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Weber DM, Halverson TF, Daruwala SE, Pugh MJ, Calhoun PS, Beckham JC, Kimbrel NA. Love Is Not All You Need: Understanding the Association Between Relationship Status and Relationship Dysfunction With Self-Directed Violence in Veterans. Arch Suicide Res 2024; 28:844-859. [PMID: 37548583 DOI: 10.1080/13811118.2023.2237097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/08/2023]
Abstract
INTRODUCTION Research indicates that being married is associated with reduced risk of suicide and self-directed violence (SDV) relative to being divorced. Simultaneously, difficulties within relationships predict poorer health outcomes. However, research on relationship status rarely examines relationship functioning, obfuscating the joint contribution of these variables for SDV risk. METHOD Veterans (N = 1,049) completed a survey that included assessment of relationship status, relationship functioning, and SDV history. Logistic regression models tested how (a) relationship status, (b) relationship dysfunction, and (c) being divorced compared to being in a low- or high-dysfunction relationship were associated with SDV, controlling for several intrapersonal risk factors. RESULTS Veterans in a relationship did not differ in SDV history compared to divorced/separated veterans. However, more dysfunction within relationships was associated with greater odds of a history of SDV and suicidal cognitions. Finally, SDV histories were more likely among veterans endorsing high-dysfunction relationships compared with (a) low-dysfunction relationships and (b) divorced veterans. CONCLUSION It may be insufficient to only consider relationship status when evaluating interpersonal risk factors for SDV. A single item assessing relationship dysfunction was associated with enacted SDV and suicidal cognitions over and above intrapersonal risk factors. Integrating such single-item measures into clinical practice could improve identification and subsequent tailored intervention for veterans at greater risk for SDV.
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Bröning S, Wartberg L. Attachment Orientations: Associations with Romantic Partners' Self-Regulation and Dyadic Coping. JOURNAL OF SEX & MARITAL THERAPY 2024; 50:512-526. [PMID: 38487958 DOI: 10.1080/0092623x.2024.2322566] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/02/2024]
Abstract
The ability to effectively cope with stress is impacted by early relationship experiences and, thus, is related to attachment security. We examined how different forms of attachment insecurity (namely, attachment anxiety and attachment avoidance) impact romantic partners' capacity for coping with stress individually (via self-regulation) and together (via dyadic coping) in a community sample of 261 heterosexual couples. We also explored links between these coping strategies and measures of well-being. Multiple regression analyses in this cross-sectional, self-report study indicated that attachment avoidance, but not anxiety, was linked to less effective dyadic coping. In men, this was also the case for partner's attachment avoidance. Attachment anxiety, but not avoidance, was related to self-regulation problems for women, while in men, both facets of attachment insecurity were negatively associated with self-regulation. Individual and dyadic coping strategies each uniquely contributed to individuals' well-being and satisfaction with life. Relationship interventions and counseling processes might benefit from sensitizing clients for biographical influences on their coping strategies.
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Landolt SA, Weitkamp K, Roth M, Sisson NM, Bodenmann G. Dyadic coping and mental health in couples: A systematic review. Clin Psychol Rev 2023; 106:102344. [PMID: 37866090 DOI: 10.1016/j.cpr.2023.102344] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2022] [Revised: 09/13/2023] [Accepted: 10/02/2023] [Indexed: 10/24/2023]
Abstract
Globally, one out of three people suffer from a mental health issue during their lifetime. In romantic relationships, impaired mental health does not only affect the individual but also their partner and therefore needs to be coped with dyadically. In this systematic review, we summarize research examining dyadic coping (DC) in the context of mental health and individual and relational outcomes. We searched for peer-reviewed articles published between January 1990 and April 2023 on PsycInfo, Medline, and PSYNDEX on DC and mental health within romantic relationships. A total of 60 qualitative, quantitative, and intervention studies met the inclusion criteria, reporting on 16,394 individuals and 4,945 dyads. To synthesize the studies, we used a narrative synthesis approach. Overall, stress expression and positive DC yielded beneficial individual and relational outcomes, whereas, for negative DC, the opposite was true. Results differed between mental health clusters and context played an important role (e.g., symptom severity, life phase). Due to the great diversity of studies and variables, further research should focus on understudied mental health clusters (e.g., anxiety disorders). Clinicians are advised to view mental health issues as a dyadic rather than an individual phenomenon ("we-disease") and develop tailored couple-centered interventions.
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Affiliation(s)
| | | | - Michelle Roth
- Department of Psychology, University of Zurich, Switzerland
| | - Natalie M Sisson
- Department of Psychology, University of Toronto Mississauga, Canada
| | - Guy Bodenmann
- Department of Psychology, University of Zurich, Switzerland
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Laforte S, Paradis A, Todorov EH, Cyr C. Romantic attachment and cyber dating violence in adolescence: A dyadic approach. J Adolesc 2023; 95:647-660. [PMID: 36659837 DOI: 10.1002/jad.12141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2022] [Revised: 12/26/2022] [Accepted: 01/06/2023] [Indexed: 01/21/2023]
Abstract
INTRODUCTION Little research has documented cyber dating violence (DV)-a type of teen DV with unique characteristics that has been associated with negative consequences. Attachment is central to understanding negative behaviors in the context of relationships and has been associated with other forms of DV in teens. This study used an actor-partner interdependence model (APIM) to examine how cyber-DV victimization and perpetration (direct aggression and control) relate to attachment anxiety and avoidance. METHODS An online questionnaire was completed by 126 adolescent couples (n = 252; mean age = 17.7) from Quebec, Canada. RESULTS In almost all couples (96%), at least one partner reported an incident of cyber-control in the previous year, while cyber-aggression was reported in 34% of couples. APIM results revealed that girls' and boys' victimization and perpetration of direct cyber-aggression are associated similarly with both their own high levels of attachment anxiety and their partner's. Concerning cyber-control, results show that boys' and girls' victimization is associated more with their partner's higher level of anxious attachment than their own. Girls' perpetration of cyber-control is associated with both their own high levels of attachment anxiety and their partner's, while for boys' perpetration, their own high levels of anxious attachment were found to play a significantly greater role than their girlfriend's. No significant associations were found for the dimension of avoidant attachment for both cyber-aggression and cyber-control whether perpetration or victimization. CONCLUSION These findings, which identify potential risk factors for victimization and perpetration of cyber-DV, have implications for research, intervention, and prevention.
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Affiliation(s)
- Stéphanie Laforte
- Department of Psychology, Université du Québec à Montréal, Montréal, Québec, Canada
| | - Alison Paradis
- Department of Psychology, Université du Québec à Montréal, Montréal, Québec, Canada
| | - Emily-Helen Todorov
- Department of Psychology, Université du Québec à Montréal, Montréal, Québec, Canada
| | - Chantal Cyr
- Department of Psychology, Université du Québec à Montréal, Montréal, Québec, Canada
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Wendołowska A, Czyżowska N, Czyżowska D. The Role of Attachment and Dyadic Coping in Shaping Relational Intimacy: Actor-Partner Interdependence Model. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:16211. [PMID: 36498285 PMCID: PMC9738089 DOI: 10.3390/ijerph192316211] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/24/2022] [Revised: 11/30/2022] [Accepted: 12/02/2022] [Indexed: 06/17/2023]
Abstract
People's attachment styles play a fundamental role in shaping their intimate relationships. Anxiously attached individuals have a strong need for closeness but a poor ability to obtain the closeness they seek. In contrast, people high in avoidance tend to avoid intimacy in close relationships. Dyadic coping can strengthen the bond between partners, and develop empathy, commitment, sensitivity, and responsiveness to the partner's needs, which may be the basis of shaping intimacy and closeness. The effects of attachment on relational intimacy were examined, using the actor-partner interdependence model and data from 144 heterosexual couples, aged 26 to 60. Both partners completed measures of attachment, intimacy as a relationship satisfaction dimension, and dyadic coping. The results showed that men's attachment-related avoidance is related to their own intimacy; also, the avoidant attachment of both spouses is related to each other's intimacy. The effect of having children on intimacy was significant for men; the effect of financial situation on intimacy was significant for women. Moreover, problem-focused common dyadic coping appeared to have a significant moderating effect on the relationship between attachment-related avoidance and intimacy. Adult attachment and dyadic coping significantly contributed to partners' relational intimacy.
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Affiliation(s)
- Anna Wendołowska
- Institute of Psychology, Jagiellonian University, 30-060 Kraków, Poland
| | - Natalia Czyżowska
- Institute of Psychology, Pedagogical University of Kraków, 30-084 Kraków, Poland
| | - Dorota Czyżowska
- Institute of Psychology, Jagiellonian University, 30-060 Kraków, Poland
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Ammerman BA, Wilcox KT, O'Loughlin CM, McCloskey MS. Characterizing the choice to disclose nonsuicidal self-injury. J Clin Psychol 2020; 77:683-700. [PMID: 32869874 DOI: 10.1002/jclp.23045] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2020] [Revised: 06/08/2020] [Accepted: 08/03/2020] [Indexed: 11/09/2022]
Abstract
OBJECTIVE Despite nonsuicidal self-injury (NSSI) being a prevalent and problematic behavior, only approximately half of those who engage in NSSI disclose their behavior. Yet, limited research has explored the choice to disclose. This study sought to identify if NSSI characteristics, emotional distress, and perceived interpersonal obstacles discriminated between NSSI disclosure status. Exploratory aims also investigated reasons for one's disclosure decision and disclosure contextual factors. METHOD Participants included 977 undergraduate students (83% female) with a lifetime history of NSSI. RESULTS Greater NSSI intrapersonal functions, suicide risk, and significant other support, and lower depression symptoms were associated with NSSI disclosure. Exploratory results highlight perceptions of one's NSSI severity and desire to receive support in disclosure choice; intrapersonal functions and peer support were associated with the timing of disclosure. CONCLUSIONS Findings underscore the potential importance of individual attitudes toward NSSI, in addition to traditionally measured risk factors, as potential drivers in NSSI disclosure.
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Affiliation(s)
- Brooke A Ammerman
- Department of Psychology, University of Notre Dame, Notre Dame, Indiana, USA
| | - Kenneth T Wilcox
- Department of Psychology, University of Notre Dame, Notre Dame, Indiana, USA
| | | | - Michael S McCloskey
- Department of Psychology, Temple University, Philadelphia, Pennsylvania, USA
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Buser JK, Buser TJ, Pertuit T. Nonsuicidal Self‐Injury and Attachment to God or a Higher Power. COUNSELING AND VALUES 2020. [DOI: 10.1002/cvj.12123] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Affiliation(s)
- Juleen K. Buser
- Department of Graduate Education, Leadership, and CounselingRider University
| | - Trevor J. Buser
- Department of Graduate Education, Leadership, and CounselingRider University
- Now at the Graduate School of Counseling and PsychologyNaropa University
| | - Terry Pertuit
- Department of Graduate Education, Leadership, and CounselingRider University
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Wolff JC, Thompson E, Thomas SA, Nesi J, Bettis AH, Ransford B, Scopelliti K, Frazier EA, Liu RT. Emotion dysregulation and non-suicidal self-injury: A systematic review and meta-analysis. Eur Psychiatry 2019; 59:25-36. [PMID: 30986729 DOI: 10.1016/j.eurpsy.2019.03.004] [Citation(s) in RCA: 146] [Impact Index Per Article: 29.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/04/2018] [Revised: 03/15/2019] [Accepted: 03/17/2019] [Indexed: 10/27/2022] Open
Abstract
BACKGROUND Over the past several years there has been considerable interest in the relation between emotion dysregulation and non-suicidal self-injury (NSSI), particularly given that rates of NSSI have been increasing and NSSI is a critical risk factor for suicidal behavior. To date, however, no synthesis of empirical findings exists. METHODS The present study presents a comprehensive meta-analytic review of the literature on the association between NSSI and emotion dysregulation. A total of 48 publications, including 49 independent samples, were included in this analysis. RESULTS Overall, a significant association was found between emotion dysregulation and NSSI (pooled OR = 3.03 [95% CI = 2.56-3.59]). This association was reduced but remained significant (OR = 2.40 [95% CI = 2.01-2.86]) after adjustment for publication bias. Emotion dysregulation subscales most strongly associated with NSSI included limited access to regulation strategies, non-acceptance of emotional responses, impulse control difficulties, and difficulties engaging goal-directed behavior. Lack of emotional awareness/clarity and cognitive aspects of dysregulation yielded weaker, yet significant, positive associations with NSSI. CONCLUSIONS Findings support the notion that greater emotion dysregulation is associated with higher risk for NSSI among individuals across settings, regardless of age or sex. Furthermore, findings reveal facets of dysregulation that may have unique implications for NSSI. This meta-analysis highlights the importance of better understanding emotion dysregulation as a treatment target for preventing NSSI.
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Affiliation(s)
- Jennifer C Wolff
- The Alpert Medical School of Brown University, 1 Hoppin St, Suite 204, 02093, Providence, RI, United States.
| | - Elizabeth Thompson
- The Alpert Medical School of Brown University, 1 Hoppin St, Suite 204, 02093, Providence, RI, United States
| | - Sarah A Thomas
- The Alpert Medical School of Brown University, 1 Hoppin St, Suite 204, 02093, Providence, RI, United States
| | - Jacqueline Nesi
- The Alpert Medical School of Brown University, 1 Hoppin St, Suite 204, 02093, Providence, RI, United States
| | - Alexandra H Bettis
- The Alpert Medical School of Brown University, 1 Hoppin St, Suite 204, 02093, Providence, RI, United States
| | - Briana Ransford
- The Alpert Medical School of Brown University, 1 Hoppin St, Suite 204, 02093, Providence, RI, United States
| | - Katie Scopelliti
- The Alpert Medical School of Brown University, 1 Hoppin St, Suite 204, 02093, Providence, RI, United States
| | - Elisabeth A Frazier
- The Alpert Medical School of Brown University, 1 Hoppin St, Suite 204, 02093, Providence, RI, United States
| | - Richard T Liu
- The Alpert Medical School of Brown University, 1 Hoppin St, Suite 204, 02093, Providence, RI, United States
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Switzer A, Caldwell W, da Estrela C, Barker ET, Gouin JP. Dyadic Coping, Respiratory Sinus Arrhythmia, and Depressive Symptoms Among Parents of Preschool Children. Front Psychol 2018; 9:1959. [PMID: 30386280 PMCID: PMC6198049 DOI: 10.3389/fpsyg.2018.01959] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2018] [Accepted: 09/24/2018] [Indexed: 12/27/2022] Open
Abstract
Respiratory sinus arrhythmia (RSA) is a biomarker of cardiac vagal tone that has been linked to social functioning. Recent studies suggest that RSA moderates the impact of interpersonal processes on psychosocial adjustment. The goal of this study was to assess whether RSA would moderate the association between dyadic coping (DC) and depressive symptoms. Eighty cohabiting couples raising preschool children completed the Dyadic Coping Inventory, the Center for Epidemiological Study-Depression scale and had their RSA assessed during a laboratory session. Couples completed follow-up assessments of depressive symptoms 6 and 12 months later. Data were analyzed using an Actor-Partner Interdependence Model. Results indicated that RSA moderated the actor effect of negative DC on depression in men, such that men with lower RSA had a stronger association between their own ratings of negative DC within the couple relationship and their own depressive symptoms, compared to their counterparts with higher RSA. RSA also moderated the partner effect of delegated DC on depressive symptoms. Among men with higher RSA, there was a significant negative association between their partner’s ratings of delegated DC within the couple relationship and the men’s depressive symptoms, whereas partner-rated delegated DC was unrelated to depressive symptoms among men with lower RSA. These results suggest that men with higher RSA may possess social skills and abilities that attenuate the association between stressful marital interactions and negative mood.
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Affiliation(s)
- Andrew Switzer
- Department of Psychology, Concordia University, Montreal, QC, Canada
| | - Warren Caldwell
- Department of Psychology, Concordia University, Montreal, QC, Canada
| | | | - Erin T Barker
- Department of Psychology, Concordia University, Montreal, QC, Canada
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