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Attachment relationships as determinants of physical health
Robert G Maunder1, Jonathan J Hunter
1University of Toronto, Department of Psychiatry, Mount Sinai Hospital, Toronto, Ontario, Canada. rmaunder@mtsinai.on.ca
Insights
Childhood adversity can lead to insecure attachment, potentially harming physical health across a lifetime. This insecurity affects stress responses, immunity, health behaviors, and substance use, increasing disease risk.
Area of Science:
- Psychology
- Developmental Psychology
- Health Psychology
Background:
- Childhood adversity disrupts secure attachment formation.
- Attachment insecurity has long-term implications for physical health.
- Recent evidence highlights mechanisms linking attachment to disease risk.
Purpose of the Study:
- To review current research on attachment insecurity and physical health.
- To explore the pathways through which attachment insecurity impacts health.
- To update the understanding of these mechanisms since 2000.
Main Methods:
- Literature review of recent evidence.
- Survey of research on attachment theory and health outcomes.
- Discussion of proposed mechanisms linking attachment insecurity to disease.
Main Results:
- Attachment insecurity is associated with impaired physiological stress regulation.
- Social relationships, stress, and immune function are physiologically interconnected.
- Relationship styles correlate with health behaviors and substance use.
- Externalizing risk factors like nicotine and alcohol use are linked to managing negative emotions.
Conclusions:
- Attachment insecurity represents a significant risk factor for physical health problems throughout life.
- Understanding the mechanisms linking attachment to health is crucial for intervention.
- Continued research is needed to fully elucidate these complex relationships.
Abstract:
Childhood adversity alters the relational world of the child and inhibits the development of secure attachment bonds. The purpose of this article is to survey recent evidence that attachment insecurity has the potential to impair physical health throughout the lifespan. It is proposed that attachment insecurity contributes to disease risk through a range of mechanisms which include (1) disturbances in arousal and recovery within physiological systems that respond to stress; (2) physiological links between the mediators of social relationships, stress, and immunity; (3) links between relationship style and various health behaviors; and (4) disease risk factors that serve as external regulators of dysphoric affect, such as nicotine and alcohol. The evidence for these mechanisms, particularly the evidence that has accumulated since the model was first proposed in 2000, is presented and discussed.
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