Following recent literature, which stresses the importance of broadening the conceptualization of mental functioning in youth, this paper investigated the relations between indicators of attachment styles, internalizing symptoms, and separation anxiety in 379 non-referred Italian university students, as captured by the relationship questionnaire, the experiences in close relationships-revised, the Personality Assessment Inventory (PAI), and the adult separation anxiety-27. Psychometric properties of all measures were scrutinized and a confirmatory factor analysis was conducted to support the soundness of a one-factor model representing indicators of all PAI internalizing symptoms: Anxiety, Anxiety-related disorders, Depression, Somatization, and Suicidal ideation. Then, a multivariate analysis was performed in order to test a model of relation linking attachment styles, internalizing symptoms, and separation anxiety scores. Results supported the mediation role of Internalizing symptoms in the association between preoccupied attachment and separation anxiety scores. Preoccupied attachment towards the romantic partner, as compared to attachment towards family and friends, played a more relevant role in predicting internalizing symptoms and separation anxiety scores. Findings corroborate the combined use of the over-mentioned indicators as a screening battery for the dimensional assessment of the interplay among these variables in young adults. Implications and limitations of the study are presented and discussed.
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Achenbach, T. M., Dumenci, L., & Rescorla, L. A. (2003). Are American children’s problems still getting worse? A 23-year comparison. Journal of Abnormal Child Psychology, 31(1), 1–11.
Alloy, L. B., Abramson, L. Y., Whitehouse, W. G., Hogan, M. E., Panzarella, C., & Rose, D. T. (2006). Prospective incidence of first onsets and recurrences of depression in individuals at high and low cognitive risk for depression. Journal of Abnormal Psychology, 115(1), 145.
American Psychiatric Association (APA). (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing,. Edizione italiana: Manuale diagnostico e statistico dei disturbi mentali. Milano: Raffaello Cortina, 2014.
American Psychiatric Association (APA). (2014). Diagnostic and Statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association.
Arnett, J. J. (2006). Emerging adulthood in Europe: A response to Bynner. Journal of Youth Studies, 9(1), 111–123.
Arnett, J. J. (2007). Emerging adulthood: What is it, and what is it good for? Child Development Perspectives, 1(2), 68–73.
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(2), 226.
Bitsika, V., Sharpley, C. F., Aroutzidis, A. S., & Smith, D. (2011). The impact of students’ ‘internally’ versus ‘externally’ oriented coping strategies upon anxiety and depression: Implications for counselling processes. Asia Pacific Journal of Counselling and Psychotherapy, 2 (1), 71–81.
Bittner, A., Egger, H. L., Erkanli, A., Jane Costello, E., Foley, D. L., & Angold, A. (2007). What do childhood anxiety disorders predict? Journal of Child Psychology and Psychiatry, 48(12), 1174–1183.
Bögels, S. M., Knappe, S., & Clark, L. A. (2013). Adult separation anxiety disorder in DSM-5. Clinical Psychology Review, 33(5), 663–674.
Bonab, B. G., & Koohsar, A. A. H. (2011). Relation between quality of attachment and psychological symptoms in college students. Procedia-Social and Behavioral Sciences, 30, 197–201.
Busonera, A., San Martini, P., Zavattini, G. C., & Santona, A. (2014). Psychometric properties of an italian version of the experiences in close relationships-revised (ECR-R) scale. Psychological Reports, 114(3), 785–801.
Carli, L. (1995). Attaccamento E Rapporto Di Coppia. Milano: Cortina.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd edn.). New York: Academic Press.
Costello, E. J., Egger, H. L., & Angold, A. (2005). The developmental epidemiology of anxiety disorders: Phenomenology, prevalence, and comorbidity. Child and Adolescent Psychiatric Clinics, 14(4), 631–648.
Costello, E. J., Copeland, W., & Angold, A. (2011). Trends in psychopathology across the adolescent years: What changes when children become adolescents, and when adolescents become adults? Journal of Child Psychology and Psychiatry, 52(10), 1015–1025.
Dell’Osso, L., Carmassi, C., Corsi, M., Pergentini, I., Socci, C., Maremmani, A. G., & Perugi, G. (2011). Adult separation anxiety in patients with complicated grief versus healthy control subjects: Relationships with lifetime depressive and hypomanic symptoms. Annals of General Psychiatry, 10(1), 1.
Di Riso, D., Bobbio, A., Chessa, D., Lis, A., & Mazzeschi, C. (2014). Analysis of the interplay between depression, anxiety, and psychological resources in adolescence using self-report measures. International Journal of Psychiatry in Clinical Practice, 18(2), 103–111.
Djoric, J. Z., & Medjedovic, J. (2011). Romantic adult attachment and basic personality structure. Psihološka Obzorja, 20(4), 9–22.
Edens, J. F., & Ruiz, M. A. (2008). Identification of mental disorders in an in-patient prison psychiatric unit: Examining the criterion-related validity of the personality assessment inventory. Psychological Services, 5(2), 108.
EUROSTAT (2014), Information society statistics.
Evans, G. W., Kim, P., Ting, A. H., Tesher, H. B., & Shannis, D. (2007). Cumulative risk, maternal responsiveness, and allostatic load among young adolescents. Developmental Psychology, 43(2), 341.
Fraley, R. C., & Shaver, P. R. (2000). Adult romantic attachment: Theoretical developments, emerging controversies, and unanswered questions. Review of General Psychology, 4(2), 132.
Froiland, J. M. (2018). Promoting gratitude and positive feelings about learning among young adults. Journal of Adult Development, 25(4), 251–258.
Galambos, N. L., Barker, E. T., & Krahn, H. J. (2006). Depression, self-esteem, and anger in emerging adulthood: Seven-year trajectories. Developmental Psychology, 42(2), 350.
Hill, R. M., Castellanos, D., & Pettit, J. W. (2011). Suicide-related behaviors and anxiety in children and adolescents: A review. Clinical Psychology Review, 31(7), 1133–1144.
Jones, G. (2005). The thinking and behaviour of young adults (aged 16–25). Literature review for the social exclusion unit, London: SEU.
Keenan, K., Feng, X., Hipwell, A., & Klostermann, S. (2009). Depression begets depression: Comparing the predictive utility of depression and anxiety symptoms to later depression. Journal of Child Psychology and Psychiatry, 50(9), 1167–1175.
Kiecolt-Glaser, J. K., & Newton, T. L. (2001). Marriage and health: His and hers. Psychological Bulletin, 127(4), 472.
Lehnart, J., & Neyer, F. J. (2006). Should I stay or should I go? Attachment and personality in stable and instable romantic relationships. European Journal of Personality, 20(6), 475–495.
Lehnart, J., Neyer, F. J., & Eccles, J. (2010). Long-term effects of social investment: The case of partnering in young adulthood. Journal of Personality, 78(2), 639–670.
Lewinsohn, P. M., Rohde, P., Seeley, J. R., Klein, D. N., & Gotlib, I. H. (2003). Psychosocial functioning of young adults who have experienced and recovered from major depressive disorder during adolescence. Journal of Abnormal Psychology, 112(3), 353.
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.
Lizardi, D., Grunebaum, M. F., Burke, A., Stanley, B., Mann, J. J., Harkavy-Friedman, J., & Oquendo, M. (2011). The effect of social adjustment and attachment style on suicidal behaviour. Acta Psychiatrica Scandinavica, 124(4), 295–300.
Manicavasagar, V., & Silove, D. (1997). Is there an adult form of separation anxiety disorder? A brief clinical report. Australian and New Zealand Journal of Psychiatry, 31(2), 299–303.
Manicavasagar, V., Silove, D., Curtis, J., & Wagner, R. (2000). Continuities of separation anxiety from early life into adulthood. Journal of anxiety disorders, 14(1), 1–18.
Manicavasagar, V., Silove, D., Marnane, C., & Wagner, R. (2009). Adult attachment styles in panic disorder with and without comorbid adult separation anxiety disorder. Australian and New Zealand Journal of Psychiatry, 43, 167–172.
Manicavasagar, V., Silove, D., Wagner, R., & Drobny, J. (2003). A self-report questionnaire for measuring separation anxiety in adulthood. Comprehensive Psychiatry, 44, 146–153.
Markey, C. N., Markey, P. M., Ericksen, A. J., & Tinsley, B. J. (2006). Children’s behavioral patterns, the five-factor model of personality, and risk behaviors. Personality and Individual Differences, 41(8), 1503–1513. https://doi.org/10.1016/j.paid.2006.06.007.
Maybury, K. K. (2013). The influence of a positive psychology course on student well-being. Teaching of Psychology, 40(1), 62–65.
McNally, A. M., Palfai, T. P., Levine, R. V., & Moore, B. M. (2003). Attachment dimensions and drinking-related problems among young adults: The mediational role of coping motives. Addictive Behaviors, 28(6), 1115–1127.
Meyers, S. A., & Landsberger, S. A. (2002). Direct and indirect pathways between adult attachment style and marital satisfaction. Personal Relationships, 9(2), 159–172.
Mikulincer, M., & Shaver, P. R. (2007). Attachment in adulthood: Structure, dynamics, and change. New York: Guilford.
National Collaborating Centre for Mental Health (Great Britain). (2011). Common mental health disorders: Identification and pathways to care (No. 123). RCPsych Publications.
Negovan, V. (2010). Dimensions of students’ psychosocial well-being and their measurement: Validation of a students’ psychosocial well being inventory. Europe’s Journal of Psychology, 6(2), 85–104.
Nelson, L. J., & Barry, C. M. (2005). Distinguishing features of emerging adulthood the role of self-classification as an adult. Journal of Adolescent Research, 20(2), 242–262.
Neyer, F. J., & Asendorpf, J. B. (2001). Personality–relationship transaction in young adulthood. Journal of Personality and Social Psychology, 81(6), 1190.
Neyer, F. J., & Lehnart, J. (2007). Relationships matter in personality development: Evidence from an 8-year longitudinal study across young adulthood. Journal of Personality, 75(3), 535–568.
Pascuzzo, K., Cyr, C., & Moss, E. (2013). Longitudinal association between adolescent attachment, adult romantic attachment, and emotion regulation strategies. Attachment and Human Development, 15(1), 83–103.
Pini, S., Abelli, M., Shear, K. M., Cardini, A., Lari, L., Gesi, C., Pini, S., et al. (2010). Frequency and clinical correlates of adult separation anxiety in a sample of 508 outpatients with mood and anxiety disorders. Acta Psychiatrica Scandinavica, 122(1), 40–46.
Podsakoff, P. M., MacKenzie, S. B., Lee, J. Y., & Podsakoff, N. P. (2003). Common method biases in behavioral research: A critical review of the literature and recommended remedies. Journal of Applied Psychology, 88(5), 879.
Ponizovsky, A. M., Nechamkin, Y., & Rosca, P. (2007). Attachment patterns are associated with symptomatology and course of schizophrenia in male inpatients. American Journal of Orthopsychiatry, 77(2), 324–331.
Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40(3), 879–891. https://doi.org/10.3758/BRM.40.3.879.
Roberts, B. W., & Mroczek, D. (2008). Personality trait change in adulthood. Current Directions in Psychological Science, 17(1), 31–35.
Roberts, B. W., & Wood, D. (2006). Personality Development in the Context of the Neo-Socioanalytic Model of Personality. In D. K. Mroczek & T. D. Little (Eds.), Handbook of personality development (pp. 11–39). Mahwah: Lawrence Erlbaum Associates Publishers.
Roelofs, J., Meesters, C., ter Huurne, M., Bamelis, L., & Muris, P. (2006). On the links between attachment style, parental rearing behaviors, and internalizing and externalizing problems in non-clinical children. Journal of Child and Family Studies, 15(3), 319.
Schad, M. M., Szwedo, D. E., Antonishak, J., Hare, A., & Allen, J. P. (2008). The broader context of relational aggression in adolescent romantic relationships: Predictions from peer pressure and links to psychosocial functioning. Journal of Youth and Adolescence, 37(3), 346–358.
Scharfe, E., & Bartholomew, K. I. (1994). Reliability and stability of adult attachment patterns. Personal Relationships, 1(1), 23–43.
Schermelleh-Engel, K., Moosbrugger, H., & Müller, H. (2003). Evaluating the fit of structural equation models: Tests of significance and descriptive goodness-of-fit measures. Methods of Psychological Research Online, 8(2), 23–74.
Schulenberg, J., & Schoon, I. (2012). The transition to adulthood across time and space: Overview of special section. Longitudinal and Life Course Studies, 3(2), 164.
Schulenberg, J. E., Bryant, A. L., & O’Malley, P. M. (2004). Taking hold of some kind of life: How developmental tasks relate to trajectories of well-being during the transition to adulthood. Development and Psychopathology, 16(04), 1119–1140.
Seligman, L. D., & Wuyek, L. A. (2007). Correlates of separation anxiety symptoms among first-semester college students: An exploratory study. The Journal of Psychology, 141(2), 135–145.
Settersten, R. A. Jr., & Ray, B. (2010). What’s going on with young people today? The long and twisting path to adulthood. The Future of Children, 20(1), 19–41.
Shear, K., Jin, R., Ruscio, A. M., Walters, E. E., & Kessler, R. C. (2006). Prevalence and correlates of estimated DSM-IV child and adult separation anxiety disorder in the National Comorbidity Survey Replication. Am J Psychiatry, 163(6), 1074–1083. https://doi.org/10.1176/appi.ajp.163.6.1074.
Sibley, C. G., Fischer, R., & Liu, J. H. (2005). Reliability and validity of the revised experiences in close relationships (ECR-R) self-report measure of adult romantic attachment. Personality and Social Psychology Bulletin, 31(11), 1524–1536.
Silove, D., Manicavasagar, V., O’connell, D., Blaszczynski, A., Wagner, R., & Henry, J. (1993). The development of the separation anxiety symptom inventory (SASI). Australian and New Zealand Journal of Psychiatry, 27(3), 477–488.
Silove, D., Slade, T., Marnane, C., Wagner, R., Brooks, R., & Manicavasagar, V. (2007). Separation anxiety in adulthood: Dimensional or categorical? Comprehensive Psychiatry, 48, 546–553.
Silove, D. M., Marnane, C. L., Wagner, R., Manicavasagar, V. L., & Rees, S. (2010). The prevalence and correlates of adult separation anxiety disorder in an anxiety clinic. BMC Psychiatry, 10(1), 21.
Skodol, A. E., Bender, D. S., Morey, L. C., Clark, L. A., Oldham, J. M., Alarcon, R. D., Krueger, R. F., et al. (2011). Personality disorder types proposed for DSM-5. Journal of Personality Disorders, 25(2), 136.
Sroufe, L. A., & Waters, E. (1977). Attachment as an organizational construct. Child Development, 1184–1199.
Team, R. C. (2015). R: A language and environment for statistical computing. Vienna, Austria; 2015.
Trudeau, L., Spoth, R., Randall, G. K., Mason, W. A., & Shin, C. (2012). Internalizing symptoms: Effects of a preventive intervention on developmental pathways from early adolescence to young adulthood. Journal of Youth and Adolescence, 41(6), 788–801.
Van Voorhees, E. E., Dennis, P. A., Elbogen, E. B., Clancy, C. P., Hertzberg, M. A., Beckham, J. C., & Calhoun, P. S. (2014). Personality assessment inventory internalizing and externalizing structure in veterans with posttraumatic stress disorder: Associations with aggression. Aggressive Behavior, 40(6), 582–592. https://doi.org/10.1002/ab.21554.
Verona, E., Sachs-Ericsson, N., & Joiner, T. E. Jr. (2004). Suicide attempts associated with externalizing psychopathology in an epidemiological sample. American Journal of Psychiatry, 161(3), 444–451.
Yamawaki, N., Nelson, J. A. P., & Omori, M. (2011). Self-esteem and life satisfaction as mediators between parental bonding and psychological well-being in Japanese young adults. International Journal of Psychology and Counselling, 3(1), 1–8.
Zennaro, A., Di Nuovo, S., Lis, A., Mazzeschi, C., & Fulcheri, M. (2015). PAI—Personality assessment. Manuale. Firenze: Hogrefe Editore.
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Mabilia, D., Di Riso, D., Lis, A. et al. A Prediction Model for Separation Anxiety: The Role of Attachment Styles and Internalizing Symptoms in Italian Young Adults. J Adult Dev 26, 286–294 (2019). https://doi.org/10.1007/s10804-019-09327-y
- Young adulthood
- Internalizing symptoms
- Attachment style
- Separation anxiety
- Personality Assessment Inventory