a Department of Psychological, Pedagogical, and Educational Sciences , University of Palermo , Palermo , Italy.
b Department of Psychological, Health, and Territorial Sciences , University of Chieti-Pescara , Palermo , Italy.
Psychol Health Med. 2019 Mar;24(3):281-293. doi: 10.1080/13548506.2018.1529324. Epub 2018 Oct 9.
A number of studies have investigated the role of coping and social support as protective factors for psychosocial adjustment after amputation. In contrast, few have focused on the role of attachment styles. Therefore, the purpose of this study was to examine the relationship between attachment insecurity, social support, coping strategies and negative emotions, such as anxiety and depression, in adult amputees. Sixty-two amputated adults (71% males, 29% females), recruited from the Prosthetic Centre of the Italian Workers' Compensation Authority, completed the Attachment Style Questionnaire, the Coping Inventory for Stressful Situations, the Multidimensional Scale of Perceived Social Support, the Beck Depression Inventory II and the State-Trait Anxiety Inventory Y. Based on Pearson's correlations results, we conducted a mediation analysis to examine whether the association between attachment insecurity (i.e., attachment anxiety and attachment avoidance) and negative emotion (i.e. depression, state anxiety and trait anxiety) variables was mediated by emotion-oriented coping. Analyses revealed the role of insecure attachment styles in influencing the use of an emotion-oriented coping strategy in particular. The latter mediated the relationship between attachment insecurity, depression and anxiety in adult amputees.
许多研究调查了应对和社会支持作为截肢后心理社会适应的保护因素的作用。相比之下，很少有研究关注依恋风格的作用。因此，本研究旨在探讨成年截肢者中依恋不安全感、社会支持、应对策略与焦虑和抑郁等负面情绪之间的关系。从意大利工人赔偿局的假肢中心招募了 62 名截肢成年人（71%为男性，29%为女性），他们完成了依恋风格问卷、应对压力情况的量表、多维感知社会支持量表、贝克抑郁量表二和状态-特质焦虑量表 Y。基于 Pearson 相关分析的结果，我们进行了中介分析，以检验依恋不安全感（即依恋焦虑和依恋回避）和负面情绪（即抑郁、状态焦虑和特质焦虑）变量之间的关联是否通过情绪导向的应对方式来调节。分析结果显示，不安全感的依恋风格在影响特定的情绪导向应对策略的使用方面发挥了作用。后者中介了成年截肢者中依恋不安全感、抑郁和焦虑之间的关系。
