Department of Psychology, Bar-Ilan University, Ramat-Gan, 52900, Israel.
Anxiety Stress Coping. 2013;26(3):314-29. doi: 10.1080/10615806.2012.682649. Epub 2012 May 21.
Based on the predictions of the attachment theory and the Common Sense Model of illness perceptions, the current study focused on the role played by illness perceptions in explaining the path linking attachment orientations to negative affect during recovery from cardiac illness. We predicted two putative mechanisms: (1) illness perceptions would mediate the direct association between attachment-related insecurity (especially attachment anxiety) and levels of distress at follow-up and (2) illness perceptions would interact with attachment orientations (attachment avoidance in particular) in explaining patients' distress. The sample consisted of 111 male patients admitted to the Cardiac Care Unit of the Meir Medical Center, located in the central region of Israel. Patients completed a measure of attachment orientations during hospitalization (baseline). One month later, patients' illness perceptions were measured. Patients' depression and anxiety symptoms were measured at baseline and at the six-month follow-up. The associations between attachment-related anxiety and anxiety symptoms at follow-up were fully mediated by illness perceptions. Attachment-related avoidance was found to interact with illness perceptions in the prediction of depressive symptoms at follow-up. The findings shed light on the possible dynamics among personality, cognitive appraisals, and affect regulation efforts when coping with illness.
基于依恋理论和疾病认知的常识模型的预测，本研究关注疾病认知在解释依恋倾向与心脏病康复期间负面情绪之间的关系中的作用。我们预测了两个假设机制：（1）疾病认知将在依恋相关不安全感（特别是依恋焦虑）与随访时的困扰水平之间的直接关联中起中介作用；（2）疾病认知将与依恋倾向（特别是回避）相互作用，从而解释患者的困扰。该样本由 111 名男性患者组成，他们入住位于以色列中部地区的 Meir 医疗中心的心脏护理病房。患者在住院期间（基线）完成了依恋倾向的测量。一个月后，测量了患者的疾病认知。在基线和六个月随访时测量了患者的抑郁和焦虑症状。与焦虑症状相关的依恋焦虑与随访时的焦虑症状之间的关联完全由疾病认知介导。发现与回避相关的依恋与预测随访时的抑郁症状的疾病认知相互作用。这些发现揭示了应对疾病时人格、认知评估和情感调节努力之间可能存在的动态。
