Skip to main content
Log in

Attachment Insecurity and Depression: The Mediating Role of Interpersonal Emotion Regulation

  • Original Article
  • Published:
Cognitive Therapy and Research Aims and scope Submit manuscript

Abstract

Background

Insecure attachment is predictive of depression and emotion regulation is largely recognized as a mediator of such association. Despite the ability to refer to the social context to regulate emotions can be considered as a key aspect of depressive dynamics, most studies focused on intrapersonal forms of emotion regulation neglecting its interpersonal forms. In the present study, we investigated the role of interpersonal emotion regulation (IER) as mediator of the association between attachment insecurity and depression.

Methods

Data were collected from 630 adults using scales assessing individual differences in the use of IER strategies, IER difficulties, attachment orientations, and depression symptoms. We tested the correlations between the considered variables and, additionally, a latent structural equation model was tested to determine the mediating role of IER in the relationship between attachment (anxiety and avoidance) and depression.

Results

Positive associations between the use of IER and anxious attachment, and negative associations with avoidant attachment were found. Depression symptoms were significantly predicted by difficulties in IER (Venting and Reassurance-Seek), but not by IER strategies. The mediation analyses showed that attachment insecurity statistically predicted depression, mediated by IER difficulties.

Conclusions

These results account for increasing risk of depression due to a vicious cycle in which anxious attached individuals use venting and reassurance-seek with the aim of decreasing their negative emotions, but reach the opposite result of exacerbating negative moods.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  • Abasi, I., Hofmann, S. G., Kamjou, S., Moradveisi, L., Motlagh, A. V., Wolf, A. S., & Saed, O. (2021). Psychometric properties of interpersonal emotion regulation questionnaire in nonclinical and clinical population in Iran. Current Psychology, 1–11.

  • Altan-Atalay, A., & Saritas-Atalar, D. (2019). Interpersonal emotion regulation strategies: How do they interact with negative mood regulation expectancies in explaining anxiety and depression?. Current Psychology, 1–7.

  • Baer, M. M., Spitzen, T. L., Richmond, J. R., Tull, M. T., & Gratz, K. L. (2022). Associations of interpersonal and intrapersonal emotion regulation strategies to suicidal ideation and suicide attempts. Journal of Contextual Behavioral Science, 24, 1–9.

    Article  Google Scholar 

  • Barthel, A. L., Hay, A., Doan, S. N., & Hofmann, S. G. (2018). Interpersonal emotion regulation: A review of social and developmental components. Behaviour Change, 35(4), 203–216.

    Article  Google Scholar 

  • Berkowitz, L. (2012). A cognitive-neoassociation theory of aggression. Theories of Social Psychology, 2, 99–117.

  • Bowlby, J. (1973). Attachment and loss. Volume II. Separation, anxiety and anger. In Attachment and loss. volume II. Separation, anxiety and anger (pp. 429-p).

  • Bowlby, J. (1980). Attachment and loss. Vol. 3: Loss, separation and depression. New York: Basic Books.

    Google Scholar 

  • Bowlby, J. (1988). A secure base: Parent-child attachment and healthy human development. Basic Books.

  • 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). The Guilford Press.

  • Brenning, K. M., & Braet, C. (2013). The emotion regulation model of attachment: An emotion-specific approach. Personal relationships, 20(1), 107–123.

    Article  Google Scholar 

  • Burnette, J. L., Davis, D. E., Green, J. D., Worthington Jr, E. L., & Bradfield, E. (2009). Insecure attachment and depressive symptoms: The mediating role of rumination, empathy, and forgiveness. Personality and Individual Differences, 46(3), 276–280.

    Article  Google Scholar 

  • Bushman, B. J. (2002). Does venting anger feed or extinguish the flame? Catharsis, rumination, distraction, anger, and aggressive responding. Personality and social psychology bulletin, 28(6), 724–731.

  • Bushman, B. J., Baumeister, R. F., & Phillips, C. M. (2001). Do people aggress to improve their mood? Catharsis beliefs, affect regulation opportunity, and aggressive responding. Journal of personality and social psychology, 81(1), 17.

  • Busonera, A., Martini, P. S., 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.

    Article  PubMed  Google Scholar 

  • Calvo, V. (2008, September). Il questionario ECR-R: aspetti di validazione della versione italiana dello strumento. In Atti del X Congresso Nazionale AIP–sezione Clinica-Dinamica, Padova (pp. 275–279).

  • Chou, W. J., Ko, C. H., Hsiao, R. C., Cheng, C. P., & Yen, C. F. (2017). Association of stress coping strategies with suicidality in young adults: The mediation effects of depression, anxiety and hostility. Neuropsychiatry, 7(6), 974–998.

    Google Scholar 

  • Clark, G. I., Rock, A. J., Clark, L. H., & Murray-Lyon, K. (2020). Adult attachment, worry and reassurance seeking: Investigating the role of intolerance of uncertainty. Clinical Psychologist, 24(3), 294–305.

    Article  Google Scholar 

  • 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 

  • Dagnino, P., Pérez, C., Gómez, A., Gloger, S., & Krause, M. (2017). Depression and attachment: How do personality styles and social support influence this relation?. Research in Psychotherapy: Psychopathology, Process, and Outcome, 20(1).

  • Dixon-Gordon, K. L., Bernecker, S. L., & Christensen, K. (2015). Recent innovations in the field of interpersonal emotion regulation. Current Opinion in Psychology, 3, 36–42.

    Article  Google Scholar 

  • Dixon-Gordon, K. L., Haliczer, L. A., Conkey, L. C., & Whalen, D. J. (2018). Difficulties in interpersonal emotion regulation: Initial development and validation of a self-report measure. Journal of Psychopathology and Behavioral Assessment, 40(3), 528–549.

    Article  Google Scholar 

  • Dozier, M., & Lee, S. W. (1995). Discrepancies between self-and other-report of psychiatric symptomatology: Effects of dismissing attachment strategies. Development and Psychopathology, 7(1), 217–226.

    Article  Google Scholar 

  • Evraire, L. E., & Dozois, D. J. (2011). An integrative model of excessive reassurance seeking and negative feedback seeking in the development and maintenance of depression. Clinical Psychology Review, 31(8), 1291–1303.

    Article  PubMed  Google Scholar 

  • 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, 350–365.

    Article  CAS  PubMed  Google Scholar 

  • Frazier, P. A., Tix, A. P., & Barron, K. E. (2004). Testing moderator and mediator effects in counseling psychology research. Journal of counseling psychology, 51(1), 115.

  • Gökdağ, C. (2021). How does interpersonal emotion regulation explain psychological distress? The roles of attachment style and social support. Personality and Individual Differences, 176, 110763.

    Article  Google Scholar 

  • Grecucci, A., Messina, I., & Dadomo, H. (2018). Decoupling internalized dysfunctional attachments: A combined ACT and schema therapy approach. Frontiers in Psychology, 9, 2332.

    Article  PubMed  PubMed Central  Google Scholar 

  • Grecucci, A., Messina, I., & Monachesi, B. (2021). Espansioni del campo sulla ricerca dei meccanismi della regolazione delle emozioni. Risposte Giornale italiano di psicologia, 48(3), 801–808.

    Google Scholar 

  • Henschel, S., Nandrino, J. L., & Doba, K. (2020). Emotion regulation and empathic abilities in young adults: The role of attachment styles. Personality and Individual Differences, 156, 109763.

    Article  Google Scholar 

  • Hoffmann, S. G., Carpenter, J. K., & Curtiss, J. (2016). Interpersonal emotion regulation questionnaire (IERQ): Scale development and psychometric characteristics. Cognitive therapy and research, 40, 341–356.

  • Hofmann, S. G. (2014). Interpersonal emotion regulation model of mood and anxiety disorders. Cognitive therapy and research, 38(5), 483–492.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hofmann, S. G., Carpenter, J. K., & Curtiss, J. (2016). Interpersonal emotion regulation questionnaire (IERQ): Scale development and psychometric characteristics. Cognitive therapy and research, 40(3), 341–356.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteriaversus new alternatives. Structural equation modeling: a multidisciplinary journal, 6(1), 1–55.

  • JASP Team (2023). JASP (Version 0.17.2)[Computer software].

  • Jinyao, Y., Xiongzhao, Z., Auerbach, R. P., Gardiner, C. K., Lin, C., Yuping, W., & Shuqiao, Y. (2012). Insecure attachment as a predictor of depressive and anxious symptomology. Depression and anxiety, 29(9), 789–796.

    Article  PubMed  Google Scholar 

  • Joiner, T. E. Jr., Alfano, M. S., & Metalsky, G. I. (1993). Caught in the crossfire: Depression, self-consistency, self-enhancement, and the response of others. Journal of Social and Clinical Psychology, 12(2), 113–134.

    Article  Google Scholar 

  • Joiner, T. E. Jr., & Timmons, K. A. (2009). Depression in its interpersonal context. In I. H. Gotlib, & C. L. Hammen (Eds.), Handbook of depression (pp. 322–339). The Guilford Press.

  • Joiner, T. E., Metalsky, G. I., Katz, J., & Beach, S. R. (1999). Depression and excessive reassurance-seeking. Psychological Inquiry, 10(3), 269–278.

    Article  Google Scholar 

  • Kahn, J. H., & Garrison, A. M. (2009). Emotional self-disclosure and emotional avoidance: Relations with symptoms of depression and anxiety. Journal of counseling psychology, 56(4), 573.

    Article  Google Scholar 

  • Kline, R. B. (2016). Principles and practice of structural equation modeling. New York, NY, US.

  • Koç, M. S., Aka, B. T., Doğruyol, B., Curtiss, J., Carpenter, J. K., & Hofmann, S. G. (2019). Psychometric properties of the turkish version of the interpersonal emotion regulation questionnaire (IERQ). Journal of Psychopathology and Behavioral Assessment, 41(2), 294–303.

    Article  Google Scholar 

  • 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 

  • Malooly, A. M., Flannery, K. M., & Ohannessian, C. M. (2017). Coping mediates the association between gender and depressive symptomatology in adolescence. International Journal of Behavioral Development, 41(2), 185–197.

    Article  PubMed  Google Scholar 

  • Marroquín, B. (2011). Interpersonal emotion regulation as a mechanism of social support in depression. Clinical Psychology Review, 31(8), 1276–1290.

    Article  PubMed  Google Scholar 

  • Messina, I., Calvo, V., Masaro, C., Ghedin, S., & Marogna, C. (2021a). Interpersonal emotion regulation: From research to Group Therapy. Frontiers in Psychology, 12, 636919.

    Article  PubMed  PubMed Central  Google Scholar 

  • Messina, I., Spataro, P., Grecucci, A., Marogna, C., & Dixon-Gordon, K. (2022b). Difficulties in interpersonal regulation of emotions (DIRE) questionnaire: Psychometric Properties of the Italian Version and Associations with psychopathological symptoms. Journal of Psychopathology and Behavioral Assessment, 1–9.

  • Messina, I., Spataro, P., Grecucci, A., Moskow, D. M., Marogna, C., & Hofmann, S. G. (2022a). Interpersonal emotion regulation questionnaire: Psychometric properties of the italian version and associations with psychopathology. Research in Psychotherapy: Psychopathology Process and Outcome, 25, 239–246.

    Google Scholar 

  • Mikulincer, M., & Shaver, P. R. (2008). Adult attachment and affect regulation. In J. Cassidy, & P. R. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical applications (pp. 503–531). New York, NY: Guilford Press.

    Google Scholar 

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

    Article  PubMed  PubMed Central  Google Scholar 

  • Mikulincer, M., & Shaver, P. R. (2019). Attachment orientations and emotion regulation. Current opinion in psychology, 25, 6–10.

  • Morley, T. E., & Moran, G. (2011). The origins of cognitive vulnerability in early childhood: Mechanisms linking early attachment to later depression. Clinical psychology review, 31(7), 1071–1082.

    Article  PubMed  Google Scholar 

  • Prunas, A., Sarno, I., Preti, E., Madeddu, F., & Perugini, M. (2012). Psychometric properties of the italian version of the SCL-90-R: A study on a large community sample. European Psychiatry, 27(8), 591–597.

    Article  PubMed  Google Scholar 

  • Ray-Yol, E., Ülbe, S., Temel, M., & Altan-Atalay, A. (2020). Interpersonal emotion regulation strategies: can they function differently under certain conditions?. Current Psychology, 1–8.

  • Rosseel, Y. (2012). lavaan: An R package for structural equation modeling. Journal of statistical software, 48, 1–36.

  • Shaver, P. R., & Mikulincer, M. (2007). Adult attachment strategies and the regulation of emotion. Handbook of emotion regulation, 446, 465.

    Google Scholar 

  • 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.

  • Spruit, A., Goos, L., Weenink, N., Rodenburg, R., Niemeyer, H., Stams, G. J., & Colonnesi, C. (2020). The relation between attachment and depression in children and adolescents: A multilevel meta-analysis. Clinical child and family psychology review, 23(1), 54–69.

    Article  PubMed  Google Scholar 

  • Sroufe, L. A. (2005). Attachment and development: A prospective, longitudinal study from birth to adulthood. Attachment & human development, 7(4), 349–367.

    Article  Google Scholar 

  • Sroufe, L. A., Carlson, E. A., Levy, A. K., & Egeland, B. (1999). Implications of attachment theory for developmental psychopathology. Development and psychopathology, 11(1), 1–13.

    Article  CAS  PubMed  Google Scholar 

  • Taylor, G. J., Bagby, R. M., & Parker, J. D. (1999). Disorders of affect regulation: Alexithymia in medical and psychiatric illness. Cambridge University Press.

  • Winterheld, H. A. (2016). Calibrating use of emotion regulation strategies to the relationship context: An attachment perspective. Journal of Personality, 84(3), 369–380.

    Article  PubMed  Google Scholar 

  • Zaki, J., & Williams, W. C. (2013). Interpersonal emotion regulation. Emotion, 13(5), 803.

    Article  PubMed  Google Scholar 

  • Zheng, L., Luo, Y., & Chen, X. (2020). Different effects of attachment anxiety and attachment avoidance on depressive symptoms: A meta-analysis. Journal of Social and Personal Relationships, 37(12), 3028–3050.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Irene Messina.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Electronic Supplementary Material

Below is the link to the electronic supplementary material.

Supplementary Material 1

Supplementary Material 2

Supplementary Material 3

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Messina, I., Maniglio, R. & Spataro, P. Attachment Insecurity and Depression: The Mediating Role of Interpersonal Emotion Regulation. Cogn Ther Res 47, 637–647 (2023). https://doi.org/10.1007/s10608-023-10386-5

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10608-023-10386-5

Keywords

Navigation