Evidence map›Paper›PMID 36681306›Full record

ArticleJournal of affective disorders2023

Avoidant attachment transmission to offspring in families with a depressed parent.

Robert A Tumasian, Hanga C Galfalvy, Meghan R Enslow, David A Brent, Nadine Melhem, Ainsley K Burke, J John Mann, Michael F Grunebaum

Open access · greenAbstract read
In one paragraph

Article in Journal of affective disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.7field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Robert A TumasianDepartment of Biostatistics, Columbia University, New York, NY, United States of America.
Hanga C GalfalvyDepartment of Biostatistics, Columbia University, New York, NY, United States of America; Department of Psychiatry, Columbia University, New York, NY, United States of America; New York State Psychiatric Institute, New York, NY, United States of America.
Meghan R EnslowDepartment of Psychiatry, Columbia University, New York, NY, United States of America; New York State Psychiatric Institute, New York, NY, United States of America.
David A BrentDepartment of Psychiatry, UPMC Western Psychiatric Hospital, University of Pittsburgh Medical Center, Pittsburgh, PA, United States of America.
Nadine MelhemDepartment of Psychiatry, UPMC Western Psychiatric Hospital, University of Pittsburgh Medical Center, Pittsburgh, PA, United States of America.
Ainsley K BurkeDepartment of Psychiatry, Columbia University, New York, NY, United States of America; New York State Psychiatric Institute, New York, NY, United States of America.
J John MannDepartment of Psychiatry, Columbia University, New York, NY, United States of America; New York State Psychiatric Institute, New York, NY, United States of America.
Michael F GrunebaumDepartment of Psychiatry, Columbia University, New York, NY, United States of America; New York State Psychiatric Institute, New York, NY, United States of America. Electronic address: michael.grunebaum@nyspi.columbia.edu.
Columbia University · USNew York State Psychiatric InstituteUniversity of Pittsburgh Medical Center · USNew York Psychoanalytic Society and Institute · US

Funding

Familial Pathways to Early-Onset Suicide AttemptsR01MH056612 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BRENT, DAVID A. · 2002 to 2013
$5.4M
Familial Pathways to Early-OnSet Suicide AttemptsR01MH056390 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI MANN, JOSEPH JOHN · 2002 to 2013
$4.5M
1/2 Inflammation and Stress Response in Familial and Nonfamilial Youth Suicidal BehaviorR01MH108039 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Nadine M. Melhem · 2015 to 2026
$3.2M
FAMILIAL PATHWAYS TO EARLY ONSET SUICIDE ATTEMPTSR10MH056390 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE · PI MANN, JOSEPH J · 1997 to 2001
$1.1M
FAMILIAL PATHWAYS TO EARLY-ONSET SUICIDE ATTEMPTSR10MH056612 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BRENT, DAVID A. · 1997 to 2001
$824k
NIMH NIH HHS R01 MH056390NIMH NIH HHS R01 MH056612NIMH NIH HHS R01 MH108039NIMH NIH HHS R10 MH056390NIMH NIH HHS R10 MH056612
6 · The paper itself

Abstract

backgroundInsecure attachment is associated with mental health morbidity. We explored associations between parent and offspring attachment style in a longitudinal study of families with a depressed parent.

methodsParents (N = 169) with a DSM-IV mood disorder and their adult offspring (N = 267), completed the Adult Attachment Questionnaire at one or more time points during up to 9.7 years of follow-up. Linear mixed effects models explored associations between parent and offspring anxious and avoidant attachment scores. Residualized models accounted for parent and offspring depression severity.

resultsAvoidant attachment scores were associated between parents and offspring with (p = .034) and without (p = .012) adjustment for baseline age and sex of parent and offspring. Depressed father-offspring relationships showed more avoidant attachment in offspring compared to depressed mother-offspring pairs (p = .010). After accounting for depression severity, parent average residualized avoidant attachment scores did not significantly correlate with those of offspring (unadjusted p = .052; adjusted p = .085), though the effect sizes did not change substantially, and 75 % of the correlation was retained. Parent-son relationships exhibited stronger avoidant attachment correlations compared to parent-daughter pairs (p = .048). LIMITATIONS: Small sub-sample of fathers, parent and offspring assessments not always completed at the same time, and use of a self-report attachment style instrument.

conclusionsFamilial transmission of insecure avoidant attachment, a risk factor for negative mental health outcomes, merits research as a potential treatment target. In this preliminary study, its transmission to offspring seemed mostly independent of depression. Depressed fathers and their sons may deserve focus to reduce insecure avoidant attachment and improve clinical course.

Indexed as

Mood DisordersParentsAdultFather-Child RelationsHumansLongitudinal StudiesMental HealthObject AttachmentAttachmentDepressionFamilial transmissionMajor depressive disorder

Identifiers

PMID36681306
PMCPMC9911374
OpenAlexW4317467796

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.