Attachment and the Metabolic Syndrome in Midlife
Autor: | Nicole Usher, Shevaun D. Neupert, Christos S. Mantzoros, Cynthia Crowell-Doom, Ayelet R. Barkai, Eric Dearing, Cynthia Davis, Judith A. Crowell |
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Rok vydání: | 2014 |
Předmět: |
Adult
Male Metabolic Syndrome Family relationship Depression Health Behavior Middle Aged medicine.disease Object Attachment Article Diet Developmental psychology Interviews as Topic Life Change Events Psychiatry and Mental health Cross-Sectional Studies medicine Humans Female Interpersonal Relations Metabolic syndrome Psychology Exercise Applied Psychology |
Zdroj: | Psychosomatic Medicine. 76:611-621 |
ISSN: | 0033-3174 |
DOI: | 10.1097/psy.0000000000000107 |
Popis: | Adult attachment discourse patterns and current family relationship quality were examined as correlates of health behaviors and number of metabolic syndrome (MetS) criteria met, and as mediators of the link between childhood adversity and these health outcomes.A sample of 215 white/European American and black/African American adults aged 35 to 55 years were examined using a cross-sectional study design. Discourse was assessed with the Adult Attachment Interview, using coherence (a marker of attachment security), unresolved trauma/loss (a marker of disorganized cognitions related to trauma or loss), and idealization (minimizing stressful experiences and their impact) scores. Relationship quality, adverse childhood experiences, and current depressive symptoms were assessed, as were health behaviors of diet, exercise, and smoking. MetS includes obesity, elevated blood pressure, elevated fasting glucose, high triglycerides, and low high-density lipoprotein cholesterol.Using path analysis and including childhood adversity severity and depressive symptoms in the model, both Adult Attachment Interview coherence and unresolved trauma/loss were directly linked to the number of MetS criteria (r = 0.186 and r = 0.170, respectively). Idealization was indirectly linked to MetS through poor diet (r = 0.183). The final model explained 21% of the variance in scores for the number of MetS criteria met.Insecure adult attachment is associated with increased risk of MetS. |
Databáze: | OpenAIRE |
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