depression. The number of empirical investigations that model the diathesis-stress nature of cognitive reactivity has substantially increased within the last decade. This review examines this literature, with a focus on priming and longitudinal designs. Extant research supports the concept of cognitive vulnerability to depression among adults, and support is accruing for the validity of this concept among children. Research that examines direct links between cognitive vulnerability and depression onset, relapse, and recurrence and the attachment origins of cognitive vulnerability is also accruing, although at a slower pace.

Developmental Antecedents of Cognitive Vulnerability to Depression: Review of Findings From the Cognitive Vulnerability to Depression Project

In this article, we review findings from the Temple-Wisconsin Cognitive Vulnerability to Depression (CVD) Project (Alloy & Abramson, 1999) regarding potential developmental antecedents of cognitive vulnerability to depression after first briefly summarizing the evidence from the project that negative cognitive styles, information processing, and rumination do, in fact, provide vulnerability to depression. Based on the project findings, we suggest that a continuum of negative emotional feedback, ranging from low emotional warmth/acceptance and negative inferential feedback at the milder end to emotional abuse at the more severe end, may play an important role in the development of cognitive vulnerability to depression and depression itself.

Emotional Information Processing and Disrupted Parental Bonding: Cognitive Specificity and Avoidance

Although studies have assessed the association between affective dysfunction and parental bonding, little research has assessed the information processing characteristics of individuals with disrupted parental bonding. The current study investigated differences in attentional processing between individuals with relatively poor versus secure parental bonding, and also assessed this processing in conjunction with a mood priming procedure that has been used in previous vulnerability research. Using a Stroop procedure, results indicated that poorly bonded individuals were less distracted by depressive information than were individuals reporting a secure bonding history. Results also suggested that avoidance of anxious information in the poorly bonded group was uniquely associated with maternal overprotection. These results suggest that poorly bonded individuals may cope with their increased vulnerability by avoiding some types of affectively linked information, and that some of this avoidance may be linked to perceptions of a mother who is overly intrusive.

Childhood Attachment Experience and Adulthood Cognitive Vulnerability: Testing State Dependence and Social Desirability Hypotheses

Childhood attachment experiences correlate with personality and cognitive factors associated with vulnerability to depression. The majority of the research in this area, however, relies on self-report measures which may be influenced by mood state and individual differences in social desirability. The present study examines whether mood and social desirability confound the association between attachment experience and cognitive vulnerability in a sample of clinically depressed adults. Regression analyses revealed a strong link between the two domains that is almost entirely independent of mood state and social desirability. The findings suggest that the association between early interpersonal experience and dysfunctional cognitive processes can not be attributed to current depression or willingness to present oneself in an unfavorable light. Limitations and clinical implications of the results and future directions are discussed.

The Relationship of Cognitive Style and Attachment Style to Depression and Anxiety in Young Adults

This study examined the associations between attachment style and cognitive style and depression and anxiety symptomatology. Using a college sample of 167 participants, the tripartite model of depression and anxiety (Clark & Watson, 1991) was employed to examine whether the construct of negative affectivity could account for the previously reported relationships between insecure attachment style and negative cognitive style and both depression and anxiety. Negative cognitive style and insecure attachment were found to be significantly associated with both depression and anxiety symptomatology. Although negative affectivity effectively accounted for the relationships between negative cognitive style and both depression and anxiety and could explain the relationship between insecure attachment and anxiety, it failed to account for the association between insecure attachment and depression. In addition, negative cognitive style and insecure attachment appeared to be independently and uniquely associated with negative affect, rather than forming a mediational relationship.

Attachment in individuals with social anxiety disorder: the relationship among adult attachment styles, social anxiety, and depression

Despite their apparent implications for social functioning, adult attachment styles have never been specifically explored among persons with social anxiety disorder. In the current study, a cluster analysis of the Revised Adult Attachment Scale (N. L. Collins, 1996) revealed that 118 patients with social anxiety were best represented by anxious and secure attachment style clusters. Members of the anxious attachment cluster exhibited more severe social anxiety and avoidance, greater depression, greater impairment, and lower life satisfaction than members of the secure attachment cluster. This pattern was replicated in a separate sample of 56 patients and compared with the pattern found in 36 control participants. Social anxiety mediated the association between attachment insecurity and depression. Findings are discussed in the context of their relevance to the etiology, maintenance, and cognitive-behavioral treatment of social anxiety disorder.

Perceptions of parental bonding and symptom severity in adults with depression: mediation by personality dimensions

OBJECTIVE

An association between anomalous parental bonding experiences (lack of parental care, overprotection, or both) and depression during adulthood has been observed in several studies. The objective of the present study was to evaluate several different personality dimensions as possible mediators of the relationship between perceptions of parental bonding and depressive symptoms in adulthood.

METHODS

Outpatients with depression (n = 138) completed the Parental Bonding Instrument (PBI), the Beck Depression Inventory (BDI), and several measures of proposed personality vulnerabilities to depression. The conceptual and methodological criteria of Baron and Kenny (1986) were used to assess possible mediating effects of personality variables.

RESULTS

In men, overprotection by their fathers was significantly associated with depression; neuroticism, socially prescribed perfectionism, and concern over mistakes acted as mediators of this relationship. In women, lack of care by their mothers was significantly associated with depression; self-criticism, socially prescribed perfectionism, and concern over mistakes mediated this relationship.

CONCLUSIONS

The present study provides evidence that personality factors may mediate the observed relationship between parental rearing style and depression. These potential causal mechanisms warrant longitudinal evaluation.