Abstract
The current cross-sectional study examined whether body-mass index (BMI) and waist-hip ratio are associated with adult attachment. Participants were 1,570 men and women participating in Cardiovascular Risk in Young Finns study. BMI was measured in youth and in adulthood and waist-hip ratio in adulthood. A single measure of attachment style was conducted when participants were aged 24–39 years. In age and sex adjusted models, youth BMI (Beta = .066, p = .008), adulthood BMI (Beta = .069, p = .007) and waist-hip ratio (Beta = .082, p = .016) were associated with fearful attachment. The associations remained significant when education and relationship status were adjusted for. Age adjusted association between adulthood waist-hip ratio and preoccupied attachment was found in men (Beta = .132, p = .002). The association was not essentially changed by additionally adjusting for education and relationship status, and including fearful attachment in the model. Furthermore, associations for attachment dimensions were also found. These results suggest that in addition to previously reported negative effects of higher BMI on physical health, higher BMI might have negative associations with psychological functioning as well. Furthermore, our results imply that physical appearance might be associated with attachment style in adulthood.
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Åkerblom, H. K., Uhari, M., Pesonen, E., Dahl, M., Kaprio, E. A., Nuutinen, E. M., et al. (1991). Cardiovascular risk in young Finns. Annals of Medicine, 23, 35–39.
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.
Berghöfer, A., Pischon, T., Reinhold, T., Apovian, C. M., Sharma, A. M., & Willich, S. N. (2008). Obesity prevalence from a European perspective: a systematic review. BMC Public Health, 8, 200.
Bowlby, J. (1971). Attachment and loss, volume 1: Attachment. Harmondsworth: Penguin Books.
Bowlby, J. (1975). Attachment and loss, volume ii: Separation: Anxiety and anger. Harmondsworth: Penguin Books.
Campbell, L., Simpson, J. A., Boldry, J., & Kashy, D. A. (2005). Perceptions of conflict and support in romantic relationships: the role of attachment anxiety. Journal of Personality and Social Psychology, 88, 510–531.
Carr, D., & Friedman, M. A. (2005). Is obesity stigmatizing? Body weight, perceived discrimination, and psychological well-being in the United States. Journal of Health and Social Behavior, 46, 244–259.
Cozzarelli, C., Karafa, J. A., & Collins, N. L. (2003). Stability and change in adult attachment styles: associations with personal vulnerabilities, life events, and global construals of self and others. Journal of Social and Clinical Psychology, 22, 315–346.
Daniel, S. I. F. (2006). Adult attachment patterns and individual psychotherapy: a review. Clinical Psychology Review, 26, 968–984.
Davila, J., Burge, D., & Hammen, C. (1997). Why does attachment style change? Journal of Personality and Social Psychology, 73, 826–838.
Davison, K. K., & Birch, L. L. (2002). Processes linking weight status and self-concept among girls from ages 5 to 7 years. Developmental Psychology, 38, 735–748.
Faith, M. S., Flint, J., Fairburn, C. G., Goodwin, G. M., & Allison, D. B. (2001). Gender differences in the relationship between personality dimensions and relative body weight. Obesity Research, 9, 647–650.
Fraley, R. C. (2002). Attachment stability from infancy to adulthood: meta-analysis and dynamic modeling of developmental mechanisms. Personality and Social Psychology Review, 6, 123–151.
Franz, C. E., Grant, M. D., Jacobson, K. C., Kremen, W. S., Eisen, S. A., Xian, H., et al. (2007). Genetics of body mass stability and risk for chronic disease: a 28-year longitudinal study. Twin Research and Human Genetics, 10, 537–545.
Goodman, E., & Whitaker, R. C. (2002). A prospective study of the role of depression in the development and persistence of adolescent obesity. Pediatrics, 110, 497–504.
Griffin, D., & Bartholomew, K. (1994). Models of the self and other: fundamental dimensions underlying measures of adult attachment. Journal of Personality and Social Psychology, 67, 430–445.
Haukkala, A., & Uutela, A. (2000). Cynical hostility, depression, and obesity: the moderating role of education and gender. International Journal of Eating Disorders, 27, 106–109.
Hazan, C., & Shaver, P. (1987). Romantic love conceptualized as an attachment process. Journal of Personality and Social Psychology, 52, 511–524.
Hesketh, K., Wake, M., & Waters, E. (2004). Body mass index and parent-reported self-esteem in elementary school children: evidence for a causal relationship. International Journal of Obesity, 28, 1233–1237.
Hintsanen, M., Pulkki-Råback, L., Juonala, M., Viikari, J., Raitakari, M., & Keltikangas-Järvinen, L. (2009). Cloninger’s temperament traits and preclinical atherosclerosis: the cardiovascular risk in young Finns study. Journal of Psychosomatic Research, 67, 77–84.
Juonala, M., Viikari, J. S. A., Hutri-Kähönen, N., Pietikäinen, M., Jokinen, E., Taittonen, L., et al. (2004). The 21-year follow-up of the cardiovascular risk in young Finns study: risk factor levels, secular trends and east–west difference. Journal of Internal Medicine, 255, 457–468.
Kaati, G., Vester, M., Sjöström, M., & Bygren, L. O. (2001). Patients attachment patterns and response to a program for alleviating cardiovascular risk factors: a 1-year follow-up of patients in a patient education program. Patient Education and Counseling, 44, 235–241.
Kassel, J. D., Wardle, M., & Roberts, J. E. (2007). Adult attachment security and college student substance use. Addictive Behaviours, 32, 1164–1176.
Kenny, M. E., Griffiths, J., & Grossman, J. (2005). Self-image and parental attachment among late adolescents in Belize. Journal of Adolescence, 28, 649–664.
King, E. B., Shapiro, J. R., Hebl, M. R., Singletary, S. L., & Turner, S. (2006). The stigma of obesity in customer service: a mechanism for remediation and bottom-line consequences of interpersonal discrimination. Journal of Applied Psychology, 91, 579–593.
Leary, M. R., & Baumeister, R. F. (2000). The nature and function of self-esteem: Sociometer theory. In M. P. Zanna (Ed.), Advances in experimental social psychology (Vol. 32, pp. 1–62). San Diego: Academic.
Maudner, R. G., Lancee, W. J., Nolan, R. P., Hunter, J. J., & Tannenbaum, D. W. (2006). The relationship of attachment insecurity to subjective stress and autonomic function during standardized acute stress in healthy adults. Journal of Psychosomatic Research, 60, 283–290.
Meredith, P., Ownsworth, T., & Strong, J. (2008). A review of the evidence linking adult attachment theory and chronic pain: presenting a conceptual model. Clinical Psychology Review, 28, 407–429.
Miller, C. T., Rothblum, E. D., Barbour, L., Brand, P. A., & Felicio, D. (1990). Social interactions of obese and nonobese women. Journal of Personality, 58, 365–380.
Murphy, B., & Bates, G. W. (1997). Adult attachment style and vulnerability to depression. Personality and Individual Differences, 22, 835–844.
National Task Force on the Prevention and Treatment of Obesity. (2000). Overweight, obesity, and health risk. National Task Force on the prevention and treatment of obesity. Archives of internal medicine, 160, 898–904.
Ng, D. M., & Jeffery, R. W. (2003). Relationships between perceived stress and health behaviors in a sample of working adults. Health Psychology, 22, 638–642.
O’Dea, J. A. (2006). Self-concept, self-esteem and body weight in adolescent females: a three-year longitudinal study. Journal of Health Psychology, 11, 599–611.
O’Koon, J. (1997). Attachment to parents and peers in late adolescence and their relationship with self-image. Adolescence, 32, 471–482.
Raitakari, O. T., Juonala, M., Kähonen, M., Taittonen, L., Laitinen, T., Mäki-Torkko, N., et al. (2003). Cardiovascular risk factors in childhood and carotid artery intima-media thickness in adulthood: the cardiovascular risk in young Finns study. The Journal of the American Medical Association, 290, 2277–2283.
Raitakari, O. T., Juonala, M., Rönnemaa, T., Keltikangas-Järvinen, L., Räsänen, L., Pietikäinen, M., et al. (2008). Cohort profile: the cardiovascular risk in young Finns study. International Journal of Epidemiology, 37, 1220–1226.
Riley, N. M., Bild, D. E., Cooper, L., Schreiner, P., Smith, D. E., Sorlie, P., et al. (1998). Relation of self-image to body size and weight loss attempts in black women: the CARDIA Study American Journal of Epidemiology, 148, 1062–1068.
Ross, L. R., McKim, M. K., & DiTommaso, E. (2006). How do underlying ‘self’ and ‘other’ dimensions define adult attachment styles? Canadian Journal of Behavioural Science, 38, 294–310.
Schirmer, L. L., & Lopez, F. G. (2001). Probing the social support and work strain relationship among adult workers: contributions of adult attachment orientations. Journal of Vocational Behavior, 59, 17–33.
Sharpe, T. M., Killen, J. D., Bryson, S. W., Shisslak, C. M., Estes, L. S., Gray, N., et al. (1998). Attachment style and weight concerns in preadolescent and adolescent girls. The international journal of eating disorders, 23, 39–44.
Stein, H., Jacobs, N. J., Ferguson, K. S., Allen, J. G., & Fonagy, P. (1998). What do adult attachment scales measure? Bulletin of the Menninger Clinic, 62, 33–82.
Tidwell, M.-C. O., Reis, H. T., & Shaver, P. R. (1996). Attachment, attractiveness, and social interaction: a diary study. Journal of Personality and Social Psychology, 71, 729–745.
Torres, S. J., & Nowson, C. A. (2007). Relationship between stress, eating behavior, and obesity. Nutrition, 23, 887–894.
Troisi, A., Di Lorenzo, G., Alcini, S., Nanni, R. C., Di Pasquale, C., & Siracusano, A. (2006). Body dissatisfaction in women with eating disorders: relationship to early separation anxiety and insecure attachment Psychosomatic Medicine, 68, 449–453.
Wang, Y. C., Colditz, G. A., & Kuntz, K. M. (2007). Forecasting the obesity epidemic in the aging U.S. population. Obesity, 15, 2855–2865.
Wyatt, S. B., Winters, K. P., & Dubbert, P. M. (2006). Overweight and obesity: prevalence, consequences, and causes of a growing public health problem. The American Journal of the Medical Sciences, 331, 166–174.
Yang, X., Telama, R., Leskinen, E., Mansikkaniemi, K., Viikari, J., & Raitakari, O. T. (2007). Testing a model of physical activity and obesity tracking from youth to adulthood: the Cardiovascular risk in young Finns study. International Journal of Obesity, 31, 521–527.
Zhang, F., & Labouvie-Vief, G. (2004). Stability and fluctuation in adult attachment style over a 6-year period. Attachment & Human Development, 6, 419–437.
Acknowledgements
This study was supported by the Academy of Finland (grants 111056, and 124399 for L.K.-J. and grant 123621 for L.P.-R.), the Research Funds of the University of Helsinki (project no 2106012 for L.P.-R.), Emil Aaltonen Foundation (M.H.) Signe and Ane Gyllenberg Foundation (M.H.), Yrjö Jahnsson Foundation (L.K.-J. and M.H.), and Niilo Helander Foundation (M.H.).
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Hintsanen, M., Jokela, M., Pulkki-Råback, L. et al. Associations of Youth and Adulthood Body-Mass Index and Waist-Hip Ratio with Attachment Styles and Dimensions. Curr Psychol 29, 257–271 (2010). https://doi.org/10.1007/s12144-010-9084-8
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DOI: https://doi.org/10.1007/s12144-010-9084-8