Cargando…

Toward a preventive approach to prolonged grief disorder in palliative care: Insecure attachment moderates the impact of perceived support on the severity of symptoms

OBJECTIVE: This study aimed to investigate the relationships between perceived support at the time of assistance, insecure attachment (i.e., avoidance and anxious attachment), and prolonged grief symptoms in family caregivers of palliative care patients deceased for at least one year. We also invest...

Descripción completa

Detalles Bibliográficos
Autores principales: Lenzo, Vittorio, Sardella, Alberto, Musetti, Alessandro, Faraone, Cristina, Quattropani, Maria C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9714949/
https://www.ncbi.nlm.nih.gov/pubmed/36454987
http://dx.doi.org/10.1371/journal.pone.0266289
_version_ 1784842349958922240
author Lenzo, Vittorio
Sardella, Alberto
Musetti, Alessandro
Faraone, Cristina
Quattropani, Maria C.
author_facet Lenzo, Vittorio
Sardella, Alberto
Musetti, Alessandro
Faraone, Cristina
Quattropani, Maria C.
author_sort Lenzo, Vittorio
collection PubMed
description OBJECTIVE: This study aimed to investigate the relationships between perceived support at the time of assistance, insecure attachment (i.e., avoidance and anxious attachment), and prolonged grief symptoms in family caregivers of palliative care patients deceased for at least one year. We also investigated the moderating role of insecure attachment in the relationship between perceived support and the intensity of prolonged grief symptoms. METHOD: An exploratory cross-sectional design was used. A sample of 157 participants completed the Prolonged Grief Scale (PG-13) and the Attachment Style Questionnaire (ASQ). RESULTS: Correlational analyses indicated that prolonged grief symptoms were positively correlated with Avoidance attachment but not with Anxious attachment. Perceived support was negatively correlated with both the Avoidance and Anxious attachment factors. Lastly, the two insecure attachment dimensions were moderately and positively correlated with each other. Results of moderation analysis showed that high Avoidance attachment moderated the effect of perceived family and social support on the intensity of prolonged grief symptoms among family caregivers of palliative home-care-assisted patients. Results also showed that the Anxious attachment factor had a significant effect on prolonged grief symptoms, even though the interaction with perceived support was not significant. CONCLUSIONS: Overall, these results underline that a high level of avoidance attachment may moderate the relationship between perceived support and the intensity of grief symptoms, thereby increasing the risk of developing a mental disorder. Interventions to prevent prolonged grief disorder among family caregivers should take these findings into account.
format Online
Article
Text
id pubmed-9714949
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-97149492022-12-02 Toward a preventive approach to prolonged grief disorder in palliative care: Insecure attachment moderates the impact of perceived support on the severity of symptoms Lenzo, Vittorio Sardella, Alberto Musetti, Alessandro Faraone, Cristina Quattropani, Maria C. PLoS One Research Article OBJECTIVE: This study aimed to investigate the relationships between perceived support at the time of assistance, insecure attachment (i.e., avoidance and anxious attachment), and prolonged grief symptoms in family caregivers of palliative care patients deceased for at least one year. We also investigated the moderating role of insecure attachment in the relationship between perceived support and the intensity of prolonged grief symptoms. METHOD: An exploratory cross-sectional design was used. A sample of 157 participants completed the Prolonged Grief Scale (PG-13) and the Attachment Style Questionnaire (ASQ). RESULTS: Correlational analyses indicated that prolonged grief symptoms were positively correlated with Avoidance attachment but not with Anxious attachment. Perceived support was negatively correlated with both the Avoidance and Anxious attachment factors. Lastly, the two insecure attachment dimensions were moderately and positively correlated with each other. Results of moderation analysis showed that high Avoidance attachment moderated the effect of perceived family and social support on the intensity of prolonged grief symptoms among family caregivers of palliative home-care-assisted patients. Results also showed that the Anxious attachment factor had a significant effect on prolonged grief symptoms, even though the interaction with perceived support was not significant. CONCLUSIONS: Overall, these results underline that a high level of avoidance attachment may moderate the relationship between perceived support and the intensity of grief symptoms, thereby increasing the risk of developing a mental disorder. Interventions to prevent prolonged grief disorder among family caregivers should take these findings into account. Public Library of Science 2022-12-01 /pmc/articles/PMC9714949/ /pubmed/36454987 http://dx.doi.org/10.1371/journal.pone.0266289 Text en © 2022 Lenzo et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Lenzo, Vittorio
Sardella, Alberto
Musetti, Alessandro
Faraone, Cristina
Quattropani, Maria C.
Toward a preventive approach to prolonged grief disorder in palliative care: Insecure attachment moderates the impact of perceived support on the severity of symptoms
title Toward a preventive approach to prolonged grief disorder in palliative care: Insecure attachment moderates the impact of perceived support on the severity of symptoms
title_full Toward a preventive approach to prolonged grief disorder in palliative care: Insecure attachment moderates the impact of perceived support on the severity of symptoms
title_fullStr Toward a preventive approach to prolonged grief disorder in palliative care: Insecure attachment moderates the impact of perceived support on the severity of symptoms
title_full_unstemmed Toward a preventive approach to prolonged grief disorder in palliative care: Insecure attachment moderates the impact of perceived support on the severity of symptoms
title_short Toward a preventive approach to prolonged grief disorder in palliative care: Insecure attachment moderates the impact of perceived support on the severity of symptoms
title_sort toward a preventive approach to prolonged grief disorder in palliative care: insecure attachment moderates the impact of perceived support on the severity of symptoms
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9714949/
https://www.ncbi.nlm.nih.gov/pubmed/36454987
http://dx.doi.org/10.1371/journal.pone.0266289
work_keys_str_mv AT lenzovittorio towardapreventiveapproachtoprolongedgriefdisorderinpalliativecareinsecureattachmentmoderatestheimpactofperceivedsupportontheseverityofsymptoms
AT sardellaalberto towardapreventiveapproachtoprolongedgriefdisorderinpalliativecareinsecureattachmentmoderatestheimpactofperceivedsupportontheseverityofsymptoms
AT musettialessandro towardapreventiveapproachtoprolongedgriefdisorderinpalliativecareinsecureattachmentmoderatestheimpactofperceivedsupportontheseverityofsymptoms
AT faraonecristina towardapreventiveapproachtoprolongedgriefdisorderinpalliativecareinsecureattachmentmoderatestheimpactofperceivedsupportontheseverityofsymptoms
AT quattropanimariac towardapreventiveapproachtoprolongedgriefdisorderinpalliativecareinsecureattachmentmoderatestheimpactofperceivedsupportontheseverityofsymptoms