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BMC Public Health ; 22(1): 752, 2022 04 14.
Artigo em Inglês | MEDLINE | ID: mdl-35421976


BACKGROUND: As smart device overdependence among preschoolers could adversely affect their overall development, it is essential to understand the related factors of such overdependence. Mothers have a large influence on preschoolers; however,, the relationship between mothers' emotional intelligence, negative parenting behaviour, preschoolers' attachment instability, and smart device overdependence remain unclear. This study aims to develop and test a structural model to explain smart device overdependence among preschoolers. METHODS: The study collects and analyses data from January to May 2021 from 283 mothers raising children aged 3-6 years in South Korea. Questionnaires regarding mothers' emotional intelligence and negative parenting behaviour, as well as preschoolers' attachment instability and smart device overdependence, were used to collect data. The data were analysed by SPSS23.0 and AMOS 23.0 software and a structural equation model was constructed; p ≤ 0.05 was taken as significant. RESULTS: Mothers' emotional intelligence had a direct negative relationship with mothers' negative parenting behaviour (ß = - 0.44) and an indirect negative relationship with preschoolers' attachment instability (ß = - 0.25) and preschoolers' smart device overdependence (ß = - 0.24). Mothers' negative parenting behaviour had a direct positive relationship with preschoolers' attachment instability (ß = 0.56) and both direct and indirect positive relationships with preschoolers' smart device overdependence (ß = 0.55). Preschoolers' attachment instability had a direct positive relationship with preschoolers's smart device overdependence (ß = 0.46). CONCLUSIONS: Mothers' emotional intelligence, negative parenting behaviour, and preschoolers' attachment instability are associated with preschoolers' vulnerability to smart device overdependence. These results are shown that more attention is needed to these variables in order to reduce preschoolers' overdependence on smart devices. Additionally, we propose to develop and provide interventions based on these results.

Mães , Poder Familiar , Criança , Inteligência Emocional , Feminino , Humanos , Relações Mãe-Filho , Mães/psicologia , República da Coreia , Inquéritos e Questionários
J Obstet Gynecol Neonatal Nurs ; 51(1): e1-e12, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-34592162


OBJECTIVE: To explore prenatal attachment by sociodemographic and obstetric characteristics and to determine the relationship between prenatal attachment and body self-perception among pregnant women. DESIGN: Descriptive correlational. SETTING: The obstetrics and gynecology outpatient clinic of a university hospital in Ankara, Turkey. PARTICIPANTS: One hundred eighty-three healthy pregnant women at 20 weeks or more of pregnancy who visited the obstetrics and gynecology outpatient clinic of the university hospital between April 3 and July 6, 2019. METHODS: We collected data using a personal data collection form, the Prenatal Attachment Inventory (PAI), and the Multidimensional Body Self Relations Questionnaire. RESULTS: Participants' mean PAI score was 67.74 (SD = 9.98). Participants younger than 20 years had the lowest mean PAI score of 57.20 (SD = 10.66). The level of prenatal attachment decreased as the number of pregnancies increased (p < .05). Participants' mean PAI score had a weak positive relationship with their total body self-perception score (r = .226) and the Appearance Evaluation, Fitness Evaluation, Health Orientation, Fitness Orientation, and Body Areas Satisfaction subscales (p < .05). CONCLUSION: Prenatal attachment levels were greater if participants were pleased with their appearances and bodies, approached their physical fitness positively, and engaged in practices to increase their health and physical capacity. We recommend conducting education programs concentrating on adaptation to pregnancy that enable women to evaluate their bodies more positively during pregnancy, to adopt behaviors to improve their health in pregnancy, and to increase prenatal attachment.

Gestantes , Autoimagem , Feminino , Humanos , Apego ao Objeto , Gravidez , Inquéritos e Questionários , Turquia
Rev. Bras. Saúde Mater. Infant. (Online) ; 21(4): 1015-1023, Oct.-Dec. 2021. tab
Artigo em Inglês | LILACS | ID: biblio-1360721


Abstract Objectives: to identify factors resulting from the correlation between mother-child bonding, environment, and infant motor development (MD). Methods: a cross-sectional study was conducted with 130 mothers/guardians and their infants at risk from 3 to 12 months of age, accompanied in an outpatient clinic follow-up at a public maternity. The data were collected using a form with socioeconomic data, mother/child routine at the hospital and home environments, and three other instruments validated in Brazil: Protocolo de Avaliação do Vínculo Mãe-Filho (Mother-Child Bonding Evaluation Protocol), Affordances in the Home Environment for Motor Development - Infant Scale, and Escala Motora Infantil de Alberta (Alberta Infant Motor Scale). Pearson's chi-square test, Fisher's exact test, and a significance level of 5% was used for the correlation. Results: the data showed a predominance of preterm babies (74.5%), low-income families (86.2%), and domestic opportunities below the adequate (93.8%) for good motor development. Regarding the mother-child bonding, 60% of the mothers showed a strong bonding with their children. A total of 62.3% of the children had typical motor development. Concerning the interaction between variables, statistical significance (p˂0.05) was observed in the correlation between bonding and typical motor development. Conclusion: despite the presence of risk factors, motor development was normal in most of the babies in this study, suggesting that the mother-child bonding favored motor development even with environmental and biological adversities.

Resumo Objetivos: identificar fatores resultantes da correlação vínculo mãe-filho, ambiente e desenvolvimento motor (DM) infantil. Métodos: estudo transversal com 130 mães/responsáveis e seus lactentes de 3 a 12 meses de vida, acompanhados em ambulatório de seguimento de risco de uma maternidade pública. Os dados foram coletados através de ficha contendo dados socioeconômicos e rotina de mãe/filho no ambiente hospitalar e domiciliar, e três outros instrumentos validados no Brasil: Protocolo de Avaliação do Vínculo Mãe-Filho, Affordances in the Home Envirornent for Motor Development - Infant Scale e Escala Motora Infantil de Alberta. Para correlação utilizou-se teste de qui-quadrado de Pearson, exato de Fisher e nível de significância de 5%. Resultados: os dados mostraram predominância de bebês prematuros (74,5%), famílias de baixa renda (86,2%) e com oportunidades domésticas abaixo do adequado (93,8%) para um bom desenvolvimento motor. No que concerne a vinculação, 60% das mães apresentou forte vinculação com seu filho. O desenvolvimento motor de 62,3% das crianças apresentouse típico. Nas interações entre variáveis, observou-se significância estatística (p<0,05) na correlação entre vínculo e desenvolvimento motor típico. Conclusão: apesar dos fatores de risco, o desenvolvimento motor apresentou-se típico na maioria dos bebês desse estudo, sugerindo que a presença de vínculo favoreceu o desenvolvimento motor mesmo com a presença de adversidades ambientais e biológicas.

Humanos , Feminino , Lactente , Recém-Nascido Prematuro , Desenvolvimento Infantil , Fatores de Risco , Relações Mãe-Filho , Destreza Motora , Fatores Socioeconômicos , Brasil , Distribuição de Qui-Quadrado , Estudos Transversais , Estudo Observacional , Comportamento Materno
Behav Ther ; 52(5): 1226-1236, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-34452675


Excessive attachment towards possessions can be maladaptive because it can lead individuals to excessively acquire and save objects. Little is known about how attachment to objects develops and changes over time; however, interpersonal factors have been theorized to play a role. The current study examined whether interpersonal factors, specifically interpersonal attachment style and empathy, moderate changes in object attachment over time. A total of 145 participants with excessive acquiring and discarding difficulties rated their level of attachment to a novel object just after receiving it, and 1 week later. Participants also completed measures of interpersonal anxious attachment and interpersonal functioning. We found that changes in object attachment over time were moderated by interpersonal anxious attachment. Also, our findings suggested that individuals with hoarding problems are likely not impaired in their ability to empathize with others, but rather have difficulty displaying empathy in tense social situations and also have more empathy for fictional characters. Further, greater discomfort in tense social situations and greater empathy for fictional characters interacted to predict greater object attachment. Taken together, these findings indicate that individuals with an interpersonal anxious attachment style may be those at risk of forming greater attachments to objects over time. A learning history that includes inconsistent support from caregivers may result in individuals experiencing more empathy for fictional characters and discomfort in tense social situations, which may produce a vulnerability for becoming excessively attached to objects. Our results are in line with theories of hoarding which propose that individuals use objects to compensate for unmet interpersonal needs and suggest that treatment may need to target interpersonal functioning to reduce hoarding symptoms.

Transtorno de Acumulação , Colecionismo , Ansiedade , Empatia , Humanos , Apego ao Objeto
Front Psychol ; 11: 599477, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33362662


Children who live on the margins of society are disadvantaged in achieving their developmental potential because of the lack of a necessary stable environment and nurturing care. Many early prevention programs aim at mitigating such effects, but often the evaluation of their long-term effect is missing. The aim of the study presented here was to evaluate such long-term effects in two prevention programs for children-at-risk growing up in deprived social environments focusing on child attachment representation as the primary outcome as well as on self-reflective capacities of teachers taking care of these children. The latter was a key component for promoting resilient behavior in children. Five hundred and twenty-six children aged 36 to 60 months at risk due to immigration status, low family socio-economic status and child behavior were examined in a cluster-randomized study comparing two preventions, the psychodynamic, attachment-based holistic approach EARLY STEPS (ES) with the classroom based FAUSTLOS (FA) for their efficacy. Primary outcome was the child attachment representation measured by the Manchester Child Attachment Story Task (MCAST). Secondary outcomes were derived from (a) the Caregiver-Teacher Report Form (C-TRF: problem behaviors, including anxiety/depressive symptoms, emotional-reactive and somatic problems, social withdrawal, aggressive behavior, and attention deficit), from (b) the Strength and Difficulties Questionnaire (SDQ, parent version: resilience and wellbeing) and (c) Self-Reflective Scales for teachers (SRS: self-reflective capacities of teachers). Compared to baseline, attachment and behavioral problems improved in both programs. ES led to more secure and more organized attachment representations (medium effect sizes). Aggressive behavior and externalizing problems were reduced in the FA group compared with ES, particularly in boys (medium effect sizes). Self-reflective capacities of the teachers increased only in the ES group. High correlation between children's attachment type with the number of social risk factors and the increase of problematic social behavior strongly indicate that an increase in teachers' self-reflective capacities helps to change children's attachment patterns which thus strengthens the resilience of these children-at-risk [An ethical vote from LPPKJP 2009-02-25 was obtained and the trial registered; Clinical trial registration information: The trial was registered 14.02.2012 (DRKS00003500;].

Zhonghua Yu Fang Yi Xue Za Zhi ; 54(10): 1098-1103, 2020 Oct 06.
Artigo em Chinês | MEDLINE | ID: mdl-33115196


Objective: To explore the association between precollege sexual abuse experiences at different periods and adult attachment in college students. Methods: In October 2018,a total of 4 034 college students were selected from 4 colleges in Hefei City by using the stratified cluster sampling method. A self-designed questionnaire was used to investigate the demographic characteristics, sexual abuse experience, and attachment style of participants. Multivariate linear regression analysis was performed to analyze the association between different periods, types of precollege sexual abuse experiences and attachment style in college students. Results: The rate of total precollege sexual abuse, noncontact sexual abuse, and contact sexual abuse was 14.1% (569), 12.7% (512) and 5.4% (219), respectively. Multivariate linear regression analysis showed that secure attachment [ß(95%CI)=-0.205 (-0.292, -0.117)] was negatively correlated with total precollege sexual abuse experiences, whereas anxiety attachment [ß(95%CI)=0.211 (0.110, 0.310)], avoidant attachment [ß(95%CI)=0.117 (0.020, 0.216)] were positively correlated with total precollege sexual abuse experiences. The number of periods of precollege noncontact sexual abuse was negatively correlated with secure attachment [ß(95%CI)=-0.106(-0.171, -0.041)]and positively correlated with anxiety attachment [ß(95%CI)=0.158 (0.084, 0.231)]and avoidant attachment [ß(95%CI)=0.080 (0.008, 0.152)]. The noncontact [ß(95%CI)=0.427 (0.018, 0.775)] and contact sexual abuse [ß(95%CI)=0.468 (0.251, 0.687)] in high school were positively correlated with anxiety attachment (P<0.05). Conclusion: Different periods, types of precollege sexual abuse experiences were all associated with adult attachment in college students.

Delitos Sexuais , Estudantes , Adulto , Ansiedade , Humanos , Inquéritos e Questionários , Universidades
Int J Qual Stud Health Well-being ; 15(1): 1831221, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33021903


PURPOSE: Preterm birth and admission to a neonatal intensive care unit (NICU) can disrupt the parent-infant bonding relationship. Although neonatal nurses are in the best position to support maternal postpartum bonding in the NICU, few qualitative studies have described their challenges, strategies, and lived experiences. METHODS: This study aimed to explore and understand the experiences and perspectives of nurses supporting infants hospitalized in the NICU and their families in relation to the bonding process. We conducted a qualitative study using interpretive phenomenological analysis with 12 in-depth, semi-structured interviews recorded and transcribed verbatim between April and November 2018. We thematically analysed the data using NVivoTM software. RESULTS: Two themes emerged: (1) Being a bridge between separated mothers and infants (five subthemes); (2) Challenges in providing supportive care for maternal postpartum bonding in the NICU (three subthemes). CONCLUSIONS: Nurses have a variety of experiences regarding maternal postpartum bonding; however, the clinical reality of NICUs limits support for bonding formation. Although nurses face challenges (e.g., institutional policies, insufficient resources, training) when supporting maternal postpartum bonding, they act as the bridge between mothers and infants, becoming advocates for NICU families and taking care of their growth and developmental needs as caregivers.

Unidades de Terapia Intensiva Neonatal/organização & administração , Relações Mãe-Filho/psicologia , Mães/psicologia , Enfermeiras Neonatologistas/organização & administração , Adulto , Feminino , Treinamento Intervalado de Alta Intensidade , Humanos , Recém-Nascido , Pessoa de Meia-Idade , Enfermeiras Neonatologistas/psicologia , Apego ao Objeto , Período Pós-Parto , Pesquisa Qualitativa , República da Coreia
Rev. enferm. Cent.-Oeste Min ; 10(1): 3955, out. 2020.
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1150296


Objetivo: Compreender como as mães vivenciam o posicionamento canguru, na Unidade de Terapia Intensiva Neonatal e apreender a percepção sobre as relações de apego com seus bebês mediadas pelo posicionamento canguru. Método: Caráter qualitativo, descritivo e exploratório. Participaram 9 mães maiores de 18 anos com filhos internados em Unidade de Terapia Intensiva Neonatal com idade gestacional igual ou inferior a 30 semanas, que realizaram o posicionamento canguru, pelo menos duas vezes. Foram excluídas mães que já tiveram filhos internados em Unidade de Terapia Intensiva Neonatal, mães de gemelares, com diagnóstico psiquiátrico e usuárias de psicoativos. A coleta aconteceu, por meio do preenchimento de ficha para obtenção de dadossociodemográficos, entrevista semiestruturada antes e após a realização da posição canguru e o diário da participante. O encerramento da coleta deu-se por saturação e foram analisados, conforme Análise de Conteúdo, na modalidade temática. Resultados: Os dados foram agrupados por temas, emergiram as seguintes categorias: maternidade no contexto da Unidade de Terapia Intensiva Neonatal, Interação mãe-bebê, durante a gestação e após o Canguru, Expectativa e realidade materna, em relação ao Canguru. Conclusão: A posição canguru cumpre sua função conforme norma do Ministério da Saúde, tanto para benefícios clínicos para o bebê como para humanização e aumento do apego mãe-bebê.(AU)

Objective: To understand how mothers experience and perceive the attachment relationship with their babies mediated by the kangaroo position in the Neonatal Intensive Care Unit . Method: This is a qualitative, descriptive, and exploratory study. Nine mothers over 18 years of age with children admitted to the Neonatal Intensive Care Unit with gestational age equal to or less than 30 weeks, and who performed the kangaroo positioning at least twice participated in this study. Mothers who already had children hospitalized in the Neonatal Intensive Care Unit, had twins, had a psychiatric diagnosis and used psychoactive drugs were excluded. Data collection took place by filling out a form to obtain sociodemographic data, by performing semi-structured interviews before and after the kangaroo position, and by analyzing the participant's' diaries. The criterion to end data collectionwas saturation and data were analyzed according to Content Analysis. Results: The data were grouped in themes, and divided into the following categories: Maternity in the context of the Neonatal Intensive Care Unit, Mother-baby interaction during pregnancy and after the Kangaroo, Expectation and maternal reality concerning the Kangaroo. Conclusion: the kangaroo position fulfilled its function according to the Ministry of Health standard, both for clinical benefits for the baby and humanization, and increased mother-baby attachment.(AU)

Objetivo: Comprender cómo las madres experimentan la posición canguro en la Unidad de Cuidados Intensivos Neonatales y comprender la percepción de las relaciones de apego con sus bebés por medio de la posición canguro. Método: Cualitativo, descriptivo y exploratorio. Participaron nueve madres mayores de 18 años con hijos ingresados en la Unidad de Cuidados Intensivos Neonatales con edad gestacional igual o menor a 30 semanas, quienes realizaron la posición canguro al menos dos veces. Se excluyeron las madres que ya tenían hijos hospitalizados en la Unidad de Cuidados Intensivos Neonatales, madres con gemelos, con diagnóstico psiquiátrico y consumidoras de psicoactivos. La recogida se realizó mediante las respuestas de un formulario de obtención de datos sociodemográficos, entrevista semiestructurada antes y después de realizar la posición canguro y diario del participante. El cierre de la recolección de datos fue por saturación y se analizaron según Análisis de Contenido, en la modalidad temática. Resultados: Los datos fueron agrupados por temas, surgieron las siguientes categorías: Maternidad en el contexto de la Unidad de Cuidados Intensivos Neonatales, Interacción madre-bebé durante el embarazo y después del Canguro, Expectativa y realidad materna con relación al Canguro. Conclusión: La posición canguro cumple su función según el estándar del Ministerio de Salud, tanto por los beneficios clínicos para el bebé como por la humanización y el aumento del apego madre-bebé(AU)

Recém-Nascido Prematuro , Método Canguru , Cuidados de Enfermagem , Apego ao Objeto
J Obstet Gynecol Neonatal Nurs ; 49(6): 593-604, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-32979323


OBJECTIVE: To explore the experiences of neonatal nurses in the implementation of a tool to enhance relationships between staff and parents in the neonatal unit: the You and Your Baby Nursery Guide. DESIGN: Qualitative descriptive design with focus groups. SETTING: The study took place in a Level 4, 20-bed neonatal unit in Melbourne, Victoria, Australia. PARTICIPANTS: Purposive sample of seven registered nurses who worked day or afternoon shifts. METHODS: We conducted two semistructured focus groups after a 4-week implementation period of the You and Your Baby Nursery Guide. Participants completed a weekly reflective journal throughout the implementation period. We audiotaped and transcribed the focus groups and qualitatively analyzed the interview data with the use of thematic analysis. RESULTS: Use of the guide helped transform the relationships between parents and staff. The use of the guide enhanced communication, promoted participants' personal reflection on their clinical skills and style/approach to parent engagement, and directly affected the care participants provided to infants and families. CONCLUSION: The You and Your Baby Nursery Guide was a useful resource to facilitate the delivery of family-centered, developmentally supportive care.

Pessoal de Saúde/psicologia , Relações Profissional-Paciente , Adulto , Feminino , Grupos Focais/métodos , Pessoal de Saúde/estatística & dados numéricos , Humanos , Recém-Nascido , Unidades de Terapia Intensiva Neonatal/organização & administração , Unidades de Terapia Intensiva Neonatal/tendências , Masculino , Pais/psicologia , Satisfação do Paciente , Pesquisa Qualitativa , Vitória
Compr Psychiatry ; 100: 152179, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32402421


BACKGROUND AND AIMS: Object attachment is a core feature of hoarding disorder (HD), but it also occurs in people without HD. It is therefore critical to clarify differences between normal and abnormal object attachment. Although previous studies show that HD is associated with high emotional reactivity, no study to date has examined the nature and intensity of discrete emotions in people with and without HD in relation to object attachment. METHOD: Individuals with HD (n = 93) and matched controls (n = 93) were recruited via MTurk. They identified and described a possession of low monetary value that they were emotionally attached to and found difficult to discard. Participants rated their object attachment and the intensity of emotions when imagining being with the object (Scenario A) and irretrievably losing the same object (Scenario B). RESULTS: Unexpectedly, there were no significant between-group differences on object attachment; however, the HD group experienced more incongruent emotions about their possessions; they reported significantly higher disgust, anxiety and anger than controls when they imagined being with their chosen object (Scenario A) and were more relaxed compared to controls when the object was lost (Scenario B). There were no significant differences between groups on congruent emotions (i.e., positive emotions in Scenario A or negative emotions in Scenario B). CONCLUSION: People with and without HD experience similar emotional attachment for sentimental items but people with HD experience more mixed emotions, consistent with an insecure object attachment.

Transtornos de Ansiedade/psicologia , Comportamento Compulsivo/psicologia , Emoções/fisiologia , Transtorno de Acumulação/diagnóstico , Transtorno de Acumulação/psicologia , Apego ao Objeto , Adulto , Ansiedade/psicologia , Transtornos de Ansiedade/complicações , Comportamento Compulsivo/diagnóstico , Feminino , Colecionismo/psicologia , Transtorno de Acumulação/complicações , Humanos , Masculino , Pessoa de Meia-Idade , Propriedade , Adulto Jovem
Ciênc. Saúde Colet ; 25(2): 495-504, Feb. 2020. tab
Artigo em Inglês | LILACS | ID: biblio-1055828


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.

Humanos , Adulto , Infecções por HIV/psicologia , Relações Interpessoais , Apego ao Objeto , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Estresse Psicológico/epidemiologia , Síndrome de Imunodeficiência Adquirida/psicologia , Depressão/epidemiologia
Psychol Psychother ; 93(2): 326-346, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-30548459


OBJECTIVES: The aim of this study was to explore the importance of possessions as extensions of self-concept and connections to significant others for people that hoard. DESIGN: A total of 10 participants were recruited through hoarding group treatment programmes. Participants photographed significant possessions in their home and discussed these in semi-structured interviews. RESULTS: Analysis of transcripts using interpretative phenomenological analysis revealed three interrelated superordinate themes: (1) time travels with you; (2) possessions are me, they're a reflection of my life; and (3) they're linked: I look at them and I think of people. Challenging early life factors were the source of significant self-uncertainty. Possessions were often touchstones of self-confidence and reminders of both positive and negative relationships. CONCLUSIONS: The results highlight the many dimensions of possessions' links to both self-concept and the identities of others, providing a distinct contribution to the hoarding literature. Implications for future research and treatment are discussed. PRACTITIONER POINTS: Problematic attachments to items may be formed as a compensatory response to challenging early life experiences. Possessions may reflect self-confidence, uniqueness, and be perceived to be physical extensions of who people that hoard are. Belongings can be reminders of interpersonal relationships for people that hoard.

Transtorno de Acumulação/psicologia , Apego ao Objeto , Autoimagem , Idoso , Feminino , Humanos , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Fotografação , Pesquisa Qualitativa
Rev. Paul. Pediatr. (Ed. Port., Online) ; 38: e2018308, 2020. tab, graf
Artigo em Inglês | LILACS-Express | Sec. Est. Saúde SP, LILACS, Sec. Est. Saúde SP | ID: biblio-1136730


ABSTRACT Objective: To investigate how attachment style has been studied in children with chronic disease in the scientific literature, and what repercussions this attachment has on this population. Data sources: An integrative review of the literature was carried out from a survey in the LILACS, MEDLINE and SciELO databases, including original national and international publications in Portuguese, Spanish and English from 2007 to 2018, using the descriptors "apego" and "criança" in the Health Sciences Descriptors (DeCS), and "attachment" and "children" for the Medical Subject Headings (MeSH). Sixteen (16 articles) were obtained for the sample analysis. Data synthesis: The chronic diseases found in the research were neurobehavioral disorders such as attention deficit hyperactivity disorder (ADHD) and autism, childhood obesity, and chronic migraine. The predominant attachment style was insecurity, which could compromise the biopsychosocial development of the child. Conclusions: The type of attachment between child and primary caregiver may be considered a protective or risk factor for child development. Considering this premise, it is important to equip/inform families based on dialogic educational practices, in which professionals create opportunities and means for families to develop their skills and competencies, and acquire resources which meet the child's needs. It is important that this professional helps the family to build secure bases for their child with chronic disease, understanding that the main focus for promoting child development is in the family unit.

RESUMO Objetivo: Investigar, na literatura científica, de que forma o estilo de apego tem sido estudado nas crianças com doença crônica e as repercussões dessa vinculação nessa população. Fonte de dados: Realizou-se uma revisão integrativa da literatura por meio de um levantamento nas bases de dados Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Medical Literature Analysis and Retrieval System Online (MEDLINE) e Biblioteca Eletrônica Científica Online (SciELO) incluindo publicações originais nacionais e internacionais, em português, espanhol e inglês, no período de 2007 a 2018, utilizando-se os descritores apego e criança nos Descritores em Ciências da Saúde (DeCS) e attachment e children para o Medical Subject Headings (MeSH). Foi obtida uma amostra de 16 artigos para análise. Síntese dos dados: As doenças crônicas encontradas na pesquisa foram os distúrbios neurocomportamentais, como transtorno do déficit de atenção e hiperatividade (TDAH) e autismo, obesidade infantil e enxaqueca crônica. O estilo de apego predominante foi o inseguro, o que pode comprometer o desenvolvimento biopsicossocial dessa criança. Conclusões: O tipo de vinculação entre criança e cuidador primário pode ser considerado um fator de proteção ou risco para o desenvolvimento infantil. Haja vista essa premissa, é fundamental a instrumentalização das famílias baseada em práticas educativas dialógicas, nas quais os profissionais criam oportunidades e meios para que os familiares desenvolvam suas habilidades e competências e adquiram recursos que atendam às necessidades da criança. É importante que esse profissional auxilie a família a construir bases seguras para a criança com doença crônica, entendendo que é na unidade familiar que está o principal foco de promoção do desenvolvimento infantil.

Estud. Psicol. (Campinas, Online) ; 37: e190045, 2020. tab
Artigo em Inglês | LILACS, Index Psicologia - Periódicos | ID: biblio-1133850


The internalized attachment in childhood has consequences in the adult life, specifically in the marital life, which demands greater closeness, intimacy and interdependence. In this sense, it was analyzed whether the communication, marital adjustment, frequency, intensity and conflict resolution variables discriminate individuals with secure and insecure attachment in heterosexual relationships. It is a quantitative, descriptive and explanatory study. Data from 485 participants were collected in the south of Brazil through the following measures: Experience in Close Relationship, Marital Conflict Scale, Conflict Resolution Behavior Questionnaire, Communication Questionnaire and Revised Dyadic Adjustment Scale. The results of the discriminant analysis indicated that the variables tested characterize secure or insecure attachment. Therefore, the type of attachment is a relevant resource in the assessment of individual and marital functioning. Psychotherapy interventions are discussed considering the relational bias of the attachment theory and the results observed in the scientific literature.

O apego internalizado na infância provoca reflexos na vida adulta, especificamente na conjugalidade, a qual demanda maior proximidade, intimidade e interdependência. Nesse sentido, foi analisado se as variáveis comunicação, ajustamento conjugal, frequência, intensidade e resolução de conflitos discriminam indivíduos com apego seguro e inseguro em relacionamentos heterossexuais. Trata-se de um estudo quantitativo, descritivo e explicativo. Dados de 485 participantes foram coletados no Sul do Brasil por meio das medidas Experience in Close Relationship, Escala de Conflito Conjugal, Conflict Resolution Behavior Questionnaire, Communication Questionnaire e Revised Dyadic Adjustment Scale. Análise discriminante indicou que as variáveis testadas caracterizam apego seguro ou inseguro. Portanto, o tipo de vinculação é um recurso relevante na avaliação do funcionamento individual e conjugal. Intervenções em psicoterapia são discutidas considerando o viés relacional da teoria do apego e os resultados apontados na literatura científica.

Resolução de Problemas , Casamento , Comunicação , Apego ao Objeto
J Educ Health Promot ; 8: 182, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31867367


BACKGROUND: Growing interest in issues of attachment, sociocultural, psychological, and above all clinical perspectives is also reflected in the emergence of research on "attachment style and parental parenting style in referrals to addiction treatment centers." METHODS: This was a cross-sectional study. Three health centers were selected randomly from among the health centers of Neyshabur city in 2015-2016 year. The sampling was done so that all individuals who had the characteristics of the research unit and had the consent to participate in the study were justified by the researcher and completed questionnaire form. We used Chi-square, one-way analysis of variance, Mann-Whitney, and Kruskal-Wallis tests. RESULTS: In the present study, safe attachment scores in children with healthy parents were significantly more than children with addicted parents. CONCLUSION: Addiction has an important role in reducing attachment to children, and because this decrease in attachment has dangerous consequences in child's life.

Int J Nurs Sci ; 6(4): 445-453, 2019 Oct 10.
Artigo em Inglês | MEDLINE | ID: mdl-31728399


Objectives: Social relationships throughout lifespan are critical for health and wellbeing. Oxytocin, often called the 'hormone of attachment' has been suggested as playing an important role in early-life nurturing and resulting social bonding. The objective of this paper is to synthesize the associations between oxytocin levels and interactions between infants and parents that may trigger oxytocin release, and in turn facilitate attachments. Methods: A comprehensive cross-disciplinary systematic search was completed using electronic databases. The inclusion criteria included studies that focused on mother-infant and father-infant interaction and measured both baseline and post-interaction oxytocin levels. Results: Seventeen studies were included in the final systematic review. The reviewed studies used mother-infant and/or father-infant play and skin-to-skin contact between maternal-infant and paternal-infant dyads to examine the oxytocin role in early life bonding and parenting processes. Studies showed a positive correlation between parent-infant contact and oxytocin levels in infancy period. Increased maternal oxytocin levels were significantly related to more affectionate contact behaviors in mothers following mother-infant contact, synchrony, and engagement. Meanwhile, increased paternal oxytocin levels were found to be related to more stimulatory contact behaviors in fathers following father-infant contact. Oxytocin levels significantly increased in infants, mothers and fathers during skin-to-skin contact and parents with higher oxytocin levels exhibited more synchrony and responsiveness in their infant interactions. Conclusion: The review suggests that oxytocin plays an important role in the development of attachment between infants and parents through early contact and interaction. The complexities of oxytocinergic mechanisms are rooted in neurobiological, genetic, and social factors.

J Behav Addict ; 8(2): 249-258, 2019 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-31112034


BACKGROUND AND AIMS: The appetitive aspects of hoarding disorder, such as the compulsive acquisition and saving of objects, are akin to other behavioral addictions. Underpinning these appetitive features is the strong emotional and sentimental attachments that hoarding sufferers have for their possessions. Different facets of object attachment have been identified including anthropomorphism, insecure object attachment, possessions as an extension of identity, possessions as a repository of autobiographical memories, and possessions as a source of comfort and safety. The aim of this study was to examine the association between each of these facets and hoarding symptoms independent of non-sentimental hoarding beliefs, depression, and anxiety. METHODS: Participants were 532 individuals recruited via Turkprime who completed online self-report questionnaires on hoarding symptoms, hoarding beliefs, depression, anxiety, and the facets of object attachment. Pearson's correlations and hierarchical multiple regression analyses were conducted. RESULTS: The results showed that all facets of object attachment were positively correlated with hoarding symptoms. After accounting for other non-sentimental hoarding beliefs, depression, and anxiety, three facets made significant unique contributions to hoarding symptoms: insecure object attachment, anthropomorphism, and possessions as a repository of autobiographical memories. DISCUSSION AND CONCLUSIONS: Based on these findings, we propose a compensatory model to explain how the different facets of object attachment may be implicated in hoarding. Further research into ways of reducing anthropomorphism, insecure object attachment, and possessions as memories are warranted.

Emoções , Transtorno de Acumulação/diagnóstico , Transtorno de Acumulação/psicologia , Apego ao Objeto , Inquéritos e Questionários , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Transtornos de Ansiedade/complicações , Transtornos de Ansiedade/psicologia , Transtorno Depressivo/complicações , Transtorno Depressivo/psicologia , Feminino , Transtorno de Acumulação/complicações , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
Trends psychiatry psychother. (Impr.) ; 41(1): 69-77, Jan.-Mar. 2019. tab, graf
Artigo em Inglês | LILACS | ID: biblio-1004838


Abstract Objectives To describe the process of translating and adapting the Relationship Scales Questionnaire (RSQ) from English into Brazilian Portuguese and to present the results of its test-retest reliability using the version developed for interview application. Methodology The process was based on the guidelines of the International Society for Pharmaeconomics and Outcomes Research (ISPOR), which propose 10 steps for the translation and cross-cultural adaptation of self-administered instruments. The original authors of the RSQ have agreed to the translation. The interview version was applied to a sample of 43 healthy elders (≥60 years old) enrolled in a primary health care program in the city of Porto Alegre, state of Rio Grande do Sul, southern Brazil, and then reapplied. The scores of the two applications were compared using the paired sample t-test. Results Only 6 of the 30 items required the adaptation of words or expressions to maintain its conceptual and semantic equivalence. The self-administered form of the RSQ posed difficulties for elders due to visual deficiencies and lower education level, both common in this age group, demonstrating a need for the development of a version of the RSQ in a structured interview format. Only the measure for secure attachment presented significant differences after the application of the retest, indicating reliability of the version being proposed. Conclusion Translation of the RSQ is the first step towards the validation of an attachment evaluation instrument for use in the elderly population in Brazil, allowing for future studies on this topic.

Resumo Objetivos Descrever o processo de tradução e adaptação cultural do questionário Relationship Scales Questionnaire (RSQ) do inglês para o português do Brasil e apresentar os resultados de confiabilidade teste-reteste utilizando a versão desenvolvida para aplicação em entrevista. Metodologia O método utilizado teve como diretriz a proposta da International Society for Pharmaeconomics and Outcomes Research (ISPOR), de 10 passos para a tradução e adaptação transcultural de instrumentos autoaplicáveis. Os autores originais do RSQ concordaram com a tradução. A versão para entrevista dirigida foi aplicada em uma amostra de 43 idosos saudáveis (≥60 anos) cadastrados em um programa de atenção primária à saúde na cidade de Porto Alegre, RS, sendo então reaplicada. As pontuações das duas aplicações foram comparadas usando o teste t de Student para amostras pareadas. Resultados Apenas 6 dos 30 itens precisaram de adaptação cultural de palavras ou expressões para manter sua equivalência conceitual e semântica. O formato autoaplicável do RSQ mostrou-se pouco adequado entre idosos, devido à presença comum de déficits visuais e baixa escolaridade, demonstrando a necessidade do desenvolvimento de uma versão do RSQ em formato de entrevista dirigida. Apenas a medida de apego seguro apresentou diferença significativa após a aplicação do reteste, indicando a confiabilidade da versão proposta. Conclusão A tradução do RSQ é o primeiro passo para a validação de um instrumento de avaliação de apego para a população idosa no Brasil, permitindo futuros estudos sobre o tema.

Humanos , Masculino , Feminino , Idoso , Idoso de 80 Anos ou mais , Psicometria/normas , Autorrelato/normas , Relações Interpessoais , Apego ao Objeto , Psicometria/instrumentação , Psicometria/métodos , Tradução , Brasil , Reprodutibilidade dos Testes , Pessoa de Meia-Idade
Child Health Nurs Res ; 25(1): 65-73, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-35004399


PURPOSE: This study aimed to identify factors associated with maternal attachment of breastfeeding mothers, with a focus on the mothers' breastfeeding characteristics. METHODS: Data were collected from 217 mothers who breastfed their healthy baby for 1 month after childbirth and had no postpartum complications. The data were analyzed by hierarchical regression analysis. RESULTS: The factors significantly associated with maternal attachment were an emotional exchange with one's baby (ß=.41, p<.001), breastfeeding confidence (ß=.20, p=.022), depression ('quite a bit or more', ß=-.18, p=.005), and depression ('a little', ß =-.14, p=.024). The model explained 38.4% of variance in maternal attachment. CONCLUSION: In order to improve attachment, nurses should be actively supported in helping mothers in the first month postpartum adapt to breastfeeding. Interventions to prevent postpartum depression should also be conducted.

J Behav Addict ; 7(4): 1132-1142, 2018 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-30311771


BACKGROUND AND AIMS: People who hoard form intense attachments to their possessions and save items for sentimental and instrumental reasons. Feeling socially excluded may encourage these individuals to anthropomorphize objects (i.e., perceive them as human-like) to fulfill unmet belonging needs, which may increase the sentimental and instrumental values of objects, and then lead to stronger object attachment. METHODS: We randomly assigned 331 participants with excessive acquisition tendencies to be excluded, included, or overincluded in an online ball-tossing game before presenting them with five objects that had human characteristics. Participants then completed measures assessing anthropomorphism, sentimental and instrumental values, and object attachment. RESULTS: Inconsistent with this study hypothesis, socially excluded participants did not rate unowned objects as more human-like than the included or overincluded participants; however, stronger anthropomorphism predicted greater instrumental and sentimental values, which then predicted greater object attachment. DISCUSSION AND CONCLUSIONS: Sentimental and instrumental values may explain how stronger anthropomorphism may lead to greater object attachment. Learning that leads to anthropomorphism may help us better understand object attachment.

Colecionismo/psicologia , Apego ao Objeto , Distância Psicológica , Isolamento Social , Adulto , Feminino , Humanos , Masculino , Propriedade , Adulto Jovem