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:: Volume 23, Issue 1 (Bimonthly 2019) ::
Feyz 2019, 23(1): 89-101 Back to browse issues page
The relationship between attachment and psychological distress with regard to the mediating role of mindfulness
Fatemeh Akhavan-Abiri , Mohammad Reza Shairi * , Mohammad Gholami Fesharaki
Department of Clinical Psychology, Humanities Faculty, Shahed University, Tehran, I. R. Iran. , sharirigm@gmail.com
Abstract:   (5039 Views)
Background: Various researches have studied the relationship between psychological distress and different variables. The present study aimed to predict psychological distress according to the attachment style with respect to the mediating role of mindfulness.
Materials and Methods: The present study follows a design of correlational studies. The sample of research included 250 undergraduate and M. D. students of Shahed University studying in the first semester of a 2017-2018 academic year. Data were collected using the Depression, Anxiety and Stress Scale-21 item (DASS-21), Experiences in Close Relationship-Revised (ECR-R) and Five Facet Mindfulness Questionnaire (FFMQ). Then, the data were analyzed using the SPSS-23 and AMOS-18 software. 
Results: The results showed a significant positive relationship between attachment anxiety and the components of psychological distress (anxiety, depression and stress), as well as a significant negative relationship between attachment anxiety and mindfulness. Also, a significant negative relationship was found between mindfulness and the components of psychological distress. In addition, a significant negative relationship was found between attachment avoidance and mindfulness. The results of the structural equation modeling confirmed the mediating role of mindfulness in the relationship between attachment anxiety and the components of psychological distress. The effect of attachment avoidance on the components of psychological distress was only confirmed in the presence of mindfulness as a mediating variable, rather than directly.
Conclusion: According to the findings of the current research, the mediating role of mindfulness in the effect of attachment anxiety and attachment avoidance on the components of psychological distress is confirmed. These findings seem to be applicable in different humanistic areas like interpersonal relationships, educational, family and therapeutic fields.
Keywords: Attachment, Psychological distress, Mindfulness, Structural equation modeling
Full-Text [PDF 1018 kb]   (1343 Downloads)    
Type of Study: Research | Subject: General
Received: 2018/09/9 | Accepted: 2019/01/23 | Published: 2019/04/17
1. Ohayashi H, Yamada S. Psychological distress: symptoms, causes, and coping. New York: Nova Science Publishers; 2012.
2. Abeloff MD, Armitage JO, Lichter AS, Nied‌er‌huber JE. Clinical Oncology. New York: Churchill Livingstone; 2000.
3. Cheng Y, Guo YL, Yeh WY. A national survey of psychosocial job stressors and their implications for health among working people in Taiwan. Int Arch Occup Environ Health 2001; 74(7): 495-504.
4. Nakao M, Yamanaka G, Kuboki T. Suicidal ideation and somatic symptoms of patients with mind/body distress in a Japanese psychosomatic clinic. Suicide and Life-Threat Behav 2002; 32(1): 80-90.
5. Nakao M, Yano E. Prediction of major dep‌ression in Japanese adults: somatic manifestation of depression in annual health examinations. J Affect Disord 2006; 90(1): 29-35.
6. Bowlby J. Attachment and loss: Retrospect and prospect. Am J Orthopsychiatry 1982; 52(4): 664-78.
7. Cassidy J, Shaver PR. Handbook of Attachment. New York: Guilford; 1999.
8. Brennan KA, Clark CL, Shaver PR. Self-report measurement of adult attachment: An integrative overview. New York: Guilford; 1998.
9. Simpson JA, Rholes WS, Oriña MM, Grich J. Working models of attachment, support giving, and support seeking in a stressful situation. J Pers Soc Psychol Bull 2002; 28(5): 598-608.
10. Kobak RR, Sceery A. Attachment in late adolescence: Working models, affect regulation, and representations of self and others. J Child Devel 1988; 1: 135-46.
11. Wei M, Heppner PP, Mallinckrodt B. Perce‌ived coping as a mediator between attachment and psychological distress: A structural equation modeling approach. J Couns Psychol 2003; 50(4): 438-47.
12. Frey LL, Beesley D, Miller MR. Relational health, attachment, and psychological distress in college women and men. Psychol Women Quarterly 2006; 30(3): 303-11.
13. Mallinckrodt B, Wei M. Attachment, social com‌petencies, social support, and psychological distress. J Couns Psychol 2005; 52(3): 358-67.
14. Turan N, Erdur-Baker Ö. The contribution of rumination and internal working models of atta‌chment to psychological symptoms. Procedia-Soc Behav Sci 2010; 1(5): 1185-9.
15. Zhu W, Wang CD, Chong CC. Adult atta‌chment, perceived social support, cultural orien‌tation, and depressive symptoms: A moderated mediation model. J Couns Psychol 2016; 63(6): 645-55.
16. Körük S, Öztürk A, Kara A. The Predictive Strength of Perceived Parenting and Parental Attachment Styles on Psychological Symptoms among Turkish University Students. Int J Instr‌uction 2016; 9(2): 215-30.
17. McDonald HM, Sherman KA, Petocz P, Kangas M, Grant KA, Kasparian NA. Mindfulness and the experience of psychological distress: the mediating effects of emotion regulation and attachment anxiety. J Mindfulness 2016; 7(4): 799-808.
18. Rahimian Bugar E, Noori A, Oreizi, HR, Mowlavi H, Foroughi Mobarakeh A. Relationship between adulthood attachment styles and job satis‌faction and stress in nurses. Psychiat Clin Psychol Iran 2007; 13(2): 148-57. [in Persian]
19. Nayebi Nia AS, Salari P, Modarres Gheravi M. Investigating the relationship between adult attachment to parents with stress, anxiety and depression. J Prince Mental Health 2011; 13(2): 194-202. [in Persian]
20. Buller CJ. Dispositional Mindfulness and Emotion Regulation as Mediators of Attachment and Psychological Distress Relationship [Doctoral Dissertation]. Sydney: University of Newcastle; 2015.73p.
21. Pickard JA, Caputi P, Grenyer BF. Mindfu‌lness and emotional regulation as sequential media‌tors in the relationship between attachment security and depression. J Pers Indiv Dif 2016; 99: 179-83.
22. Crane R. Mindfulness-based cognitive therapy: Distinctive features. London: Routledge; 2017.
23. Baer RA, Smith GT, Allen KB. Assessment of mindfulness by self-report: The Kentucky Inventory of Mindfulness Skills. Assessment 2004; 11(3): 191-206.
24. Brown KW, Ryan RM. The benefits of being present: mindfulness and its role in psychological well-being. J Pers Soc Psychol 2003; 84(4): 822.
25. Rosenzweig S, Reibel DK, Greeson JM, Brainard GC, Hojat M. Mindfulness-based stress reduction lowers psychological distress in medical students. J Teach Learn Med 2003; 15(2): 88-92.
26. Carmody J, Baer RA. Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and well-being in a mindfulness-based stress reduction prog‌ram. J Behav Med 2008; 31(1): 23-33.
27. Coffey KA, Hartman M. Mechanisms of action in the inverse relationship between mindfulness and psychological distress. Compl Health Pract Rev 2008; 13(2): 79-91.
28. Beddoe AE, Yang CP, Kennedy HP, Weiss SJ, Lee KA. The effects of mindfulness-based yoga during pregnancy on maternal psychological and physical distress. J Obst Gynecol Neonatal Nurs 2009; 38(3): 310-9.
29. Sanders WA, Lam DH. Ruminative and mind‌ful self-focused processing modes and their impact on problem solving in dysphoric individuals. J Behav Res Ther 2010; 48(8): 747-53.
30. Schütze R, Rees C, Preece M, Schütze M. Low mindfulness predicts pain catastrophizing in a fear-avoidance model of chronic pain. J Pain 2010; 148(1): 120-7.
31. Hofmann SG, Sawyer AT, Witt AA, Oh D. The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review. J Cons Clin Psychol 2010; 78(2): 169-83.
32. Bajaj B, Robins RW, Pande N. Mediating role of self-esteem on the relationship between mind‌fulness, anxiety, and depression. J Pers Individ Dif 2016; 96: 127-31.
33. Pepping CA, O’Donovan A, Davis PJ. The differential relationship between mindfulness and attachment in experienced and inexperienced meditators. J Mindfulness 2014; 5(4): 392-9.
34. Caldwell JG, Shaver PR. Promoting attach‌me‌nt-‌related mindfulness and compassion: A wait-list-controlled study of women who were mistreated during childhood. J Mindfulness 2015; 6(3): 624-36.
35. Saavedra MC, Chapman KE, Rogge RD. Clarifying links between attachment and relationship quality: Hostile conflict and mindfulness as moderators. J Family Psychol 2010; 24(4): 380-90.
36. Krejcie RV, Morgan DW. Determining sample size for research activities. J Educ Psychol Meas 1970; 30(3): 607-10.
37. Arefi M, Navvabi Nezhad S, Shafi’ Abadi A, KiamaneshAR. Attachment styles, sex, merrietal satisfaction. Educ Res J Islamic Azad University of Bojnourd Branch 2012; 31: 117-32. [in Persian]
38. Fraley RC, Waller NG, Brennan KA. An item response theory analysis of self-report measures of adult attachment. J Pers Soc Psychol 2000; 78(2): 350-65.
39. Fraley RC. Information on the Experiences in Close Relationships-Revised (ECR-R) adult attach‌ment questionnaire. Self-Report Measures of Adult Attachment 2005. Available at: http://www.psych.‌uiu‌c.edu/~rc-fraley/measures/ecrr.htm.
40. Rotaru TŞ, Rusu A. Psychometric properties of the Romanian version of Experiences in Close Relationships-Revised questionnaire (ECR-R). Procedia-Soc Behav Sci 2013; 78: 51-5.
41. Panaghi L, Maleki G, Zabih Zadeh A, Psht Mohammadi M, Soltani Nezhad Z. Validity, relia‌bility and factorial structure of Experiences in Close Relationship (ECR). J Psychiatr Clin Psychol Iran 2013; 4(19): 305-13. [in Persian]
42. Goodall K, Trejnowska A, Darling S. The relationship between dispositional mindfulness, attachment security and emotion regulation. J Pers Individ Dif 2012; 52(5): 622-6.
43. Baer RA, Smith GT, Hopkins J, Krietemeyer J, Toney L. Using self-report assessment methods to explore facets of mindfulness. J Assessment 2006; 13(1): 27-45.
44. Walach H, Buchheld N, Buttenmüller V, Kleinknecht N, Schmidt S. Measuring mindf‌ulness the Freiburg mindfulness inventory (FMI). J Pers Individ Dif 2006; 40(8): 1543-55.
45. Feldman G, Hayes A, Kumar S, Greeson J, Laur‌e‌nceau JP. Mindfulness and emotion regulation: The development and initial validation of the Cognitive and Affective Mindfulness Scale-Revised (CAMS-R). J Psychopathol Behav Assess 2007; 29(3): 177-90.
46. Chadwick P, Hember M, Symes J, Peters E, Kuipers E, Dagnan D. Responding mindfully to unpl‌e‌asant thoughts and images: reliability and validity of the Southampton mindfulness quest‌ion‌naire (SMQ). British J Clin Psychol 2008; 47(4): 451-5.
47. Cebolla A, García-Palacios A, Soler J, Guillen V, Baños R, Botella C. Psychometric properties of the Spanish validation of the Five Facets of Mind‌fulness Questionnaire (FFMQ). Eur J Psychiat 2012; 26(2): 118-26.
48. Ahmadvand Z, Heydarinasab L, Shairi MR. Checking Validity and Reliability of the Five-Facet Mindfulness Questionnaire (FFMQ) in Iranian Non-Clinical Samples. J Behav Sci 2013; 3(7): 229-38. [in Persian]
49. Tamannaei Far S, Asghar Nezhad Farid AA, Mirzaei M, Soleimani M. Psychometric properties of the Five-Facet Mindfulness Questionnaire (FFM‌Q).‌ J Develop Psychol (Iranian Psychologists) 2016; 47(12): 321-9. [in Persian]
50. Baroni D, Nerini A, Matera C, Stefanile C. Mindfulness and emotional distress: The mediating role of psychological well-being. J Curr Psychol 2018; 37(3): 467-76.
51. Lovibond PF, Lovibond SH. The structure of negative emotional states: Comparison of the Depr‌ession Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. J Behav Res Therapy 1995; 33(3): 335-43.
52. Antony MM, Bieling PJ, Cox BJ, Enns MW, Swinson RP. Psychometric properties of the 42-item and 21-item versions of the Depression Anxi‌ety Stress Scales in clinical groups and a comm‌unity sample. J Psychol Assess 1998; 10(2): 176-81.
53. Browne MW, Cudeck R. Alternative ways of assessing model fit. London: Sage Publications; 1993.
54. Henry JD, Crawford JR. The short‐form version of the Depression Anxiety Stress Scales (DASS‐21): Construct validity and normative data in a large non‐clinical sample. British J Clin Psyc‌hol 2005; 44(2): 227-39.
55. Sahebi A, Asghari MJ, Salari RS. Validation of depression anxiety and stress scale (DASS-21) for an Iranian population. J Iran Psychol 2005; 1(4): 299-313.
56. Asghari Moghaddam MA, Sa’ed F, Dibaj Nia P, Zangeneh J. Preliminary evaluation of validity and reliability of depression, anxiety and stress (DASS) scales in non-clinical samples. Daneshvar e Raftar 2008; 38: 23-31. [in Persian]
57. Pedhazur EJ, Schmelkin LP. Measurement, design, and analysis: An integrated approach. Lon‌don: Psychology Press; 2013.
58. Abareshi A, Hossieni SY. Structural equation modeling. Tehran: Jame’e Shenasan; 2012. [in Persian]
59. Tabachnick BG, Fidell LS. Using multivariate statistics. Boston: Allyn & Bacon/Pearson Education; 2007.
60. Hu LT, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: Convent‌io‌nal criteria versus new alternatives. Structural Equation Modeling: a Multidisciplinary J 1999; 6(1): 1-55.
61. Mulaik SA, James LR, Van Alstine J, Bennett N, Lind S, Stilwell CD. Evaluation of goodness-of-fit indices for structural equation models. Psychol Bull 1989; 105(3): 430-45.
62. Baron RM, Kenny DA. The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. J Pers Soc Psychol 1986; 51(6): 1173-82.
63. Ridner SH. Psychological distress: concept analysis. J Advanc Nurs 2004; 45(5): 536-45.
64. Pearlin LI. The family as a context of the stress process. In Kasl SV, & Cooper CL (Eds). Stress and health: Issues in Research methodology. New York: Wiley; 1987.
65. Pepping CA, Davis PJ, O’Donovan A. The association between state attachment security and state mindfulness. Plos One 2015; 10(3): e0116779.
66. Santrock JW. Life-Span Develpment. New York: McGraw-Hill; 2006.
67. Kabat‐Zinn J. Mindfulness‐based interventions in context: past, present, and future. Clinical psyc‌hology: J Sci pract 2003; 10(2): 144-56.
68. Didonna F. Clinical Handbook of Mindfulness. London: Springer; 2008.
69. English L. Investigating childhood emotional maltreatment, adult attachment, and mindfulness as predictors of internalizing symptoms and emotional processing [Doctoral Dissertation]. Ontario: Univ‌er‌sity of Guelph; 2012. 176p.
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Akhavan-Abiri F, Shairi M R, Gholami Fesharaki M. The relationship between attachment and psychological distress with regard to the mediating role of mindfulness. Feyz. 2019; 23 (1) :89-101
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Volume 23, Issue 1 (Bimonthly 2019) Back to browse issues page
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