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Lecuona O, Martínez-Barajas O, Gimeno-Martín A, Hernansaiz A, Carrillo-Molina C, Alcolea-Cantero R, Rodríguez-Carvajal R, de Rivas S. Not Twisted, Just Kinky: Replication and Structural Invariance of Attachment, Personality, and Well-Being Among BDSM Practitioners. JOURNAL OF HOMOSEXUALITY 2024:1-30. [PMID: 39028855 DOI: 10.1080/00918369.2024.2364891] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/21/2024]
Abstract
BDSM is a range of diverse sexual practices. Stigma regarding BDSM is associated with dysfunctional personalities, insecure attachment styles, or damaged well-being. Previous studies have shown contrary evidence to these views. However, the replicability of these findings remains understudied. This study conducts a close replication to examine personality, attachment, rejection sensitivity, and well-being differences between BDSM practitioners and non-practitioners. To address previous limitations, this study provides a highly powered sample of a new population (Spanish, N = 1,907), assessing effect sizes and the impact of LGTBIQA+ individuals and employing an alternative BDSM role classification. Additionally, we examined attachment styles, personality, and well-being differences among BDSM practitioners. As predicted, BDSM practitioners showed higher levels of secure attachment, conscientiousness, openness, and well-being while also lower levels of insecure attachments, rejection sensitivity, neuroticism, and agreeableness, countering the stigma. Gender, sexual orientations, and experience with BDSM showed explanatory potential. The associations between attachment, personality, and well-being were consistent across both BDSM practitioners and non-practitioners, as well as across various BDSM roles. BDSM practitioners share the same psychological structure as non-practitioners but also show more functional profiles. Thus, de-stigmatizing BDSM populations is reinforced and recommended. Limitations and implications for applied and research audiences are discussed.
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Affiliation(s)
- Oscar Lecuona
- Faculty of Psychology, Universidad Complutense de Madrid, Pozuelo de Alarcon, Spain
| | - Olga Martínez-Barajas
- School of Health, University Institute of Sexology, Universidad Camilo Jose Cela, Villafranca del Castillo, Spain
| | | | - Alejandra Hernansaiz
- Faculty of Psychology, Universidad Autónoma de Madrid, Pozuelo de Alarcon, Spain
| | | | | | | | - Sara de Rivas
- Faculty of Health Sciences, Universidad Rey Juan Carlos, Alcorcon, Spain
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Kaya A, Mukba G, Özok Hİ. A Person-Centered Approach to Emotional Security: Latent Profile Analysis of the Dark Triad and Psychological Symptoms. Psychol Rep 2023:332941231203561. [PMID: 37738659 DOI: 10.1177/00332941231203561] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/24/2023]
Abstract
Few studies have examined emotional security utilizing a person-centered approach. Therefore, in the present study, we conceptualized a multidimensional construct that includes psychological symptoms (i.e., depression, anxiety, and stress) and the dark triad traits (i.e., Machiavellianism, narcissism, and psychopathy). Applying latent profile analysis (LPA) allows the exploration of the interaction of emotional security with the dark triad traits and psychological symptoms in the sample at the level of sub-classes. Depression, stress, anxiety, Machiavellianism, narcissism, and psychopathy were determined as profile indicators. Moreover, satisfaction with life and the psychological well-being of the sub-classes were predicted. Data were gathered from 558 participants (418 females, %74.9) with an average age of 22.44 years). LPA indicated four distinct profiles: 'High emotional security and low psychological symptoms, and dark triad traits' (22%), 'Low emotional security and high psychological symptoms, dark triad traits' (5%), 'Low emotional security and moderate dark triad traits' (28%), 'Moderate emotional security, psychological symptoms, and dark triad traits' (45%). Mixture modeling approach-based research provides a complementary view of the previous psychopathology literature. The findings could help practitioners target at-risk university students with low emotional security, low psychological well-being, and low life satisfaction and design programs to aid them in alleviating the psychological symptoms and the dark triad traits.
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Affiliation(s)
- Alican Kaya
- Department of Guidance and Psychological Counselling, Ağrı İbrahim Çeçen University, Agri, Turkey
| | - Gamze Mukba
- Department of Guidance and Psychological Counselling, Van Yüzüncü Yıl University, Van, Turkey
| | - Halil İbrahim Özok
- Department of Mesurament and Assessment, Van Yüzüncü Yıl University, Van, Turkey
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3
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Zhou L, Sukpasjaroen K, Wu Y, Wang L, Chankoson T, Cai E. Predicting nursing students' psychological well-being: network analysis based on a model of thriving through relationships. BMC MEDICAL EDUCATION 2022; 22:463. [PMID: 35710399 PMCID: PMC9202322 DOI: 10.1186/s12909-022-03517-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/17/2022] [Accepted: 05/31/2022] [Indexed: 06/15/2023]
Abstract
BACKGROUND Psychological well-being plays a vital role in nursing students' mental health and affects their decisions to stay in the nursing profession, particularly during the COVID-19 outbreak. Close relationships are undeniably linked to psychological well-being, but it is unknown how the specific pathways through which close relationships are related to each other and which are most strongly linked to nursing students' psychological well-being. AIMS To explore the network structure, central and bridge factors among well-being characteristics, and predictors based on a model of thriving through relationships. METHODS A cross-sectional research design was used with a sample of undergraduate nursing students (531 participants from the Southwest part of China). We used a network model to analyze the network structure of perceived social support, mindfulness, self-integrity, self-compassion, professional self-concept, savoring, intentional self-regulation, non-relational self-expansion, relational self-expansion, attachment insecurity, and psychological well-being. RESULTS A highly interconnected network of psychological well-being featured predictors and traits were formed. Node 8 (self-kindness), node 9 (self-judgment), and node 23 (non-relational self-expansion) were the predictors with the highest centrality in the network. Perceived social support and professional self-concept were most central in linking predictors to psychological well-being traits. Attachment insecurity was a non-supportive factor for predicting psychological well-being among female nursing students. CONCLUSIONS Interventions based on these supportive/non-supportive predictors, which operate on different psychological levels, hold promise to achieve positive effects on psychological well-being among nursing students.
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Affiliation(s)
- Lu Zhou
- Chakrabongse Bhuvanarth International Institute for Interdisciplinary Studies, Rajamangala University of Technology Tawan-OK, Chonburi Bangkok, Thailand
- School of Nursing, Yunnan University of Chinese Medicine, Kunming, Yunnan China
| | - Khunanan Sukpasjaroen
- Chakrabongse Bhuvanarth International Institute for Interdisciplinary Studies, Rajamangala University of Technology Tawan-OK, Chonburi Bangkok, Thailand
| | - YuMing Wu
- School of Medicine, Yunnan University of Chinese Medicine, Kunming, Yunnan China
| | - Lei Wang
- School of Nursing, Yunnan University of Chinese Medicine, Kunming, Yunnan China
| | - Thitinan Chankoson
- Chakrabongse Bhuvanarth International Institute for Interdisciplinary Studies, Rajamangala University of Technology Tawan-OK, Chonburi Bangkok, Thailand
- Faculty of Business Administration for Society, Srinakharinwirot University, Bangkok, Thailand
| | - EnLi Cai
- School of Nursing, Yunnan University of Chinese Medicine, Kunming, Yunnan China
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Trucharte A, Valiente C, Espinosa R, Chaves C. The role of insecure attachment and psychological mechanisms in paranoid and depressive symptoms: An exploratory model. Schizophr Res 2022; 243:9-16. [PMID: 35220038 DOI: 10.1016/j.schres.2022.02.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/31/2021] [Revised: 02/10/2022] [Accepted: 02/13/2022] [Indexed: 12/01/2022]
Abstract
Attachment theory is considered an important theoretical framework for understanding the ontogenesis of psychopathology. In this regard, insecure attachment styles have been associated with the development and maintenance of paranoid and depressive symptoms. Furthermore, different psychological processes (i.e., self-esteem and experiential avoidance) have been identified as mediating mechanisms between the relationship of insecure attachment and these symptoms. Nowadays, there is a more positive view in psychology focusing on factors that contribute to well-being, although little is known about the role of these psychological well-being variables as mediators between insecure attachment and psychopathology. For thus, the aim of this study was to test one explorative structural equation model of insecure attachment on paranoid and depressive symptoms through psychological mediating mechanisms to elucidate the processes involved in each of them. To evaluate the model, 141 individuals with severe psychiatric conditions participated in the study. The results revealed good model fit, highlighting that avoidant attachment has a direct and indirect effect on the symptoms, while anxious attachment has only an indirect effect through mediating mechanisms. On the other hand, lower levels of self-acceptance and environmental mastery have been identified as important processes associated with paranoid and depressive symptoms. However, less positive relationships were a significant mediating mechanism only for paranoid ideation symptoms. These results have important clinical implications by shedding light on the relationship between insecure attachment, paranoid and depressive symptoms, and the psychological mediating mechanisms involved in this relationship, which may be considered key variables in clinical treatments.
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Affiliation(s)
- Almudena Trucharte
- Personality, Evaluation and Clinical Psychology, Faculty of Psychology, Complutense University of Madrid, Madrid, Spain.
| | - Carmen Valiente
- Personality, Evaluation and Clinical Psychology, Faculty of Psychology, Complutense University of Madrid, Madrid, Spain
| | - Regina Espinosa
- Department of Psychology, Faculty of Health, Camilo Jose Cela University, Madrid, Spain
| | - Covadonga Chaves
- Personality, Evaluation and Clinical Psychology, Faculty of Psychology, Complutense University of Madrid, Madrid, Spain
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Attachment and well-being: Mediatory roles of mindfulness, psychological inflexibility, and resilience. CURRENT PSYCHOLOGY 2022. [DOI: 10.1007/s12144-020-00820-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Remondi C, Compare A, Tasca GA, Lo Coco G, Chiozza V, Favini A, Carrara S, Greco A, Poletti B, Zarbo C, Brugnera A. The Effects of Attachment, Temperament, and Self-Esteem on Technology Addiction: A Mediation Model Among Young Adults. CYBERPSYCHOLOGY, BEHAVIOR AND SOCIAL NETWORKING 2022; 25:258-263. [PMID: 35213256 DOI: 10.1089/cyber.2021.0237] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
Excessive use of technology has become a worldwide problem due to its high prevalence, fast growth rate, and undesirable consequences. However, little is known about underlying psychological mechanisms that maintain excessive use of technology. We investigated the mediating role of self-esteem, novelty seeking, and persistence on the relationship between attachment dimensions and technology addiction among young adults. Data were collected from 727 young adults (females, N = 478; 66.3 percent), aged 23.44 ± 3.02 years. Participants completed self-report measures of secure and insecure attachment dimensions, personality, and temperament characteristics (i.e., self-esteem, novelty seeking, and persistence), technology addiction and frequency of technology use (i.e., own technology use, perceived use by peers and parents). The mediation model was tested through a path analysis. The effects of attachment insecurity on technology addiction were partially mediated by the levels of persistence and self-esteem, whereas the effects of attachment security on technology addiction were fully mediated. The effects remained robust even after controlling for the frequency of technology use. The model was gender and age invariant, suggesting that the mediation worked in a similar way for both men and women and across ages. Findings suggest that attachment dimensions exert not only a direct but also an indirect effect on technology addiction through self-esteem and persistence. Such findings may help to develop psychosocial interventions that are sensitive to young adults' attachment, personality, and temperament characteristics.
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Affiliation(s)
- Chiara Remondi
- Department of Psychology, Sapienza University of Rome, Rome, Italy
| | - Angelo Compare
- Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy
| | | | - Gianluca Lo Coco
- Department of Clinical Psychology, University of Palermo, Palermo, Italy
| | - Valeria Chiozza
- Department of Psychology of Developmental and Socialisation Processes, Sapienza University of Rome, Rome, Italy
| | - Ainzara Favini
- Department of Psychology, Sapienza University of Rome, Rome, Italy
| | - Silvia Carrara
- Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy
| | - Andrea Greco
- Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy
| | - Barbara Poletti
- Department of Neurology and Laboratory of Neuroscience, IRCCS Istituto Auxologico Italiano, Milan, Italy
| | - Cristina Zarbo
- Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy
| | - Agostino Brugnera
- Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy
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Vismara L, Lucarelli L, Sechi C. Attachment style and mental health during the later stages of COVID‐19 pandemic: the mediation role of loneliness and COVID-19 anxiety. BMC Psychol 2022; 10:62. [PMID: 35287741 PMCID: PMC8919140 DOI: 10.1186/s40359-022-00767-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2021] [Accepted: 02/28/2022] [Indexed: 11/29/2022] Open
Abstract
Background An insecure attachment style is an important risk factor for psychological problems. The aim of this study was to use Bartholomew and Horowitz’s model (Bartholomew and Horowitz in J Pers Soc Psychol 61(2): 226, 2019) to test a sample of Italian individuals to determine the mediation role of loneliness and COVID-19-related anxiety symptoms in the relationship between attachment styles and mental health issues in the context of the pandemic. Method A cross-sectional research study was conducted using a sample of 330 Italian participants (82.1% women; mean age = 34.3 years; SD = 13.16) who completed online self-reported measures of attachment styles (RQ), loneliness (RULS), COVID-19-related anxiety symptoms (C-19ASS) and mental health problems (GHQ-12). Serial mediation analyses were performed, and bootstrap tests were included. Results Our results supported the hypothesized model with respect to each attachment style (p < 0.001). In particular, insecure attachment styles predict mental health problems both directly and indirectly, through loneliness and COVID-19-related anxiety symptoms. In addition, loneliness directly influences mental health problems and also mediates the relationship between insecure attachment styles and COVID-19-related anxiety symptoms which, in turn, positively predict mental health problems. Conclusions Our findings reinforce the importance of attachment in people’s processes of adapting to experiences during the coronavirus pandemic. The study makes an important contribution to developing effective prevention and intervention strategies to support people’s wellbeing in the context of the pandemic.
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Tadros E, Ansell A. Romantic attachment, childhood stability, depression, and PTSD in couples with an incarcerated partner. J Forensic Sci 2022; 67:619-629. [PMID: 34985138 DOI: 10.1111/1556-4029.14976] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2021] [Revised: 12/08/2021] [Accepted: 12/21/2021] [Indexed: 12/29/2022]
Abstract
Incarceration has a multitude of effects on prisoners' finances, health, education, employment, and family relationships. Incarceration complicates the maintenance of attachment bonds between romantic partners. Data from the Multi-site Family Study on Incarceration, Parenting, and Partnering were analyzed to examine the effects of childhood stability on adult romantic attachment while controlling for the effects of PTSD and depression within the carceral population. Findings indicate that posttraumatic stress disorder (PTSD) and depression have statistically significant effects on adult romantic attachment. PTSD on romantic attachment for men is statistically significant (p < 0.05) at -0.193 with an overall standardized effect of -0.086. For women, the effect is statistically significant (p < 0.01) at -0.235 with an overall standardized effect of -0.1. Effects of depression on romantic attachment for men is statistically significant (p < 0.001) -0.129 with an overall standardized effect of -0.229. For women, depression is also statistically significant (p < 0.001) at -0.153 with a standardized effect of -0.265. We examined the effects of childhood stability on adult romantic attachment while controlling for the effects of PTSD and depression within the carceral population. Findings supported our hypothesis that individuals with better childhood stability will experience better romantic attachments. Findings related to our hypothesis that having a partner with better childhood stability is positively associated with better romantic attachment produced mixed results. Clinical implications are discussed, and future directions call for research, practice, and training to improve outcomes for justice-involved romantic partners, their attachment, and consideration of covariates of depression and PTSD.
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Affiliation(s)
- Eman Tadros
- Governors State University, University Park, Illinois, USA
| | - Andrew Ansell
- Governors State University, University Park, Illinois, USA
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Predictors of acculturation attitude of international students in China. PLoS One 2021; 16:e0260616. [PMID: 34847203 PMCID: PMC8631655 DOI: 10.1371/journal.pone.0260616] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2021] [Accepted: 11/13/2021] [Indexed: 11/19/2022] Open
Abstract
This study investigates international students' acculturation attitude preference and the influence factors (i.e., gender, duration in China, host and English proficiency, adult attachment style and social ties) on each acculturation attitude (i.e, integration, assimilation, separation and marginalization attitude) in China. A group of 229 international students within China responded online. Results from cluster analysis based on process model of acculturation revealed that, integration was the most prevalent acculturation attitude of international students in China. Additionally, logistic regressions analysis indicated that duration in China was negatively associated with adoption of separation and marginalization attitude also higher level of English proficiency predicted the preference of marginalization attitude. However, Chinese proficiency was positively associated with integration attitude adoption, host ties were positively and significantly associated with adoption of assimilation and integration attitude, but negatively associated with the usage of marginalization attitude. Lastly, avoidance attachment was found negatively associating with the integration attitude. This study provides valuable insights for international student education policymakers to assist international students in order to adapt to a new environment quickly and effectively.
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10
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Mavrandrea P, Giovazolias T. The effect of personality on depressive symptoms: The mediating effect of adult attachment. CURRENT PSYCHOLOGY 2020. [DOI: 10.1007/s12144-020-01207-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
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11
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Barel E, Mizrachi Y, Nachmani M. Quantifying the Predictive Role of Temperament Dimensions and Attachment Styles on the Five Factor Model of Personality. Behav Sci (Basel) 2020; 10:bs10100145. [PMID: 32987781 PMCID: PMC7598700 DOI: 10.3390/bs10100145] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2020] [Revised: 09/07/2020] [Accepted: 09/22/2020] [Indexed: 12/23/2022] Open
Abstract
Background: The present study investigated the role of temperament and attachment security in predicting individual differences in the five factor personality traits among adults. As previous studies suggested the potential moderating role of attachment in the association between temperament and personality traits, the present study sought to examine an interactionist model combining attachment and temperament in explaining individual differences in personality traits. Methods: A sample of 1871 participants (1151 women and 719 men) completed self-report measures of adult attachment style (the Relationships Questionnaire—RQ), temperament dimension (the Fisher Temperament Inventory—FTI), and personality domain (the Five Factor Model—FFM). Results: Partial correlational analyses revealed associations between attachment security and each of the five domains of the FFM, and few associations between some temperament dimensions and several domains of the FFM. Moderated regression analyses showed that attachment security moderated the associations between temperament dimensions and the Agreeableness domain of the FFM. Among secure individuals, those with higher scores on the Curious/Energetic, Cautious/Social Norm Compliant and Prosocial/Empathetic scales exhibited higher Agreeableness scores, whereas among insecure individuals, those with higher scores on the Analytic/Tough-minded scale exhibited lower scores on the Agreeableness scale. Conclusion: Overall, the current study provides evidence in support of the substantive role of social-environmental factors (Adult Attachment) as a moderating element bridging temperament-related personality elements and a number of their FFM manifestations.
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Affiliation(s)
- Efrat Barel
- Department of Behavioral Sciences, The Max Stern Academic College of Emek Yezreel, Emek Yezreel 19300, Israel
- Correspondence:
| | - Yonathan Mizrachi
- Departments of Sociology and Anthropology, The Max Stern Academic College of Emek Yezreel, Emek Yezreel 19300, Israel & The Laboratory for AI, Machine Learning, Business & Data Analytics (LAMBDA), Tel-Aviv University, Tel Aviv 6997801, Israel;
| | - Maayan Nachmani
- Department of Psychology, The Max Stern Academic College of Emek Yezreel, Emek Yezreel 19300, Israel;
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Obeid S, Sacre H, Haddad C, Akel M, Fares K, Zakhour M, Kheir N, Salameh P, Hallit S. Factors associated with fear of intimacy among a representative sample of the Lebanese population: The role of depression, social phobia, self-esteem, intimate partner violence, attachment, and maladaptive schemas. Perspect Psychiatr Care 2020; 56:486-494. [PMID: 31549436 DOI: 10.1111/ppc.12438] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/09/2019] [Revised: 08/30/2019] [Accepted: 09/13/2019] [Indexed: 02/06/2023] Open
Abstract
PURPOSE To assess fear of intimacy (FOI) in the Lebanese population, and its correlates such as depression, social phobia, self-esteem, attachment, and maladaptive schemas. DESIGN/METHODS This cross-sectional study, conducted between November 2017 and May 2018, enrolled 707 community-dwelling participants. RESULTS Higher FOI scores were associated with an increase in the defectiveness schema (β = 0.483), social phobia score (β = 0.16), mistrust schema (β = 0.519), vulnerability schema (β = 0.482), emotional deprivation schema (β = 0.548), attachment style D (dismissing) (β = 0.913) and failure schema, whereas lower FOI was significantly associated with an increase in the entitlement schema (β = -0.362), insufficient schema (β = -0.377), and the self-esteem score (β = -0.288). PRACTICE IMPLICATIONS Implementing educational programs are needed to enable persons to develop healthy intimate relationships, taking into account attachment styles and inappropriate early schemas.
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Affiliation(s)
- Sahar Obeid
- Research Department, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon.,Faculty of Philosophy and Human Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon.,INSPECT-LB: Institut National de Santé Publique, Épidémiologie Clinique et Toxicologie, Beirut, Lebanon
| | - Hala Sacre
- INSPECT-LB: Institut National de Santé Publique, Épidémiologie Clinique et Toxicologie, Beirut, Lebanon.,Drug Information Center, Lebanese Order of Pharmacists, Beirut, Lebanon
| | - Chadia Haddad
- Research Department, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon
| | - Marwan Akel
- INSPECT-LB: Institut National de Santé Publique, Épidémiologie Clinique et Toxicologie, Beirut, Lebanon.,School of Pharmacy, Lebanese International University, Beirut, Lebanon
| | - Kassandra Fares
- Faculty of Science, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon
| | - Maha Zakhour
- Faculty of Science, Lebanese University, Fanar, Lebanon
| | - Nelly Kheir
- Faculty of Pedagogy, Holy Family University, 5534, Batroun, Lebanon
| | - Pascale Salameh
- INSPECT-LB: Institut National de Santé Publique, Épidémiologie Clinique et Toxicologie, Beirut, Lebanon.,Faculty of Pharmacy, Lebanese University, Beirut, Lebanon.,Faculty of Medicine, Lebanese University, Beirut, Lebanon
| | - Souheil Hallit
- INSPECT-LB: Institut National de Santé Publique, Épidémiologie Clinique et Toxicologie, Beirut, Lebanon.,Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon
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