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Attachment insecurity partially mediates the relationship between childhood trauma and depression severity in bipolar disorder

dc.contributor.authorWrobel, Anna L.
dc.contributor.authorRussell, Samantha E.
dc.contributor.authorJayasinghe, Anuradhi
dc.contributor.authorLotfaliany, Mojtaba
dc.contributor.authorTurner, Alyna
dc.contributor.authorDean, Olivia M.
dc.contributor.authorCotton, Sue M.
dc.contributor.authorDiaz-Byrd, Claudia
dc.contributor.authorYocum, Anastasia K.
dc.contributor.authorDuval, Elizabeth R.
dc.contributor.authorEhrlich, Tobin J.
dc.contributor.authorMarshall, David F.
dc.contributor.authorBerk, Michael
dc.contributor.authorMcInnis, Melvin G.
dc.date.accessioned2022-06-01T20:27:52Z
dc.date.available2023-07-01 16:27:51en
dc.date.available2022-06-01T20:27:52Z
dc.date.issued2022-06
dc.identifier.citationWrobel, Anna L.; Russell, Samantha E.; Jayasinghe, Anuradhi; Lotfaliany, Mojtaba; Turner, Alyna; Dean, Olivia M.; Cotton, Sue M.; Diaz-Byrd, Claudia ; Yocum, Anastasia K.; Duval, Elizabeth R.; Ehrlich, Tobin J.; Marshall, David F.; Berk, Michael; McInnis, Melvin G. (2022). "Attachment insecurity partially mediates the relationship between childhood trauma and depression severity in bipolar disorder." Acta Psychiatrica Scandinavica (6): 591-603.
dc.identifier.issn0001-690X
dc.identifier.issn1600-0447
dc.identifier.urihttps://hdl.handle.net/2027.42/172784
dc.description.abstractBackgroundChildhood trauma is associated with greater depression severity among individuals with bipolar disorder. However, the mechanisms that explain the link between childhood trauma and depression severity in bipolar disorder remain poorly understood. The mediational role of attachment insecurity in childhood and adulthood was assessed in the current study.MethodsParticipants with bipolar disorder (N = 143) completed measures of childhood trauma (Childhood Trauma Questionnaire), attachment insecurity (Experiences in Close Relationships Scale) and depression severity (Hamilton Depression Rating Scale) as part of the Prechter Longitudinal Study of Bipolar Disorder. A sequential mediation model was tested using path analysis: the direct and indirect effects of childhood trauma on depression severity with attachment insecurity (attachment anxiety and avoidance) in childhood (mother and father) and adulthood (partner) as mediators were estimated.ResultsThe final path model demonstrated an excellent fit to the data (comparative fit index = 0.996; root mean square error of approximation = 0.021 [90% confidence interval = 0.000–0.073]). Supporting the hypothesised sequential mediation model, maternal attachment anxiety in childhood and romantic attachment avoidance in adulthood partially mediated the relationship between childhood trauma and depression severity; this effect accounted for 12% of the total effect of childhood trauma on depression severity.ConclusionAttachment insecurity in childhood and adulthood form part of the complex mechanism informing why people with bipolar disorder who have a history of childhood trauma experience greater depression severity. Addressing attachment insecurity represents a valuable psychotherapeutic treatment target for bipolar disorder.
dc.publisherWiley Periodicals, Inc.
dc.publisherRoutledge
dc.subject.otherattachment
dc.subject.otherbipolar disorder
dc.subject.otherchildhood abuse
dc.subject.otherdepression
dc.subject.othertreatment outcomes
dc.titleAttachment insecurity partially mediates the relationship between childhood trauma and depression severity in bipolar disorder
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelPsychiatry
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/172784/1/acps13419.pdf
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/172784/2/acps13419_am.pdf
dc.identifier.doi10.1111/acps.13419
dc.identifier.sourceActa Psychiatrica Scandinavica
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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