Santoro Gianluca, Lenzo Vittorio, Musetti Alessandro, Caneglias Cristiana, Crimi Lina Rita, Sideli Lucia, Schimmenti Adriano
Department of Humanities, Social Sciences and Cultural Industries, University of Parma, Borgo Carissimi 10, 43121 Parma, Italy.
Department of Educational Sciences, University of Catania, Via Biblioteca 4, 95124 Catania, Italy.
Eur J Investig Health Psychol Educ. 2024 Oct 7;14(10):2735-2753. doi: 10.3390/ejihpe14100180.
There is evidence that anxiety and avoidance toward close relationships (i.e., insecure attachment orientations), as well as posttraumatic stress symptoms (PTSSs), are linked to a poor quality of life. The current study aimed to investigate the potential mediating effects of PTSSs on the associations between insecure attachment orientations and domains of quality of life. A convenience sample of 497 adults (375 females, 75.5%), ranging in age between 18 and 65 years old (M = 32.48, SD = 13.26), was recruited. Participants were administered self-report instruments assessing attachment anxiety and avoidance, PTSSs, and domains of quality of life, including physical health, psychological status, social relationships, and environment. A series of mediation analyses were performed to test the mediating role of PTSSs in the relationships between attachment orientations and domains of quality of life. Results showed that attachment anxiety was related to decreased levels of quality of life in all domains, and that their associations were mediated by PTSSs. Also, attachment avoidance was related to a worse quality of psychological status and social relationships, and PTSSs were a significant mediating variable in these associations. Prevention programs and clinical interventions focused on promoting effective strategies for managing distress might be critical in reducing the impact of distressing events on the quality of life of individuals with insecure attachment.
有证据表明，对亲密关系的焦虑和回避（即不安全依恋取向）以及创伤后应激症状（PTSSs）与生活质量差有关。本研究旨在调查PTSSs在不安全依恋取向与生活质量各领域之间的关联中可能起到的中介作用。招募了一个由497名成年人组成的便利样本（375名女性，占75.5%），年龄在18至65岁之间（M = 32.48，SD = 13.26）。参与者接受了自我报告工具的评估，这些工具用于评估依恋焦虑和回避、PTSSs以及生活质量的各个领域，包括身体健康、心理状态、社会关系和环境。进行了一系列中介分析，以检验PTSSs在依恋取向与生活质量各领域之间关系中的中介作用。结果表明，依恋焦虑与所有领域生活质量水平的降低有关，且它们之间的关联由PTSSs介导。此外，依恋回避与较差的心理状态和社会关系质量有关，PTSSs在这些关联中是一个显著的中介变量。专注于推广有效应对痛苦策略的预防项目和临床干预措施，对于减少痛苦事件对不安全依恋个体生活质量的影响可能至关重要。
