Universität zu Köln

Herstell, Simon, Betz, Linda T., Penzel, Nora ORCID: 0000-0003-1624-386X, Chechelnizki, Ruth, Filihagh, Laura, Antonucci, Linda and Kambeitz, Joseph ORCID: 0000-0002-8988-3959 (2021). Insecure attachment as a transdiagnostic risk factor for major psychiatric conditions: A meta-analysis in bipolar disorder, depression and schizophrenia spectrum disorder. J. Psychiatr. Res., 144. S. 190 - 202. OXFORD: PERGAMON-ELSEVIER SCIENCE LTD. ISSN 1879-1379

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Abstract

Insecure attachment has been suggested as a major risk factor for mental health problems as well as a key element for the development and trajectory of psychiatric disorders. The aim of this meta-analysis was to assess whether insecure attachment constitutes a global transdiagnostic risk factor in bipolar disorder, depression, and schizophrenia spectrum disorders. We conducted a PRISMA-based systematic quantitative review to explore the prevalence of insecure attachment among patients of three representative psychiatric disorders - major depression, schizophrenia spectrum disorders and bipolar disorder - in comparison with healthy controls (HC) from a transdiagnostic point of view. Effect sizes on differences of anxious, avoidant and insecure prevalence were calculated based on 40 samples including a total of n = 2927 individuals. Overall, results indicated a large effect on prevalence of insecure attachment across all disorders compared to HC (k = 30, g = 0.88, I-2 = 71.0%, p < 0.001). In a transdiagnostic comparison, the only difference was found in avoidant attachment, which was significantly lower (p = 0.04) compared to HC in the schizophrenia spectrum disorder subgroup (k = 10, g = 0.31, I-2 = 76.60%, p < 0.0001) than the depression subgroup subgroup (k = 12, g = 0.83, I-2 = 46.65%, p < 0.0001). The lack of further transdiagnostic differences between three distinct psychiatric disorders corroborates insecure attachment as a general vulnerability factor to psychopathology. Our findings warrant further investigations, which should explore the pathways from attachment insecurity towards psychopathology. Insecure attachment likely has implications on assessment, prediction and treatment of psychiatric patients.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Herstell, Simon UNSPECIFIED UNSPECIFIED UNSPECIFIED Betz, Linda T. UNSPECIFIED UNSPECIFIED UNSPECIFIED Penzel, Nora UNSPECIFIED orcid.org/0000-0003-1624-386X UNSPECIFIED Chechelnizki, Ruth UNSPECIFIED UNSPECIFIED UNSPECIFIED Filihagh, Laura UNSPECIFIED UNSPECIFIED UNSPECIFIED Antonucci, Linda UNSPECIFIED UNSPECIFIED UNSPECIFIED Kambeitz, Joseph UNSPECIFIED orcid.org/0000-0002-8988-3959 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-584153
DOI:	10.1016/j.jpsychires.2021.10.002
Journal or Publication Title:	J. Psychiatr. Res.
Volume:	144
Page Range:	S. 190 - 202
Date:	2021
Publisher:	PERGAMON-ELSEVIER SCIENCE LTD
Place of Publication:	OXFORD
ISSN:	1879-1379
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ADULT ATTACHMENT; CHILDHOOD TRAUMA; ROMANTIC ATTACHMENT; WORKING MODELS; SOCIAL ANXIETY; STYLE; PSYCHOPATHOLOGY; SYMPTOMS; SELF; PSYCHOSIS Multiple languages Psychiatry Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/58415