Search Results (77)

Objective: This study examined the relationships between father-related attachment and parenting variables and peer bullying among adolescent girls. Secure and insecure attachment styles, paternal caregiving styles, paternal autonomy support, and paternal involvement were investigated in relation to bullying victimization and bullying perpetration. Method: The study employed a correlational design with 200 adolescent girls aged 16–18 years attending vocational high schools in Bursa, Türkiye. Data were collected using the Adult Attachment to Father Scale, the Father Caregiving and Attachment Styles Scale, the Father Perception Scale, and the Peer Bullying Identification Scale. Pearson and Spearman correlation analyses, partial correlations, and Benjamini–Hochberg false discovery rate (FDR) corrections were conducted. Results: Secure attachment, paternal warmth/responsiveness, paternal involvement, and paternal autonomy support were negatively associated with bullying victimization and perpetration. In contrast, cold/rejecting and inconsistent/incongruent paternal attitudes were positively associated with bullying variables. Most findings remained significant after controlling for demographic variables and applying robustness and FDR correction analyses. However, some associations involving the Fearful Attachment subdimension appeared less robust. Conclusions: The findings suggest that supportive father–daughter relationships are consistently associated with lower levels of bullying involvement against peer bullying among adolescent girls. Interventions aimed at strengthening secure attachment and supportive parenting practices may contribute to reducing bullying behaviors and victimization. Full article

Background/Objectives: Identifying pregnant women with heightened emotional vulnerability remains a challenge in antenatal care. A positive screening result is a comparatively infrequent event in clinical samples of moderate size, which complicates the statistical modelling of associated factors. This study aimed to characterise the psychosocial profile associated with a positive antenatal depression screen, integrating attachment style, perception of motherhood, previous emotional history and sleep problems. Methods: A total of 140 women in the third trimester of pregnancy were assessed cross-sectionally using the Edinburgh Postnatal Depression Scale (EPDS), with a threshold of 14 or above defining a positive screen; the Adult Attachment Scale; and single-item psychosocial indicators. Associations were examined using the chi-square test, the Fisher–Freeman–Halton exact test, and Firth penalized logistic regression, chosen to correct the separation arising from the small number of events. Results: The screen was positive in 15.0% of participants. Negative perception of motherhood, anxious–ambivalent attachment, previous emotional history and sleep disturbances were all significantly associated with depressive symptoms; in the multivariable model, only negative perception of motherhood remained independently associated with a positive screen. Conclusions: Structured psychosocial assessment may usefully complement standard EPDS screening in the early identification of antenatal emotional vulnerability. Full article

Population aging demands accessible interventions for psychological well-being in later life. This work evaluated the feasibility and acceptability of an 8-week mindful walking program in community-dwelling older adults and generated exploratory estimates of within-person change across emotional, psychosomatic, and psychological outcomes. Thirteen community-dwelling older adults participated in a pilot human trial with assessments at baseline, post-intervention, and one-month follow-up. Measures included depression, anxiety, somatic symptoms, mindfulness, mind wandering, alexithymia, quality of life, and attachment style. Primary feasibility outcomes indicated high acceptability and participant satisfaction, good physiological tolerance and full adherence. Secondary exploratory analyses suggested within-person reductions in depressive symptoms and alexithymia, while somatic symptoms decreased notably by follow-up. Mindfulness increased and was maintained over time, while mind wandering displayed a probable long-term decrease. Psychological quality of life improved and remained elevated, whereas physical, social, and environmental quality-of-life domains showed uncertain trends. Trait anxiety decreased post-intervention but returned toward baseline at follow-up, while state anxiety and attachment styles remained stable. Within pilot design limits, mindful walking may be a feasible intervention for older adults, associated with exploratory within-person patterns suggesting possible improvements in certain psychological outcomes, which should be interpreted as preliminary and descriptive signals pending confirmation in controlled trials. These preliminary findings support further investigation in controlled trials to determine effectiveness and to formally test hypothesized mechanisms. Full article

This study aimed to examine variables associated with manipulation tendency levels in adults and to describe current patterns using a decision tree method as a classification-based analytical approach. The research sample consisted of 543 adults (358 women, 65.93%; 185 men, 34.07%) residing in Turkey, aged 18 to 45 years (M = 25.79, SD = 4.23). Data were collected using a researcher-developed personal information form, the Manipulation Scale in Human Relations, the Rosenberg Self-Esteem Scale, and the Relationship Scales Questionnaire. The total composite score of the Manipulation Scale was used as the outcome variable and is referred to throughout as “manipulation tendency.” Manipulation tendency scores were dichotomized into low versus high groups using a median split to facilitate C&RT-based classification. Classification and Regression Tree was used to examine the hierarchical structure of variables related to manipulation tendency levels and to identify classification patterns among study variables. The decision tree approach was used not merely as an alternative statistical technique, but as an interpretable classification framework capable of identifying hierarchical and conditional pathways associated with manipulation tendency. Data were stratified-randomly split into training and test sets (70/30), and tree complexity was tuned via cross-validation using cost-complexity pruning. Model performance indicated acceptable classification accuracy within this sample, with a test-set accuracy of 0.81 (sensitivity = 0.74, specificity = 0.88, precision = 0.86, F1 = 0.79) and training accuracy of 0.86. The findings indicated several influential variables in classifying manipulation tendency levels, ranked by importance: preoccupied attachment style, self-esteem, age, dismissive attachment style, gender, secure attachment style, and fearful attachment style. Preoccupied attachment style was identified as the most salient variable in differentiating between high and low manipulation tendency groups. The decision tree structure showed that younger adults with higher preoccupied attachment scores were more frequently classified into the high manipulation tendency group. Self-esteem emerged as the second most influential variable, with lower self-esteem levels being more commonly observed among individuals classified in the high manipulation tendency group. Age also played a notable role in classification, with higher manipulation tendency classifications occurring more frequently among younger individuals. Dismissive attachment style contributed to the differentiation of manipulation tendency levels, particularly within specific attachment and age profiles. Gender-related patterns indicated that men were more frequently classified into higher manipulation tendency groups, especially among individuals with low self-esteem. Overall, the findings highlight the multifactorial and hierarchical nature of manipulation tendency classifications. They contribute to the literature by showing how attachment-related characteristics, developmental factors, and psychological variables jointly differentiate manipulation tendency profiles. These findings highlight the value of decision tree modelling for translating conventional psychological predictors into interpretable classification profiles of manipulation tendency. Full article

Background/Objectives: The attachment framework has been used to understand individuals’ development and the emergence of difficulties in specific contexts and developmental stages. The Vulnerable Attachment Style Questionnaire (VASQ) is a brief self-report measure initially designed to assess adult attachment as a vulnerability factor for the development of depression. The present study aimed to examine the factor structure and psychometric properties of the VASQ in a sample of adolescents living in residential care and to provide preliminary evidence for a revised version of the instrument in this population. Methods: A total of 438 youths, aged 12 to 18 years (M = 15.34), completed the questionnaire. Data were randomly split to conduct independent exploratory and confirmatory factor analyses. Results: A three-factor model, consisting of two types of insecurity (ambivalent and avoidant) and a proximity-seeking dimension, emerged as the best-fitting solution. This revised structure involved removing several items while maintaining acceptable psychometric properties and meaningful associations with psychological adjustment. Concurrent validity was assessed by examining youth psychological adjustment, and positive correlations emerged as expected. Conclusions: The findings provide preliminary support for a shortened, restructured version of the VASQ for adolescents in residential care. Rather than confirming the original factorial structure, the results highlight the need to consider population-specific adaptations of the instrument. This version may have potential utility in clinical or intervention contexts and underscores the need to train institutional workers to develop competencies tailored to this population. Full article

The present study examined how parental attachment and cultural background shape love styles in emerging adulthood. Drawing on attachment theory and cross-cultural perspectives, we investigated whether gender, attachment to mother and father, and nationality (Italian vs. Angolan) predicted the development of love styles in 370 young adults. Participants completed validated measures of parental attachment (IPPA) and love attitudes (LAS). Hierarchical regression analyses revealed a differentiated pattern across love styles. Emotionally detached relational styles (Ludus) were significantly predicted by gender, paternal attachment, and nationality, with higher levels reported by men, those with lower paternal attachment, and Angolan participants. While Storge showed no significant associations, passionate love expression (Eros) was robustly predicted by nationality, with Italian participants reporting higher levels of passion in love. Results suggest that while paternal attachment serves as a critical developmental anchor in preventing Ludus, the cultural macrosystem remains the primary architect of Eros. These findings call for culturally attuned clinical and educational interventions that differentiate between early relational deficits and normative cultural variations in intimacy. Full article

Suicidal behavior among adolescents and young adults represents a growing public health concern due to its high prevalence and its negative impact on psychological well-being. The aim of this study was to examine the associations between emotional regulation, attachment styles, cyberviolence, and suicidal ideation among Chilean university students. A descriptive cross-sectional design was employed with a sample of 1083 participants, using the Suicidal Ideation Frequency Inventory, the Close Relationship Experience Questionnaire (ECR-R), the Spanish Modified Version of the Trait Meta-Mood Scale (TMMS-24) and the Cyber Dating Violence Instrument for Teens (CyDAV-T). Bivariate analyses and binary logistic regression were conducted to identify significant predictors of suicidal ideation. The results revealed a high prevalence of suicidal ideation, particularly among women (19.06%; p < 0.001). Difficulties in emotion regulation were strongly associated with a higher likelihood of suicidal ideation (p < 0.001), whereas adequate (p < 0.001) or excellent (p < 0.01) regulation functioned as a significant protective factor. In addition, a disorganized attachment style was identified as a risk factor (p < 0.05), especially among women (p < 0.01). In conclusion, emotion regulation emerges as a key protective factor against suicidal ideation, underscoring the importance of implementing socioemotional training programs within university settings. Full article

Background/Objectives: To date, limited focus has been given to the possible contribution of attachment theory to the comprehension of how paranoia and conspiracy beliefs may develop. Our study aimed to examine the potential mediating effects of the different adult attachment styles on the relationship between childhood trauma and paranoid/conspiracy thinking. Methods: This is a cross-sectional study that was conducted during September–January 2025 among Tunisian young adults (aged 18–35 years) from the general population. The Child Abuse Self Report Scale (CASRS-12), the Relationship Questionnaire (RQ), the eight-item Green et al., Paranoid Thoughts Scale (GPTS-8), and the Generic Conspiracist Beliefs Scale-5 (GCB-5) were administered to participants. Results: After controlling for potential confounders, analyses showed that secure attachment partially mediated the link between childhood trauma and paranoia (indirect effect: Beta = 0.001; Boot SE = 0.001) and conspiracy beliefs (indirect effect: Beta = 0.024; Boot SE = 0.01). On the other hand, preoccupied attachment acted as a significant mediator in the relationship between childhood trauma and paranoid thinking (indirect effect: Beta = 0.001; Boot SE = 0.001). In all these models, greater childhood trauma was directly related to higher paranoia and/or conspiracy thinking. Conclusions: Findings suggest that interventions and policies aimed at promoting a more secure attachment and addressing insecure attachment representations are likely to be effective in diminishing paranoia and conspiracy beliefs, especially for victims of childhood adversity. Full article

Gait is a sensitive marker of mobility decline and fall risk, motivating unobtrusive sensing methods that can extract spatiotemporal parameters outside specialized gait laboratories. This paper presents a physics-based comparison of two millimeter-wave frequency-modulated continuous-wave (FMCW) radar deployment paradigms using a low-cost, system-on-chip (SoC) 60 GHz Infineon BGT60TR13C radar sensor: (i) a fixed (tripod-mounted) corridor observer and (ii) a shoe-mounted body-centric configuration attached to the medial side of the left shoe. Four healthy adult author-participants performed repeated 30 s corridor trials under five gait styles (regular, slow, fast, simulated festination, and simulated freezing-of-gait), including brief pauses during turns; an empty-corridor recording was acquired to characterize static clutter. Step events were detected using peak-picking on foot-related velocity envelopes with adaptive thresholds, and step count, cadence, step time, and step-time variability were derived. Performance of the fixed and shoe-mounted configurations was quantitatively compared to video ground truth using mean absolute percentage error (MAPE) for step count estimation. Across all gait styles, the shoe-mounted FMCW radar consistently reduced step-count error relative to the fixed corridor-mounted configuration, with the largest gains under irregular patterns (e.g., festination: 37.1% fixed vs. 9.6% shoe-mounted). These findings highlight the advantages of body-centric millimeter-wave radar sensing and support low-cost SoC radar as a pathway toward wearable, privacy-preserving gait monitoring in real-world environments. Full article

Grounded in attachment theory, the present study aimed to examine the predictive effects of deceased-specific attachment styles (anxious and avoidant) on grief and to test the mediating roles of two dimensions of unfinished business, namely unfulfilled wishes and unresolved conflicts. Using a two-wave longitudinal design, we conducted a 3-month follow-up survey (T1: October 2024; T2: January 2025) among Chinese adults who experienced bereavement within the past five years. Participants completed the Experiences in Close Relationships—Relationship Structures questionnaire at T1 and the Unfinished Business in Bereavement Scale and the International Prolonged Grief Disorder Scale at both T1 and T2. A total of 206 participants (Mage = 25.07 years; 51.94% women) completed both assessments. After controlling for T1 grief, demographic- and loss-related covariates, T1 deceased-specific attachment anxiety and attachment avoidance did not directly predict T2 grief. However, T1 deceased-specific attachment avoidance significantly negatively predicted T2 unfulfilled wishes, and both unfulfilled wishes and unresolved conflicts at T2 significantly positively predicted T2 grief. Furthermore, T2 unfulfilled wishes significantly mediated the relationship between T1 deceased-specific attachment avoidance and T2 grief. Thus, directly targeting unfinished business may serve as a more efficient and specific clinical strategy than broad attachment-focused interventions. Full article

Background/Objectives: Perinatal depressive symptoms are influenced by psychosocial and relational factors. This study examined stage-specific associations between adult attachment style, psychological stress responses, satisfaction with the childcare environment, and depressive symptoms across five perinatal stages in Japan. Methods: This repeated cross-sectional study included 417 independent assessment datasets collected during the first, second, and third trimesters, and at two weeks and one month postpartum. Depressive symptoms were assessed using the Edinburgh Postnatal Depression Scale (EPDS). Adult attachment was measured using the Relationship Questionnaire, and psychological stress responses were measured using the Stress Response Scale-18 (SRS-18). Salivary cortisol was analyzed in a subset of participants. Results: Elevated depressive symptoms (EPDS+) were observed in approximately 10–15% of participants across stages. Attachment insecurity was associated with higher odds of EPDS+ at one month postpartum (OR 12.1, 95% CI 1.35–109). Higher SRS-18 scores were consistently associated with increased odds of EPDS+ across stages (e.g., OR 20.9, 95% CI 5.46–80.0 in the second trimester). Lower satisfaction with the childcare environment was associated with elevated depressive symptoms during pregnancy. No consistent association was observed between salivary cortisol and EPDS+. Conclusions: Adult attachment insecurity and psychological stress responses were associated with perinatal depressive symptoms across stages. By clarifying stage-specific psychosocial patterns, these findings support stress–attachment frameworks, suggesting that attachment insecurity may heighten vulnerability during the perinatal transition, provide culturally specific evidence from Japan, and underscore the potential value of brief psychosocial screening in routine perinatal care. Full article

Eating disorders among adolescents have emerged as a significant global public health concern, with attachment anxiety identified as a critical risk factor for anorexia nervosa (AN) symptoms. Individuals with attachment anxiety often exhibit heightened sensitivity to others’ perceptions and an intense fear of rejection, which may exacerbate their vulnerability to body image concerns. This study investigates the mediating role of appearance-based rejection sensitivity (ARS) and the moderating effect of sex in the relationship between attachment anxiety and AN symptoms among Chinese college students. A total of 826 participants aged 16–25 (M = 18.95, SD = 1.08, 60% females) completed online surveys using three validated scales: the Revised Adult Attachment Scale (RAAS) to assess attachment anxiety, the Appearance-based Rejection Sensitivity Scale (ARSS) to measure sensitivity to rejection related to physical appearance, and the Eating Disorders Inventory (EDI) to evaluate AN symptoms. The results reveal that there was no significant difference in attachment anxiety between males and females, while females experienced significantly higher levels of ARS and severity of AN symptoms than males. Attachment anxiety is positively correlated with AN symptoms, with ARS mediating this association. Sex further moderates the relationship between ARS and AN symptoms, with stronger effects observed in females. Current findings suggest that AN symptoms are closely associated with contemporaneous attachment anxiety, with passive sensitivity to potential rejection acting as a mediating factor. This underscores the importance of addressing attachment styles and communication patterns in interventions targeting adolescent AN symptoms, particularly in females. Full article

Self-esteem and attachment are core constructs in adult relational functioning, yet their interrelations across levels of cognitive processing have remained understudied. This study investigated how explicit and implicit attachment styles relate to self-esteem in individuals seeking a romantic partner (N = 399) and in a partnered sample (N = 108). Participants completed explicit attachment and self-esteem scales, along with three single-target Implicit Association Tests (IATs) assessing implicit self-esteem and avoidant and anxious attachment styles. Regression analyses were conducted using explicit and implicit attachment as predictors of explicit and implicit self-esteem while controlling for covariates. In singles, explicit anxious attachment was negatively associated with explicit self-esteem, while implicit anxious attachment and implicit avoidant attachment were negatively associated with implicit self-esteem. No cross-level associations were found, supporting a parallel-level interpretation in which explicit and implicit variables relate primarily within, rather than across, processing levels. The same regression models applied to the partnered sample showed generally similar trends, although the associations observed in singles for explicit anxious and implicit avoidant attachment were not detected in the partnered group. The inclusion of implicit measures provides new insight into non-conscious relational insecurity, with both implicit anxious and avoidant attachment showing negative associations with implicit self-esteem. Full article

Depressive disorders are strongly influenced by personality organization, attachment style, and defensive functioning. This study examined the associations between depression severity, defense mechanisms, and adult attachment styles, and explored potential moderating effects of gender. A community sample completed standardized measures assessing depressive symptoms, defense mechanisms (mature, neurotic, immature), and attachment dimensions (anxious, avoidant). Correlational and regression analyses indicated that higher depressive severity was negatively associated with denial and dissociation, while no significant links emerged for projection or mature defenses. Anxious attachment predicted greater use of projection (B = 4.65, p = 0.040), but depression did not moderate this association. Cluster analysis identified two distinct profiles: one with moderate depression and higher denial, and another with severe depression and markedly lower denial. Men reported higher dysfunctional defenses overall, whereas a significant depression × gender interaction suggested that depressive severity was associated with reduced dysfunctional defenses among women (B = −0.58, p = 0.002). These findings challenge prevailing evidence that depressive severity correlates with greater immature defense use, instead suggesting a possible defensive collapse at high symptom levels. The study contributes novel insights into how attachment and gender shape defensive functioning in depression, emphasizing the need for longitudinal and clinical replication. Full article

Background and Objectives: Autologous hematopoietic stem cell transplantation (AHSCT) offers life-saving treatment for hematologic malignancies but can result in persistent sexual dysfunction and relationship challenges. Attachment theory provides a valuable framework for understanding how enduring relational patterns influence sexual well-being. This study aimed to assess sexual function and attachment styles in AHSCT survivors and examine correlations between attachment and sexual health outcomes. Materials and Methods: A multicenter, cross-sectional study was conducted from December 2019 to March 2022 in five public hospitals in Athens, Greece. Participants were 127 adult survivors who had undergone AHSCT between 6 months and 5 years before enrollment. Sexual function was evaluated with the International Index of Erectile Function (IIEF) for men and the Female Sexual Function Index (FSFI) for women. Attachment style was measured using the Experience in Close Relationships Scale–Short Form (ECRSHORT-FORMSCALE). Results: Men demonstrated high erectile function (IIEF total: 54.10 ± 20.1), whereas women reported moderate sexual dysfunction (FSFI total: 22.51 ± 8.95). Both genders showed average attachment levels, with anxiety scoring lowest and discomfort with closeness highest. Between-group comparisons revealed no significant difference in anxiety (p = 0.95), a near-significant difference in avoidance (p = 0.056), and a significant difference in discomfort with closeness (p < 0.0001), with women scoring higher. In men, no significant correlations emerged between attachment and sexual function. In women, higher attachment anxiety correlated negatively with all FSFI domains except pain, avoidance correlated positively with lubrication, and discomfort with closeness correlated negatively with desire and pain. Conclusions: Findings reveal gender-specific patterns in attachment and their influence on sexual function of AHSCT survivors, highlighting the need for attachment-informed interventions to support intimacy, relationship satisfaction, and overall quality of life in survivorship care. Full article