The mediating role of cognitive emotion regulation strategies in the relationship between insecure adult attachment styles and obsessive-compulsive syndrome

Abstract :

Aims: The aim of the present study was to investigate the mediating role of cognitive emotion regulation strategies in the relationship between insecure adult attachment styles and obsessive-compulsive syndrome. Method: This descriptive-correlational study was of the structural equation modeling type. The statistical population included all married students of Semnan University in the academic year 2024, from which 397 people were selected using the convenience sampling method. The short form of the obsessive-compulsive questionnaire, the experience in close relationships questionnaire, and the cognitive emotion regulation questionnaire were used to collect data. In order to analyze the research model, the structural equation modeling method was used using AMOS-24 software. Results: The results showed that insecure adult attachment styles have a direct, positive, and significant relationship with obsessive-compulsive syndrome, and cognitive emotion regulation strategies have a mediating role in the relationship between insecure adult attachment styles and obsessive-compulsive syndrome. Overall, the findings showed that the model had a good fit. Discussion and Conclusion: Considering the mediating role of cognitive emotion regulation strategies in the relationship between insecure adult attachment styles and obsessive-compulsive syndrome in married students, focusing on teaching adaptive cognitive emotion regulation strategies and using attachment-based therapeutic approaches can reduce the effect of insecure adult attachment styles on obsessive-compulsive syndrome.

References:

ابراهیمی، گل نوش؛ و عابد، نازنین. (1402). پیش بینی تاب‌آوری از سبک‌های دلبستگی و تنظیم شناختی هیجان زنان دارای تجربه سوگ همسر. مجله روانشناسی،2(27)،223-215.
http://www.iranapsy.ir/Article/41300 باقری شیخانگفشه، فرزین؛ کیانی، مریم؛ صوابی نیری، وحید؛ نخستین آصف، زهرا؛ و بوربور, زینب. (1402). اثربخشی درمان شناختی- رفتاری بر دشواری در تنظیم هیجان و انعطاف‌‌پذیری شناختی بیماران مبتلا به اختلال وسواسی- اجباری. مجله روانشناسی،1(27)،37-28.
http://iranapsy.ir/Article/36447 صیدی، محمدسجاد؛ فلاح تفتی، ابوالفضل؛ صادقی، منصوره السادات؛ و رضایی، خدیجه. (1392). نقش سبک دلبستگی و سازگاری زناشویی در سرسختی خانواده. نسیم تندرستی (سلامت خانواده)، 2(1)، 47-39.
https://sid.ir/paper/518330/fa عبدی، سلمان؛ باباپورخیرالدین، جلیل؛ و فتحی، حیدر. (۱۳۸۹). رابطه سبک های تنظیم شناختی هیجان و سلامت عمومی دانشجویان. مجله علمی پژوهشی دانشگاه علوم پزشکی ارتش، ۸(۴)، ۲۶۴-۲۵۸.
محمدی، ابوالفضل؛ زمانی، رضا؛ و فتی، لادن. (1387). اعتباریابی نسخه فارسی پرسشنامه بازنگری شده وسواسی - اجباری در جمعیت دانشجویی . پژوهشهای روان شناختی، 11(1-2 (پیاپی 21))، 78-66.
https://sid.ir/paper/66317/fa نادری، سارا؛ غلامعلی لواسانی، مسعود؛ و قاسم زاده، سوگند. (1402). بررسی مقایسه‌ای رابطه طرحواره‌های ناسازگار اولیه با بهزیستی روانشناختی و نقش میانجیگر راهبرد‌های تنظیم شناختی هیجان در دو گروه نوجوانان با و بدون سابقه طلاق والدین. مجله روانشناسی،4(27)،415-406.
http://www.iranapsy.ir/Article/39094 نوعی، زهرا. (1387). مقایسه طرحواره‌های ناسازگار اولیه و ریشه‌های والدینی این طرحواره‌ها در مبتلایان به اختلال شخصیت وسواسی جبری، اختلال وسواسی جبری و گروه غیر بالینی. پایان نامه کارشناسی ارشد روانشناسی بالینی، انستیتو روانپزشکی تهران، ایران.
American Psychiatric Association.(2022). Diagnostic and statistical manual of mental disorders,Text Revision DSM-5-TR. American Psychiatric Association Publishing.
Barbasio, C., & Granieri, A. (2013). Emotion regulation and mental representation of attachment in patients with systemic lupus erythematosus: a study using the Adult Attachment Interview. The Journal of Nervous and Mental Disease, 201(4), 304-310.‏
https://doi.org/10.1097/nmd.0b013e318288e215 Bobes, J., González, M. P., Bascarán, M. T., Arango, C., Sáiz, P. A., & Bousono, M. (2001). Quality of life and disability in patients with obsessive-compulsive disorder. European Psychiatry, 16(4), 239-245.
https://doi.org/10.1016/S0924-9338(01)00571- Bowlby, J. (1988). Developmental psychiatry comes of age. The American Journal of Psychiatry, 145(1), 1-10.
‏ https://doi.org/10.1176/ajp.145.1.1 Boysan, M., & Çam, Z. (2018). An investigation into the role of attachment insecurities in obsessive-compulsive symptoms. British Journal of Guidance & Counselling, 46(5), 566-581.‏
https://doi.org/10.1080/03069885.2016.1262533 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.
Doron, G., & Kyrios, M. (2005). Obsessive compulsive disorder: A review of possible specific internal representations within a broader cognitive theory. Clinical Psychology Review, 25(4), 415-432.‏
https://doi.org/10.1016/j.cpr.2005.02.002 Doron, G., & Moulding, R. (2009). Cognitive behavioral treatment of obsessive compulsive disorder: a broader framework. The Israel Journal of Psychiatry and Related Sciences, 46(4), 257-263.‏
https://hdl.handle.net/10536/DRO/DU:30056071 Doron, G., Moulding, R., Kyrios, M., Nedeljkovic, M., & Mikulincer, M. (2009). Adult attachment insecurities are related to obsessive compulsive phenomena. Journal of Social and Clinical Psychology, 28(8), 1022-1049.‏
https://doi.org/10.1521/jscp.2009.28.8.1022 Doron, G., Moulding, R., Nedeljkovic, M., Kyrios, M., Mikulincer, M., & Sar‐El, D. (2012). Adult attachment insecurities are associated with obsessive compulsive disorder. Psychology and Psychotherapy: Theory,Rresearch and Practice, 85(2), 163-178.‏
https://doi.org/10.1111/j.2044-8341.2011.02028.x Ein-Dor, T., Viglin, D., & Doron, G. (2016). Extending the transdiagnostic model of attachment and psychopathology. Frontiers in Psychology, 7, 484.
‏ https://doi.org/10.3389/fpsyg.2016.00484 Fineberg, N. A., Hengartner, M. P., Bergbaum, C. E., Gale, T. M., Gamma, A., Ajdacic-Gross, V., ... & Angst, J. (2013). A prospective population-based cohort study of the prevalence, incidence and impact of obsessive-compulsive symptomatology. International Journal of Psychiatry in Clinical Practice, 17(3), 170-178.‏
https://doi.org/10.3109/13651501.2012.755206 Garnefski, N., Kraaij, V., & Spinhoven, P. (2001). Negative life events, cognitive emotion regulation and emotional problems. Personality and Individual Differences, 30(8), 1311-1327.‏
https://doi.org/10.1016/S0191-8869(00)00113-6 Godbout, N., Sabourin, S., & Lussier, Y. (2009). Child sexual abuse and adult romantic adjustment: Comparison of single-and multiple-indicator measures. Journal of Interpersonal Violence, 24(4), 693-705.‏
https://doi.org/10.1177/0886260508317179 Guadagnoli, E., & Velicer, W. F. (1988). Relation of sample size to the stability of component patterns. Psychological Bulletin, 103(2), 265.‏
DOI:10.1037/0033-2909.103.2.265 Guidano, V., & Liotti, G. (1983).Cognitive processes and emotional disorders. New York: Guildford Press.
Hodny, F., Prasko, J., Ociskova, M., Vanek, J., Holubova, M., Sollar, T., & Nesnidal, V. (2021). Attachment in patients with an obsessive-compulsive disorder. Neuroendocrinology Letters, 22(5), 283-291.
‏ https://www.altmetric.com/details/149756695 Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1-55.
‏ https://doi.org/10.1080/10705519909540118 Jaisoorya, T. S., Reddy, Y. J., Nair, B. S., Rani, A., Menon, P. G., Revamma, M., ... & Thennarasu, K. (2017). Prevalence and correlates of obsessive-compulsive disorder and subthreshold obsessive-compulsive disorder among college students in Kerala, India. Indian Journal of Psychiatry, 59(1), 56-62.
‏ https://doi.org/10.4103/0019-5545.204438 Khosravani, V., Samimi Ardestani, S. M., Sharifi Bastan, F., & Malayeri, S. (2020). Difficulties in emotion regulation and symptom dimensions in patients with obsessive-compulsive disorder. Current Psychology, 39(5), 1578-1588.
‏ https://doi.org/10.1007/s12144-018-9859-x Markarian, Y., Larson, M. J., Aldea, M. A., Baldwin, S. A., Good, D., Berkeljon, A., ... & McKay, D. (2010). Multiple pathways to functional impairment in obsessive–compulsive disorder. Clinical Psychology Review, 30(1), 78-88.‏
https://doi.org/10.1016/j.cpr.2009.09.005 McKay, D., Sookman, D., Neziroglu, F., Wilhelm, S., Stein, D. J., Kyrios, M., ... & Veale, D. (2015). Efficacy of cognitive-behavioral therapy for obsessive–compulsive disorder. Psychiatry Research, 225(3), 236-246.
‏ https://doi.org/10.1016/j.psychres.2014.11.058 Obsessive Compulsive Cognitions Working Group. (2003). Psychometric validation of the obsessive beliefs questionnaire and the interpretation of intrusions inventory: Part I. Behaviour Research and Therapy, 41(8), 863-878.‏
https://doi.org/10.1016/S0005-7967(02)00099-2 Pozza, A., Dettore, D., Marazziti, D., Doron, G., Barcaccia, B., & Pallini, S. (2021). Facets of adult attachment style in patients with obsessive-compulsive disorder. Journal of Psychiatric Research, 144, 14-25.
‏ https://doi.org/10.1016/j.jpsychires.2021.09.045 Ruscio, A. M., Stein, D. J., Chiu, W. T., & Kessler, R. C. (2010). The epidemiology of obsessive-compulsive disorder in the National Comorbidity Survey Replication. Molecular Psychiatry, 15(1), 53-63.
‏ https://doi.org/10.1038/mp.2008.94 Seah, R., Fassnacht, D., & Kyrios, M. (2018). Attachment anxiety and self-ambivalence as vulnerabilities toward Obsessive Compulsive Disorder. Journal of Obsessive-Compulsive and Related Disorders, 18, 40-46.
‏ https://doi.org/10.1016/j.jocrd.2018.06.002 Shaver, P. R., & Mikulincer, M. (2007). Adult attachment strategies and the regulation of emotion. Handbook of emotion regulation, 446, 465.‏
Stern, M. R., Nota, J. A., Heimberg, R. G., Holaway, R. M., & Coles, M. E. (2014). An initial examination of emotion regulation and obsessive compulsive symptoms. Journal of Obsessive-Compulsive and Related Disorders, 3(2), 109-114.‏
https://doi.org/10.1016/j.jocrd.2014.02.005 Stevens, F. L. (2014). Affect regulation styles in avoidant and anxious attachment. Individual Differences Research, 12(3).‏
Van Leeuwen, W. A., Van Wingen, G. A., Luyten, P., Denys, D., & Van Marle, H. J. F. (2020). Attachment in OCD: A meta-analysis. Journal of Anxiety Disorders, 70, 102187.‏
https://doi.org/10.1016/j.janxdis.2020.102187 Vrtička, P., Sander, D., & Vuilleumier, P. (2012). Influence of adult attachment style on the perception of social and non-social emotional scenes. Journal of Social and Personal Relationships, 29(4), 530-544.
‏ https://doi.org/10.1177/0265407512443451 Yap, K., Mogan, C., Moriarty, A., Dowling, N., Blair‐West, S., Gelgec, C., & Moulding, R. (2018). Emotion regulation difficulties in obsessive‐compulsive disorder. Journal of clinical psychology, 74(4), 695-709.‏
https://doi.org/10.1002/jclp.22553