Keywords
Perceived social support
Problematic substance use
How to Cite
Abstract
The aim of this study is to examine the relationship between the attachment style and perceived social support in Chilean adults with and without problematic substance use (N = 46). The attachment style was evaluated through the Ca-Mir questionnaire and social support through MOS questionnaire. Attachment insecurity was associated to problematic substance use, while attachment security in substance users was linked to a greater perceived social support. The use of substances would be a strategy for emotional regulation underlying attachment insecurity and low perceived social support. The results were discussed from an attachment perspective, given its relevance for psychotherapy in the context of rehabilitation in substance use.
References
Ainsworth, M. (1989). Attachments beyond infancy. American Psychologist, 44(4), 709-716. https://doi.org/10.1037/0003-066X.44.4.709
Bowlby, J. (1980). Attachment and loss: vol. 3. Loss: Sadness and depression. New York: Basic Books. Bowlby, J. (1969). Attachment and loss. vol. 1. Attachment. New York: Basic Books.
Bretherton, I. & Munholland, K. (2008). Internal working models in attachment relationships: Elaborating a central construct in attachment theory. En P. Shaver & J. Cassidy (Eds.), Handbook of Attachment: theory, research, and clinical applications (2a. ed.) (pp.102-127). New York: Guilford Press.
Caspers, K., Cadoret, R., Langbehn, D., Yucuis, R. & Troutman, B. (2005). Contributions of attachment style and perceived social support to lifetime use of illicit substances. Addictive Behaviors, 30(5), 1007-1011. https://doi.org/10.1016/j.ad dbeh.2004.09.001
Cassidy, J. & Kobak, R. (1988). Avoidance and its relationship with other defensive processes. En J. Belsky & T. Nezworski (Eds.), Clinical implications of attachment (pp. 300-323). Hillsdale: Erlbaum.
Cavaiola, A., Fulmer, B. & Stout, D. (2015). The impact of social support and attachment style on quality of life and readiness to change in a sample of individuals receiving medication-assisted treatment for opioid dependence. Substance abuse, 36(2), 183-191. https://doi.org/10.1080/08897077.2015.1019662.
Consedine, N. & Magai, C. (2003). Attachment and emotion experience in later life: the view from emotions theory.
Attachment & Human Development, 5(2), 165-187. https://doi.org/10.1080/1461673031000108496
DeKlyen, M. & Greenberg, M. (2008). Attachment and psychopathology in childhood. En P. Shaver & J. Cassidy (Eds.),
Handbook of Attachment. theory, research, and clinical applications (2a ed.) (pp. 637-665). New York: Guilford Press. Dozier, M., Stovall-McClough, K. & Albus, K. (2008). Attachment and psychopathology in adulthood. En J. Cassidy & P.
Shaver (Eds.), Handbook of attachment: Theory, research, and clinical applications (2a ed.) (pp. 718-744). New York: Guilford Press.
Fairbairn, C., Briley, D., Kang, D., Fraley, R., Hankin, B. & Ariss, T. (2018). A meta-analysis of longitudinal associations between substance use and interpersonal attachment security. Psychological Bulletin, 144(5), 532-555. https://doi.org/10.1037/bul0000141
Flores, P. (2004). Addiction as an attachment disorder. Oxford: Jason Aronson.
Flores, P. (2006). Conflict and repair in addiction treatment: An attachment disorder perspective. Journal of Groups in Addiction & Recovery, 1(1), 5-26. https://doi.org/10.1300/J384v01n01_02
Florian, V., Mikulincer, M. & Bucholtz, I. (1995). Effects of adult attachment style on the perception and search for social support. Journal of Psychology: Interdisciplinary and Applied, 129(6), 665-676. https://doi.org/10.1080/00223980.19 95.9914937
Fonagy, P., Leigh, T., Steele, M., Steele, H., Kennedy, R., Mattoon, G. Target, M., & Gerber, A. (1996). The relation of attachment status, psychiatric classification, and response to psychotherapy. Journal of Consulting and Clinical Psychology, 64(1), 22-31. https://doi.org/10.1037/0022-006x.64.1.22
Fox, N. & Hane, A. (2008). Studying the biology of human attachment. En P. Shaver & J. Cassidy (Eds.), Handbook of Attachment. theory, research, and clinical applications (2a ed.) (pp. 217-240). New York: Guilford Press.
Fresno, A., Spencer, R., Leiva, M. y Gallardo, I. (2011). Ingreso familiar y variables psicológicas asociadas a la pobreza como
predictores de la calidad de la representación del apego en niños preescolares en Chile. Salud y Sociedad, 2(2), 176-192. https://doi.org/10.22199/s07187475.2011.0002.00004
Garmendia, M., Alvarado, M., Montenegro, M. y Pino, P. (2008). Importancia del apoyo social en la permanencia de la abstinencia del consumo de drogas. Revista Médica de Chile, 136(2), 169-178. https://doi.org/10.4067/s0034-988720 08000200005
Garrido, L. (2006). Apego, emoción y regulación emocional, implicaciones para la salud. Revista Latinoamericana de Psicología, 38(3), 493-507. https://psycnet.apa.org/record/2007-00091-004
Garrido, L., Santelices, M., Pierrehumbert, B. y Armijo, I. (2009). Validación chilena del cuestionario de evaluación de apego en el adulto CAMIR. Revista Latinoamericana de Psicología, 41(1), 81-98. http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120-05342009000100007&lng=en&tlng=es
Höfler, D. & Kooyman, M. (1996). Attachment transition, addiction and therapeutic bonding–An integrative approach. Journal of Substance Abuse Treatment, 13(6), 511-519. https://doi.org/10.1016/S0740-5472(96)00156-0.
Howe, D. (2005). Child abuse and neglect: attachment, development and intervention. Palgrave Macmillan.
https://doi.org/10.1007/978-0-230-80239-1
Kassel, J., Wardle, M. & Roberts, J. (2007). Adult attachment security and college student substance use. Addictive behaviors, 32(6), 1164-1176. https://doi.org/10.1016/j.addbeh.2006.08.005
Kerr, S., Melley, A., Travea, L., & Pole, M. (2003). The relationship of emotional expression and experience to adult attachment style. Individual Differences Research, 1(2), 108-122. https://cutt.ly/CHThysm
Khantzian, E. J. (2012). Reflections on treating addictive disorders: A psychodynamic perspective. The American journal on addictions/American Academy of Psychiatrists in Alcoholism and Addictions, 21(3), 274-279. https://doi.org/10.1111/j.1521-0391.2012.00234.x
Kidd, T. & Sheffield, D. (2005). Attachment style and symptom reporting: examining the mediating effects of anger and social support. British Journal of Health Psychology, 10, 531-541. https://doi.org/10.1111/j.2044-8287.2005.tb00485.x
Laudet, A., Cleland, C., Magura, S., Vogel, H. & Knight, E. (2004). Social support mediates the effects of dual-focus mutual aid groups on abstinence from substance use. American Journal of Community Psychology, 34(3-4), 175-185. https:// doi.org/10.1007/s10464004-7413-5
Main, M. (1990). Cross-cultural studies of attachment organization: Recent studies, changing methodologies and the concept of conditional strategies. Human Development, 33(1), 48-61. https://doi.org/10.1159/000276502
Mikulincer, M. & Shaver, P. (2007). Attachment in adulthood: structure, dynamics and change. New York: Guilford Press.
Mikulincer, M. & Shaver, P. (2008). Adult attachment and emotion regulation. En P. Shaver & J. Cassidy (Eds.), Handbook of Attachment: theory, research, and clinical applications (2a ed.) (pp. 503-531). Guilford Press.
Miljkovitch, R., Pierrehumbert, B., Karmaniola, A., Bader, M., & Halfon, O. (2005). Assessing Attachment Cognitions and
Their Associations with Depression in Youth with Eating or Drug Misuse Disorders. Substance Use & Misuse, 40(5), 605-623. https://doi.org/10.1081/ja-200055349
Ministerio de Salud (2005). Guía Clínica: detección y tratamiento temprano del consumo problema y la dependencia de alcohol y otras sustancias psicoactivas en la atención primaria. [Archivo PDF] http://www.repositoriodigital.minsal. cl/bitstream/handle/2015/589/4139.pdf?sequence=1&isAllowed=y
Min-Lee, J. & Bell, N. (2003). Individual differences in attachment autonomy configurations: linkages with substance use and youth competencies. Journal of Adolescence, 26(3), 347-361. https://doi.org/10.1016/S0140-1971(03)00018-6
Pierrehumbert, B., Karmaniola, A., Sieye, A., Meisler, C., Miljkovitch, R., & Halfon, O. (1996). Les modeles de relations: Développement d’un autoquestionnaire d’attachement pour adultes. Psychiatrie de L. Enfant, 38(1), 161-206.
Rey, R., Vera, L., Oliva, P., Muñoz, S. y Buhring, C. (2009). Validación de dos escalas de medición del soporte social en pacientes de atención primaria de salud: Un estudio multicéntrico. Proyecto N° SA07I20021, http://repositorio.conic yt.cl/handle/10533/200654
Richardson, L. (2002). Substance abusers friendships and social support networks in the therapeutic community. Therapeutic Communities: The international Journal for Therapeutic & Supportive organizations, 23, 85-104. https://www.researchgate.net/publication/286872254_Substance_abusers'_friendship_and_social_support_net works_in_the_therapeutic_community
Rodríguez, A., Pinzón, S., Máiquez, A., Herrera, J., De Benito, M. y Cuesta, E. (2004). ¿Tienen apoyo social y familiar los drogodependientes que participan en el programa “libre de drogas” en prisión? Medicina de Familia, 5(1), 16-26. https://cutt.ly/JHTbIqy
Santelices, M., Guzmán, M. y Garrido, L. (2011). Apego y psicopatología: estudio comparativo de los estilos de apego en adultos con y sin sintomatología ansioso-depresiva. Revista Argentina de Clínica Psicológica, 20(1), 49-55. https://www.redalyc.org/pdf/2819/281921807004.pdf
Sarason, B., Sarason, I. & Pierce, G. (1990). Social support: An interactional view. Wiley.
Schindler, A., Thomasius, R., Sack, P., Gemeinhardt, B., Küstner, U. & Eckert, J. (2005). Attachment and substance use disorders: A review of the literature and a study in drug dependent adolescents. Attachment & Human Development, 7(3), 207-228. https://doi.org/10.1080/14616730500173918
Shaver, P. & Mikulincer, M. (2009). Adult attachment strategies and the regulation of emotion. En J. Cross (Ed.), Handbook of emotion regulation (pp. 446-465). Guilford Press.
Sherbourne, C. & Stewart, A. (1991). The MOS social support suport survey. Social Science & Medicine, 32(6), 705-714. h ttps://doi.org/10.1016/0277-9536(91)90150-b
Simpson, J., Rholes, W. & Philips, D. (1996). Conflict in close relationships: An attachment perspective. Journal of Personality and Social Psychology, 71(5), 899-914. https://doi.org/10.1037/0022-3514.71.5.899
Sroufe, L. (2005). Attachment and development: a prospective, longitudinal study from birth to adulthood. Attachment and Human Development, 7(4), 349-367. https://doi.org/10.1080/14616730500365928
Uchino, B., Cacioppo, J., & Kiecolt-Glaser, J. (1996). The relationship between social support and physiological processes: A review with emphasis on underlying mechanisms and implications for health. Psychological Bulletin, 119(3), 488-531. https://doi.org/10.1037/0033-2909.119.3.488
van IJzendoorn, M. & Bakermans-Kranenburg, M. (2010). Invariance of adult attachment across gender, age, culture, and socioeconomic status? Journal of Social and Personal Relationships, 27(2), 200-208. https://doi.org/10.1177/026540 7509360908
Waters, E., Weinfield, N., & Hamilton, C. (2000). The stability of attachment security from infancy to adolescence and early adulthood: General discussion. Child Development, 71(3), 703-706. https://doi.org/10.1111/1467-8624.00179
Wong, J. (2015). Social support as a mediator between attachment and relapse in women. [Doctoral Dissertation, Walden University]. https://scholarworks.waldenu.edu/dissertations/1870
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Copyright (c) 2022 Camila Espinoza Chaparro, Romina Pavez González, Rosario Spencer Contreras, Andrés Fresno Rodríguez, Gonzalo Palomo Vélez, Susana Campos Soto