Influence of patient attachment style on self-care and outcomes in diabetes

Psychosomatic Medicine
Paul S CiechanowskiTerry Bush

Abstract

Difficulties collaborating with providers and important others may adversely influence self-management in patients with diabetes. We predicted that dismissing attachment style, characterized by high interpersonal self-reliance and low trust of others, would be associated with poorer self-management in patients with diabetes. A population-based mail survey was sent to all patients with diabetes from nine primary care clinics of a health maintenance organization. We collected data on attachment style, self-care behaviors, the patient provider relationship and depression status and accessed automated diagnostic, pharmacy, and laboratory data to measure diabetes treatment intensity, medical comorbidity, glycosylated hemoglobin levels, and diabetes complications. We used logistic regression to determine whether dismissing attachment style was associated with poorer diabetes self-care behaviors, adherence to medication, smoking status, and higher glycosylated hemoglobin. In 4095 primary care patients with diabetes, prevalence rates for secure, dismissing, preoccupied, and fearful attachment styles were 44.2%, 35.8%, 7.9%, and 12.1%, respectively. When compared with secure attachment style, dismissing attachment style was associated w...Continue Reading

References

Oct 1, 1992·Journal of Behavioral Medicine·C D SherbourneR L Kravitz
Aug 1, 1991·Journal of Personality and Social Psychology·K Bartholomew, L M Horowitz
Jul 1, 1989·Journal of Psychoactive Drugs·T P Carmody
Sep 1, 1988·Journal of General Internal Medicine·S GreenfieldH J Frank
Jun 1, 1995·Diabetes Care·D E GoldsteinC M Peterson
Feb 1, 1995·American Journal of Hypertension·C G McLaneS A Flocke
Jun 1, 1996·Diabetic Medicine : a Journal of the British Diabetic Association·J L DayO M Dunn
Dec 31, 1997·Annals of Internal Medicine·M Von KorffE H Wagner
Jun 15, 1999·Psychosomatic Medicine·R J Gregory, S L Berry
Jan 4, 2001·The American Journal of Psychiatry·P S CiechanowskiE A Walker
Aug 4, 2001·Psychosomatic Medicine·R G Maunder, J J Hunter
Sep 7, 2001·General Hospital Psychiatry·J J Hunter, R G Maunder
Sep 15, 2001·Journal of General Internal Medicine·K KroenkeJ B Williams
Mar 29, 2002·Diabetes Care·Paul S CiechanowskiWayne J Katon
Apr 30, 2002·Diabetes·Junzhi JiHerbert Y Gaisano
Jul 23, 2002·Health Services Research·Amy E BonomiMichael VonKorff
Jul 26, 2002·Psychosomatic Medicine·Paul S CiechanowskiJoan E Russo
Jan 25, 2003·Medical Care·Paul A FishmanMaureen C O'Keeffe Rosetti
May 21, 2003·The Journal of the American Board of Family Practice·Darren Thompson, Paul S Ciechanowski
Jul 10, 2003·General Hospital Psychiatry·Paul S CiechanowskiIrl B Hirsch
Jan 30, 2004·Diabetes Care·Sherita Hill GoldenUNKNOWN Atherosclerosis Risk in Communities study
Feb 23, 1990·Science·C Covey
Jun 1, 1998·Trends in Amplification·D Byrne, W Noble

❮ Previous
Next ❯

Citations

Oct 17, 2012·Der Nervenarzt·M Deuschle, U Schweiger
Oct 16, 2007·Social Psychiatry and Psychiatric Epidemiology·Ardesheer TalatiMyrna M Weissman
Jan 17, 2012·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Laura S PorterJennifer Garst
Oct 31, 2012·Journal of Clinical Psychology in Medical Settings·Sanjeev SockalingamSusan E Abbey
May 3, 2012·Journal of General Internal Medicine·Elizabeth A BeverlyKatie Weinger
Jun 13, 2013·Obesity Surgery·Sanjeev SockalingamAllan Okrainec
Mar 30, 2005·Current Diabetes Reports·Soren E Skovlund
Oct 25, 2012·Journal of Affective Disorders·Carlos GoisM Luisa Figueira
Dec 15, 2010·Psychosomatic Medicine·Ginger LockhartVanessa Ohlrich
Jan 9, 2010·Current Opinion in Psychiatry·Kristin PlackFrank Petrak
Nov 5, 2013·Journal of Health Care for the Poor and Underserved·Richard O WhiteRussell L Rothman
Dec 23, 2009·Bulletin of the Menninger Clinic·Jon G AllenLaurie Wallin
Jul 14, 2009·The Journal of the American Academy of Psychoanalysis and Dynamic Psychiatry·César A Alfonso
Feb 13, 2014·Journal of Community Health·Michael ChourdakisAristidis Kritis
Oct 21, 2011·Journal of Mental Health·Lisa M HooperCaroline R Newman
Aug 5, 2015·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Pamela MeredithGrace Branjerdporn
Nov 11, 2014·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Stephanie I Falke, Lindsey Lawson
Apr 28, 2009·Patient Education and Counseling·Alexis Arbuthnott, Donald Sharpe
Mar 10, 2009·General Hospital Psychiatry·Robert G Maunder, Jonathan J Hunter
Sep 3, 2010·Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie·Wilfried PottUrsula Pauli-Pott
Feb 4, 2009·The International Journal of Eating Disorders·Wilfried PottUrsula Pauli-Pott
Feb 1, 2012·Nursing & Health Sciences·Siti Khuzaimah Ahmad Sharoni, Shu-Fang Vivienne Wu
Feb 13, 2013·The American Journal on Addictions·James Christopher FowlerMike Ulanday
Oct 12, 2013·Journal of Clinical Periodontology·Christian GraetzChristof E Dörfer
Mar 22, 2016·British Journal of Health Psychology·Tara KiddAndrew Steptoe
Mar 31, 2015·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·C D GersonM Zali
Sep 26, 2006·Social Science & Medicine·Paul Ciechanowski, Wayne J Katon
Jun 4, 2015·Journal of Advanced Nursing·Rachel HardingPeter Salmon
Aug 1, 2015·Gastroenterology Nursing : the Official Journal of the Society of Gastroenterology Nurses and Associates·Fatemeh AbdiZahra Yousefi
Feb 27, 2015·Journal of Behavioral Medicine·John KowalDean A Fergusson

❮ Previous
Next ❯

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