Volume 15, Issue 4 (2-2022)
2022, 15(4): 12-24 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Zebardast A, Rezaei S, Rezvandel-Ramzi F. The Relationship between Adult Attachment Styles and Adherence to Treatment in Patients with Chronic Disease: The Mediating Role of Resilience. Journal title 2022; 15 (4) : 2
URL: http://rph.khu.ac.ir/article-1-4039-en.html
URL: http://rph.khu.ac.ir/article-1-4039-en.html
1- University of Guilan , zebardast@guilan.ac.ir
2- University of Guilan
3- Shahid Beheshti University
2- University of Guilan
3- Shahid Beheshti University
Abstract: (3921 Views)
| One of the main challenges in treating chronic disease is patients' adherence to treatment instructions. The aim of this study was to determine the mediating role of resilience in the relationship between attachment styles and treatment adherence in patients with chronic disease. The research design was descriptive-correlational. The statistical population included all patients with diabetes and hypertension in Guilan province in 2020. A sample of 399 people were selected by purposive sampling method. Data were collected through the Collins and Reed's Adult Attachment Scale (RAAS), the Connor-Davidson Resilience Scale(CD-RISC), and the Modanloo Adherence to Treatment Questionnaire. Data processing was performed using path analysis technique in AMOS-24 software setting and bootstrap analysis in Macro program of Preacher and Hayes (2008). There was a significant direct relationship between adherence to treatment with resilience and secure and avoidant attachment style(p<0.01). However, there was no relationship between adherence to treatment and ambivalent attachment(p>0.05). The fit of the mediator model was improved after deleting the two non-significant paths and it was obtained a good fit by releasing the covariance error between the ambivalent attachment and the secure and avoidant attachment (CFI=1.00, RMSEA=0.086). Bootstrap analysis revealed that resilience mediates the associations between endogenous and exogenous variables. The coefficient of determination in the final model demonstrated that all exogenous and mediating variables predict 21% of the changes in the adherence to treatment. Resilience and attachment pattern are important in patients' adherence to the treatment procedure and it is suggested that skills and strategies for coping with the disease stress and increasing the capacity to adaptive coping to life-threatening conditions be included in the treatment program of patients with chronic diseases. |
Article number: 2
Type of Study: Research |
Subject:
health Psychology
Received: 2021/06/30 | Accepted: 2022/05/22 | Published: 2022/05/31
Received: 2021/06/30 | Accepted: 2022/05/22 | Published: 2022/05/31
References
1. World Health Organization. World report on ageing and health. World Health Organization; 2015 Oct 22.
2. World Health Organization. Integrated chronic disease prevention and control. World Health Organization. Available online: http://www. who. int/chp/about/integrated_cd/en/ )accessed on 2 February 2013). 2016 Dec 5.
3. Wang LM, Chen ZH, Zhang M, Zhao ZP, Huang ZJ, Zhang X, Li C, Guan YQ, Wang X, Wang ZH, Zhou MG. Study of the prevalence and disease burden of chronic disease in the elderly in China. Zhonghua liu xing bing xue za zhi= Zhonghua liuxingbingxue zazhi. 2019 Mar 1;40)3):277-83.
4. Demirtürk E, Aşılar RH. The effect of depression on adherence to antihypertensive medications in elderly individuals with hypertension. Journal of Vascular Nursing. 2018 Sep 1;36)3):129-39. [DOI:10.1016/j.jvn.2018.06.001]
5. Mut-Vitcu G, Timar B, Timar R, Oancea C, Citu IC. Depression influences the quality of diabetes-related self-management activities in elderly patients with type 2 diabetes a cross-sectional study. Clin Interv Aging. 2016;11:471-479. [DOI:10.2147/CIA.S104083]
6. Yang CY, Chiou AF. Comparison of the prevalence and predictors of depression in Taiwanese and American older patients with arthritis. Perspect Psychiatr Care. 2016;52)4):283-291. [DOI:10.1111/ppc.12130]
7. Xu H, Qin L, Wang J, Zhou L, Luo D, Hu M, Li Z, Xiao S. A cross-sectional study on risk factors and their interactions with suicidal ideation among the elderly in rural communities of Hunan, China. BMJ open. 2016 Apr 1;6)4). [DOI:10.1136/bmjopen-2015-010914]
8. Gong, M. S. Hope and resilience of patients on dialysis )Unpublished master's thesis). Seoul, South Korea: Ehwa Women's University.2009.
9. Dekker J, de Groot V. Psychological adjustment to chronic disease and rehabilitation-an exploration. Disability and rehabilitation. 2018 Jan 2;40)1):116-20. [DOI:10.1080/09638288.2016.1247469]
10. Mikulincer M, Shaver PR. Attachment in adulthood: Structure, dynamics, and change. Guilford Press; 2007 May 14.
11. Moreira P, Pedras S, Silva M, Moreira M, Oliveira J. Personality, attachment, and well-being in adolescents: The independent effect of attachment after controlling for personality. Journal of Happiness Studies. 2021 Apr;22)4):1855-88. [DOI:10.1007/s10902-020-00299-5]
12. Bowlby J. Attachment and loss: attachment 1982; vol. 1. NY: Basic Books. 1982.
13. World Health Organization. (1999). WHO Welzijnsindex. (retrieved 16-9-2011)
14. Wei M, Liao KY, Ku TY, Shaffer PA. Attachment, self‐compassion, empathy, and subjective well‐being among college students and community adults. Journal of personality. 2011 Feb;79)1):191-221. [DOI:10.1111/j.1467-6494.2010.00677.x]
15. Lucktong A, Salisbury TT, Chamratrithirong A. The impact of parental, peer and school attachment on the psychological well-being of early adolescents in Thailand. International Journal of Adolescence and Youth. 2018 Apr 3;23)2):235-49. [DOI:10.1080/02673843.2017.1330698]
16. Riem MM, Doedée EN, Broekhuizen-Dijksman SC, Beijer E. Attachment and medically unexplained somatic symptoms: The role of mentalization. Psychiatry research. 2018 Oct 1;268:108-13. [DOI:10.1016/j.psychres.2018.06.056]
17. McWilliams LA. Adult attachment insecurity is positively associated with medically unexplained chronic pain. European Journal of Pain. 2017 Sep;21)8):1378-83. [DOI:10.1002/ejp.1036]
18. Holwerda N, Sanderman R, Pool G, Hinnen C, Langendijk JA, Bemelman WA, Hagedoorn M, & Sprangers MAG: Do patients trust their physician? The role of attachment style in the patient Physician relationship within one year after a cancer diagnosis. Acta Oncol 2013, 52)1):110-117. [DOI:10.3109/0284186X.2012.689856]
19. Schmidt S, Nachtigall C, Wuethrich-Martone O, Strauss B: Attachment and coping with chronic disease. J Psychosom Res 2002, 53:763-773. [DOI:10.1016/S0022-3999(02)00335-5]
20. Maunder RG, Hunter JJ, Atkinson L, Steiner M, Wazana A, Fleming AS, Moss E, Gaudreau H, Meaney MJ, Levitan RD: An attachment-based model of the relationship between childhood adversity and somatization in children and adults. Psychosom Med 2017, 79:506-513. [DOI:10.1097/PSY.0000000000000437]
21. Ungar M, Theron L. Resilience and mental health: How multisystemic processes contribute to positive outcomes. The Lancet Psychiatry. 2020 May 1;7)5):441-8. [DOI:10.1016/S2215-0366(19)30434-1]
22. Shibue Y, Kasai M. Relations between attachment, resilience, and Earned Security in Japanese University students. Psychological reports. 2014 Aug;115)1):279-95. [DOI:10.2466/21.02.PR0.115c14z7]
23. Wiles JL, Wild K, Kerse N, Allen RE. Resilience from the point of view of older people:'There's still life beyond a funny knee'. Social Science & Medicine. 2012 Feb 1;74)3):416-24. [DOI:10.1016/j.socscimed.2011.11.005]
24. Wild K, Wiles JL, Allen RE, Warburton J, Ng SH, Shardlow SM. Resilience: thoughts on the value of the concept for critical gerontology. Ageing and Society. 2013;33)1):137. [DOI:10.1017/S0144686X11001073]
25. Chen S, Bonanno GA. Psychological adjustment during the global outbreak of COVID-19: A resilience perspective. Psychological Trauma: Theory, Research, Practice, and Policy. 2020 Aug;12)S1):S51. [DOI:10.1037/tra0000685]
26. Ran L, Wang W, Ai M, Kong Y, Chen J, Kuang L. Psychological resilience, depression, anxiety, and somatization symptoms in response to COVID-19: A study of the general population in China at the peak of its epidemic. Social Science & Medicine. 2020 Oct 1;262:113261. [DOI:10.1016/j.socscimed.2020.113261]
27. Bianchini DC, Dell'Aglio DD. Processos de resiliência no contexto de hospitalização: um estudo de caso. Paidéia )Ribeirão Preto). 2006 Dec;16)35):427-36. [DOI:10.1590/S0103-863X2006000300013]
28. Freire de Medeiros CM, Arantes EP, Tajra RD, Santiago HR, Carvalho AF, Libório AB. Resilience, religiosity and treatment adherence in hemodialysis patients: a prospective study. Psychology, health & medicine. 2017 May 28;22)5):570-7. [DOI:10.1080/13548506.2016.1191658]
29. Sutanto B, Singh-Grewal D, McNeil HP. et al. Experiences and perspectives of adults living with systemic lupus erythematosus: thematic synthesis of qualitative studies. Arthritis Care Res 2013; 65)11): 1752-65 [DOI:10.1002/acr.22032]
30. Halepian L, Saleh MB, Hallit S, Khabbaz LR. Adherence to insulin, emotional distress, and trust in physician among patients with diabetes: a cross-sectional study. Diabetes Therapy. 2018 Apr;9)2):713-26. [DOI:10.1007/s13300-018-0389-1]
31. DiMatteo MR, Lepper HS, Croghan TW. Depression is a risk factor for noncompliance with medical treatment: meta-analysis of the effects of anxiety and depression on patient adherence. Archives of internal medicine. 2000 Jul 24;160)14):2101-7. [DOI:10.1001/archinte.160.14.2101]
32. Sherbourne CD, Hays RD, Ordway L, DiMatteo MR, Kravitz RL: Antecedents of adherence to medical recommendations: results from the Medical Outcomes Study. J Behav Med 1992; 15:447-468Crossref, Medline, Google Scholar [DOI:10.1007/BF00844941]
33. Hammash MH, Crawford T, Shawler C, Schrader M, Lin CY, Shewekah D, Moser DK. Beyond social support: Self-care confidence is key for adherence in patients with heart failure. European Journal of Cardiovascular Nursing. 2017 Oct 1;16)7):632-7. [DOI:10.1177/1474515117705939]
34. Collins NL, Read SJ. Adult attachment, working models and relationship quality in dating couples. J Pers Soc Psychol.1990; 54: 644-663. [DOI:10.1037/0022-3514.58.4.644]
35. Pakdaman SH. The Relationship between Attachment and seeking community in Adolescence [Thesis for Doctoral of Psychology]. [Tehran. Iran]. 2001, [Persian]
36. Connor K M, Davidson J R T. Development of a New Resilience Scale: The Connor- Davidson Resilience Scale (CD-RISC). J Depres Anxiety 2003; 18: 76-82. [DOI:10.1002/da.10113]
37. Mohammadi M. Investigating the Factors Affecting Resilience in Subjects at Risk of Substance Abuse [Doctoral dissertation]. [Tehran. Iran]. University of Rehabilitation Sciences and Social Welfare. 2005, [Persian]
38. Samani S, Jokar B, Sahragard N. Effects of resilience on mental health and life satisfaction. Iran J Psychiatry Clin Psychol 2007;13(3):290-5.
39. Modanloo M. Development and psychometric tools adherence to treatment in patients with chronic (dissertation). Tehran: Iran University of Medical Sciences; 2013. (Persian)
40. Preacher KJ, Hayes AF. Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior research methods. 2008 Aug;40(3):879-91. [DOI:10.3758/BRM.40.3.879]
41. Meyers LS, Gamst G, Guarino AJ. Applied multivariate research: design and interpretation. Thousand Oaks: Sage publications; 2016.
42. Kline RB. Data preparation and psychometrics review. Principles and practice of structural equation modeling. 4th ed. New York, NY: Guilford. 2016. pp. 64-96
43. Kafetsios, K., & Sideridis, G. Attachment, social support and well-being in young and older adults. Journal of Health Psychology, 2006; 11:863-876. [DOI:10.1177/1359105306069084]
44. Meredith P., Ownsworth T., & Strong J. A review of the evidence linking adult attachment theory and chronic pain: Presenting a conceptual model. Clinical Psychology Review, 2008; 28: 407-429. [DOI:10.1016/j.cpr.2007.07.009]
45. Lavy, S., & Littman-Ovadia, H. All you need is love? Strengths mediate the negative associations between attachment orientations and life satisfaction. Personality and Individual Differences, 2011; 50: 1050-1055. [DOI:10.1016/j.paid.2011.01.023]
46. Bender A., & Ingram R. Connecting attachment style to resilience: Contributions of self-care and self-efficacy. Personality and Individual Differences, 2018; 130: 18-20. [DOI:10.1016/j.paid.2018.03.038]
47. Pourkord M., Mirderikvand F., & Karami A. Predicting Resilience in Students based on Happiness, Attachment Style, and Religious Attitude. Health, Spirituality and Medical Ethics, 2020; 7(2): 27-34. [DOI:10.29252/jhsme.7.2.27]
48. Basal F., Onur S., Yamac D., Karacin C., Zengin G., Bilgetekin J., Demirci U., Oksuzoglu B. Doesa Secure Attachment Style Predict High Psychological Resilience in Patients With Cancer Receiving Chemotherapy? Cureus, 2020; 12(10): e10954. [DOI:10.7759/cureus.10954]
49. Karreman A. & Vingerhoets A. Attachment and well-being: The mediating role of emotion regulation and resilience. Personality and Individual Differences, 2012; 53: 821-826. [DOI:10.1016/j.paid.2012.06.014]
50. Jia J., Jenkins A.J., Quintiliani L.M., Truong V., & Lasser K.E. Resilience and diabetes self-management among African-American men receiving primary care at an urban safety-net hospital: across-sectional survey. Ethnicity & Health, 2020; [DOI:10.1080/13557858.2020.1849566]
51. Wilson, A. L., D. McNaughton, S. B. Meyer, and P. R. Ward. Understanding the Links Between Resilience and Type-2 Diabetes Self-Management: A Qualitative Study in South Australia. Archives of Public Health, 2017; 75 (1): 56. [DOI:10.1186/s13690-017-0222-8]
Send email to the article author
| Rights and permissions | |
 | This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
