Relationship between Quality of Life and Adult Attachment Factors in Mothers of Children with and without Type 1 Diabetes.

The mothers of children with a specific clinical situation such as type 1 diabetes mellitus may have a higher level of stress, causing a worse perception of their quality of life, greater anxiety, and greater avoidance (adult attachment factors). The objective of this research was to verify if there is a relationship between the adult attachment factors of mothers of children with and without type 1 diabetes mellitus and the perception of the quality of life of these mothers. This survey was carried out from July to September 2022, with mothers of children aged 5 to 10 years, with and without diabetes. The data were collected through an online questionnaire, with socioeconomic data from the attachment scale Experience in Close Relationship-(Reduced), and the questionnaire on the quality of life, the WHOQOL-abbreviated questionnaire. For statistical analysis, the Statistical Package for Social Science 24 was used. A total of 45 mothers of children with DM1 and 55 mothers of healthy children were evaluated. The mothers of children with DM1 had a worse perception of their quality of life when compared to the mothers of healthy children (p < 0.05), with no difference in terms of the attachment style. Therefore, it is understood that actions aimed at improving the quality of life of these mothers are necessary.

Adverse childhood experiences and psychopathology in adolescents from northern Chile: the moderating role of the attachment style.

BACKGROUND: Identifying the underlying mechanisms through which adverse childhood experiences affect (ACEs) the mental health of adolescents is of paramount importance for disease prevention in later stages of life. OBJECTIVE: The present study examines the relationship between ACEs and psychopathology in adolescents from northern Chile and how attachment style (abandonment anxiety and intimacy avoidance) may moderate this relationship. A total of 154 schooled adolescents aged 12 to 17 (M = 15.08, SD = 1.64) completed a series of self-report questionnaires including the Adverse Childhood Experience Questionnaire (ACEs), Experiences in Close Relationships- Relationship Structures (ECR-RS), and Youth Self Report (YSR-18). RESULTS: The data analysis was carried out using SPSS version 25, which included descriptive analysis, one-way ANOVA, and Spearman correlation analysis. To address moderation analysis, the PROCESS macro extension version 4.1 was employed. In this process, the bootstrap method was applied to construct confidence intervals, and the pick-a-point approach was used to define the levels of the moderating variable. According to the results, 80.3% of the sample experienced one or more ACEs, and 16.4% reported experiencing at least three. Furthermore, the variables under study exhibited significant correlations with each other, except for intimacy avoidance, which showed no correlation with ACEs (rho = -0.10; p = 0.273). When considering abandonment anxiety as a moderating variable, the direct effect of ACEs on externalizing symptoms showed statistically significant changes (ß = 0.60, p = 0.03). No other moderating effects were found according to the proposed models. CONCLUSION: In childhood, the accumulation of ACEs is associated with the development of psychopathology in adolescents from northern Chile, specifically with the presence of internalizing and externalizing symptoms. These findings suggest that lower levels of abandonment anxiety could mitigate the effects of ACEs on adolescent psychopathology, while higher levels of abandonment anxiety could exacerbate these effects on psychopathology.

Apego, autoestima y habilidades de autoexpresión social: un modelo de encadenamiento causal en jóvenes y adolescentes / Attachment, self-esteem, and social Self-expression Skills: A causal chain model in young people and adolescents

Resumo. Objetivos. Analizar la relación entre el apego y la autoestima en jóvenes y adolescentes y examinar la relación entre la autoestima y la autoexpresión social, con el fin de integrar los resultados en un modelo de encadenamiento causal. Método. Participaron 387 adolescentes y jóvenes quienes completaron autoinformes. Se realizaron análisis de regresión y modelado de ecuaciones estructurales. Resultados. Tanto el apego seguro como el inseguro predijeron significativamente la autoestima de los participantes. La autoestima resultó ser un predictor significativo de la autoexpresión social. Se concluye que el apego seguro aumenta la posibilidad de desarrollar una autoestima fortalecida y esta, a su vez, promueve la capacidad del individuo para expresarse socialmente. Contrariamente, el apego inseguro debilita la autoestima, lo que conduce a un detrimento de la autoexpresión social.

Abstract. Objectives. To analyze the relationship between attachment and self-esteem in young people and adolescents, and to examine the relationship between self-esteem and social self-expression skills, integrating these results into a causal chain model. Method. 387 adolescents and young people completed self-report scales. Regression analysis and structural equation modeling were performed. Results. Both secure and insecure attachment predicted participants' self-esteem. Likewise, self-esteem was a predictor of social self-expression. The study concluded that the secure attachment established with the caregivers increases the possibility of developing a strengthened self-esteem, promoting the individual's ability to express oneself socially. Conversely, insecure attachment weakens self-esteem, leading to impaired social self-expression.

Adverse childhood experiences and psychopathology in adolescents from northern Chile: the moderating role of the attachment style

Abstract Background Identifying the underlying mechanisms through which adverse childhood experiences affect (ACEs) the mental health of adolescents is of paramount importance for disease prevention in later stages of life. Objective The present study examines the relationship between ACEs and psychopathology in adolescents from northern Chile and how attachment style (abandonment anxiety and intimacy avoidance) may moderate this relationship. A total of 154 schooled adolescents aged 12 to 17 (M = 15.08, SD = 1.64) completed a series of self-report questionnaires including the Adverse Childhood Experience Questionnaire (ACEs), Experiences in Close Relationships-Relationship Structures (ECR-RS), and Youth Self Report (YSR-18). Results The data analysis was carried out using SPSS version 25, which included descriptive analysis, one-way ANOVA, and Spearman correlation analysis. To address moderation analysis, the PROCESS macro extension version 4.1 was employed. In this process, the bootstrap method was applied to construct confidence intervals, and the pick-a-point approach was used to define the levels of the moderating variable. According to the results, 80.3% of the sample experienced one or more ACEs, and 16.4% reported experiencing at least three. Furthermore, the variables under study exhibited significant correlations with each other, except for intimacy avoidance, which showed no correlation with ACEs (rho = −0.10; p = 0.273). When considering abandonment anxiety as a moderating variable, the direct effect of ACEs on externalizing symptoms showed statistically significant changes (β = 0.60, p = 0.03). No other moderating effects were found according to the proposed models. Conclusion In childhood, the accumulation of ACEs is associated with the development of psychopathology in adolescents from northern Chile, specifically with the presence of internalizing and externalizing symptoms. These findings suggest that lower levels of abandonment anxiety could mitigate the effects of ACEs on adolescent psychopathology, while higher levels of abandonment anxiety could exacerbate these effects on psychopathology.

Cultural and psychosocial moderators of the association between adverse childhood experiences and alcohol and marijuana use among Latinx college students on the U.S./Mexico border.

BACKGROUND: Adverse childhood experiences (ACEs) have been historically associated with negative life outcomes among the general population. OBJECTIVE: With limited research among Latinx college students, this study assessed how specific constructs moderate the association between ACEs and alcohol and marijuana use. PARTICIPANTS AND SETTING: Latinx participants recruited from a large U.S./Mexico border region university (Females: N = 283, Males: N = 168) completed an online survey which included: demographics, the Center for Youth Wellness Adverse Childhood Experience Questionnaire (CYW ACE-Q) Teen Self-Report, Drug Use Frequency (DUF), Experiences in Close Relationships Scale (ECR), General Self-Efficacy Scale (GSE), Attitudinal Familism Scale (AFS), The Machismo Measure or The Marianismo Beliefs Scale (MBS), and The Bicultural Self-Efficacy Scale (BSE). METHODS: Hierarchical linear regressions were conducted to test for main and interactive effects and to determine if the individual moderators (i.e., attachment style, self-efficacy, familism, traditional gender norms, bicultural self-efficacy) affect the relationship between ACEs and alcohol and marijuana use. RESULTS: Results indicated that among females, attachment style (ß = 0.04, p = .03), MBS (ß = -65.57, p = .01), and BSE (ß = 0.34, p = .04) moderate the relationship between ACEs and alcohol and marijuana use. No moderation analyses were statistically significant among males. CONCLUSIONS: Clinical implications include, for both substance use and trauma treatment among Latinx college students, the assessment of ACEs and attachment style to promote greater insight into the client's inner struggles and emotional processing in relation to marianismo beliefs and bicultural self-efficacy.

Suicide Attempts Among French and Brazilian Adolescents Admitted to an Emergency Room. A Comparative Study of Risk and Protective Factors.

BACKGROUND: Suicide is the second most common cause of preventable mortality among Brazilian and French adolescents. The aim of the current study was to compare the main risk and protective factors associated with a suicide attempt (SA) and to highlight differences based on geographical characteristics. METHOD: We compared a Brazilian sample (N = 45) of adolescents admitted to the emergency room of a public hospital in São Paulo for SA to a French sample (N = 320) of adolescents hospitalized for SA across 5 paediatric departments. Then, we ran several multivariate models to examine how each selected variable was related to geographic origin and to the other selected variables linked to geographic origin. RESULTS: The two samples presented no significant differences regarding gender, age or schooling. Both samples had high rates of depressive disorders, anxiety disorders, substance use, disruptive disorders, borderline psychopathology, and lifetime SAs. However, the Brazilian sample presented significantly higher levels of psychopathology and had more insecure attachment relationships (fearful and detached), whereas the French sample had a more secure attachment style. Brazilian adolescents had more recourse to spiritual beliefs and spiritual support, whereas the French adolescents had higher scores on the Reasons for Living Inventory and used more help-seeking strategies from their social network, mainly close friends. Multivariate models showed that two productive coping strategies (seeking spiritual support and social action) and the dependence score were significantly associated with membership in the Brazilian cohort, whereas a secure attachment style and depression severity (evaluated by the Beck Depression Inventory) were significantly associated with membership in the French cohort. CONCLUSION: Despite presenting similar psychopathologies, Brazilian adolescents presented a more insecure attachment style and used the religious kind of coping more commonly than their French counterparts. We hypothesize that religion may compensate for the social vulnerabilities present in a middle-income country such as Brazil. More transcultural studies may help to elucidate this phenomenon.

Attachment styles of People Living with HIV/AIDS / Estilos de Apego de Pessoas vivendo com HIV/AIDS

Abstract Factors that involve the dynamics in interpersonal relationships and may have consequences in health are still little explored in people living with HIV/AIDS. The aim was to identify the evidences of literature regarding adult attachment style and HIV. It is an Integrative literature review. Seven databases were explored, using the combination of key words and Boolean connectors: "Attachment Style OR Object Attachment AND HIV". A reasonable number of articles addressed attachment among people with HIV as a mediator to post-traumatic stress disorder, depression and stress. The prevalence of insecure attachment in this group was high. Evidence was also found in relation to the attachment as an important factor to adaptation to the diagnosis of HIV, attachment and behavior in interpersonal relationships, and emphasize the possibility of changing the attachment style.

Resumo Fatores que envolvem a dinâmica nos relacionados interpessoais e podem ter consequências na saúde ainda são pouco explorados em Pessoas vivendo com HIV/AIDS. O objetivo desse estudo é identificar as evidências na literatura relacionando estilo de apego e HIV em adultos. Trata-se de uma revisão integrativa de literatura. Sete bases de dados foram exploradas, usando a combinação das palavras-chave e dos seguintes conectores booleanos em inglês: "Attachment Style OR Object Attachment AND HIV". Um número razoável de artigos abordou o vínculo entre pessoas com HIV como mediador de transtorno de estresse pós-traumático, depressão e estresse. A prevalência de apego inseguro nesse grupo foi alta. Evidências mostram ainda a relação entre apego e a adaptação ao diagnóstico de HIV, apego e estilos de comportamento nos relacionamentos, e destacam ainda a possibilidade de modificação do tipo de apego.

La incidencia del estilo de apego en las representaciones de los adolescentes que transgreden la ley penal / The impact of attachment style representations of teenage criminal law transgresses

Las consideraciones que aquí se reflejan, encuentran directa relación con la investigación UBACYT denominada “Estudio de las representaciones en adolescentes en conflicto con la ley penal” (código 20020090100187), la que se encuentra actualmente en la etapa final de su desarrollo. El abordaje de la transgresión penal en la adolescencia implica una acción integral a nivel político, comunitario e institucional.Las instituciones que abordan esta población específica son dispositivos complejos, que son confrontados con la exigencia social y política de dar respuesta eficaz y eficiente a una problemática compleja. Frente a éste escenario se hace necesario crear una base teórica de intervención desde la cual los profesionales que se desempeñan en el sector puedan realizar una contribución real y efectiva, mediante estrategias de intervención eficientes y con sustento académico. Será entonces pertinente una profundización teórico-conceptual que contribuya a la elaboración de mejores prácticas institucionales, brindando una mayor comprensión de los procesos psicológicos presentes en el adolescente transgresor.

La incidencia del estilo de apego en las representaciones de los adolescentes que transgreden la ley penal / The impact of attachment style representations of teenage criminal law transgresses

Las consideraciones que aquí se reflejan, encuentran directa relación con la investigación UBACYT denominada ôEstudio de las representaciones en adolescentes en conflicto con la ley penalö (código 20020090100187), la que se encuentra actualmente en la etapa final de su desarrollo. El abordaje de la transgresión penal en la adolescencia implica una acción integral a nivel político, comunitario e institucional.Las instituciones que abordan esta población específica son dispositivos complejos, que son confrontados con la exigencia social y política de dar respuesta eficaz y eficiente a una problemática compleja. Frente a éste escenario se hace necesario crear una base teórica de intervención desde la cual los profesionales que se desempeñan en el sector puedan realizar una contribución real y efectiva, mediante estrategias de intervención eficientes y con sustento académico. Será entonces pertinente una profundización teórico-conceptual que contribuya a la elaboración de mejores prácticas institucionales, brindando una mayor comprensión de los procesos psicológicos presentes en el adolescente transgresor.(AU)

Estilos de apego y representaciones maternas durante el embarazo / Attachment style and maternal representations during pregnancy

Various authors support the theory that the mother-child bond begins in gestation, through a mental representation which the mother constructs during pregnancy. This image would be based on their own childhood experience, which lays the foundation for the transgenerational transmission of the attachment relationship type that will be formed. Objective: To study the relationship between the pregnant mother's history of attachment and her attachment style during pregnancy, including the types of images formed about her future son or daughter as well as herself as a mother. Patients and Method: Three first time pregnant women with different attachment styles were identified through the Parental Bonding Instrument. An in-depth interview was performed with each individual. Flick's adaptation of Grounded Theory was applied during data analysis. Results show that differences exist both in the thematic contents as in the quality, quantity and coherence of their representations depending upon the attachment style. Discussion: These results contribute to the knowledge of the representational world of the pregnant woman, allowing for improved prenatal interventions that will promote secure mother-child attachment.

De acuerdo a diversos autores, el vínculo madre-hijo se inicia desde la gestación, a través de las representaciones que la madre va construyendo durante el embarazo. Dichas representaciones estarían ancladas en su propia experiencia de apego en la infancia, lo que sentaría las bases de la transmisión transgeneracional de los vínculos de apego. Objetivo: Determinar la relación entre el estilo de apego de la madre y el tipo de representaciones que ésta construye acerca del hijo en gestación, de sí misma como madre y de su propia historia de apego, durante el embarazo. Pacientes y Método: Estudio cualitativo con análisis interpretativo de los datos. Se seleccionaron 3 mujeres primigestas, con distintos estilos vinculares, identificados a través del Parental Bondig Instrument, a las cuales se les realizó una entrevista semi-estructurada, en función de una pauta guía que contenía los principales ejes teóricos del estudio. Para el análisis de los datos, se utilizó la adaptación de Flick de la Grounded Theory. Resultados: Los resultados muestran que existen diferencias tanto en los contenidos temáticos, como en la calidad, cantidad y coherencia de las representaciones maternas, dependiendo del estilo vincular. Conclusión: Los resultados aportan al conocimiento del mundo representacional de la mujer embarazada, lo cual permite el desarrollo de intervenciones prenatales para promover el establecimiento apego seguro madre-hijo.