Correlates of self-rated attachment in patients with cancer and their caregivers: a systematic review and meta-analysis

Psycho-oncology
Kathrine G Nissen

Abstract

This study aimed to evaluate the association between an anxious/avoidant attachment style and psychosocial variables in patients with cancer and their caregivers. PsycINFO, PubMed, Google Scholar, and SCOPUS were searched for empirical studies published in peer-reviewed journals between 1994 and 2015, and unpublished data from one cohort were added. Meta-analyses synthesized results from studies investigating the correlates of attachment styles, measured with validated scales, among patients with cancer or their caregivers. Thirteen studies (k = 13) were included in the quantitative synthesis (including unpublished data from one cohort). Anxious attachment was associated with depression (r = 0.29, CI 0.19-0.38, I(2)  = 76%), anxiety (r = 0.34, CI 0.13-0.52, I(2)  = 69%), and social support (r = -0.39, CI -0.55-0.21, I(2)  = 87%). Avoidant attachment was associated with depressive symptoms (r = 0.20, CI 0.15-0.25, I(2)  = 16%), anxiety (r = 0.13, CI 0.01-0.24, I(2)  = 4%), and social support (r = -0.28, CI -0.42-0.14, I(2)  = 75%). Patients with cancer and their caregivers showing high levels of insecure attachment are at risk of experiencing higher levels of depressive symptoms, anxiety, and poor social support. Findings sugges...Continue Reading

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Citations

Mar 27, 2018·European Journal of Cancer Care·T BrandãoP M Matos
Mar 21, 2019·Psycho-oncology·Jelena ArambasicUNKNOWN Breast Cancer Network Australia
Aug 31, 2019·Journal of Behavioral Medicine·Cassandra J CrangleTae L Hart
Jan 4, 2022·Journal of Palliative Medicine·Daniel ShalevJoseph A Greer

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