INSECURE ATTACHMENT AS A PREDICTOR OF DEPRESSIVE AND ANXIOUS SYMPTOMOLOGY: Research Article: Insecure Attachment Predicts Depression and Anxiety
Abstract
BACKGROUND: Most studies have shown that insecure attachment and stress are important risk factors in the development of depression and anxiety. However, it is unclear whether distinct patterns of insecure attachment may relate differently to depression and anxiety following stressful events. Thus, the current study examined whether anxious and avoidant attachment, both of which are operationalized as insecure attachment, predict depressive and anxious symptoms following the occurrence of hassles. METHOD: A sample of 662 Chinese university students was recruited from Hunan, China. At the initial assessment, participants completed self-report measures assessing insecure attachment (i.e. anxious and avoidant attachment), hassles, anxious symptoms, and depressive symptoms. Additionally, hassles and symptoms of anxiety and depression were assessed once a month for the subsequent 6 months. RESULTS: The results of hierarchical linear modeling analyses indicated a significant interaction between anxious attachment and hassles in predicting follow-up depressive symptoms. Specifically, participants with high levels of anxious, but not avoidant, attachment reported high levels of depressive symptoms when experiencing high, as opposed to low, levels of hassles. At the same time, while both anxious and avoidant attachment predicted higher levels of anxious symptoms over time, a cross-level, significant interaction did not emerge. CONCLUSIONS: Insecure attachment styles serve as a vulnerability factor in the development of depressive and anxious symptoms in Chinese young adults. Consequently, fostering the development of secure attachment in prevention and intervention programs may, ultimately, prevent the onset and maintenance of depressive and anxious disorders.
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These attachment types have commonly been linked to internalizing and externalizing behaviours.
“These types of attachment have commonly been linked to a catalogue of internalizing and externalizing behaviours (Colennessi et al. 2014;Groh et al. 2012;Jinyao et al. 2012).”
From The effects of paternal depression on child and adolescent outcomes: A systematic review (2016) · cites this paper as Jinyao et al. 2012
These results replicate findings from several previous studies.
“These results replicate findings from several previous studies (48–52).”
From Prevalence and Psychosocial Correlates of Mental Health Outcomes Among Chinese College Students During the Coronavirus Disease (COVID-19) Pandemic (2020) · cites this paper as [52]
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- Authors
- Jinyao, Y., Xiongzhao, Z., Auerbach, R. P., Gardiner, C. K., Lin, C., Yuping, W., & Shuqiao, Y.
- Affiliations
- Medical Psychological Institute; Second Xiangya Hospital; Central South University; Hunan; China
- Central South University (CN)
- Harvard University (US)
- Corresponding author
- Xiongzhao, Zhu
- ORCID
- Auerbach, Randy P.
- Venue
- Depression and Anxiety
- Publisher
- Hindawi Limited
- Published
- 2012-04-13
- Volume
- 29
- Issue
- 9
- Pages
- 789-796
- ISSN
- 1091-4269 (ISSN-L)
- OpenAlex
- W2155071466
- Cited by
- 113
- References
- 57
- Citations by year
- 2026: 10 · 2025: 12 · 2024: 10 · 2023: 9 · 2022: 7 · 2021: 10 · 2020: 6 · 2019: 8 · 2018: 10 · 2017: 11 · 2016: 5 · 2015: 6 · 2014: 5 · 2013: 4
- FWCI
- 7.24
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Depression and Anxiety (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- insecure attachment, attachment anxiety, attachment avoidance, depressive symptoms, anxiety symptoms, hassles, life events, attachment styles, young adults, Chinese university students, vulnerability factors, secure attachment
- MeSH terms
- Adolescent, Anxiety, China, Depression, Female, Follow-Up Studies, Humans, Male, Object Attachment, Psychiatric Status Rating Scales, Surveys and Questionnaires, Stress, Psychological, Young Adult, Self Report
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