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Depresyon ve stresin yordayıcısı olarak kırılgan bağlanma stili: Duygu düzenleme ve baş etme stratejilerinin aracı rolü

The vulnerable attachment style as a predictor of depression and stress: The mediating role of emotion regulation and coping strategies

Tuğba Koçak Özel(NEVŞEHİR HACI BEKTAŞ VELİ ÜNİVERSİTESİ)0000-0003-4694-160X
Özden Yalçınkaya Alkar(ANKARA YILDIRIM BEYAZIT ÜNİVERSİTESİ)0000-0001-8484-9199
Sayfa
154–167
Yayın Tarihi
2026-01-04
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Doğrulayıcı faktör analizi bulgularına göre, yakınlık arayışı (özerklik eksikliği, kaygılı-bağımlı) ve güvensizlik (kararsız ve kaçınan-kayıtsız) boyutlarının alt kategorileri olan dört faktörlü bağlanma örüntüsü doğrulanmıştır.

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Amaç & Hipotez:Bu çalışma, kırılgan bağlanma, depresyon ve stres arasındaki ilişkide duygu düzenleme ve baş etme stratejilerinin rolünü incelemeyi amaçlamaktadır.
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Temel Bulgular & Veri:Araştırmaya uygunluk örnekleme yöntemi kullanılarak 282 üniversite öğrencisi katılmıştır.
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Sonuç & Katkı:Doğrulayıcı faktör analizi bulgularına göre, yakınlık arayışı (özerklik eksikliği, kaygılı-bağımlı) ve güvensizlik (kararsız ve kaçınan-kayıtsız) boyutlarının alt kategorileri olan dört faktörlü bağlanma örüntüsü doğrulanmıştır.
🔬Tür:Uygulamalı Anket & Alan Araştırması
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:kırılgan bağlanma stili · duygu düzenleme · baş etme stratejileri

Özet

Bu çalışma, kırılgan bağlanma, depresyon ve stres arasındaki ilişkide duygu düzenleme ve baş etme stratejilerinin rolünü incelemeyi amaçlamaktadır. Araştırmaya uygunluk örnekleme yöntemi kullanılarak 282 üniversite öğrencisi katılmıştır. Veriler öz-bildirim yöntemiyle Kırılgan Bağlanma Stili Ölçeği, Yakın İlişkilerde Yaşantılar Envanteri-II, Duygu Düzenleme Ölçeği, Başa Çıkma Yolları Envanteri, Algılanan Stres Ölçeği, Beck Depresyon Envanteri aracılığıyla toplanmıştır. Bu çalışma kapsamında, Kırılgan Bağlanma Stili Ölçeği ilk kez Türk kültürüne uyarlanmıştır. Ardından, kırılgan bağlanma, depresyon ve stres arasındaki ilişkide duygu düzenleme ve baş etme stratejilerinin aracı rolü test edilmiştir. Doğrulayıcı faktör analizi bulgularına göre, yakınlık arayışı (özerklik eksikliği, kaygılı-bağımlı) ve güvensizlik (kararsız ve kaçınan-kayıtsız) boyutlarının alt kategorileri olan dört faktörlü bağlanma örüntüsü doğrulanmıştır. Yapısal eşitlik modeli analizine göre, duygu düzenleme ve baş etme stratejileri, kırılgan bağlanma stilinin depresyon ve stresle ilişkisine aracılık etmektedir. Bulgular hem kararsız hem de kaygılı-bağımlı bağlanma stilinin depresyon ve stres belirtilerini artırdığını göstermiştir. Ek olarak, etkili ve etkisiz baş etme stratejilerinin, kararsız bağlanma stilinin depresyon ve stresle ilişkisinde aracı bir rol oynadığı ortaya konulmuştur. Özellikle, kararsız bağlanma stiline sahip bireylerin, etkisiz baş etme stratejilerini daha fazla ve etkili baş etme stratejilerini daha az kullandıkları için daha fazla depresyon ve stres yaşama eğiliminde oldukları bulunmuştur. Ayrıca, kararsız bağlanma stili, yeniden değerlendirmenin azalması yoluyla depresyon ve stresi dolaylı olarak etkilemektedir. Bu bulgular doğrultusunda, kırılgan bağlanma stilinin depresyon ve stresle ilişkisinin ardındaki mekanizmanın ortaya konmasının hem kuramsal çerçeveye hem de psikoterapötik müdahale sürecine önemli katkılar sağlayacağı düşünülmektedir.

Abstract

The study aimed to examine the role of emotion regulation and coping strategies on the relationship between vulnerable attachment, depression and stress. A total of 282 university students participated in the study through convenience sampling method. The data were collected via self-report using Vulnerable Attachment Style Questionnaire, Experiences in Close Relationships Inventory-II, Emotion Regulation Questionnaire, Ways of Coping Inventory, Perceived Stress Questionnaire, Beck Depression Inventory. The Vulnerable Attachment Style Questionnaire was adapted to Turkish culture for the first time within the scope of this study. Subsequently, the mediating role of emotion regulation and coping strategies in the relationship between vulnerable attachment, depression and stress was tested. According to the findings of the confirmatory factor analysis, four factor attachment patterns which were subcategory of proximity seeking (lack of autonomy, anxious-dependent) and insecurity (ambivalent and avoidant-dismissive) dimensions were confirmed. Based on the structural equation model analysis, emotion regulation and coping strategies mediated the relationship of vulnerable attachment style with depression and stress. Results indicated that both ambivalent and anxious-dependent attachment styles increased the symptoms of depression and stress. In addition, ineffective and effective coping strategies were shown to play a mediating role in the relationship of ambivalent attachment style with depression and stress. Specifically, individuals with ambivalent attachment style tended to experience depression and stress more since they used ineffective coping strategies more and effective coping strategies less. Furthermore, ambivalent attachment style indirectly influenced depression and stress through the reduction of reappraisal. Given these findings, it is believed that revealing the mechanism behind the relationship of vulnerable attachment style with depression and stress would significantly contribute to both the theoretical framework and the psychotherapeutic intervention process.

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Bu Makaleye Atıf Yap

Özel, T. K., Alkar, Ö. Y. (2026). Depresyon ve stresin yordayıcısı olarak kırılgan bağlanma stili: Duygu düzenleme ve baş etme stratejilerinin aracı rolü. Klinik Psikoloji Dergisi, Cilt: 10 Sayı: 2, 154–167. https://doi.org/10.57127/kpd.26024438.1681669

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Kaynakça (99)

  1. Ainsworth, M. D. S., Blehar, M. C., Waters, E., & Wall, S. (1978). Patterns of attachment: A psychological study of the strange situation. Hillsdale, NJ: Erlbaum.
  2. Bartholomew, K., & Horowitz, L. (1991). Attachment styles among young adults: A test of a four-category model. Journal of Personality and Social Psychology, 61, 226-244.
  3. Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4(6), 561-571.
  4. Bifulco, A., Kwon, J., Jacobs, C., Moran, P. M., Bunn, A., & Beer, N. (2006). Adult attachment style as a mediator between childhood neglect/abuse and adult depression and anxiety. Social Psychiatry and Psychiatric Epidemiology, 41, 796-805.
  5. Bifulco, A., Mahon, J., Kwon, J. H., Moran, P. M., & Jacobs, C. (2003). The vulnerable attachment style questionnaire (VASQ): An interview-based measure of attachment styles that predict depressive disorder. Psychological Medicine, 33, 1099–1110.
  6. Bifulco, A., Moran, P. M., Ball, C., & Bernazzani, O. (2002a). Adult attachment style. I: Its relationship to clinical depression. Social Psychiatry and Psychiatric Epidemiology, 37, 50–59.
  7. Bifulco, A., Moran, P. M., Ball, C., & Lillie, A. (2002b). Adult attachment style. II: Its relationship to psychosocial depressive vulnerability. Social Psychiatry and Psychiatric Epidemiology, 37, 60–67.
  8. Billings, A. G., & Moos, R. H. (1981). The role of coping responses and social resources in attenuating the stress of life events. Journal of Behavioral Medicine, 4(2), 139-157.
  9. Blake, J. A., Thomas, H. J., Hurst, C. P., Pelecanos, A. M., McGee, T. R., Najman, J. M., & Scott, J. G. (2024a). A two-generation study of attachment in mothers and their young adult offspring: Latent classes of attachment and associations with anxiety and depression. Journal of Affective Disorders, 358, 361-368.
  10. Blake, J. A., Thomas, H. J., Pelecanos, A. M., Najman, J. M., & Scott, J. G. (2024b). Does attachment anxiety mediate the persistence of anxiety and depressive symptoms from adolescence to early adulthood? Social Psychiatry and Psychiatric Epidemiology, 1-9.
  11. Bowlby, J. (1969). Attachment and loss: Vol. 1. Attachment. New York: Basic Books.
  12. Bowlby, J. (1973). Attachment and loss: Vol. 2. Separation: Anxiety and anger. New York: Basic Books.
  13. Bowlby, J. (1980). Attachment and loss: Vol. 3. Loss: Sadness and depression. New York: Basic Books.
  14. Carnelley, K. B., Pietromonaco, P. R., & Jaffe, K. (1994). Depression, working models of others, and relationship functioning. Journal of Personality and Social Psychology, 66(1), 127-140.
  15. Carr, S., Colthurst, K., Coyle, M., & Elliott, D. (2013). Attachment dimensions as predictors of mental health and psychosocial wellbeing in the transition to university. European Journal of Psychology of Education, 28, 157-172.
  16. Chen, X., He, J., Fan, X., & Cai, Z. (2021). Attachments, dispositional mindfulness, and psychological distress: A mediation analysis. Current Psychology, 40, 1651-1659.
  17. Cheung, M. W. (2007). Comparison of approaches to constructing confidence intervals for mediating effects using structural equation models. Structural Equation Modeling: A Multidisciplinary Journal, 14(2), 227-246.
  18. Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24, 385-396.
  19. Collins, N. L., & Read, S. J. (1990). Adult attachment, working models, and relationship quality in dating couples. Journal of Personality and Social Psychology, 58(4), 644-663.
  20. Cooley, E. L., Van Buren, A., & Cole, S. P. (2010). Attachment styles, social skills, and depression in college women. Journal of College Counseling, 13(1), 50-62.
  21. Cortes-Garcia, L., Takkouche, B., Rodriguez-Cano, R., & Senra, C. (2020). Mediational mechanisms involved in the relation between attachment insecurity and depression: A meta-analysis. Journal of Affective Disorders, 277, 706-726.
  22. Cortina, J. M. (1993). What is coefficient alpha? An examination of theory and applications. Journal of Applied Psychology, 78(1), 98–104.
  23. Cyranowski, J. M., Bookwala, J., Feske, U., Houck, P., Pilkonis, P., Kostelnik, B., & Frank, E. (2002). Adult attachment profiles, interpersonal difficulties, and response to interpersonal psychotherapy in women with recurrent major depression. Journal of Social and Clinical Psychology, 21(2), 191-217.
  24. Dagan, O., Facompré, C. R., & Bernard, K. (2018). Adult attachment representations and depressive symptoms: A meta-analysis. Journal of Affective Disorders, 236, 274-290.
  25. Davila, J., Hammen, C., Burge, D., Daley, S. E., & Paley, B. (1996). Cognitive/interpersonal correlates of adult interpersonal problem-solving strategies. Cognitive Therapy and Research, 20(5), 465-480.
  26. Ditzen, B., Schmidt, S., Strauss, B., Nater, U. M., Ehlert, U., & Heinrichs, M. (2008). Adult attachment and social support interact to reduce psychological but not cortisol responses to stress. Journal of Psychosomatic Research, 64(5), 479-486.
  27. Dozier, M. (1990). Attachment organization and treatment use for adults with serious psychopathological disorders. Development and Psychopathology, 2(1), 47-60.
  28. D'zurilla, T. J., & Goldfried, M. R. (1971). Problem solving and behavior modification. Journal of Abnormal Psychology, 78(1), 107-126.
  29. Eskin, M., Harlak, H., Demirkiran, F. ve Dereboy, C. (2013). Algılanan Stres Ölçeğinin Türkçeye Uyarlanması: Güvenirlik ve Geçerlik Analizi, New Symposium Journal, 51, 3, 132-140.
  30. Fang, F., & Wang, J. (2024). The relationship between attachment and depression among college students: the mediating role of perfectionism. Frontiers in Psychology, 15, 1-8.
  31. Flett, G. L., Blankstein, K. R., & Obertynski, M. (1996). Affect intensity, coping styles, mood regulation expectancies, and depressive symptoms. Personality and Individual Differences, 20(2), 221-228.
  32. Folkman, S. (1984). Personal control and stress and coping processes: A theoretical analysis. Journal of Personality and Social Psychology, 46(4), 839.
  33. Folkman, S., & Lazarus, R. S. (1980). An analysis of coping in a middle-aged community sample. Journal of Health and Social Behavior, 21, 219-239.
  34. Folkman, S., Lazarus, R. S., Gruen, R. J., & DeLongis, A. (1986). Appraisal, coping, health status, and psychological symptoms. Journal of Personality and Social Psychology, 50(3), 571.
  35. Fraley, R. C., Waller, N. G., & Brennan, K. A. (2000). An item response theory analysis of self-report measures of adult attachment. Journal of Personality and Social Psychology, 78, 350-365.
  36. Gerlsma, C., & Luteijn, F. (2000). Attachment style in the context of clinical and health psychology: A proposal for the assessment of valence, incongruence, and accessibility of attachment representations in various working models. British Journal of Medical Psychology, 73, 15–34.
  37. Greenland, S., Senn, S. J., Rothman, K. J., Carlin, J. B., Poole, C., Goodman, S. N., & Altman, D. G. (2016). Statistical tests, P values, confidence intervals, and power: A guide to misinterpretations. European Journal of Epidemiology, 31(4), 337-350.
  38. Gross, J. J. (1998a). Antecedent- and response-focused emotion regulation: Divergent consequences for experience, expression, and physiology. Journal of Personality and Social Psychology, 74, 224–237.
  39. Gross, J. J. (1998b). The emerging field of emotion regulation: An integrative review. Review of General Psychology, 2, 271–299.
  40. Gross, J. J. (2001). Emotion regulation in adulthood: Timing is everything. Current Directions in Psychological Science, 10, 214-219.
  41. Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-Being. Journal of Personality and Social Psychology, 85(2), 348–362.
  42. Gross, J. J., Richards, J. M., & John, O. P. (2006). Emotion regulation in everyday life. In D. K. Snyder, J. A. Simpson, & J. N. Hughes (Eds.), Emotion regulation in couples and families: Pathways to dysfunction and health (pp. 13–35). Washington, DC: American Psychological Association.
  43. Hammen, C. (2005). Stress and depression. Annual Review of Clinical Psychology, 1(1), 293-319.
  44. Hammen, C. L. (2015). Stress and depression: Old questions, new approaches. Current Opinion in Psychology, 4, 80-85.
  45. Hankin, B. L., Kassel, J. D., & Abela, J. R. (2005). Adult attachment dimensions and specificity of emotional distress symptoms: Prospective investigations of cognitive risk and interpersonal stress generation as mediating mechanisms. Personality and Social Psychology Bulletin, 31(1), 136-151.
  46. Hao, S. (2024). Parental attachment and depression in vocational college students: A moderated mediation model of resilience and subjective well-being. Current Psychology, 43, 25366–25376.
  47. Hazan, C., & Shaver, P. R. (1987). Romantic love conceptualized as an attachment process. Journal of Personality and Social Psychology, 52, 511-524.
  48. Heppner, P. P., Witty, T. E., & Dixon, W. A. (2004). Problem-solving appraisal and human adjustment: A review of 20 years of research using the Problem-Solving Inventory. The Counseling Psychologist, 32(3), 344-428.
  49. Hidaka, B. H. (2012). Depression as a disease of modernity: Explanations for increasing prevalence. Journal of Affective Disorders, 140(3), 205-214.
  50. Hisli, N. (1988). Beck Depresyon Envanteri’nin geçerliği üzerine bir çalışma. Psikoloji Dergisi, 6(22), 118-122. Hooper, D., Coughlan, J., & Mullen, M. R. (2008). Structural equation modelling: Guidelines for determining model fit. Electronic Journal of Business Research Methods, 6, 53-60.
  51. Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1-55.
  52. Jittayuthd, S., & Karl, A. (2022). Rejection sensitivity and vulnerable attachment: Associations with social support and PTSD symptoms in trauma survivors. European Journal of Psychotraumatology, 13(1), 2027676.
  53. Karreman, A., & Vingerhoets, A. J. J. M. (2012). Attachment and well-being: The mediating role of emotion regulation and resilience. Personality and Individual Differences, 53(7), 821-826.
  54. Kidd, T., Hamer, M., & Steptoe, A. (2011). Examining the association between adult attachment style and cortisol responses to acute stress. Psychoneuroendocrinology, 36(6), 771-779.
  55. Kline, P. (1994). An easy guide to factor analysis. Routledge.
  56. Kupeli, N., Norton, S., Chilcot, J., Schmidt, U. H., Campbell, I. C., & Troop, N. A. (2015). A Confirmatory factor analysis and validation of the vulnerable attachment style questionnaire. Journal of Psychopathology and Behavioral Assessment, 37, 153–163.
  57. Levy, K. N., Kivity, Y., Johnson, B. N., & Gooch, C. V. (2018). Adult attachment as a predictor and moderator of psychotherapy outcome: A meta‐analysis. Journal of Clinical Psychology, 74(11).
  58. Lopez, F. G., Mauricio, A. M., Gormley, B., Simko, T., & Berger, E. (2001). Adult attachment orientations and college student distress: The mediating role of problem coping styles. Journal of Counseling & Development, 79(4), 459-464.
  59. Malik, S., Wells, A., & Wittkowski, A. (2015). Emotion regulation as a mediator in the relationship between attachment and depressive symptomatology: A systematic review. Journal of Affective Disorders, 172, 428-444.
  60. Marganska, A., Gallagher, M., & Miranda, R. (2013). Adult attachment, emotion dysregulation, and symptoms of depression and generalized anxiety disorder. American Journal of Orthopsychiatry, 83(1), 131.
  61. Maunder, R. G., & Hunter, J. J. (2001). Attachment and psychosomatic medicine: Developmental contributions to stress and disease. Psychosomatic Medicine, 63(4), 556-567.
  62. Maunder, R. G., Lancee, W. J., Nolan, R. P., Hunter, J. J., & Tannenbaum, D. W. (2006). The relationship of attachment insecurity to subjective stress and autonomic function during standardized acute stress in healthy adults. Journal of Psychosomatic Research, 60(3), 283-290.
  63. Metts, A. V., Zinbarg, R. E., Nusslock, R., Tabak, B. A., & Craske, M. G. (2024). Longitudinal associations among adult attachment orientations, emotion regulation tendencies, and transdiagnostic anxiety and depression symptoms in young adults. Journal of Social and Personal Relationships, 41(6), 1457–1480.
  64. Mickelson, K. D., Kessler, R. C., & Shaver, P. R. (1997). Adult attachment in a nationally representative sample. Journal of Personality and Social Psychology, 73, 1092–1106.
  65. Mikulincer, M., & Shaver, P. R. (2009). An attachment and behavioral systems perspective on social support. Journal of Social and Personal Relationships, 26(1), 7-19.
  66. Mikulincer, M., Shaver, P. R., & Pereg, D. (2003). Attachment theory and affect regulation: The dynamics, development, and cognitive consequences of attachment-related strategies. Motivation and Emotion, 27(2), 77-102.
  67. Moran, P. M., Bifulco, A., Ball, C., & Campbell, C. (2001). Predicting onset of depression: The vulnerability to depression questionnaire. British Journal of Clinical Psychology, 40, 411-427.
  68. Moussavi, S., Chatterji, S., Verdes, E., Tandon, A., Patel, V., & Ustun, B. (2007). Depression, chronic diseases, and decrements in health: Results from the World Health Surveys. The Lancet, 370(9590), 851-858.
  69. Murphy, B., & Bates, G. W. (1997). Adult attachment style and vulnerability to depression. Personality and Individual Differences, 22(6), 835-844.
  70. Ognibene, T. C., & Collins, N. L. (1998). Adult attachment styles, perceived social support and coping strategies. Journal of Social and Personal Relationships, 15(3), 323-345.
  71. Panayides, P. (2013). Coefficient alpha: interpret with caution. Europe's Journal of Psychology, 9(4), 687–696.
  72. Patrick, M., Hobson, R. P., Castle, D., Howard, R., & Maughan, B. (1994). Personality disorder and the mental representation of early social experience. Development and Psychopathology, 6(2), 375-388.
  73. Pielage, S., Gerlsma, C., & Schaap, C. (2000). Insecure attachment as a risk factor for psychopathology: The role of stressful events. Clinical Psychology & Psychotherapy: An International Journal of Theory & Practice, 7(4), 296-302.
  74. Potik, D., Peles, E., Abramsohn, Y., Adelson, M., & Schreiber, S. (2014). The relationship between vulnerable attachment style, psychopathology, drug abuse, and retention in treatment among methadone maintenance treatment patients. Journal of Psychoactive Drugs, 46(4), 325-333.
  75. Raison, C. L., & Miller, A. H. (2001). The neuroimmunology of stress and depression. Seminars in Clinical Neuropsychiatry, 6(4), 277-294.
  76. Ravitz, P., Maunder, R., Hunter, J., Sthankiya, B., & Lancee, W. (2010). Adult attachment measures: A 25-year review. Journal of Psychosomatic Research, 69, 419–432.
  77. Roberts, J. E., Gotlib, I. H., & Kassel, J. D. (1996). Adult attachment security and symptoms of depression: The mediating roles of dysfunctional attitudes and low self-esteem. Journal of Personality and Social Psychology, 70(2), 310.
  78. Sahin, N. H., & Durak, A. (1995). Stresle basa çıkma tarzları ölçeği: Üniversite öğrencileri için uyarlanması. Türk Psikoloji Dergisi, 10(34), 56-73.
  79. Schäfer, J. Ö., Naumann, E., Holmes, E. A., Tuschen-Caffier, B., & Samson, A. C. (2017). Emotion regulation strategies in depressive and anxiety symptoms in youth: A meta-analytic review. Journal of Youth and Adolescence, 46, 261-276.
  80. Schermelleh Engel, K., Moosbrugger, H., & Müller, H. (2003). Evaluating the fit of structural equation models: Tests of significance and descriptive goodness-of-fit measures. Methods of Psychological Research Online, 8(2), 23-74.
  81. Schmidt, S., Nachtigall, C., Wuethrich-Martone, O., & Strauss, B. (2002). Attachment and coping with chronic disease. Journal of Psychosomatic Research, 53, 763-773.
  82. Selcuk, E., Gunaydın, G., Sumer, N., & Uysal, A. (2005). Yetişkin bağlanma boyutları için yeni bir ölçüm: Yakın ilişkilerde yaşantılar envanteri-II’nin Türk örnekleminde psikometrik acıdan değerlendirilmesi. Türk Psikoloji Yazıları, 8(16), 1-11.
  83. Shaver, P. R., & Mikulincer, M. (2007). Adult attachment strategies and the regulation of emotion. In J. J. Gross (Ed.), Handbook of emotion regulation (pp. 446-465). New York: Guilford.
  84. Shaver, P. R., & Mikulincer, M. (2014). Adult attachment and emotion regulation. In J. J. Gross (Ed.), Handbook of emotion regulation (pp. 237-250). New York: Guilford.
  85. Shaver, P. R., Schachner, D. A., & Mikulincer, M. (2005). Attachment style, excessive reassurance seeking, relationship processes, and depression. Personality and Social Psychology Bulletin, 31(3), 343-359.
  86. Shorey, H. S., & Snyder, C. R. (2006). The role of adult attachment styles in psychopathology and psychotherapy outcomes. Review of General Psychology, 10(1), 1-20.
  87. Schmitt, N. (1996). Uses and abuses of coefficient alpha. Psychological Assessment, 8(4), 350–353.
  88. Smyth, N., Thorn, L., Oskis, A., Hucklebridge, F., Evans, P., & Clow, A. (2015). Anxious attachment style predicts an enhanced cortisol response to group psychosocial stress. Stress, 18(2), 143-148.
  89. Tabachnick, B. G., & Fidell, L. S. (2012). Using multivariate statistics (6th ed.). Pearson.
  90. Thompson, G., Wrath, A., Trinder, K., & Adams, G. C. (2018). The roles of attachment and resilience in perceived stress in medical students. Canadian Medical Education Journal, 9(4), e69-e77.
  91. Turan, N., Hoyt, W. T., & Erdur-Baker, Ö. (2016). Gender, attachment orientations, rumination, and symptomatic distress: Test of a moderated mediation model. Personality and Individual Differences, 102, 234-239.
  92. Waller, E., Scheidt, C. E., & Hartmann, A. (2004). Attachment representation and illness behavior in somatoform disorders. The Journal of Nervous and Mental Disease, 192(3), 200-209.
  93. Wang, C. C. D., & Mallinckrodt, B. (2006). Acculturation, attachment, and psychosocial adjustment of Chinese/Taiwanese international students. Journal of Counseling Psychology, 53(4), 422.
  94. Wei, M., Heppner, P. P., & Mallinckrodt, B. (2003). Perceived coping as a mediator between attachment and psychological distress: A structural equation modeling approach. Journal of Counseling Psychology, 50, 438-447.
  95. Wienand, D., Wijnen, L. I., Heilig, D., Wippel, C., Arango, C., Knudsen, G. M.,. & Simon, J. (2024). Comorbid physical health burden of serious mental health disorders in 32 European countries. BMJ Mental Health, 27(1-10).
  96. World Health Organization. (2012). Depression: A global crisis. World mental health day. https://consaludmental.org/publicaciones/Depressionglobalcrisis.pdf
  97. Yurtsever, G. (2008). Negotiators’ profit predicted by cognitive reappraisal, suppression of emotions, misinterpretation of information, and tolerance of ambiguity. Perceptual and Motor Skills, 106, 590-608.
  98. Zheng, L., Luo, Y., & Chen, X. (2020). Different effects of attachment anxiety and attachment avoidance on depressive symptoms: A meta-analysis. Journal of Social and Personal Relationships, 37(12), 3028-3050.
  99. Wienand, D., Wijnen, L. I., Heilig, D., Wippel, C., Arango, C., Knudsen, G. M.,. & Simon, J. (2024). Comorbid physical health burden of serious mental health disorders in 32 European countries. BMJ Mental Health, 27(1-10).