PMID- 28837949
OWN - NLM
STAT- MEDLINE
DCOM- 20180410
LR  - 20181202
IS  - 1573-2517 (Electronic)
IS  - 0165-0327 (Linking)
VI  - 225
DP  - 2018 Jan 1
TI  - Adult attachment predicts the seven-year course of recurrent depression in 
      primary care.
PG  - 160-166
LID - S0165-0327(17)30409-3 [pii]
LID - 10.1016/j.jad.2017.08.009 [doi]
AB  - BACKGROUND: Attachment theory posits that attachment has a persistent, long-term 
      impact on depression. Empirical data on associations between adult attachment and 
      the long-term course of depression is, however, scarce. The present study 
      addresses this omission. METHOD: Primary care patients with a history of 
      depression (n = 103) completed the Experiences in Close Relationships 
      questionnaire measuring adult attachment dimensions (avoidance and anxiety) and 
      styles (secure, preoccupied, dismissing and fearful). The subsequent seven-year 
      course of depression was assessed with the face-to-face administered Composite 
      International Diagnostic Interview (CIDI) and a life-chart interview based on the 
      Longitudinal Interval Follow-up Evaluation (LIFE). At the end of the seven-year 
      follow-up severity of depression was additionally measured with the Beck 
      Depression Inventory (BDI). RESULTS: The attachment dimensions avoidance and 
      anxiety both showed significant associations during the seven-year course with 
      lower proportions of depressive symptom-free time and higher severity of 
      depression (LIFE and BDI). The secure style predicted compared to preoccupied 
      attachment a significantly higher proportion of symptom-free time (4.97 vs. 1.10 
      years), compared to dismissing attachment a higher proportion of symptom-free 
      time (4.97 vs. 2.20 years) and lower severity of depression (LIFE: 1.65 vs. 2.14; 
      BDI 6.04 vs. 9.52), and compared to fearful attachment a lower relapse/recurrence 
      rate (45.7% vs. 76.9%), higher proportions of depression diagnosis-free time 
      (7.31 vs. 6.65 years) and symptom-free time (4.97 vs. 0.29 years), and lower 
      severity of depression (LIFE: 1.65 vs. 2.19; BDI 6.04 vs. 15.54). LIMITATIONS: 
      Sample size was restricted. CONCLUSION: Insecure attachment predicts an 
      unfavorable course of depression over a seven-year period.
CI  - Copyright (c) 2017 Elsevier B.V. All rights reserved.
FAU - Conradi, Henk Jan
AU  - Conradi HJ
AD  - Department of Clinical Psychology, University of Amsterdam, Postbus 15933, 1001 
      NK Amsterdam, The Netherlands. Electronic address: h.j.conradi@uva.nl.
FAU - Kamphuis, Jan H
AU  - Kamphuis JH
AD  - Department of Clinical Psychology, University of Amsterdam, Postbus 15933, 1001 
      NK Amsterdam, The Netherlands.
FAU - de Jonge, Peter
AU  - de Jonge P
AD  - Department of Developmental Psychology, University of Groningen, 
      Interdisciplinary Center Psychopathology and Emotion regulation, The Netherlands.
LA  - eng
PT  - Journal Article
DEP - 20170812
PL  - Netherlands
TA  - J Affect Disord
JT  - Journal of affective disorders
JID - 7906073
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Anxiety Disorders/psychology
MH  - Chronic Disease
MH  - Cross-Sectional Studies
MH  - Depressive Disorder/*diagnosis/*psychology
MH  - Fear/psychology
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Object Attachment
MH  - Personality Inventory/statistics & numerical data
MH  - Primary Health Care
MH  - Psychiatric Status Rating Scales
MH  - Psychotherapy
MH  - Recurrence
MH  - Surveys and Questionnaires
MH  - Time Factors
EDAT- 2017/08/25 06:00
MHDA- 2018/04/11 06:00
CRDT- 2017/08/25 06:00
PHST- 2017/03/03 00:00 [received]
PHST- 2017/07/17 00:00 [revised]
PHST- 2017/08/09 00:00 [accepted]
PHST- 2017/08/25 06:00 [pubmed]
PHST- 2018/04/11 06:00 [medline]
PHST- 2017/08/25 06:00 [entrez]
AID - S0165-0327(17)30409-3 [pii]
AID - 10.1016/j.jad.2017.08.009 [doi]
PST - ppublish
SO  - J Affect Disord. 2018 Jan 1;225:160-166. doi: 10.1016/j.jad.2017.08.009. Epub 
      2017 Aug 12.