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Disorganized attachment and prolonged grief.

Marcin Sekowski1, Holly G Prigerson2,3

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Disorganized attachment significantly impacts prolonged grief disorder (PGD) severity, influencing the relationship between other attachment styles and PGD. Understanding disorganized attachment is crucial for effective grief therapy.

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Area of Science:

  • Psychology
  • Clinical Psychology
  • Attachment Theory

Background:

  • Prolonged grief disorder (PGD) is a debilitating condition affecting bereaved individuals.
  • Attachment anxiety and avoidance are established risk factors for PGD.
  • The role of disorganized attachment in PGD remains less understood.

Purpose of the Study:

  • To investigate the association between disorganized attachment and PGD severity.
  • To examine the interaction between disorganized attachment, anxiety, and avoidance in predicting PGD.

Main Methods:

  • A cross-sectional study involving 258 participants who experienced familial loss.
  • Utilized validated scales: Experiences in Close Relationships-Revised, Adult Disorganized Attachment Scale, and PGD-13.
  • Statistical modeling to assess attachment styles as predictors of PGD.

Main Results:

  • Disorganized attachment significantly improved the prediction of PGD symptoms compared to models using only anxiety and avoidance.
  • The relationship between attachment avoidance and PGD varied based on levels of disorganized attachment and anxiety.
  • These findings highlight the complex interplay of attachment styles in PGD.

Conclusions:

  • Disorganized attachment is a critical factor to consider in PGD research and clinical practice.
  • Attachment-informed grief interventions targeting insecure attachment styles, including disorganized, may benefit individuals with PGD.
  • Future research should prioritize the inclusion of disorganized attachment in studies of grief and loss.