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Attachment in Couples Coping with Cancer: Associations with Observed Communication and Long-Term Health.

Publication ,  Journal Article
Ramos, K; Leo, K; Porter, LS; Romano, JM; Baucom, BRW; Langer, SL
Published in: Int J Environ Res Public Health
March 24, 2023

Cancer poses a threat to well-being that may activate the attachment system and influence interpersonal dynamics, such as communication. Research indicates that avoidant and anxious attachment, as well as communication, are independently associated with poorer psychosocial well-being, yet studies examining links between attachment, communication, and long-term physical well-being are lacking. We examined (a) associations between patient and partner attachment (measured with the adult attachment scale [AAS-Revised]) and observed communication (across affect [the Relational Affective Topography System (RATS) coding system] and behavior [the Asymmetric Behavior Coding System (ABCS) coding system]) and (b) the extent to which attachment and communication independently predicted long-term physical well-being (measured by the Functional Assessment of Cancer Therapy-General Population [FACT-GP]). Participants were 134 couples [mean age 53.9 (SD = 13.4), 86.2% Caucasian, 66% of patients, 36% of partners female]. Patient participants had either breast, colorectal, or lung cancer. Couples individually completed self-report measures of attachment (baseline) and physical well-being (baseline and 4, 8, and 12 months later). At baseline, couples engaged in a 15 min videorecorded cancer-related conversation coded for communication behavior and affective expression. Patients and partners with higher anxious and avoidant attachment exhibited more negative affect and negative approach behaviors. A greater avoidant attachment was associated with less positive affective expression. Attachment insecurity and affective expression were prospectively linked with physical well-being. Findings indicate that attachment is associated with overt communication behaviors and that insecure attachment and affective expression may be risk factors for poorer health outcomes.

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Published In

Int J Environ Res Public Health

DOI

EISSN

1660-4601

Publication Date

March 24, 2023

Volume

20

Issue

7

Location

Switzerland

Related Subject Headings

  • Toxicology
  • Sexual Partners
  • Sexual Behavior
  • Object Attachment
  • Neoplasms
  • Interpersonal Relations
  • Humans
  • Female
  • Communication
  • Anxiety
 

Citation

APA
Chicago
ICMJE
MLA
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Ramos, K., Leo, K., Porter, L. S., Romano, J. M., Baucom, B. R. W., & Langer, S. L. (2023). Attachment in Couples Coping with Cancer: Associations with Observed Communication and Long-Term Health. Int J Environ Res Public Health, 20(7). https://doi.org/10.3390/ijerph20075249
Ramos, Katherine, Karena Leo, Laura S. Porter, Joan M. Romano, Brian R. W. Baucom, and Shelby L. Langer. “Attachment in Couples Coping with Cancer: Associations with Observed Communication and Long-Term Health.Int J Environ Res Public Health 20, no. 7 (March 24, 2023). https://doi.org/10.3390/ijerph20075249.
Ramos K, Leo K, Porter LS, Romano JM, Baucom BRW, Langer SL. Attachment in Couples Coping with Cancer: Associations with Observed Communication and Long-Term Health. Int J Environ Res Public Health. 2023 Mar 24;20(7).
Ramos, Katherine, et al. “Attachment in Couples Coping with Cancer: Associations with Observed Communication and Long-Term Health.Int J Environ Res Public Health, vol. 20, no. 7, Mar. 2023. Pubmed, doi:10.3390/ijerph20075249.
Ramos K, Leo K, Porter LS, Romano JM, Baucom BRW, Langer SL. Attachment in Couples Coping with Cancer: Associations with Observed Communication and Long-Term Health. Int J Environ Res Public Health. 2023 Mar 24;20(7).

Published In

Int J Environ Res Public Health

DOI

EISSN

1660-4601

Publication Date

March 24, 2023

Volume

20

Issue

7

Location

Switzerland

Related Subject Headings

  • Toxicology
  • Sexual Partners
  • Sexual Behavior
  • Object Attachment
  • Neoplasms
  • Interpersonal Relations
  • Humans
  • Female
  • Communication
  • Anxiety