Correlates of self-rated attachment in cancer patients and their caregivers: a systematic review and meta-analysis
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Correlates of self-rated attachment in cancer patients and their caregivers : a systematic review and meta-analysis. / Nissen, Kathrine Grovn.
In: Psycho-Oncology, Vol. 25, 2016, p. 1017-1027.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Correlates of self-rated attachment in cancer patients and their caregivers
T2 - a systematic review and meta-analysis
AU - Nissen, Kathrine Grovn
PY - 2016
Y1 - 2016
N2 - Background: This study aimed to evaluate the association between an anxious/avoidant attachmentstyle and psychosocial variables in patients with cancer and their caregivers.Methods: PsycINFO, PubMed, Google Scholar, and SCOPUS were searched for empirical studiespublished in peer-reviewed journals between 1994 and 2015, and unpublished data from one cohortwere added. Meta-analyses synthesized results from studies investigating the correlates of attachmentstyles, measured with validated scales, among patients with cancer or their caregivers.Results: Thirteen studies (k = 13) were included in the quantitative synthesis (including unpublisheddata from one cohort). Anxious attachment was associated with depression (r = 0.29, CI 0.19–0.38,I2= 76%), anxiety (r = 0.34, CI 0.13–0.52, I2= 69%), and social support (r = 0.39, CI 0.55–0.21,I2= 87%). Avoidant attachment was associated with depressive symptoms (r = 0.20, CI 0.15–0.25,I2= 16%), anxiety (r = 0.13, CI 0.01–0.24, I2= 4%), and social support (r = 0.28, CI 0.42–0.14,I2= 75%).Conclusions: Patients with cancer and their caregivers showing high levels of insecure attachmentare at risk of experiencing higher levels of depressive symptoms, anxiety, and poor social support.Findings suggest that clinicians’ awareness of attachment styles may serve as important clinicalinsight to improve treatment outcomes. Large-scale studies and longitudinal studies are required toinvestigate distinct longitudinal pathways in cancer-related distress across different attachment styles
AB - Background: This study aimed to evaluate the association between an anxious/avoidant attachmentstyle and psychosocial variables in patients with cancer and their caregivers.Methods: PsycINFO, PubMed, Google Scholar, and SCOPUS were searched for empirical studiespublished in peer-reviewed journals between 1994 and 2015, and unpublished data from one cohortwere added. Meta-analyses synthesized results from studies investigating the correlates of attachmentstyles, measured with validated scales, among patients with cancer or their caregivers.Results: Thirteen studies (k = 13) were included in the quantitative synthesis (including unpublisheddata from one cohort). Anxious attachment was associated with depression (r = 0.29, CI 0.19–0.38,I2= 76%), anxiety (r = 0.34, CI 0.13–0.52, I2= 69%), and social support (r = 0.39, CI 0.55–0.21,I2= 87%). Avoidant attachment was associated with depressive symptoms (r = 0.20, CI 0.15–0.25,I2= 16%), anxiety (r = 0.13, CI 0.01–0.24, I2= 4%), and social support (r = 0.28, CI 0.42–0.14,I2= 75%).Conclusions: Patients with cancer and their caregivers showing high levels of insecure attachmentare at risk of experiencing higher levels of depressive symptoms, anxiety, and poor social support.Findings suggest that clinicians’ awareness of attachment styles may serve as important clinicalinsight to improve treatment outcomes. Large-scale studies and longitudinal studies are required toinvestigate distinct longitudinal pathways in cancer-related distress across different attachment styles
KW - Faculty of Social Sciences
U2 - 10.1002/pon.4057
DO - 10.1002/pon.4057
M3 - Journal article
C2 - 26763738
VL - 25
SP - 1017
EP - 1027
JO - Psycho-Oncology
JF - Psycho-Oncology
SN - 1057-9249
ER -
ID: 150784482