Attachment styles associated with panic disorder in users attended at a community mental health center

Authors

  • Doris Ascoy Escuela de Medicina Humana Universidad Privada Antenor Orrego, Trujillo – Perú.
  • Víctor Moya Unidad de Psiquiatría, Centro de Salud Mental Comunitario de Moche. Trujillo Perú
  • Nelson Huayta Escuela de Administración, Universidad Tecnológica Latinoamericana en Línea Lima- Perú

DOI:

https://doi.org/10.35434/rcmhnaaa.2024.173.2504

Keywords:

panic disorder, attachment styles, Mental Health

Abstract

Introduction: Panic disorder is characterized by recurrent, sudden attacks of intense fear that reach a peak within minutes. As individuals reach adulthood, its development is influenced by attachment styles developed in childhood, especially insecure styles. Objective: To identify the association between attachment styles and the development of panic disorder in patients at a community mental health center. Methods: An analytical cross-sectional study was conducted, evaluating 121 patients attended between December 2021 and June 2022. Attachment style was determined using the Spanish version of the Bartholomew and Horowitz questionnaire. The diagnosis of panic disorder was made through clinical evaluation by a psychiatrist. Results: Attachment styles were associated with panic disorder (p=0.005), mainly the fearful style (crude RR: 1.767; 95% CI 1.210 to 2.580) and confirmed in the adjusted model (adjusted RR: 1.681; 95% CI 1.184 to 2.388). The prevalence of adults and a family history of panic disorder was also associated in the crude model, although it was no longer statistically significant in the adjusted model. Additionally, a prevalence was found in males, young adults, and employed and underemployed individuals, but these were not statistically significant in either the crude or adjusted models.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Author Biographies

Doris Ascoy, Escuela de Medicina Humana Universidad Privada Antenor Orrego, Trujillo – Perú.

1. Médico cirujano

Víctor Moya, Unidad de Psiquiatría, Centro de Salud Mental Comunitario de Moche. Trujillo Perú

1. Médico Psiquiatra

Nelson Huayta , Escuela de Administración, Universidad Tecnológica Latinoamericana en Línea Lima- Perú

1. Licenciado en administración

References

Pompoli A, Furukawa T, Imai H, Tajika A, Efthimiou O, Salanti G. Psychological therapies for panic disorder with or without agoraphobia in adults: a network meta-analysis. Cochrane Database Syst Rev. 2016 Apr; 4(CD011004): 1465-1858. https://doi.org/10.1002/14651858.cd011004.pub2

Shin J, Park D, Ryu S, Ha J, Kim S, Jeon H. Clinical implications of agoraphobia in patients with panic disorder. Medicine. 2020 Jul; 99(30): e21414. https://doi.org/10.1097%2FMD.0000000000021414

Harvard Medical School. National Comorbidity Survey (NCS). Available from: https://www.hcp.med.harvard.edu/ncs/index.php

De Jonge P, Roest AM, Lim CC, Florescu SE, Bromet EJ, Stein DJ, et al. Cross-national epidemiology of panic disorder and panic attacks in the world mental health surveys. Depress Anxiety. 2016; 33: 1155-1177. https://doi.org/10.1002/da.22572

Saavedra Castillo JE, Paz Schaeffer V, Vargas Murga H, Robles Arana Y, Pomalima Rodríguez R, González Farfán S, et al. Estudio Epidemiológico de Salud Mental en Lima Metropolitana y Callao - Replicación 2012. Informe General. Anales de Salud Mental. 2013; 29 (Suppl 1): 1-397 https://openjournal.insm.gob.pe/revistasm/asm/article/view/7

Pacheco-Vásquez D, Guerrero-Alcedo J. Prevalencia de trastornos mentales en población peruana con COVID-19 atendida en el programa “Te Cuido Perú”. Arch Venez Farmacol Ter. 2021; 40(9). https://doi.org/10.5281/zenodo.5834712

Schetsche C, Mustaca A. Attachment Styles, Personality, and Frustration Intolerance. Health Psychol Res. 2021 Jun; 9(1). https://doi.org/10.52965%2F001c.24551

Pacchierotti C, Bossini L, Castrogiovanni A, Pieraccini F, Soreca I, Castrogiovanni P. Attachment and panic disorder. Psychopathology. 2002 Nov-Dec;35(6):347-54. https://doi.org/10.1159/000068597

Manicavasagar V, Silove D, Marnane C, Wagner R. Adult attachment styles in panic disorder with and without comorbid adult separation anxiety disorder. Aust N Z J Psychiatry. 2009 Feb;43(2):167-172. https://doi.org/10.1080/00048670802607139

Ainsworth MD, Bell SM. Attachment, exploration and separation: Illustrated by the behavior of one-year-olds in a strange situation. Child Dev. 1970; 41(1): 49-67. https://doi.org/10.2307/1127388

Marganska A, Gallagher M, Miranda R. Adult attachment, emotion dysregulation, and symptoms of depression and generalized anxiety disorder. Am. J. Orthopsychiatry. 2013 Jan; 83(1): 131-141. https://doi.org/10.1111/ajop.12001

Marazziti D, Dell’osso B, Catena Dell’Osso M, Consoli G, Del Debbio A, Mungai F, et al. Romantic attachment in patients with mood and anxiety disorders. CNS Spectrums. 2007 Oct; 12(10): 751-756. https://doi.org/10.1017/s1092852900015431

McKenzie R, Dallos R. Autism and attachment difficulties: Overlap of symptoms, implications and innovative solutions. Clin Child Psychol Psychiatry. 2017 Oct; 22(4): 632-648. https://doi.org/10.1177/1359104517707323

Yárnoz-Yaben S, Priscila C. Evaluación del apego adulto: Análisis de la convergencia entre diferentes instrumentos. Acción Psicol [Internet]. 2011; 8(2): 67-85. https://doi.org/10.5944/ap.8.2.191

Bartholomew, K., & Horowitz, L. M. Attachment styles among young adults: A test of a four-category model. J Pers Soc Psychol. 1991; 61(2): 226–244. https://doi.org/10.1037/0022-3514.61.2.226

World Medical Association. World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human participants [Online]. 2024. Available from: https://doi.org/10.1001/jama.2024.21972.

Consejo de Organizaciones Internacionales de las Ciencias Médicas (CIOMS). Pautas éticas internacionales para la investigación relacionada con la salud con seres humanos [online]. Geneva; 2016 [cited 2024 09 29]. Available from: https://cioms.ch/publications/product/pautas-eticas-internacionales-para-la-investigacion-relacionada-con-la-salud-con-seres-humanos/

Zhang J, Wiecaszek P, Sami S, Meiser-Stedman R. Association between panic disorder and childhood adversities: a systematic review and meta-analysis. Psychol. Med. 2023 Nov; 53(6): 2585-2595. https://doi.org/10.1017/s0033291721004505

Anxiety and Depression Association of America (ADAA). Anxiety Disorders - Facts and Statistics [Online]. [cited 2023 03 11]. Available from: https://adaa.org/understanding-anxiety/facts-statistics

Pini S, Abelli M, Troisi A, Siracusano A, Cassano GB, Shear KM, et al. The relationships among separation anxiety disorder, adult attachment style and agoraphobia in patients with panic disorder. J Anxiety Disord. 2014 Dec;28(8):741-746. https://doi.org/10.1016/j.janxdis.2014.06.010.

Mayorga Parra JA, Vega Falcón V. Relación entre estilos de apego y estrategias de regulación emocional en estudiantes universitarios. Psico UNEMI. 2021 Diciembre; 5(9); 46-57. https://doi.org/10.29076/issn.2602-8379vol5iss9.2021pp46-57p

Avendaño Carbajal ZL. Estilos de apego adulto y sintomatología psicopatológica en estudiantes de una universidad pública de Cusco [Tesis de pregrado]. Lima: Pontificia Universidad Católica del Perú; 2019. https://tesis.pucp.edu.pe/repositorio/handle/20.500.12404/15533

Brown A, Whiteside S. Relations among perceived parental rearing behaviors, attachment style, and worry in anxious children. J Anxiety Disord. 2008; 22(2): 263-272. https://pubmed.ncbi.nlm.nih.gov/17383852/

Martínez Moreno MA, Meza Sánchez LN, Oviedo Delgado MS, Vásquez Caballero DA. El apego como precursor de una psicopatología ansiosa [Tesis de pregrado]. Colombia: Universidad Cooperativa de Colombia; 2019. https://repository.ucc.edu.co/bitstream/20.500.12494/14365/1/2019_apego_precursor_psicopatologia.pdf

Gaspar Seganfredo AC, Torres M, Abrahão Salum G, Blaya C, Acosta J, Eizirik C, et al. Gender differences in the associations between childhood trauma and parental bonding in panic disorder. Braz J Psychiatry. 2009; 31(4): 314-321. https://doi.org/10.1590/S1516-44462009005000005

Published

2024-11-05

How to Cite

1.
Ascoy D, Moya V, Huayta N. Attachment styles associated with panic disorder in users attended at a community mental health center. Rev. Cuerpo Med. HNAAA [Internet]. 2024 Nov. 5 [cited 2024 Nov. 23];17(3). Available from: https://cmhnaaa.org.pe/ojs/index.php/rcmhnaaa/article/view/2504

Issue

Section

Original Article

Categories