ArticleActa psychiatrica Scandinavica2022
Attachment insecurity partially mediates the relationship between childhood trauma and depression severity in bipolar disorder.
Article in Acta psychiatrica Scandinavica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed, 27 citations in OpenAlex.
- Potential Impact of Childhood Abuse on Quality of Life During Mood-Stabilising Treatment in Individuals Living With Bipolar Disorder.Bipolar disorders · 2026Trial
- Disorganized attachment and identity dissociation: FKBP5 CATT as a molecular moderator.Psychiatry research · 2026Article
- Exposure to physical intimate partner violence in childhood and borderline personality disorder traits: the mediating role of insecure attachment.Borderline personality disorder and emotion dysregulation · 2026Article
- Latent profiles of childhood trauma in bipolar disorder: associations with objective and subjective cognitive functioning and quality of life.Frontiers in psychology · 2026Article
- The role of parental attachment, cyberbullying victimization, and resilience in the effect of adverse childhood experiences on social anxiety among college students: a moderated chain mediation model.BMC public health · 2025Article
- The masking effects of self-efficacy and marital satisfaction on the association between childhood trauma and postpartum depressive symptoms: a cross-sectional study.Scientific reports · 2025Article
- Adverse childhood experiences, personality traits and internalising disorder among adolescents in Nigeria.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2025Article
- Underexplored Connections Between Diabetes, Hypomanic States and Insecure Attachment.Psychology research and behavior management · 2025Review
- Association of childhood trauma, social support, cognition, and suicidality in females with bipolar disorder.BMC psychiatry · 2024Article
- Prevalence and correlates of post-traumatic stress disorder and depression among welfare- and justice-involved adolescents in Nigeria.European journal of psychotraumatology · 2024Article
- Resilience and Attachment in Patients with Major Depressive Disorder and Bipolar Disorder.Journal of personalized medicine · 2023Article
- Investigating the feasibility and effectiveness of a modular treatment program for children and adolescents with depression and interpersonal problems: study protocol of a quasi-experimental pilot feasibility trial (CBASP@YoungAge).Pilot and feasibility studies · 2022Article
- Attachment insecurity partially mediates the relationship between childhood trauma and depression severity in bipolar disorder.Acta psychiatrica Scandinavica · 2022Article
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Authors and funding
14 authors at 4 institutions in 2 countries.
Funding
Abstract
backgroundChildhood 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.
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