Attachment insecurities, caregiver burden, and psychological distress among partners of patients with heart disease

Caregiver psychological distress (i.e., depression and anxiety) is harmful to both caregiver and patient. Different affect-regulation strategies associated with attachment orientations may impact a caregiver’s perception of their caregiving role as a burden, thereby contributing to their psychologic...

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Vydáno v:PloS one Ročník 17; číslo 9; s. e0269366
Hlavní autoři: Laflamme, Simone Zofia, Bouchard, Karen, Sztajerowska, Karolina, Lalande, Kathleen, Greenman, Paul S., Tulloch, Heather
Médium: Journal Article
Jazyk:angličtina
Vydáno: San Francisco Public Library of Science 19.09.2022
Public Library of Science (PLoS)
Témata:
Activities of daily living
Anxiety
Attachment
Attachment behavior
Avoidance
Behavior
Biology and Life Sciences
Cardiac patients
Cardiovascular disease
Cardiovascular diseases
Caregivers
Coronary artery
Coronary artery disease
Depression, Mental
Emotions
Health aspects
Heart
Heart diseases
Hospitalization
Mathematical models
Medicine and Health Sciences
Mental depression
Mortality
Patients
Psychological aspects
Psychological stress
Recovery (Medical)
Risk factors
Social aspects
Social Sciences
Statistical analysis
Statistical models
Stress (Psychology)
Surveys
Threats
Canada
ISSN:1932-6203, 1932-6203
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Shrnutí:Caregiver psychological distress (i.e., depression and anxiety) is harmful to both caregiver and patient. Different affect-regulation strategies associated with attachment orientations may impact a caregiver’s perception of their caregiving role as a burden, thereby contributing to their psychological distress. The aim of the present investigation was to examine the links among attachment orientations, caregiver burden, and psychological distress in a cardiac context. Participants ( N = 181, M age = 61.79, SD = 10.49; males = 24.7%) were romantic partners of patients with heart disease (i.e., informal caregivers) who completed validated questionnaires. The majority of caregivers had partners with coronary artery disease ( n = 127, 70. 2%). 66.3% of caregivers reported low burden, 87.6% reported low levels of depression and 89.9% reported low levels of anxiety. The mean anxious attachment score was 2.74 ( SD = 1.37) and the mean avoidant attachment score was 2.95 ( SD = 1.26). Four mediation analyses were run using PROCESS macro for IBM SPSS (version 26). Statistical models showed that the relationships between attachment anxiety and psychological distress were mediated by caregiver burden [ ab anxiety = 0.15, 95% C . I . (0.04, 0.29); ab depression = 0.15, 95% C . I . (0.05, 0.28)] and that attachment avoidance was not a significant covariate ( cv anxiety = −0.02, p >0.05; cv depression = 0.40, p >0.05). The relationships between attachment avoidance and psychological distress were also mediated by caregiver burden [a b anxiety = 0.23, 95% C . I . (0.10, 0.42); ab depression = 0.21, 95% C . I . (0.09, 0.37]with attachment anxiety as a significant covariate ( cv anxiety = 1.09, p <0.001; cv depression = 1.09, p <0.001). Interventions for caregivers reporting attachment insecurity and burden should be explored to potentially lessen caregiver distress as they support their partners with heart disease.
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Competing Interests: The authors have declared that no competing interests exist.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0269366