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Depressive symptoms and attachment with mother and father in Iranian young adults: The mediating role of reflective functioning and loneliness

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Abstract

To better understand the attachment-depression link among undergraduate students in Iran, the current study examined reflective functioning (RF) and loneliness as variables explaining the relationship between attachment avoidance and anxiety and depressive symptoms. Participants were 423 undergraduate female students in Tehran, Iran, aged between 18 and 25 years old. Participants reported attachment anxiety and avoidance with both parents (ECR-RS), as well as reflective functioning (RFQ-17) and Loneliness (UCLA). Multiple mediation analyses revealed that reflective functioning and loneliness partially explained the relationship between avoidant and anxious attachment toward both parents and depressive symptoms. Results suggested that reflective functioning and loneliness provide two distinctive explanations of the link between insecure attachment and depressive symptoms.

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Data availability

The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.

References

  • Achenbach, T. M., Krukowski, R. A., Dumenci, L., & Ivanova, M. Y. (2005). Assessment of adult psychopathology: Meta-analyses and implications of cross-informant correlations. Psychological Bulletin, 131(3), 361.

    Article  PubMed  Google Scholar 

  • Ahmadi, S. (2021). Relationship Between Mobile Penetration Rate and Divorce Rate in Iran During 1995–2019: A Time-Series Study. Journal of Family Issues, 0192513X211038066.

  • Ainsworth, M. D. S. (1967). Infancy in Uganda: Infant care and the growth of love.

  • Akdoğan, R. (2017). A model proposal on the relationships between loneliness, insecure attachment, and inferiority feelings. Personality and Individual Differences, 111, 19–24.

    Article  Google Scholar 

  • Bateman, A., & Fonagy, P. (2004). Psychotherapy for borderline personality disorder: Mentalization based treatment.

  • Bateman, A., & Fonagy, P. (2016). Mentalization-based treatment for personality disorders: A practical guide. Oxford University Press.

  • Baumeister, R. F., & Robson, D. A. (2021). Belongingness and the modern schoolchild: On loneliness, socioemotional health, self-esteem, evolutionary mismatch, online sociality, and the numbness of rejection. Australian Journal of Psychology, 73(1), 103–111.

    Article  Google Scholar 

  • Beck, A. T., Rial, W. Y., & Rickels, K. (1974). Short form of depression inventory: cross-validation. Psychological reports, 34(3_suppl), 1184–1186.

  • Bosmans, G., & Kerns, K. A. (2015). Attachment in middle childhood: Progress and prospects. New Directions for Child and Adolescent Development, 2015(148), 1–14.

    Article  PubMed  Google Scholar 

  • Bouchard, M.-A., Target, M., Lecours, S., Fonagy, P., Tremblay, L.-M., Schachter, A., & Stein, H. (2008). Mentalization in adult attachment narratives: Reflective functioning, mental states, and affect elaboration compared. Psychoanalytic Psychology, 25(1), 47.

    Article  Google Scholar 

  • Bowlby, J. (1969). Attachment and Loss: Attachment, Vol. 1 New York. NY: Basic Books [Google Scholar].

  • Bretherton, I., & Munholland, K. A. (2008). Internal working models in attachment relationships: Elaborating a central construct in attachment theory.

  • Cacioppo, J. T., & Hawkley, L. C. (2009). Perceived social isolation and cognition. Trends in Cognitive Sciences, 13(10), 447–454.

    Article  PubMed  PubMed Central  Google Scholar 

  • Cacioppo, J. T., Hawkley, L. C., Ernst, J. M., Burleson, M., Berntson, G. G., Nouriani, B., & Spiegel, D. (2006a). Loneliness within a nomological net: An evolutionary perspective. Journal of Research in Personality, 40(6), 1054–1085.

    Article  Google Scholar 

  • Cacioppo, J. T., Hughes, M. E., Waite, L. J., Hawkley, L. C., & Thisted, R. A. (2006b). Loneliness as a specific risk factor for depressive symptoms: Cross-sectional and longitudinal analyses. Psychology and Aging, 21(1), 140.

    Article  PubMed  Google Scholar 

  • Cacioppo, J. T., Hawkley, L. C., & Thisted, R. A. (2010). Perceived social isolation makes me sad: 5-year cross-lagged analyses of loneliness and depressive symptomatology in the Chicago Health, Aging, and Social Relations Study. Psychology and Aging, 25(2), 453.

    Article  PubMed  PubMed Central  Google Scholar 

  • Cassidy, J., & Shaver, P. R. (2016). Handbook of attachment: theory, research, and clinical applications. Third edition. The Guilford Press.

  • Cassidy, J. (2008). The nature of the child's ties.

  • Chen, B. B. (2015). Commentary—Culture and attachment during middle childhood. New Directions for Child and Adolescent Development, 2015(148), 93–98.

    Article  PubMed  Google Scholar 

  • Clark, L. A., & Watson, D. (1991). Tripartite model of anxiety and depression: Psychometric evidence and taxonomic implications. Journal of Abnormal Psychology, 100(3), 316.

    Article  PubMed  Google Scholar 

  • De Coninck, D., Matthijs, K., & Luyten, P. (2021). Depression in Belgian first‐year university students: A longitudinal study of self‐definition, interpersonal relatedness, mentalizing, and integration. Journal of Clinical Psychology.

  • Cortes-Garcia, L., Takkouche, B., Rodriguez-Cano, R., & Senra, C. (2020). Mediational mechanisms involved in the relation between attachment insecurity and depression: A meta-analysis. Journal of Affective Disorders.

  • Dagan, O., Facompré, C. R., & Bernard, K. (2018). Adult attachment representations and depressive symptoms: A meta-analysis. Journal of Affective Disorders, 236, 274–290.

    Article  PubMed  Google Scholar 

  • DiTommaso, E., Brannen-McNulty, C., Ross, L., & Burgess, M. (2003). Attachment styles, social skills and loneliness in young adults. Personality and Individual Differences, 35(2), 303–312.

    Article  Google Scholar 

  • DiTommaso, E., Fizell, S. R., & Robinson, B. A. (2015). Chronic loneliness within an attachment framework: Processes and interventions. In Addressing Loneliness (pp. 263–276). Psychology Press.

  • Dujardin, A., Santens, T., Braet, C., De Raedt, R., Vos, P., Maes, B., & Bosmans, G. (2016). Middle childhood support-seeking behavior during stress: Links with self-reported attachment and future depressive symptoms. Child Development, 87(1), 326–340.

    Article  PubMed  Google Scholar 

  • Fonagy, P., & Target, M. (1997). Attachment and reflective function: Their role in self-organization. Development and Psychopathology, 9(4), 679–700.

    Article  PubMed  Google Scholar 

  • Fonagy, P., Luyten, P., Moulton-Perkins, A., Lee, Y.-W., Warren, F., Howard, S., Ghinai, R., Fearon, P., & Lowyck, B. (2016). Development and validation of a self-report measure of mentalizing: The reflective functioning questionnaire. PLoS ONE, 11(7), e0158678.

    Article  PubMed  PubMed Central  Google Scholar 

  • Fonagy, P., Gergely, G., Jurist, E. L., & Target, M. (2002). Affect Regulation, Mentalization, and the Development of the Self (1st ed.). Routledge. https://doi.org/10.4324/9780429471643

  • Fraley, R. C., Waller, N. G., & Brennan, K. A. (2000). An item response theory analysis of self-report measures of adult attachment. Journal of Personality and Social Psychology, 78(2), 350.

    Article  PubMed  Google Scholar 

  • Fraley, R. C., Heffernan, M. E., Vicary, A. M., & Brumbaugh, C. C. (2011). The experiences in close relationships—Relationship Structures Questionnaire: A method for assessing attachment orientations across relationships. Psychological Assessment, 23(3), 615.

    Article  PubMed  Google Scholar 

  • Fraley, R. C., Roisman, G. I., & Haltigan, J. D. (2013). The legacy of early experiences in development: Formalizing alternative models of how early experiences are carried forward over time. Developmental Psychology, 49(1), 109.

    Article  PubMed  Google Scholar 

  • Gumley, A., Taylor, H., Schwannauer, M., & MacBeth, A. (2014). A systematic review of attachment and psychosis: Measurement, construct validity and outcomes. Acta Psychiatrica Scandinavica, 129(4), 257–274.

    Article  PubMed  Google Scholar 

  • Hankin, B. L., Young, J. F., Gallop, R., & Garber, J. (2018). Cognitive and interpersonal vulnerabilities to adolescent depression: Classification of risk profiles for a personalized prevention approach. Journal of Abnormal Child Psychology, 46(7), 1521–1533.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hayes, A. F. (2012). PROCESS [macro]. The Ohio State University.

  • Van Heel, M., Vu, B. T., Bosmans, G., Petry, K., Hoang, D. T., & Van Leeuwen, K. (2019). Parenting practices in Vietnam: An investigation of the psychometric properties of the PBS-S and PCS. Child & Youth Care Forum.

  • Hojat, M. (1982). Psychometric characteristics of the UCLA Loneliness Scale: A study with Iranian college students. Educational and Psychological Measurement, 42(3), 917–925.

    Article  Google Scholar 

  • Hojat, M., Shapurian, R., & Mehryar, A. H. (1986). Psychometric properties of a Persian version of the short form of the Beck Depression Inventory for Iranian college students. Psychological Reports, 59(1), 331–338.

    Article  PubMed  Google Scholar 

  • Ibrahim, A. K., Kelly, S. J., Adams, C. E., & Glazebrook, C. (2013). A systematic review of studies of depression prevalence in university students. Journal of Psychiatric Research, 47(3), 391–400.

    Article  PubMed  Google Scholar 

  • Jaafari, Z., Farhadi, A., Amin Lari, F., Mousavi, F. S., Moltafet, H., Dashti, E., & Marzban, M. (2021). Prevalence of Depression in Iranian College Students: A Systematic Review and Meta-analysis. Iranian Journal of Psychiatry and Behavioral Sciences, 15(1).

  • James, S. L., Abate, D., Abate, K. H., Abay, S. M., Abbafati, C., Abbasi, N., Abbastabar, H., Abd-Allah, F., Abdela, J., & Abdelalim, A. (2018). Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990–2017: A systematic analysis for the Global Burden of Disease Study 2017. The Lancet, 392(10159), 1789–1858.

    Article  Google Scholar 

  • Jarkiewicz, M., Piejka, A., Chrustowicz, M., Krawczyk, M., Schudy, A., Harvey, P., Penn, D., Ludwig, K., Green, M., & Pinkham, A. (2022). Loneliness is associated with mentalizing and emotion recognition abilities in schizophrenia, but only in a cluster of patients with social cognitive deficits. medRxiv.

  • Kim, S., Fonagy, P., Allen, J., Martinez, S., Iyengar, U., & Strathearn, L. (2014). Mothers who are securely attached in pregnancy show more attuned infant mirroring 7 months postpartum. Infant Behavior and Development, 37(4), 491–504.

    Article  PubMed  Google Scholar 

  • Korver-Nieberg, N., Berry, K., Meijer, C. J., & De Haan, L. (2014). Adult attachment and psychotic phenomenology in clinical and non-clinical samples: A systematic review. Psychology and Psychotherapy: Theory, Research and Practice, 87(2), 127–154.

    Article  Google Scholar 

  • Lemma, A., Target, M., & Fonagy, P. (2011). The development of a brief psychodynamic intervention (Dynamic Interpersonal Therapy) and its application to depression: A pilot study. Psychiatry: Interpersonal & Biological Processes, 74(1), 41–48.

  • Levin, K. A. (2006). Study design III: Cross-sectional studies. Evidence-Based Dentistry, 7(1), 24–25.

    Article  PubMed  Google Scholar 

  • Luyten, P., Fonagy, P., & Lemma, A. (2012). Depression, in Handbook of Mentalizing in Mental Health Practice (A. Bateman & P. Fonagy, Eds. 1st ed.). American Psychiatric Association.

  • Luyten, P., Fonagy, P., & Lemma, A. (2019). Depression, in Handbook of Mentalizing in Mental Health Practice (A. Bateman & P. Fonagy, Eds. Second ed.). American Psychiatric Association.

  • Malik, S., Wells, A., & Wittkowski, A. (2015). Emotion regulation as a mediator in the relationship between attachment and depressive symptomatology: A systematic review. Journal of Affective Disorders, 172, 428–444.

    Article  PubMed  Google Scholar 

  • Mikulincer, M., & Shaver, P. R. (2003). The attachment behavioral system in adulthood: Activation, psychodynamics, and interpersonal processes.

  • Mikulincer, M., & Shaver, P. R. (2012). An attachment perspective on psychopathology. World Psychiatry, 11(1), 11–15.

    Article  PubMed  PubMed Central  Google Scholar 

  • Mohammadi, M.-R., Ghanizadeh, A., Rahgozart, M., Noorbala, A. A., Malekafzali, H., Davidian, H., Naghavi, H., Soori, H., & Yazdi, S. A. B. (2005). Suicidal attempt and psychiatric disorders in Iran. Suicide and Life-Threatening Behavior, 35(3), 309–316.

    Article  PubMed  Google Scholar 

  • Mohammadzadeh, J., Mami, S., & Omidi, K. (2019). Mean Scores of Depression, Anxiety and Stress in Iranian University Students Based on DASS-21: A Systematic Review and Meta-analysis. International Journal of Epidemiologic Research, 6(1), 42–48.

    Article  Google Scholar 

  • Nazzaro, M. P., Boldrini, T., Tanzilli, A., Muzi, L., Giovanardi, G., & Lingiardi, V. (2017). Does reflective functioning mediate the relationship between attachment and personality? Psychiatry Research, 256, 169–175.

    Article  PubMed  Google Scholar 

  • Nguyen, M.-H., Ho, M.-T., La, V.-P., Nguyen, Q.-Y.T., Ho, M.-T., Vuong, T.-T., Le, T.-T., Nguyen, M.-C., & Vuong, Q.-H. (2020). A scientometric study on depression among university students in East Asia: Research and system insufficiencies? Sustainability, 12(4), 1498.

    Article  Google Scholar 

  • Patel, V. (2001). Cultural factors and international epidemiology: Depression and public health. British Medical Bulletin, 57(1), 33–45.

    Article  PubMed  Google Scholar 

  • Pooravari, M., & Fathi Ashtiani, A. (2017). Reliability, Validity, and Factor Structure of Experiences in Close Relationships Scale-Revised for Using in Children and Adolescents (ECR-RC). International Journal of Behavioral Sciences, 11(1), 5–10.

    Google Scholar 

  • Pouravari, M., Ghanbari, S., Mohammadi, Z., Ali, P., & Leili. (2014). Validity, reliability and factor structure of theexperiences ofclose relationships questionnaire - the relationship structure (ECR-RS). Thought & Behavior in Clinical Psychology, 9(31), 47–56.

    Google Scholar 

  • Ridenour, T. A., Greenberg, M. T., & Cook, E. T. (2006). Structure and validity of people in my life: A self-report measure of attachment in late childhood. Journal of Youth and Adolescence, 35(6), 1037–1053.

    Article  PubMed  PubMed Central  Google Scholar 

  • Russell, D., Peplau, L. A., & Cutrona, C. E. (1980). The revised UCLA Loneliness Scale: Concurrent and discriminant validity evidence. Journal of Personality and Social Psychology, 39(3), 472.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Slade, A. (2005). Parental reflective functioning: An introduction. Attachment & Human Development, 7(3), 269–281.

    Article  Google Scholar 

  • Spence, R., Jacobs, C., & Bifulco, A. (2020). Attachment style, loneliness and depression in older age women. Aging & Mental Health, 24(5), 837–839.

    Article  Google Scholar 

  • Stovall-McClough, K. C., & Dozier, M. (2016). Attachment states of mind and psychopathology in adulthood. Handbook of attachment: Theory, research, and clinical applications, 715–738.

  • Wei, M., Russell, D. W., & Zakalik, R. A. (2005). Adult attachment, social self-efficacy, self-disclosure, loneliness, and subsequent depression for freshman college students: A longitudinal study. Journal of Counseling Psychology, 52(4), 602.

    Article  Google Scholar 

  • Weiss, R. S. (1973). Loneliness: The experience of emotional and social isolation.

  • Werner-Seidler, A., Banks, R., Dunn, B. D., & Moulds, M. L. (2013). An investigation of the relationship between positive affect regulation and depression. Behaviour Research and Therapy, 51(1), 46–56.

    Article  PubMed  Google Scholar 

  • WHO, W. H. O. (2017). Depression and other common mental disorders: global health estimates.

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Authors and Affiliations

  1. Department of Counseling, Faculty of Education and Psychology, Alzahra University, Tehran, Iran

    Minoo Pouravari, Tayebeh ZandiPour & Simin Hoseinian

  2. Department of Clinical Psychology, KU Leuven, Leuven, Belgium

    Minoo Pouravari & Guy Bosmans

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  1. Minoo Pouravari
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  2. Tayebeh ZandiPour
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Correspondence to Minoo Pouravari.

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In order to conduct the study, approval was obtained from the Ethics Committee of Alzahra University.

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Pouravari, M., ZandiPour, T., Hoseinian, S. et al. Depressive symptoms and attachment with mother and father in Iranian young adults: The mediating role of reflective functioning and loneliness. Curr Psychol 42, 25614–25623 (2023). https://doi.org/10.1007/s12144-022-03449-5

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