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Relatives’ attachment anxiety mediates the association between perceived loss and expressed emotion in early psychosis

dc.creatorHinojosa-Marqués, Lídiaes_ES
dc.creatorDomínguez-Martínez, Tecellies_ES
dc.creatorSheinbaum, Tamaraes_ES
dc.creatorCristóbal-Narváez, Paulaes_ES
dc.creatorKwapil, Thomas R.es_ES
dc.creatorBarrantes-Vidal, Neuses_ES
dc.date2019
dc.date.accessioned2022-09-09T16:06:30Z
dc.date.available2022-09-09T16:06:30Z
dc.date.issued2019
dc.identifierJC047es_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/7590
dc.identifier.urihttps://doi.org/10.1371/journal.pone.0223425
dc.identifier.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6779271/
dc.descriptionA common reaction experienced by family members of patients with psychosis is grief for the loss of their healthy relative. Importantly, high levels of perceived loss have been related to the manifestation of high expressed emotion (EE), which includes the negative attitudes expressed by relatives toward an ill family member. However, the mechanisms underlying the relationship between relatives’ perceived loss and EE attitudes in the early stages of psychosis are still not fully understood. In this regard, attachment theory has been suggested as a useful framework for understanding this link. The current study aimed to examine: (1) whether relatives’ perceived loss was associated with relatives’ EE dimensions (i.e., criticism and emotional over-involvement (EOI)), and (2) whether such associations were mediated by relatives’ attachment dimensions (i.e., anxiety and avoidance). Seventy-eight relatives of patients with early psychosis completed the Mental Illness Version of the Texas Inventory of Grief for the assessment of loss reactions. Attachment dimensions and EE attitudes were assessed by the Psychosis Attachment Measure and the Family Questionnaire, respectively. Findings indicated that relatives’ perceived loss was associated with EE dimensions. Relatives’ attachment anxiety, but not avoidance, mediated the relationship of perceived loss with both criticism and EOI. Findings highlight the importance of examining the role of relatives’ attachment characteristics for understanding how perceptions of loss might impact the manifestation of EE attitudes in the early stages of psychosis. Family interventions aimed at assisting relatives to improve their management of negative emotional reactions to loss are fundamental to prevent impairing loss reactions and the entrenchment of high-EE attitudeses_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherPublic Library of Sciencees_ES
dc.relation14(10) e0223425
dc.rightsAcceso Cerradoes_ES
dc.titleRelatives’ attachment anxiety mediates the association between perceived loss and expressed emotion in early psychosises_ES
dc.typeArtículoes_ES
dc.contributor.affiliationDepartament de Psicologia Clínica i de la Salut, Universitat Autònoma de Barcelona, Barcelona, Spain
dc.contributor.emailneus.barrantes@uab.cat (Neus Barrantes-Vidal)
dc.relation.jnabreviadoPLOS ONE
dc.relation.journalPLoS One
dc.identifier.placeEstados Unidos
dc.date.published2019
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñizes_ES
dc.identifier.eissn1932-6203
dc.identifier.doi10.1371/journal.pone.0223425


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