The longitudinal contribution of attachment style to mental health was examined among mothers of infants with Congenital Heart Disease (CHD). Eighty-five mothers of newborns with CHD completed self-report scales tapping attachment style, appraisal of motherhood, ways of coping with motherhood tasks, and mental health 2 weeks after the infant’s CHD diagnosis and 1 year later. Mothers’ attachment anxiety and avoidance at Time 1 were related to poor mental health at the same point of time. In addition, attachment avoidance at Time 1 predicted further deterioration of mental health from Time 1 to Time 2. Attachment style at Time 1 also predicted the ways mothers appraised and coped with motherhood tasks, which, in turn, were related to mental health changes. The theoretical implications of the data were discussed.
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References
1.
Affleck, G. , & Tennen, H. (1991). Appraisal and coping predictors of mother and child outcomes after newborn intensive care. Journal of Social and Clinical Psychology, 10, 424-447.
2.
Baldwin, M. W. , & Fehr, B. (1995). On the instability of attachment style ratings. Personal Relationships, 2, 247-261.
3.
Baron, R. M. , & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173-1182.
4.
Bartholomew, K. , & Horowitz, L. M. (1991). Attachment styles among young adults: A test of a four-category model. Journal of Personality and Social Psychology, 61, 226-244.
5.
Bombardier, C. H. , D’Amico, C., & Jordan, J. S. (1990). The relationship of appraisal and coping to chronic illness adjustment. Behavioral Research and Therapy, 28, 297-304.
6.
Bowlby, J. (1973). Attachment and loss: Separation, anxiety, and anger. New York: Basic Books.
7.
Bowlby, J. (1988). A secure base: Clinical applications of attachment theory. London: Routledge.
8.
Brennan, K. A. , Clark, C. L., & Shaver, P. R. (1998). Self-report measurement of adult attachment: An integrative overview. In J. A. Simpson & W. S. Rholes (Eds.), Attachment theory and close relationships (pp. 46-76). New York: Guilford.
9.
Dahlquist, L. M. , Czyzewski, D. I., & Jones, C. L. (1996). Parents of children with cancer: A longitudinal study of emotional distress, coping style, and marital adjustment two and twenty months after diagnosis. Journal of Pediatric Psychology, 21, 541-554.
10.
Davila, J. , Burge, D., & Hammen, C. (1997). Why does attachment style change?Journal of Personality and Social Psychology, 73, 826-838.
11.
Davis, C. G. , Brown, R. T., Bakeman, R., & Campbell, R. (1998). Psychological adaptation and adjustment of mothers of children with congenital heart disease: Stress, coping and family functioning. Journal of Pediatric Psychology, 23, 219-228.
12.
Florian, V. , & Drory, Y. (1990). The Mental Health Inventory: Psychometric characteristics and normative data from Israeli population. Psychologia, 2, 26-35.
13.
Folkman, S. , & Lazarus, R. S. (1985). If it changes it must be a process: Study of emotion and coping during three stages of a college examination. Journal of Personality and Social Psychology, 48, 150-170.
14.
Fraley, R. C. , & Shaver, P. R. (1997). Adult attachment and the suppression of unwanted thoughts. Journal of Personality and Social Psychology, 73, 1080-1091.
15.
Fraley, R. C. , & Waller, N. G. (1998). Adult attachment patterns: A test of typological model. In J. A. Simpson & W. S. Rholes (Eds.), Attachment theory and close relationships (pp. 77-114). New York: Guilford.
16.
Griffin, K. W. , & Rabkin, J. G. (1998). Perceived control over illness, realistic acceptance, and psychological adjustment in people with AIDS. Journal of Social and Clinical Psychology, 17, 407-424.
17.
Hazan, C. , & Shaver, P. R. (1987). Romantic love conceptualized as an attachment process. Journal of Personality and Social Psychology, 52, 511-524.
18.
Heijmans, M. J. W. (1998). Coping and adaptive outcome in chronic fatigue syndrome: Importance of illness cognitions. Journal of Psychosomatic Research, 45, 39-51.
19.
Kazak, A. E. , Reber, M., & Snitzer, L. (1988). Chronic childhood disease and family functioning: A study of phenylketonuria. Pediatrics, 81, 224-230.
20.
Kobak, R. R. , & Hazan, C. (1991). Attachment in marriage: Effects of security and accuracy of working models. Journal of Personality and Social Psychology, 60, 861-869.
21.
Kovacs, M. , Finkelstein, R., Feinberg, T. L., Crouse-Novak, M., Paulauskas, S., & Pollock, M. (1985). Initial psychological responses of parents to the diagnosis of insulin-dependent diabetes mellitus in their children. Diabetes Care, 8, 568-575.
22.
Kovacs, M. , Iyengar, S., Goldston, D., Obrosky, D. S., Stewart, J., & Marsh, J. (1990). Psychological functioning among mothers of children with insulin-dependent diabetes mellitus: A longitudinal study. Journal of Consulting and Clinical Psychology, 58, 189-195.
23.
Lazarus, R. S. , & Folkman, S. (1984). Stress, appraisal and coping. New York: Springer.
24.
McCaul, K. D. , Sandgren, A. K., King, B., O’Donell, S., Branstetter, A., & Foreman, G. (1999). Coping and adjustment to breast cancer. Psychooncology, 8, 230-236.
25.
McCubbin, H. I. , McCubbin, M. A., Patterson, J. M., Cauble, A. E., Wilson, L. R., & Warwick, W. (1983). CHIP—Coping Health Inventory for Parents: An assessment of parental coping patterns in the care of the chronically ill child. Journal of Marriage and the Family, 45, 359-370.
26.
Mikulincer, M. , & Florian, V. (1995). Appraisal and coping with a real-life stressful situation: The contribution of attachment styles. Personality and Social Psychology Bulletin, 21, 408-416.
27.
Mikulincer, M. , & Florian, V. (1998). The relationship between adult attachment styles and emotional and cognitive reactions to stressful events. In J. Simpson & S. W. Rohles (Eds.), Attachment theory and close relationships (pp. 143-165). New York: Guilford.
28.
Mikulincer, M. , Florian, V., & Tolmacz, R. (1990). Attachment styles and fear of personal death: A case study of affect regulation. Journal of Personality and Social Psychology, 58, 273-280.
29.
Parkes, K. S. (1984). Locus of control, cognitive appraisal and coping in stressful episodes. Journal of Personality and Social Psychology, 46, 655-668.
30.
Rae-Grant, O. (1985). Psychological problems in the medically ill child. Pediatric Clinics of North America, 32, 653-663.
31.
Rodrigue, J. R. , McNaughton, K., Hoffmann, R. G., Graham-Pole, J., Andres, J., Novak, D., & Fenell, R. (1997). Transplantation in children: A longitudinal assessment of mothers’ stress, coping, and perceived family functioning. Psychosomatics, 38, 478-486.
32.
Scharloo, M. , Kaptein, A. A., Weinman, J., Hazes, J. M., Willems, L., Bergman, W., & Rooijmans, H. G. (1998). Illness perceptions, coping and functioning in patients with rheumatoid arthritis, chronic obstructive pulmonary disease, and psoriasis. Journal of Psychosomatic Research, 44, 573-581.
33.
Shaver, P. R. , & Brennan, K. A. (1992). Attachment style and the Big-5 personality traits: Their connections with each other and with romantic relationships outcomes. Personality and Social Psychology Bulletin, 18, 536-545.
34.
Shaver, P. R. , & Hazan, C. (1993). Adult romantic attachment: Theory and evidence. In D. Perlman & W. Jones (Eds.), Advances in personal relationships (pp. 29-70). London: Jessica Kingsley.
35.
Sobel, M. E. (1982). Asymptotic confidence intervals for indirect effects in structural equation models. In S. Leinhart (Ed.), Sociological methodology (pp. 290-312). San Francisco: Jossey-Bass.
36.
Solomon, Z. , Avitzur, E., & Mikulincer, M. (1988). Coping, locus of control, social support, and combat-related posttraumatic stress disorder. Journal of Personality and Social Psychology, 55, 279-285.
37.
Timko, C. , Stovel, K. W., & Moos, R. H. (1992). Functioning among mothers and fathers of children with Juvenile Rheumatic Disease: A longitudinal study. Journal of Pediatric Psychology, 17, 705-724.
38.
Veit, C. T. , & Ware, J. E. (1983). The structure of psychological stress and well-being in general populations. Journal of Counseling and Clinical Psychology, 51, 730-742.
39.
Walker, D. K. , Epstein, S. G., Taylor, A. B., Crocker, A. C., & Tuttle, G. A. (1989). Perceived needs of families with children who have chronic health conditions. Children Health Care, 18, 196-201.
40.
Weit, C. T. , & Ware, J. E. (1983). The structure of psychological stress and well-being in general populations. Journal of Counseling and Clinical Psychology, 51, 730-742.
