The relative contributions of negative cognitions and self-efficacy to severity of panic attacks in panic disorder
- Authors: Richards, Jeffrey , Pier, Ciaran
- Date: 2002
- Type: Text , Journal article
- Relation: Behaviour Change Vol. 19, no. 2 (2002), p. 102-111
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- Description: The aim of this study was to determine the degree to which fearful and catastrophic cognitions, and self-efficacy for managing panic predicted various panic attack characteristics in panic disorder. The cognitive variables consisted of anxiety sensitivity, the frequency of fearful agoraphobic cognitions and measures of catastrophic misinterpretation of symptoms. The panic parameters were number and severity of panic symptoms, distress associated with panic attacks, worry about future panics, duration of panic disorder, and life interference due to panic disorder. These variables were measured in 40 people with panic disorder, 31 of whom also had significant agoraphobia. The frequency of fearful agoraphobic cognitions was the strongest predictor of panic attack symptomatology, predicting number of symptoms, symptom severity and degree of anticipatory fear of panic. Catastrophic misinterpretation of symptoms and anxiety sensitivity did not independently predict any panic parameters. Only self-efficacy for managing the rapid build-up of panic symptoms was specifically related to panic severity. The results therefore suggest that cognitive behaviour therapy for panic symptoms in panic disorder should reduce fearful cognitions rather than focus on panic coping strategies. The results offer little support for the contribution of the expectancy or catastrophic misinterpretation theories to the maintenance of panic disorder.
- Description: 2003000074
The effect of yoga on the state anxiety and mood state of athletes
- Authors: Timmermans, Chad , Spittle, Michael , Plaisted, Vicki
- Date: 2003
- Type: Text , Conference paper
- Relation: Paper presented at XIth European Congress of Sport Psychology, Copenhagen, Denmark : 22nd-27th July 2003
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- Description: Introduction: This study examined the effect of yoga on the state anxiety and mood states of athletes. Yoga has long been practised by athletes but its influence on the mood state of athletes has not been empirically examined. Method: Participants were 15 female netball players, aged between 18 and 27 years (M = 20.97, SD = 3.09) who completed the Abbreviated Profile of Mood States (APOMS) and the state anxiety inventory (A-State) before and after each of six yoga or strength and conditioning sessions completed one night per week. Participants acted as their own controls with all participants completing both treatments. The main hypothesis was that yoga participants would report significantly greater changes in mood state and state anxiety than strength and conditioning participants. Results: A One-Way Multivariate Analysis of Variance (MANOVA) indicated that yoga sessions had significantly greater pre to post test change on overall mood state and state anxiety compared to strength and conditioning sessions. In addition, on the subscales of the APOMS, yoga produced significantly greater pre to post test decreases on confusion and tension than strength and conditioning. Conclusion: Results support the use of yoga to positively enhance mood state and decrease state anxiety in athlete populations.Implications for coaches and athletes are discussed including the potential use of alternative and holistic training methods for the management of mood and anxiety. Future research directions are also discussed including investigating alternative approaches to the management of mood and anxiety in athletes and further investigation into the components of yoga.
- Description: 2003003782
The influence of unrealistic optimism on event anxiety
- Authors: Aucote, Helen
- Date: 2004
- Type: Text , Journal article
- Relation: International Journal of Psychology Vol. 39, no. 5-6 (Oct-Dec 2004), p. 378-378
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- Description: C1
Psychological morbidity and quality of life in women with advanced breast cancer : A cross-sectional survey
- Authors: Grabsch, Brenda , Clarke, David , Love, Anthony , McKenzie, Dean , Snyder, Raymond , Bloch, Sidney , Smith, Graeme , Kissane, David
- Date: 2006
- Type: Text , Journal article
- Relation: Palliative & Supportive Care Vol. 4, no. 1 (2006), p. 47-56
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- Description: Objective: Our purpose was to determine the frequency of psychiatric morbidity and to assess the quality of life of women with advanced breast cancer. Methods: The 227 women in the sample were recruited in Melbourne, Australia, and were interviewed (prior to intervention) for a randomized controlled trial of supportive-expressive group therapy. The main outcome measures were DSM-IV psychiatric diagnoses plus quality of life data based on the EORTC QLQ-C30 (core) and QLQ-BR23 (breast module) instruments. Results: Forty-two percent of the women (97/227) had a psychiatric disorder; 35.7% (81) of these had depression or anxiety or both. Specific diagnoses were minor depression in 58 women (25.6%), major depression in 16 (7%), anxiety disorder in 14 (6.2%), and phobic disorder in 9 (4%). Seventeen (7.5%) women had more than one disorder. In terms of quality of life, one-third felt less attractive, one-quarter were dissatisfied with their body image, and, in most, sexual interest had waned. Menopausal symptoms such as hot flashes affected less than one-third, whereas symptoms of lymphedema were experienced by 26 (11.5%). Significance: Women with advanced breast cancer have high rates of psychiatric and psychological disturbance. Quality of life is substantially affected. Clinicians need to be vigilant in monitoring psychological adjustment as part of a comprehensive biopsychosocial approach.
- Description: 2003007264
The relationship between attachment style, anxiety sensitivity and interpretive bias among adolescent nonclinical panickers
- Authors: Austin, David , Jamieson, Rachel , Richards, Jeffrey , Winkelman, John
- Date: 2006
- Type: Text , Journal article
- Relation: Behaviour Change Vol. 23, no. 1 (2006), p. 31-41
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- Description: Elevated anxiety sensitivity and the tendency to catastrophically misinterpret ambiguous bodily sensations has been demonstrated in people who experience nonclinical levels of panic (Richards, Austin, & Alvarenga, 2001), and anxiety sensitivity has been shown to be associated with insecure attachment in adolescents and young adults (Weems, Berman, Silverman, & Saavedra, 2001). This study investigated the relationship between attachment style, anxiety sensitivity and catastrophic misinterpretation among 11 nonclinical panickers and 58 nonanxious controls aged 18 to 19 years. Participants completed the Brief Bodily Sensations Interpretation Questionnaire (BBSIQ), Anxiety Sensitivity Index (ASI) and an attachment questionnaire. The hypothesis that insecurely attached individuals would demonstrate greater catastrophic misinterpretation and higher anxiety sensitivity than securely attached individuals was not supported; however, nonclinical panickers gave more anxiety-related interpretations of ambiguous internal stimuli than nonanxious controls. Results do not support the notion that attachment style is related to anxiety sensitivity or catastrophic misinterpretation (regardless of panic experience). Results do, however, support the notion that anxiety-related misinterpretation of ambiguous somatic sensations precedes the onset of panic disorder.
- Description: C1
The role of coping, anxiety, and stress in depression post-acute coronary syndrome
- Authors: Di Benedetto, Mirella , Lindner, Helen , Hare, David , Kent, Stephen
- Date: 2007
- Type: Journal article
- Relation: Psychology, Health and Medicine Vol. 12, no. 4 (2007), p. 460-469
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- Description: Depressive symptoms are common and can affect prognosis following acute coronary symdromes (ACS). This study examined the psychological factors, coping, anxiety, and perceived stress associated with depression, following ACS. Psychological variables were assessed in 15 females and 66 males (M=57 years, SD = 12). Repeated measures at 2, 12, and 24 weeks post-ACS compared depression, anxiety, perceived stress, and coping resources as determined by the Cardiac Depression Scale, Beck Depression Inventory-II, State Trait Anxiety Inventory, Perceived Stress Scale, and Coping Resources Inventory. Depression, anxiety, and perceived stress remained high in the depressed group across time. Coping scores at 2 weeks post-ACS predicted depression scores at 24 weeks post-ACS. It appears that trait anxiety and coping resources are related to depressive symptoms post-ACS.
- Description: 2003005780
Competitive pressure and decision-making accuracy in a video-based simulation of soccer
- Authors: Mesagno, Christopher , Spittle, Michael , McNeil, Dominic
- Date: 2008
- Type: Text , Conference paper
- Relation: Paper presented at 43rd Annual Conference of the Australian Psychological Society, Hotel Grand Chancellor, Hobart, Tasmania : 23rd-26th September 2008
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- Description: Perceptual-cognitive skills and decision-making in sport have typically been explored using videobased protocols in settings where participants are not exposed to the type of competitive pressures that characterise a game situation. Consequently, this study aimed to investigate the influence of competitive pressure, or competitive anxiety, on decision-making accuracy. Seventy-seven (Male=44, Female=33) undergraduate students with mean age of 20.16 years (SD = 3.18) were randomly assigned to an experimental (n=56) or control group (n=21) and completed a video–based perceptual decision-making test of 25 temporally occluded offensive soccer plays. Participants in the experimental group completed the test with and without competitive pressure conditions. Pressure was manipulated by introducing a competition for a monetary prize. Participants in the control condition completed the test twice without competition. All participants completed a state anxiety measure prior to each test. The competition produced significantly higher cognitive anxiety than no competition; however, this was not reflected in any significant differences in decisionmaking accuracy. Although not statistically significant, more experienced performers tended to score more accurately with competitive pressure.
- Description: 2003007671
“I did not ‘choke’!” : Introducing a preliminary self-presentation model of “choking” in sport
- Authors: Mesagno, Christopher
- Date: 2008
- Type: Text , Conference paper
- Relation: Paper presented at 43rd Annual Conference of the Australian Psychological Society, Hotel Grand Chancellor, Hobart, Tasmania : 23rd-26th September 2008 p. 219-223
- Full Text: false
- Description: Based on recently proposed definitions, “choking under pressure” (i.e., choking) is defined as a critical deterioration in the execution of habitual processes as a result of an elevation in anxiety levels under perceived pressure, leading to substandard performance. Researchers have provided descriptive choking models (i.e., self-focus and distraction models) with the self-focus model receiving the most empirical support, however, no one has offered explanatory models that may answer the question “why does choking occur?” Thus, the present paper is an amalgamation of three interconnected studies that, in part, examined the psychological characteristics of “choking-susceptible” athletes using qualitative interviews, which helped to develop an explanatory model of choking. A total of 174 experienced athletes completed three psychological inventories to purposively sample 14 choking-susceptible athletes who participated in a series of single-case designs that included both low- and high-pressure phases. After the experimental phase, participants were interviewed about their experience and content analyses were conducted. Common choking-related themes were increased public self-awareness, fear of evaluation/failure, and self-monitoring techniques. Further qualitative cross-case analyses provided evidence for a preliminary self-presentation model of choking that link public self-awareness, anxiety, and conveying a positive self-presentation, which will be discussed.
- Description: 2003006464
Alleviating choking : The sounds of distraction
- Authors: Mesagno, Christopher , Marchant, Daryl , Morris, Tony
- Date: 2009
- Type: Text , Journal article
- Relation: Journal of Applied Sport Psychology Vol. 21, no. 2 (2009), p. 131-147
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- Description: Choking is defined as a critical deterioration in the execution of habitual processes as a result of an elevation in anxiety levels under perceived pressure, leading to substandard performance. In the current study, music was used in a dual-task paradigm to facilitate performance under pressure. Three choking-susceptible experienced female basketball players were purposively sampled from 41 screened players. Participants completed 240 basketball free throws in a single-case A1-B1-A2-B2 design (A phases = low-pressure and B phases = high-pressure), with the music intervention occurring during the B2 phase. Following completion of the phases, an interview was conducted to examine perceptions of choking and cognitions associated with the effects of the music lyrics. Participants improved performance in the B2 phase, and explained that choking resulted from an increase in public self-awareness (S-A). The music intervention decreased S-A, and enabled participants to minimize explicit monitoring of execution and reduce general distractibility.
Anxiety and depression among long-term survivors of cancer in Australia : Results of a population-based survey
- Authors: Couper, Jeremy , Love, Anthony , Pollard, Annabel , Bloch, Sidney
- Date: 2009
- Type: Text , Journal article
- Relation: Medical Journal of Australia Vol. 191, no. 5 (2009), p. 294-295
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Cybersickness and anxiety during simulated motion : Implications for VRET
- Authors: Bruck, Susan , Watters, Paul
- Date: 2009
- Type: Text , Journal article
- Relation: Cyberpsychology & Behavior Vol. 12, no. 5 (2009), p. 593
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A randomised controlled trial of a social support intervention
- Authors: Martin, Paul , Reece, John , Lauder, Sue , McClelland, Andrew
- Date: 2011
- Type: Text , Journal article
- Relation: Applied Psychology: Health and Well-Being Vol. 3, no. 1 (2011), p. 44-65
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- Description: Background: Much evidence has accumulated over the last three decades that low social support is related to both mental and physical health. Despite this large and convincing literature, reviewers have noted that there exists remarkably little evidence that social support can be increased by an appropriate intervention. This study reports on the development and evaluation of a new intervention for social support which takes account of the stress-buffering and direct effect models. Method: Eighty-one individuals scoring low on social support were randomly allocated to the intervention or a waiting-list control condition. Treatment consisted of 10 weekly sessions administered in a group format, and 49 participants (nine males) completed assessments at the beginning and end of a 10-week period, and at 10-week follow-up (intervention condition only). Results: The intervention proved to be successful at increasing functional support but not structural support. The intervention was also successful in increasing the social skill of self-disclosure, and decreasing depression. Gains made between pre- and post-treatment were maintained at 10-week follow-up. Conclusions: Based on published analyses of the effects of social support on health, the results imply that the intervention would be useful for stress-buffering purposes, but not for the general health-promoting effects that are associated with good social integration. © 2011 The Authors. Applied Psychology: Health and Well-Being © 2011 The International Association of Applied Psychology.
Self-presentation origins of choking: Evidence from separate pressure manipulations
- Authors: Mesagno, Christopher , Harvey, Jack , Janelle, Christopher
- Date: 2011
- Type: Text , Journal article
- Relation: Journal of Sport and Exercise Psychology Vol. 33, no. 3 (2011), p. 441-459
- Full Text: false
- Reviewed:
- Description: Whether self-presentation is involved in the choking process remains unknown. The purpose of the current study was to determine the role of self-presentation concerns on the frequency of choking within the context of a recently proposed self-presentation model. Experienced field hockey players (N = 45) were randomly assigned to one of five groups (i.e., performance-contingent monetary incentive, video camera placebo, video camera self-presentation, audience, or combined pressure), before taking penalty strokes in low- and high-pressure phases. Results indicated that groups exposed to self-presentation manipulations experienced choking, whereas those receiving motivational pressure treatments decreased anxiety and increased performance under pressure. Furthermore, cognitive state anxiety mediated the relationship between the self-presentation group and performance. These findings provide quantitative support for the proposed self-presentation model of choking, while also holding implications for anxiety manipulations in future sport psychology research. © 2011 Human Kinetics, Inc.
Training postgraduate psychology students to deliver psychological services online
- Authors: Shandley, Kerrie , Klein, Britt , Kyrios, Michael , Austin, David , Ciechomski, Lisa , Murray, Greg
- Date: 2011
- Type: Text , Journal article
- Relation: Australian psychologist Vol. 46, no. 2 (2011), p. 120-125
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- Description: Information and communication technologies are increasingly being used to remotely deliver psychological services. This delivery method confers clear advantages to both client and therapist, including the accessibility of services by otherwise unserved populations and cost-effective treatment. Remote services can be delivered in a real-time or delayed manner, providing clients with a wealth of therapy options not previously available. The proliferation of these services has outstripped the development and implementation of all but the most rudimentary of regulatory frameworks, potentially exposing clients to substandard psychological services. Integrating mandatory training on the delivery of online psychological services into accredited postgraduate psychology courses would aid in addressing this issue. The purpose of this article is to outline issues of consideration in the development and implementation of such a training programme. An online etherapy training programme developed by Swinburne University's National eTherapy Centre will be used as an example throughout.
Dissemination of Therapist-Assisted Internet Cognitive Behaviour Therapy: Development and Open Pilot Study of a Workshop
- Authors: Hadjistavropoulos, Heather , Thompson, Maureen , Klein, Britt , Austin, David
- Date: 2012
- Type: Text , Journal article
- Relation: Cognitive Behaviour Therapy Vol. 41, no. 3 (2012), p. 230-240
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- Description: There is considerable research suggesting that therapist-assisted Internet cognitive behaviour therapy (ICBT) is efficacious in the treatment of depression and anxiety. Given this research, there is a growing interest in training students in therapist-assisted ICBT in order to assist with the dissemination of this emerging modality into routine clinical practice. In this study, we developed, delivered, and evaluated a therapist-assisted ICBT workshop for clinical psychology graduate students (n = 20). The workshop provided both research evidence and practical information related to the delivery of therapist-assisted ICBT. The workshop also incorporated an experiential component with students working on and discussing responses to client e-mails. Before and after the workshop, we measured knowledge of therapist-assisted ICBT research and professional practice issues, as well as attitudes towards and confidence in delivering therapist-assisted ICBT. Statistically significant changes were observed in all areas. Eighty-five per cent of students are now offering therapist-assisted ICBT under supervision. We conclude by discussing future research directions related to disseminating therapist-assisted ICBT. © 2012 Copyright Swedish Association for Behaviour Therapy.
Examination of spatial working memory performance in children and adolescents with attention deficit hyperactivity disorder, combined type (ADHD-CT) and anxiety
- Authors: Vance, Alasdair , Ferrin, Maite , Winther, Jo , Gomez, Rapson
- Date: 2013
- Type: Text , Journal article
- Relation: Journal of Abnormal Child Psychology Vol. 41, no. 6 (2013), p. 891-900
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- Description: Spatial working memory (SWM) is known to be impaired in children with ADHD-CT, whether anxiety is present or not. Yet, it remains unclear whether anxiety disorders add to the SWM impairments evident in ADHD-CT and whether these findings extend into adolescents with ADHD-CT and anxiety. Further, it is not yet known whether children and adolescents with carefully defined anxiety disorders alone, demonstrate SWM deficits. This study explored the association of SWM and its strategy and spatial span components in carefully defined children and adolescents (age 6-16 years) with ADHD-CT alone (N = 163; 14 % female), ADHD-CT and anxiety (N = 243; 23 % female), anxiety disorders alone (N = 69; 25 % female) compared to age- and gender-matched healthy control participants (N = 116; 19 % female). The relationship between SWM and its strategy and span components and core ADHD-CT symptoms and anxiety symptoms were also examined. There was no evidence of an additive effect of ADHD and anxiety on SWM, strategy and spatial span deficits. But, anxiety disorders alone were associated with impaired SWM and span performance compared to healthy control participants. In contrast, strategy did not differ between children and adolescents with anxiety disorders alone and healthy control participants, suggesting that with anxiety span is the most affected component. Further, these findings were age-independent. This study concurs with and extends current influential models about the cognitive effects of anxiety on performance in the setting of ADHD-CT. Clinical implications and future research directions are discussed.
Who uses Australian chiropractic services?
- Authors: French, Simon , Densley, Konstancja , Charity, Melanie , Gunn, Jane
- Date: 2013
- Type: Text , Journal article
- Relation: Chiropractic and Manual Therapies Vol. 21, no. 1 (2013), p.
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- Description: Background: The use of chiropractic services is widespread, however, little is known about the characteristics of people who seek chiropractic care in Australia. This study compared the characteristics of users and non-users of chiropractic services from a cohort of patients sourced from general medical practice in Victoria, Australia.Methods: This is a secondary analysis of baseline screening data from a prospective adult cohort study beginning in 2005. Thirty randomly selected Australian general medical practices mailed out surveys to 17,780 of their patients. Differences were examined between chiropractic users and others, and between chiropractic users who reported a back problem to those who did not.Results: Of 7,519 respondents, 15% indicated they had visited a chiropractor in the last 12 months. Chiropractic users were more likely to have their GP located in a rural location and to be born in Australia; they were less likely to be in the older age group (55-76), to be unemployed or to have a pension/benefit as their main source of income. Chiropractic users were more likely to: have a back problem; use complementary or alternative medication; visit another type of complementary health practitioner or a physiotherapist. They were less likely to take medication for certain health problems (e.g. for high blood pressure, high cholesterol or asthma). No important differences were seen between chiropractic users and non-users for other health problems. People who visited a chiropractor and reported a back problem were more likely to: be a current smoker; have a number of other chronic conditions, including arthritis, hypertension, chronic sinusitis, asthma, dermatitis, depression and anxiety; report taking medications, including antidepressants, analgesics (painkillers and arthritis medication) and complementary or alternative medications.Conclusions: This large cross-sectional study of general medical practice attendees suggests that chiropractors are the most commonly consulted complementary health profession. Chiropractors should ensure they are aware of their patients' health conditions other than musculoskeletal problems and should ensure they are appropriately managed. © 2013 French et al.; licensee BioMed Central Ltd.
Age-related changes in generalized anxiety disorder symptoms
- Authors: Miloyan, Beyon , Byrne, Gerard , Pachana, Nancy
- Date: 2014
- Type: Text , Journal article
- Relation: International Psychogeriatrics Vol. 26, no. 4 (2014), p. 565-572
- Full Text: false
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- Description: Background: Little is known about the effects of age on the symptoms of anxiety disorder. Accordingly, this study sought to investigate age-related differences in the number and kind of symptoms that distinguish between individuals with and without a diagnosis of generalized anxiety disorder (GAD). Methods: A sample of 3,486 self-reported worriers was derived from Wave 1 of the National Epidemiological Survey of Alcohol and Related Conditions (NESARC), an epidemiological survey of mental health conducted in the USA in 2001-2002. Participants were stratified into the following age groups (18-29 years, 30-44 years, 45-64 years, 65-98 years), and then divided into diagnostic groups (GAD and non-GAD worriers). Results: Binary logistic regression analyses revealed that four distinct sets of symptoms were associated with GAD in each age group, and that numerically fewer symptoms were associated with GAD in older adults. Moreover, there were graduated changes in the type and number of symptoms associated with GAD in each successive age group. Conclusions: There are graduated, age-related differences in the phenomenology of GAD that might contribute to challenges in the detection of late-life anxiety. © International Psychogeriatric Association 2014.
The effects of declining functional abilities in dementia patients and increases in psychological distress on caregiver burden over a one-year period
- Authors: Razani, Jill , Corona, Roberto , Quilici, Jill , Matevosyan, Adelina , Funes, Cynthia , Larco, Andrea , Miloyan, Beyon , Avila, Justina , Chang, Julia , Goldberg, Hope , Lu, Po
- Date: 2014
- Type: Text , Journal article
- Relation: Clinical Gerontologist Vol. 37, no. 3 (2014), p. 235-252
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- Description: The degree to which changes in caregiver burden over a one-year period can be predicted by functioning of dementia patients and caregiver psychological stress was examined. The Direct Assessment of Functional Status (DAFS) was administered to 44 patients and the Caregiver Burden Inventory and the Brief Symptom Inventory were administered to their next-of-kin caregivers. All patients and caregivers were assessed at baseline and again in approximately one year with the same measures. Hierarchical regression revealed that baseline patient functioning predicted overall changes in caregiver burden, but that increases in psychological symptoms of caregivers such as depression, anxiety, and hostility were the best predictors for specific types of increased caregiver burden, such as social, developmental, or physical burden. These results suggest that interventions should target reduction of particular psychological symptoms in order to reduce caregiver burden over time.
The Relationship of attachment to resilience and their impact on perceived stress
- Authors: Marriner, Patricia , Cacioli, Jon-Paul , Moore, Kathleen
- Date: 2014
- Type: Text , Book chapter
- Relation: Stress and anxiety : applications to social and environmental threats, psychological well-being, occupational challenges, and developmental psychology Chapter 8 p. 73-81
- Full Text: false
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- Description: Early attachment relationships are important, as the bonds made with significant others in childhood affect the emotional and physical health of individuals throughout life. The aim of this study was to explore how early Attachment relationships relate to levels of Resilience, and how these are related to levels of perceived stress and use of coping strategies. It was hypothesised that individuals with a secure attachment style would relate to higher levels of Resilience, and these variables in turn would correlate positively with proactive coping strategies and negatively with perceived stress. A cross-sectional sample of 196 volunteers (16 males, age M = 38.63 years, SD = 15.56 and 180 females, age M = 32.74 years, SD = 9.98) completed an online questionnaire assessing Attachment style, Resilience, perceived Stress, and coping styles. The results indicated a secure attachment style correlated with Resilience (r = .55). Both Secure attachment and Resilience correlated with greater use of proactive coping strategies (r > .24), and negatively with ratings of stress (r = -.20 and -.53, respectively). An exploratory analysis failed to support Resilience as a mediator of Attachment on Stress. Directions for future studies and implications of the findings are also discussed.