When sex is more than just sex: Attachment orientations, sexual experience, and relationship quality.

The authors explored the contribution of individual differences in attachment orientations to the experience of sexual intercourse and its association with relationship quality. In Study 1, 500 participants completed self-report scales of attachment orientations and sexual experience. The findings indicated that whereas attachment anxiety was associated with an ambivalent construal of sexual experience, attachment avoidance was associated with more aversive sexual feelings and cognitions. In Study 2, 41 couples reported on their attachment orientations and provided daily diary measures of sexual experiences and relationship interactions for a period of 42 days. Results showed that attachment anxiety amplified the effects of positive and negative sexual experiences on relationship interactions. In contrast, attachment avoidance inhibited the positive relational effect of having sex and the detrimental relational effects of negative sexual interactions. The authors discuss the possibility that attachment orientations are associated with different sex-related strategies and goals within romantic relationships. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Victimization Over the Life Span: A Comparison of Lesbian, Gay, Bisexual, and Heterosexual Siblings.

Lifetime victimization was examined in a primarily European American sample that comprised 557 lesbian/gay, 163 bisexual, and 525 heterosexual adults. Lesbian, gay, and bisexual (LGB) participants were recruited via LGB e-mail lists, periodicals, and organizations; these participants recruited 1 or more siblings for participation in the study (81% heterosexual, 19% LGB). In hierarchical linear modeling analyses, sexual orientation was a significant predictor of most of the victimization variables. Compared with heterosexual participants, LGB participants reported more childhood psychological and physical abuse by parents or caretakers, more childhood sexual abuse, more partner psychological and physical victimization in adulthood, and more sexual assault experiences in adulthood. Sexual orientation differences in sexual victimization were greater among men than among women. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The overlapping contributions of attachment orientation and social support in predicting life-events distress.

Attachment anxiety, attachment avoidance, and perceived social support are examined as predictors of life-events distress. Clients at initial intake to an addiction treatment centre and university students in their graduating year were administered measures of attachment orientation, social support, and the experience of distressing life events. Hypotheses were tested across different categories of distressing life events (overall distress, bereavement, relationship dissolution, crime victimization, and severe accidents). We found that attachment anxiety and attachment avoidance have varying predictive utility for distress, depending on the type of event. Social support did not account for variance beyond attachment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Mental Health of Lesbian, Gay, Bisexual, and Heterosexual Siblings: Effects of Gender, Sexual Orientation, and Family.

Self-identified lesbian, gay male, and bisexual (LGB) individuals were recruited via convenience sampling, and they in turn recruited their siblings (79% heterosexual, 19% LGB). The resulting sample of 533 heterosexual, 558 lesbian or gay male, and 163 bisexual participants was compared on mental health variables and their use of mental health services. Multilevel modeling analyses revealed that sexual orientation predicted suicidal ideation, suicide attempts, self-injurious behavior, use of psychotherapy, and use of psychiatric medications over and above the effects of family adjustment. Sexual orientation was unrelated to current psychological distress, psychiatric hospitalizations, and self-esteem. This is the 1st study to model family effects on the mental health of LGB participants and their siblings. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Attachment, Social Competencies, Social Support, and Psychological Distress.

In this survey study of 430 undergraduates, elements of the social competencies and interpersonal processes model (B. Mallinckrodt, 2000) were tested. Two social competencies were hypothesized to mediate the direct effects of 2 independent variables, attachment anxiety and avoidance, on 2 outcomes, psychological distress and perceived social support. Social self-efficacy was expected to be a significant mediator only for attachment anxiety. Emotional awareness, construed as low levels of alexithymia, was expected to be a significant mediator only for attachment avoidance. A bootstrap method was used to estimate the significance of indirect effects. Structural equation analyses suggested that, instead of specialized significant parings of one mediator with one independent variable, both social self-efficacy and emotional awareness served as significant mediators for both attachment anxiety and attachment avoidance. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Internalized homophobia and relationship quality among lesbians, gay men, and bisexuals.

The authors examined the associations between internalized homophobia, outness, community connectedness, depressive symptoms, and relationship quality among a diverse community sample of 396 lesbian, gay, and bisexual (LGB) individuals. Structural equation models showed that internalized homophobia was associated with greater relationship problems both generally and among coupled participants independent of outness and community connectedness. Depressive symptoms mediated the association between internalized homophobia and relationship problems. This study improves present understandings of the association between internalized homophobia and relationship quality by distinguishing between the effects of the core construct of internalized homophobia and its correlates and outcomes. The findings are useful for counselors interested in interventions and treatment approaches to help LGB individuals cope with internalized homophobia and relationship problems. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Parental bonds, anxious attachment, media internalization, and body image dissatisfaction: Exploring a mediation model.

The first purpose of this study was to investigate direct links between body image dissatisfaction (BID) in college women and their memories of either parent as cold and emotionally aloof. Theory, clinical case evidence, and a small (but growing) number of studies support these links. After estimating the strength of the associations between parental “care” and BID, the second goal of this study was to investigate a 2-stage model in which adult attachment anxiety and internalization of media images each serve as mediators of this relationship. Thus, in a sample of 224 college women, the authors tested a causal chain with 3 links and 4 sets of variables. Results suggested that both mother and father care were negatively associated with attachment anxiety; attachment anxiety was positively associated with internalization of media influence; and media influence was positively associated with BID. Most important, the authors found that the significant negative associations between mother and father care and BID were mediated by both attachment anxiety and media internalization. The data supported a 2-stage mediation model of hypothesized links of BID etiology. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Attachment theory, childhood mistreatment, and religiosity.

Guided by attachment theory, the authors explore the relationship of verbal, physical, and sexual mistreatment to attachment to God, as well as to concepts of God. Each form of mistreatment was related adversely to the religiosity measures. Attachment to parents mediated the relationship between two maltreatment variables (verbal and physical mistreatment) and attachment to God, as well as the concept of God as loving and as distant. However, attachment to parents did not mediate the relationship between attachment to God and the sexual abuse variable. Sexual abuse was strongly related to difficulties with attachment to God and one's concept of God. The findings add support to the notion, even when childhood mistreatment is taken into account, that a secure attachment to parents provides the necessary context for socialization into religion. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

La relation entre l'abus sexuel subi durant l'enfance et la satisfaction conjugale chez l'homme.

The goal of the present study was to evaluate the relationship between child sexual abuse and men's dyadic adjustment, using a theoretical model integrating attachment, that is anxiety about abandonment and avoidance of proximity, and psychological distress. Participants were 316 men forming a probabilistic sample of French-Quebecer living in couple. Structural equation analyses showed that sexual abuse predicted dyadic adjustment through anxiety about abandonment and psychological distress. Moreover, there was no relationship between sexual abuse and avoidance of proximity, while this variable was associated to dyadic adjustment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Predicting the impact of child sexual abuse on women: The role of abuse severity, parental support, and coping strategies.

Female Navy recruits (N=5,226) completed surveys assessing history of childhood sexual abuse (CSA), childhood strategies for coping with CSA, childhood parental support, and current psychological adjustment. Both CSA and parental support independently predicted later adjustment. In analyses examining whether CSA victims' functioning was associated with CSA severity (indexed by 5 variables), parental support (indexed by 3 variables), and coping (constructive, self-destructive, and avoidant), the negative coping variables were the strongest predictors. A structural equation model revealed that the effect of abuse severity on later functioning was partially mediated by coping strategies. However, contrary to predictions, the model revealed that childhood parental support had little direct or indirect impact on adult adjustment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Clarifying links between attachment and relationship quality: Hostile conflict and mindfulness as moderators.

In this study we examined self-reported hostile conflict and mindfulness as potential moderators of the links between attachment and relationship quality over time in a sample of 1,702 online respondents. The analyses revealed that both attachment anxiety and avoidance were associated with lower levels of current relationship quality and attachment avoidance was linked with lower relationship satisfaction over time. The results offered partial support for the moderation hypotheses with attachment anxiety but failed to support moderation of attachment avoidance. Specifically, when predicting relationship satisfaction, hostile conflict moderated the effect of attachment anxiety such that high hostile conflict and high attachment anxiety were associated with particularly low current satisfaction. Shifts in hostile conflict over time also exacerbated the longitudinal associations between attachment anxiety and relationship satisfaction. Furthermore, mindfulness moderated the effects of attachment anxiety on stability such that high levels of mindfulness seemed to buffer relationships from the increased risk of breakup associated with high levels of attachment anxiety. Implications for research and treatment are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Processes involved in client-nominated relationship building incidents: Client attachment, attachment to therapist, and session impact.

Thirty volunteer clients of trainee therapists nominated an incident that was critical in the development of their therapeutic relationship. Clients completed the Client Attachment to Therapist Scale (CATS), the Experiences in Close Relationships Scale (ECRS), and the Session Impacts Scale (SIS). Clients reported an increase in attachment security with their therapists, along with perceptions of support and relief and increasing exploration following the relationship building incident. While clients' avoidant attachment was unrelated to attachment to the therapist prior to the incidents, in subsequent sessions avoidance was related to a change in secure attachment to therapist. Finally, client attachment to therapist but not general attachment was significantly related to in-session exploration. Findings are discussed in light of attachment theory and convergence with findings from the field of social psychology. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Spousal support and cardiac patients' distress: The moderating role of attachment orientation.

Based on the Person–Environment Fit Model, the current prospective study explored the contribution of the interaction between spouses' ways of providing support and patients' attachment orientations to the patients' levels of psychological distress 6 months after experiencing a first Acute Coronary Syndrome (ACS). One hundred and eleven patients completed a measure of attachment orientations during hospitalization, while their spouses completed a measure of ways of providing support 1 month later. The outcome measures were patients' depressive and anxiety symptoms 6 months after their ACS. Whereas active engagement was associated with lower levels of anxiety symptoms among patients high in attachment anxiety, it was also associated with higher levels of anxiety symptoms among patients low on this orientation. In addition, none of the ways of providing support moderated the association between avoidance and distress. These results shed light on the possible interplay between providers' support and recipients' personalities. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Lesbian, gay, and bisexual victimization in the military: An unintended consequence of “Don't Ask, Don't Tell”?

The integration of lesbian, gay, and bisexual (LGB) individuals into the U.S. military is a long-standing and politically and socially divisive issue. Exclusionary and pseudo-inclusionary policies that restrict openly LGB individuals from military service are also of long duration. Yet LGB servicemembers have continued to serve covertly in the military for many decades. Moreover, political issues and social conventions associated with “Don't Ask, Don't Tell” (DADT) have diverted focus from imperative research issues, such as LGB servicemembers and incidents of victimization in the military. Research is reviewed to evaluate such victimization, which is conceptualized as resulting from a convergence of sexual stigma, conservative gender role beliefs, and sexual prejudice. DADT, in combination with overarching difficulties intrinsic to sexual orientation research, serves to augment LGB victimization and reduce victim reports and help seeking. Consequently, there is a deficient evidence base for assisting LGB servicemembers and for advancing research, prevention efforts, and policy changes. Implications of repealing DADT are discussed, as are future directions for LGB military research. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Attachment and treatment response among adults in inpatient treatment for posttraumatic stress disorder.

In this study, the authors investigated changes in attachment orientation after treatment in an inpatient program for adults with posttraumatic stress disorder. The authors also examined the association between these changes and symptom reduction. Results indicated that secure attachment increased significantly over treatment in comparison to a wait list group, and this change was maintained over the 6 months after discharge. Positive changes were also noted in the underlying attachment dimensions of anxiety and avoidance. Furthermore, positive changes in attachment were found to be associated with symptom reduction during treatment and maintenance of these reductions after discharge. These results have potential implications for the goals of psychotherapeutic intervention in general and for the utility of specialized inpatient trauma treatment specifically. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Adult Attachment and Help-Seeking Intent: The Mediating Roles of Psychological Distress and Perceived Social Support.

This study examined the mediating roles of perceived social support and psychological distress on the relationship between adult attachment and help-seeking intentions. Participants were 355 college students at a large Midwestern university. The structural equation model results indicated that attachment anxiety in individuals was positively related to acknowledging distress and to seeking help. Conversely, individuals with attachment avoidance denied their distress and were reluctant to seek help. However, both individuals with attachment anxiety and individuals with avoidance also perceived less social support, which negatively contributed to their experience of distress, and their distress then positively contributed to their help-seeking intention. Furthermore, attachment anxiety and avoidance, social support, and distress explained 17% of the variance in intent to seek help. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Determinants of problem solving, social support seeking, and avoidance: A path analytic model.

This study used Structural Equation Modeling to test a theoretical model linking stress, self-efficacy, trait resilience, secure attachment, and motivation to 3 coping responses: problem solving, social support seeking, and avoidance. Participants were 326 Taiwanese college students. The results, interpreted based on theory, seemed to show that self-efficacy, trait resilience, and motivation could influence students’ problem solving; stress, secure attachment, and motivation could affect their social support seeking; and stress, self-efficacy, and trait resilience could influence their avoidance (the latter 2 were negatively correlated with avoidance). Mediational effects were also found. The effect of stress on problem solving seemed to be mediated by self-efficacy, trait resilience, and motivation; the effect of stress on social support seeking seemed to be mediated by secure attachment; and the effect of stress on avoidance seemed to be mediate by trait resilience. Other mediating effects were also found and discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Examining the relationship between current attachment status and freely recalled autobiographical memories of childhood.

This study investigated the relationship between individual differences in attachment and the free recall of childhood memories. Specifically, it focuses on how attachment anxiety and attachment avoidance, using the Experiences in Close Relationship Scale self-report, relate to the affective quality and the presence of caregivers in memories from childhood. Participants were 79 undergraduate and masters students attending a northeast university. Participants completed a memory task designed to elicit freely recalled memories from childhood. They then rated the affective valence (positive/negative) and intensity of each memory, and identified memories in which caretakers were present. Attachment avoidance was related to recalling more negative memories involving caretakers and was negatively related to the average intensity of memories involving caretakers. The results support and extend previous research suggesting that affect regulation strategies employed by individuals high in attachment anxiety and high in attachment avoidance are linked to differences in how information about the past is recalled. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Acculturation, attachment, and psychosocial adjustment of Chinese/Taiwanese international students.

On the basis of a process model of acculturation (Berry, Kim, Minde, & Mok, 1987) and the concept of secure base for interpersonal exploration in adult attachment (Bowlby, 1988), this study hypothesized that sociocultural adjustment difficulties and psychological distress of Chinese international students (N = 104) living in the United States would be positively associated with attachment avoidance and anxiety and negatively associated with both acculturation to the U.S. culture and identification with the home culture. Survey packets contained the Experiences in Close Relationships scale, the Acculturation Index, the Socio-Cultural Adaptation Scale, and the Brief Symptom Inventory-18. Results suggested that attachment anxiety was negatively associated with students' acculturation to U.S. culture, and that attachment avoidance, attachment anxiety, and acculturation to U.S. culture were significant predictors for students' psychosocial adjustment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Attachment, Self-Esteem, Worldviews, and Terror Management: Evidence for a Tripartite Security System.

On the basis of prior work integrating attachment theory and terror management theory, the authors propose a model of a tripartite security system consisting of dynamically interrelated attachment, self-esteem, and worldview processes. Four studies are presented that, combined with existing evidence, support the prediction derived from the model that threats to one component of the security system result in compensatory defensive activation of other components. Further, the authors predicted and found that individual differences in attachment style moderate the defenses. In Studies 1 and 2, attachment threats motivated worldview defense among anxiously attached participants and motivated self-enhancement (especially among avoidant participants), effects similar to those caused by mortality salience. In Studies 3 and 4, a worldview threat and a self-esteem threat caused attachment-related proximity seeking among fearful participants and avoidance of proximity among dismissing participants. The authors' model provides an overarching framework within which to study attachment, self-esteem, and worldviews. (PsycINFO Database Record (c) 2010 APA, all rights reserved)