Relatives' attachment anxiety mediates the association between perceived loss and expressed emotion in early psychosis
| Autor: | Paula Cristóbal-Narváez, Lídia Hinojosa-Marqués, Tamara Sheinbaum, Tecelli Domínguez-Martínez, Thomas R. Kwapil, Neus Barrantes-Vidal |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Questionnaires
Male Emotions Social Sciences 050109 social psychology Anxiety Cognition Learning and Memory 0302 clinical medicine Adaptation Psychological Medicine and Health Sciences Psychology Middle aged media_common Psychotic disorders Multidisciplinary 05 social sciences Middle Aged Research Design Medicine Female medicine.symptom Research Article Clinical psychology Adult Psychosis Psychometrics media_common.quotation_subject Science Psychological Stress Research and Analysis Methods 03 medical and health sciences Memory Mental Health and Psychiatry medicine Attachment theory Humans Expressed emotion Family 0501 psychology and cognitive sciences Association (psychology) Object Attachment Object attachment Survey Research Psychoses Biology and Life Sciences medicine.disease Mental illness 030227 psychiatry Psychotic Disorders Psychological adaptation Cognitive Science Grief Neuroscience |
| Zdroj: | PLoS ONE, Vol 14, Iss 10, p e0223425 (2019) Recercat: Dipósit de la Recerca de Catalunya Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) Recercat. Dipósit de la Recerca de Catalunya instname Dipòsit Digital de Documents de la UAB Universitat Autònoma de Barcelona PLoS ONE |
| ISSN: | 1932-6203 |
| Popis: | A common reaction experienced by family members of patients with psychosis is grief for the loss of their healthy relative. Importantly, high levels of perceived loss have been related to the manifestation of high expressed emotion (EE), which includes the negative attitudes expressed by relatives toward an ill family member. However, the mechanisms underlying the relationship between relatives’ perceived loss and EE attitudes in the early stages of psychosis are still not fully understood. In this regard, attachment theory has been suggested as a useful framework for understanding this link. The current study aimed to examine: (1) whether relatives’ perceived loss was associated with relatives’ EE dimensions (i.e., criticism and emotional over-involvement (EOI)), and (2) whether such associations were mediated by relatives’ attachment dimensions (i.e., anxiety and avoidance). Seventy-eight relatives of patients with early psychosis completed the Mental Illness Version of the Texas Inventory of Grief for the assessment of loss reactions. Attachment dimensions and EE attitudes were assessed by the Psychosis Attachment Measure and the Family Questionnaire, respectively. Findings indicated that relatives’ perceived loss was associated with EE dimensions. Relatives’ attachment anxiety, but not avoidance, mediated the relationship of perceived loss with both criticism and EOI. Findings highlight the importance of examining the role of relatives’ attachment characteristics for understanding how perceptions of loss might impact the manifestation of EE attitudes in the early stages of psychosis. Family interventions aimed at assisting relatives to improve their management of negative emotional reactions to loss are fundamental to prevent impairing loss reactions and the entrenchment of high-EE attitudes. |
| Databáze: | OpenAIRE |
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