ArticleHealthcare (Basel, Switzerland)2021
Individuals with Major Depressive Disorder Report High Scores of Insecure-Avoidant and Insecure-Anxious Attachment Styles, Dissociative Identity Symptoms, and Adult Traumatic Events.
Article in Healthcare (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.
- Co-occurrence of dissociation and anxiety and depressive disorders in adults: a scoping review.Frontiers in psychiatry · 2026Pooled it
- Attachment Styles in Major Depressive Disorder: A Systematic Review and Meta-Analysis.Clinical psychology & psychotherapyPooled it
- A fearful adult attachment style is associated with double the presence of chronic pain compared to secure attachment: A national survey of a South African population.British journal of health psychology · 2025Article
- Comparison of Insomnia, Depression, and Perceived Social Support among Individuals with Amphetamine Use Disorder (AUD) and Healthy Controls.Alpha psychiatry · 2025Article
- Theory of Mind, Attachment and Metacognitive Functions in Depression.Turk psikiyatri dergisi = Turkish journal of psychiatry · 2025Article
- DMN network and neurocognitive changes associated with dissociative symptoms in major depressive disorder: a research protocol.Frontiers in psychiatry · 2025Article
- Evaluation of Early Maladaptive Schemas and Adult Attachment Profiles in Patients Diagnosed with Major Depressive Disorder and Examination of Their Relationship with Disease Variables.Journal of clinical medicine · 2024Article
- Exploring the psychometric properties of the Persian Depression Anxiety Stress Scale for Youth (DASS-Y): factor structure and reliability in Iranian children and adolescents.Frontiers in psychology · 2024Article
- Eye movements and ERP biomarkers for face processing problems in avoidant attachment-style individuals.Frontiers in behavioral neuroscience · 2023Article
- Post-Traumatic Stress Disorder, Major Depressive Disorder, and Wildfires: A Fifth-Year Postdisaster Evaluation among Residents of Fort McMurray.International journal of environmental research and public health · 2022Article
- Alexithymia and Insecure Attachment among Male Intimate Partner Violence Aggressors in the Dominican Republic.Healthcare (Basel, Switzerland) · 2021Article
Corrections and comments
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Authors and funding
13 authors at 6 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveIndividuals with major depressive disorder (MDD) report more issues in social interaction compared to the general population. Moreover, dimensions of dissociation are considered dysfunctional strategies to cope with adverse life events. In this regard, current symptoms of MDD could be associated with traumatic events that occurred in childhood and in adult life. Given this background, the aim of the present study was to explore the associations between attachment styles as a proxy of quality of social interaction, dimensions of dissociation, and childhood and adult traumatic life events among individuals with MDD.
methodA total of 300 individuals with MDD (mean age: 31.31 years; 58.7% female) took part in this study. They completed a series of questionnaires on sociodemographic information, attachment styles, dimensions of dissociation, and childhood and adult traumatic life events.
resultsPrevalence rates for attachment styles were as follows: anxious/ambivalent attachment style-71.7%; avoidant/dependent attachment style-13%; secure/close attachment style-15.3%. Compared to the general population, the participants reported higher prevalence rates of insecure attachment styles. Current symptoms of dissociation were associated with adult but not childhood traumatic life events. An anxious attachment style was associated with higher scores of dissociation.
conclusionPsychotherapeutic treatment of individuals with MDD should consider the individuals' challenging attachment styles and their risk of dissociation. While it is important to consider both adult and childhood traumatic events, in this research, more recent trauma occurring in adulthood was associated with current symptoms of dissociation.
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