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Unhappy us, unhappy me, unhappy life: The role of self-esteem in the relation between adult attachment styles and mental health

  • Wei-Wen ChenEmail author
  • Gao Xu
  • Ziying Wang
  • Miranda Chi Kuan Mak
Article
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Abstract

With increasing recognition of and concern about mental health problems in Chinese young adults, the factors that contribute to mental health in Chinese young adults are receiving growing attention. Prior research has documented that adult attachment styles may be a risk factor for depression and anxiety in Western societies. However, little is known about the relation between adult attachment and mental health problems in China. In addition, research on the underlying mechanism between adult attachment and mental health problems is limited. The present study aimed to examine (1) the relation between adult attachment and young adults’ mental health problems in China and (2) the mediating effect of self-esteem in the relation between adult attachment and young adults’ mental health problems in China. The study was based on a sample of 305 urban Chinese students who completed a questionnaire about their attachment styles, self-esteem, and general mental health. Structural equation modeling was used to test our hypotheses. The results showed that (1) Both anxious and avoidant attachment linked to mental health problems in China through the partial mediating effect of self-esteem; (2) Anxious adult attachment also directly and positively associated with mental health problems, and (3) Avoidant adult attachment directly and negatively associated with mental health problems. The findings are interpreted on the basis of Chinese cultural features.

Keywords

Adult attachment self-esteem Mental health problems Chinese 

Notes

Funding

This research was funded by University of Macau (MYRG2016–00047-FED).

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Compliance with Ethical Standards

The authors declare that they have no conflict of interest.

References

  1. Armsden, G. C., & Greenberg, M. T. (1987). The inventory of parent and peer attachment: Individual differences and their relationship to psychological well-being in adolescence. Journal of Youth and Adolescence, 16(5), 427–454.PubMedCrossRefPubMedCentralGoogle Scholar
  2. Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.PubMedCrossRefPubMedCentralGoogle Scholar
  3. Bartholomew, K., & Horowitz, L. M. (1991). Attachment styles among young adults: A test of a four-category model. Journal of Personality and Social Psychology, 61, 226–244.PubMedCrossRefGoogle Scholar
  4. Bentler, P. M. (1990). Comparative fit indexes in structural models. Psychological Bulletin, 107, 238–246.PubMedCrossRefGoogle Scholar
  5. Bentler, P. M., & Bonett, D. G. (1980). Significance tests and goodness of fit in the analysis of covariance structures. Psychological Bulletin, 88, 588–606.CrossRefGoogle Scholar
  6. Birren, J. E., Cohen, G. D., Sloane, R. B., Lebowitz, B. D., Deutchman, D. E., Wykle, M., & Hooyman, N. R. (Eds.). (2013). Handbook of mental health and aging (2nd ed.). United States of America: Academic Press.Google Scholar
  7. Bowlby, J. (1969). Attachment and loss. In Attachment and Loss: Volume I: Attachment. London: The Hogarth Press and the Institute of Psycho–Analysis.Google Scholar
  8. Brennan, K. A., Clark, C. L., & Shaver, P. R. (1998). Self-report measurement of adult attachment: An integrative overview. In J. A. Simpson & W. S. Rholes (Eds.), Attachment theory and close relationships (pp. 46–76). New York: Guilford Press.Google Scholar
  9. Browne, M. W., & Cudeck, R. (1993). Alternative ways of assessing model fit. Sage Focus Editions, 154, 136–136.Google Scholar
  10. Burns, R. B. (1982). Self-concept development and education. Michigan: Holt, Rinehart and Winston Press.Google Scholar
  11. Cantazaro, A., & Wei, M. (2010). Adult attachment, dependence, self-criticism, and depressive symptoms: A test of a mediational model. Journal of Personality, 78(4), 1135–1162.PubMedGoogle Scholar
  12. Coopersmith, S. (1959). A method for determining types of self-esteem. The Journal of Abnormal and Social Psychology, 59(1), 87.CrossRefGoogle Scholar
  13. Dan, O., Bar Ilan, O., & Kurman, J. (2014). Attachment, self-esteem and test anxiety in adolescence and early adulthood. Educational Psychology, 34(6), 659–673.CrossRefGoogle Scholar
  14. Davis, J. A. (1985). The logic of causal order. Thousand Oaks, CA: Sage Press.Google Scholar
  15. Deković, M. (1999). Risk and protective factors in the development of problem behavior during adolescence. Journal of Youth and Adolescence, 28(6), 667–685.CrossRefGoogle Scholar
  16. Doinita, N. E. (2015). Adult Attachment, self-esteem and emotional intelligence. Procedia - Social and Behavioral Sciences, 187, 570–574.CrossRefGoogle Scholar
  17. Ein-Dor, T., Doron, G., Solomon, Z., Mikulincer, M., & Shaver, P. R. (2010). Together in pain: Attachment-related dyadic processes and posttraumatic stress disorder. Journal of Counseling Psychology, 57(3), 317–327.PubMedCrossRefGoogle Scholar
  18. Epstein, S. (1973). The self-concept revisited: Or a theory of a theory. American Psychologist, 28(5), 404–414.PubMedCrossRefGoogle Scholar
  19. Foster, J. D., Kernis, M. H., & Goldman, B. M. (2007). Linking adult attachment to self-esteem stability. Self and Identity, 6(1), 64–73.CrossRefGoogle Scholar
  20. Goldberg, D. (1978). Manual of the general health questionnaire. UK: NFER Nelson Press.Google Scholar
  21. Goodwin, R. (2013). Personal relationships across cultures. London: Routledge.CrossRefGoogle Scholar
  22. Hakulinen, C., Elovainio, M., Pulkki-Råback, L., Virtanen, M., Kivimäki, M., & Jokela, M. (2015). Personality and depressive symptoms: Individual participant meta-analysis of 10 cohort studies. Depression and Anxiety, 32(7), 461–470.PubMedPubMedCentralCrossRefGoogle Scholar
  23. Hankin, B. L., Kassel, J. D., & Abela, J. R. (2005). Adult attachment dimensions and specificity of emotional distress symptoms: Prospective investigations of cognitive risk and interpersonal stress generation as mediating mechanisms. Personality and Social Psychology Bulletin, 31(1), 136–151.PubMedCrossRefPubMedCentralGoogle Scholar
  24. Hayes, A. F., & Preacher, K. J. (2010). Quantifying and testing indirect effects in simple mediation models when the constituent paths are nonlinear. Multivariate Behavioral Research, 45, 627–660.PubMedCrossRefGoogle Scholar
  25. Hazan, C., & Shaver, P. (1987). Romantic love conceptualized as an attachment process. Journal of Personality and Social Psychology, 52(3), 511–524.PubMedCrossRefGoogle Scholar
  26. Hepper, E. G., & Carnelley, K. B. (2012). The self-esteem roller coaster: Adult attachment moderates the impact of daily feedback. Personal Relationships, 19(3), 504–520.CrossRefGoogle Scholar
  27. Jones, P. B. (2013). Adult mental health disorders and their age at onset. British Journal of Psychiatry, 202(s54), s5–s10.CrossRefGoogle Scholar
  28. Kelloway, E. K. (1998). Using LISREL for structural equation modeling: A researcher’s guide. London: Sage Press.Google Scholar
  29. Kenny, M. E., Lomax, R., Brabeck, M., & Fife, J. (1998). Longitudinal pathways linking adolescent reports of maternal and paternal attachments to psychological well-being. Journal of Early Adolescence, 18(3), 221–243.CrossRefGoogle Scholar
  30. Kline, R. B. (2005). Principles and practice of structural equation modeling (2nd ed.). New York: Guilford Press.Google Scholar
  31. Kong, F., & You, X. (2011). Loneliness and self-esteem as mediators between social support and life satisfaction in late adolescence. Social Indicators Research, 110(1), 271–279.CrossRefGoogle Scholar
  32. Lee, A., & Hankin, B. L. (2009). Insecure attachment, dysfunctional attitudes, and low self-esteem predicting prospective symptoms of depression and anxiety during adolescence. Journal of Clinical Child & Adolescent Psychology, 38(2), 219–231.CrossRefGoogle Scholar
  33. Li, X., & Zheng, X. (2014). Adult attachment orientations and subjective well-being: Emotional intelligence and self-esteem as moderators. Social Behavior and Personality: An International Journal, 42(8), 1257–1265.CrossRefGoogle Scholar
  34. Little, T. D., Cunningham, W. A., Shahar, G., & Widaman, K. F. (2002). To parcel or not to parcel: Exploring the question, weighing the merits. Structural Equation Modeling, 9(2), 151–173.CrossRefGoogle Scholar
  35. Lopez, F. G., & Gormley, B. (2002). Stability and change in adult attachment style over the first-year college transition: Relations to self-confidence, coping, and distress patterns. Journal of Counseling Psychology, 49(3), 355–364.CrossRefGoogle Scholar
  36. Mak, M. C. K., Bond, M. H., Simpson, J. A., & Rholes, W. S. (2010). Adult attachment, perceived support, and depressive symptoms in Chinese and American cultures. Journal of Social and Clinical Psychology, 29(2), 144–165.CrossRefGoogle Scholar
  37. Mann, M. M., Hosman, C. M., Schaalma, H. P., & de Vries, N. K. (2004). Self-esteem in a broad-spectrum approach for mental health promotion. Health Education Research, 19(4), 357–372.PubMedCrossRefPubMedCentralGoogle Scholar
  38. Marganska, A., Gallagher, M., & Miranda, R. (2013). Adult attachment, emotion dysregulation, and symptoms of depression and generalized anxiety disorder. American Journal of Orthopsychiatry, 83(1), 131–141.PubMedCrossRefPubMedCentralGoogle Scholar
  39. McCormick, C. B., & Kennedy, J. H. (1994). Parent-child attachment working models and self-esteem in adolescence. Journal of Youth and Adolescence, 23(1), 1–18.CrossRefGoogle Scholar
  40. McKinley, N. M., & Randa, L. A. (2005). Adult attachment and body satisfaction: An exploration of general and specific relationship differences. Body Image, 2(3), 209–218.PubMedCrossRefGoogle Scholar
  41. Merlo, L. J., & Lakey, B. (2007). Trait and social influences in the links among adolescent attachment, depressive symptoms, and coping. Journal of Clinical Child and Adolescent Psychology, 36(2), 195–206.PubMedCrossRefGoogle Scholar
  42. Mickelson, K. D., Kessler, R. C., & Shaver, P. R. (1997). Adult attachment in a nationally representative sample. Journal of Personality and Social Psychology, 73(5), 1092–1106.PubMedCrossRefGoogle Scholar
  43. Mikulincer, M. (1995). Attachment style and the mental representation of the self. Journal of Personality and Social Psychology, 69(6), 1203–1215.CrossRefGoogle Scholar
  44. Mikulincer, M., & Florian, V. (1998). The relationship between adult attachment styles and emotional and cognitive reactions to stressful events. In S. Jeffry & R. W. Steven (Eds.), Attachment theory and close relationships (pp. 143–165). New York: Guilford Press.Google Scholar
  45. Mikulincer, M., & Shaver, P. R. (2007). Boosting attachment security to promote mental health, prosocial values, and inter-group tolerance. Psychological Inquiry, 18(3), 139–156.CrossRefGoogle Scholar
  46. Mikulincer, M., & Shaver, P. R. (2010). Attachment in adulthood: Structure, dynamics, and change. New York: Guilford Press.Google Scholar
  47. Mikulincer, M., Shaver, P. R., & Berant, E. (2013). An attachment perspective on therapeutic processes and outcomes. Journal of Personality, 81(6), 606–616.Google Scholar
  48. Mikulincer, M., Horesh, N., Eilati, I., & Kotler, M. (1999). The association between adult attachment style and mental health in extreme life-endangering conditions. Personality and Individual Differences, 27(5), 831–842.CrossRefGoogle Scholar
  49. Monti, J. D., & Rudolph, K. D. (2014). Emotional awareness as a pathway linking adult attachment to subsequent depression. Journal of Counseling Psychology, 61(3), 374–382.PubMedPubMedCentralCrossRefGoogle Scholar
  50. National Collaborating Centre for Mental Health (Great Britain), & Royal College of Psychiatrists. (2011). Common mental health disorders: identification and pathways to care (No. 123). RCPsych Publications. Google Scholar
  51. Nielsen, S. K. K., Lønfeldt, N., Wolitzky-Taylor, K. B., Hageman, I., Vangkilde, S., & Daniel, S. I. F. (2017). Adult attachment style and anxiety–the mediating role of emotion regulation. Journal of Affective Disorders, 218, 253–259.PubMedCrossRefGoogle Scholar
  52. Noom, M. J., Deković, M., & Meeus, W. H. (1999). Autonomy, attachment and psychosocial adjustment during adolescence: A double-edged sword? Journal of Adolescence, 22(6), 771–783.PubMedCrossRefGoogle Scholar
  53. Orth, U., & Robins, R. W. (2014). The development of self-esteem. Current Directions in Psychological Science, 23(5), 381–387.CrossRefGoogle Scholar
  54. Pascuzzo, K., Cyr, C., & Moss, E. (2013). Longitudinal association between adolescent attachment, adult romantic attachment, and emotion regulation strategies. Attachment & Human Development, 15(1), 83–103.CrossRefGoogle Scholar
  55. Paterson, J., Pryor, J., & Field, J. (1995). Adolescent attachment to parents and friends in relation to aspects of self-esteem. Journal of Youth and Adolescence, 24(3), 365–376.CrossRefGoogle Scholar
  56. Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, 36, 717–731.Google Scholar
  57. Rholes, W. S., Simpson, J. A., Kohn, J. L., Wilson, C. L., Martin, A. M., Tran, S., & Kashy, D. A. (2011). Attachment orientations and depression: A longitudinal study of new parents. Journal of Personality and Social Psychology, 100(4), 567–586.PubMedCrossRefGoogle Scholar
  58. Rosenberg, M. (1965). Society and the adolescent self-image. USA: Princeton University Press.Google Scholar
  59. Shaver, P. R., & Hazan, C. (1993). Adult romantic attachment: Theory and evidence. Advances in Personal Relationships, 4, 29–70.Google Scholar
  60. Shaver, P. R., Schachner, D. A., & Mikulincer, M. (2005). Attachment style, excessive reassurance seeking, relationship processes, and depression. Personality and Social Psychology Bulletin, 31(3), 343–359.PubMedCrossRefPubMedCentralGoogle Scholar
  61. Shorey, H. S., Snyder, C. R., Yang, X., & Lewin, M. R. (2003). The role of hope as a mediator in recollected parenting, adult attachment, and mental health. Journal of Social and Clinical Psychology, 22(6), 685–715.CrossRefGoogle Scholar
  62. Sivertsen, B., Harvey, A. G., Pallesen, S., & Hysing, M. (2015). Mental health problems in adolescents with delayed sleep phase: Results from a large population-based study in Norway. Journal of Sleep Research, 24(1), 11–18.PubMedCrossRefPubMedCentralGoogle Scholar
  63. Sowislo, J. F., & Orth, U. (2013). Does low self-esteem predict depression and anxiety? A meta-analysis of longitudinal studies. Psychological Bulletin, 139(1), 213–240.PubMedCrossRefPubMedCentralGoogle Scholar
  64. Srivastava, S., & Beer, J. S. (2005). How self-evaluations relate to being liked by others: Integrating sociometer and attachment perspectives. Journal of Personality and Social Psychology, 89(6), 966–977.PubMedCrossRefPubMedCentralGoogle Scholar
  65. Sussman, S., Dent, C. W., Stacy, A. W., Burton, D., & Flay, B. R. (1995). Psychosocial predictors of health risk factors in adolescents. Journal of Pediatric Psychology, 20(1), 91–108.PubMedCrossRefPubMedCentralGoogle Scholar
  66. Tonggui, L., & Kazuo, K. (2006). Measuring adult attachment: Chinese adaptation of the ECR scale [J]. Acta Psychologica Sinica, 3, 011.Google Scholar
  67. Wang, C. C. D., & Mallinckrodt, B. S. (2006). Differences between Taiwanese and US cultural beliefs about ideal adult attachment. Journal of Counseling Psychology, 53(2), 192–204.CrossRefGoogle Scholar
  68. Wei, M., Mallinckrodt, B., Russell, D. W., & Abraham, W. T. (2004). Maladaptive perfectionism as a mediator and moderator between adult attachment and depressive mood. Journal of Counseling Psychology, 51(2), 201–212.CrossRefGoogle Scholar
  69. Wu, C. H. (2009). The relationship between attachment style and self-concept clarity: The mediation effect of self-esteem. Personality and Individual Differences, 47(1), 42–46.CrossRefGoogle Scholar
  70. Zeifman, D., & Hazan, C. (2008). Pair bonds as attachments: Reevaluating the evidence. In J. Cassidy & P. R. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical applications (p. 436–455). The Guilford Press.Google Scholar
  71. Zhang, J., Wieczorek, W., Conwell, Y., Tu, X. M., Wu, B. W., Xiao, S., & Jia, C. (2010). Characteristics of young rural Chinese suicides: A psychological autopsy study. Psychological Medicine, 40(4), 581–589.PubMedCrossRefPubMedCentralGoogle Scholar
  72. Zhang, H., Chan, D. K., & Teng, F. (2011). Transfer of attachment functions and adjustment among young adults in China. The Journal of Social Psychology, 151(3), 257–273.PubMedCrossRefPubMedCentralGoogle Scholar
  73. Zhao, J., Kong, F., & Wang, Y. (2012). Self-esteem and humor style as mediators of the effects of shyness on loneliness among Chinese college students. Personality and Individual Differences, 52(6), 686–690.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2020

Authors and Affiliations

  • Wei-Wen Chen
    • 1
    Email author
  • Gao Xu
    • 1
  • Ziying Wang
    • 1
  • Miranda Chi Kuan Mak
    • 1
  1. 1.University of MacauAvenida da UniversidadeTaipaChina

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