“Love Hurts”: Romantic Attachment and Depressive Symptoms in Pregnant Adolescent and Young Adult Couples
Corresponding Author
Alethea Desrosiers
Yale University
Please address correspondence to: Alethea Desrosiers, Department of Psychiatry, Yale University, 389 Whitney Ave., New Haven, CT 06511. E-mail: [email protected]Search for more papers by this authorCorresponding Author
Alethea Desrosiers
Yale University
Please address correspondence to: Alethea Desrosiers, Department of Psychiatry, Yale University, 389 Whitney Ave., New Haven, CT 06511. E-mail: [email protected]Search for more papers by this authorThe current study was supported by a National Institutes of Mental Health grant (1R01MH75685) (Kershaw: PI) and a National Institute on Drug Abuse (T32 DA019426) grant.
Abstract
Objective
The current study investigates the relationship between romantic attachment style and depressive symptoms between both members of pregnant adolescent and young adult couples.
Method
Participants were 296 pregnant young females (mean age = 18.7) and their male partners (mean age = 21.3; 592 total participants) who were recruited from obstetrics and gynecology clinics in Connecticut. The dimensions of avoidant and anxious romantic attachment were assessed using the Experiences in Close Relationships Inventory. Depressive symptoms were measured using the Center for Epidemiological Studies-Depression Scale.
Results
Results showed that avoidant attachment and anxious attachment were significantly positively related to depressive symptoms. Multilevel modeling for partner effects revealed that anxious attachment and depressive symptoms in partners were significantly positively associated with depressive symptoms
Conclusion
Findings underscore the importance of considering couples-based approaches to supporting the transition to parenthood and developing the necessary self and relationship skills to manage attachment needs and relationship challenges.
References
- Bartholomew, K., & Horowitz, L. M. (1991). Attachment styles among young adults: A test of a four-category model. Journal of Personality and Social Psychology, 61, 226–244.
- Bost, K. K., Cox, M. J., Burchinal, M. R., & Payne, C. (2002). Structural and supportive changes in couples’ family and friendship networks across the transition to parenthood. Journal of Marriage & the Family, 64(2), 517–531. doi:10.1111/j.174-3737.2002.00517.x
- Bowlby, J. (1969). Attachment and loss: Vol. 1. Attachment. New York, NY: Basic Books.
- Bowlby, J. (1973). Attachment and loss: Vol. 2. Separation. New York, NY: Basic Books.
- Bowlby, J. (1979). The making and breaking of affectional bonds. London, UK: Tavistock.
- Brennan, K. A., Clark, C. L., & Shaver, P. R. (1998). Self-reported measurement of adult romantic attachment: An integrative overview. In J. A. Simpson (Ed.), Attachment Theory and Close Relationships (pp. 46–76). New York, NY: Guilford Press.
- Conde, A., Figueiredo, B., & Bifulco, A. (2011). Attachment style and psychological adjustment in couples. Attachment & Human Development, 13, 271–291. doi:10.1080/14616734.2011.562417.
- Coyne, J. C. (1976). Toward an interactional description of depression. Psychiatry, 39, 14–27.
- Davila, J., Steinberg, S. J., Kachadourian, L., Cobb, R., & Fincham, F. (2004). Romantic involvement and depressive symptoms in early and late adolescence: The role of a preoccupied relational style. Personal Relationships, 11, 161–178.
- Del Guiduice, M. (2011). Sex differences in romantic attachment: A meta-analysis. Personality and Social Psychology Bulletin, 37, 193–214. doi:10.1177/0146167210392789
- Dulude, D., Belanger, C., Wright, J., & Sabourin, S. (2002). High-risk pregnancies, psychological distress, and dyadic adjustment. Journal of Reproductive & Infant Psychology, 20, 101–124. doi:10.1080/02646830220134612
- Edelstein, R. S., Alexander, K. W., Shaver, P. R., Schaaf, J. M., Quas, J. A., Lovas, G. S., … Goodman, G. S. (2004). Adult attachment style and parental responsiveness during a stressful event. Attachment and Human Development, 6, 31–52. doi:10.1080/146167303100001659584
- Escribe-Aguir, V., Gonzalez-Golarzo., M. C., Barona-Vilar, C., & Artazcoz, L. (2008). Factors related to depression during pregnancy: Are these gender differences? Developmental Psychobiology, 50, 579–587. doi:10.1136/jech.2007.063016
- Eshbaugh, E. M., Lempers, J., & Luze, G. J. (2006). Objective and self-perceived resources a predictors of depression among urban and non-urban adolescent mothers. Journal of Youth and Adolescence, 35, 839–847. doi:10.1007/s10964-006-9108-8
- Feeney, J. A. (2004). Adult attachment and relationship functioning under stressful conditions: Understanding partners’ responses to conflicts and challenges. In W. S. Rholes & J. A. Simpson (eds.), Adult Attachment: Theory, Research, and Clinical Implications (pp. 339–364). New York, NY: The Guilford Press.
- Field, T. (2011). Prenatal depression effects on early development: A review. Infant Behavior and Development, 34, 1–14. doi:10.1016/j.infbeh.2010.09.008
- Field, T., Diego, M., Hernandez-Reif, M., Figueiredo, B., Deeds, O., Contogeorgos, J., & Ascencio, A. (2006). Prenatal paternal depression. Infant Behavior & Development, 29, 579–583. doi:10.1016/j.infbeh.2006.07.010
- Florsheim, P., Sumida, E., McCann, C., Winstanley, M., Fukui, R., Seefeldt, T., & Moore, D. (2003). The transition to parenthood among young African American and Latino couples: Relational predictors of risk for parental dysfunction. Journal of Family Psychology, 17, 65–79. doi:10.1037/0893-3200.17.1.65
- Gloria, A. M., & Segura-Herrera, T. A. (2004). Somo! Latinas and Latinos in the United States. In D. R. Atkinson (Ed.), Counseling American minority ( 6th ed., pp. 279–299). Boston, MA: McGraw-Hill.
- Hazan, C., & Shaver, P. R. (1987). Romantic love conceptualized as an attachment process. Journal of Personality and Social Psychology, 52, 511–524.
- Johnson, S. M., & Greenman, P. S. (2006). The path to a secure bond: Emotionally focused couple therapy. Journal of Clinical Psychology, 62, 597–609. doi:10.1002/jclp.20251
- Kalichman, S. C., Rompa, D., & Cage, M. (2000). Distinguishing between overlapping somatic symptoms of depression and HIV disease in people living with HIV-AIDS. Journal of Nervous and Mental Disease, 188, 662–670. doi:10.1097/00005053-200010000-00004
- Kenny, D. A., Kashy, D. A., & Cook, W. L. (2006). Dyadic data analysis. New York, NY: Guilford Press.
- Lanzi, R. G., Bert, S. C., Jacobs, B. K., & the Centers for Prevention of Child Neglect. (2009). Depression among a sample of first-time adolescent and adult mothers. Journal of Child and Adolescent Psychiatric Nursing, 22, 19–202. doi:10.1111/j.1744-6171.2009.00199.x
10.1111/j.1744-6171.2009.00199.x Google Scholar
- Lewinsohn, P. M. (1974). A behavioral approach to depression. In R. J. Friedman & M. Katz (Eds.), The psychology of depression: Contemporary theory and research (pp. 112–139). Washington, DC: Winston-Wiley.
- Marchand-Reilly, J. (2009). Depressive symptoms in young adults: The role of attachment orientation and romantic relationship conflict. Journal of Adult Development, 16, 31–38. doi:10.1007/s10804-009-9049-z
- 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. doi:10.1037/0022-3514.73.5.1092
- Miga, E. M., Hare, A., Allen, J. P., & Manning, N. (2010). The relation of insecure attachment states of mind and romantic attachment styles to adolescent aggression in romantic relationships. Attachment & Human Development, 12, 463–481. doi:10.1080/14616734.2010.501971
- Milan, S., Ickovics, J. R., Kershaw, T., Lewis, J., Meade, C., & Ethier, K. (2004). Prevalence, course, and predictors of emotional distress in pregnant and parenting adolescents. Journal of Consulting and Clinical Psychology, 72, 328–340. doi:10.1037/0022-006X.72.2.328
- Milan, S., Kershaw, T. S., Lewis, J., Westdahl, C., Rising, S. S., Patrikios, M., & Ickovics, J. R. (2007). Caregiving history and prenatal depressive symptoms in low-income adolescent and young adult women: Moderating and mediating effects. Psychology of Women Quarterly, 31, 241–251. doi:10.1111/j.1471-6402.2007.00367.x
- Mundell, J. P., Visser, M. J., Makin, J. D., Kershaw, T. S., Forsyth, B. W. C., Jeffery, B., & Sikkema, K. J. (2011). The impact of structured support groups for pregnant South African women recently diagnosed HIV positive. Women & Health, 51, 546–565. doi:10.1080/03630242.2011.606356
- Nolen-Hoeksema, S., Larson, J., & Grayson, C. (1999). Explaining the gender difference in depressive symptoms. Journal of Personality and Social Psychology, 77, 1061–1072. doi:10.1037/0022-3514.77.5.1061
- Orr, S. T., James, S. A., & Prince, C. B. (2002). Maternal prenatal depressive symptoms and spontaneous preterm births among African-American women in Baltimore, Maryland. American Journal of Epidemiology, 156, 797–892. doi:10.1093/aje/kwf131
- Pietromonaco, P. R., Greenwood, D., & Feldman Barrett, L. (2004). Conflict in adult close relationships: An attachment perspective. In W. S. Rholes & J. A. Simpson (Eds.), Adult attachment: New directions and emerging issues (pp. 267–299). New York, NY: Guilford Press.
- Powers, S. I., Pietromonaco, P. R., Gunlicks, M., & Sayer, A. (2006). Dating couples’ attachment styles and patterns of cortisol reactivity and recovery in response to a relationship conflict. Journal of Personality and Social Psychology, 90, 613–628. doi:10.1037/0022-3514.90.4.613
- Quinlivan, J. A., & Condon, J. (2005). Anxiety and depression in fathers in teenage pregnancy. Australian and New Zealand Journal of Psychiatry, 39, 915–920. doi:10.1111/j.1440-1614.2005.01664.x
- Quinlivan, J. A., Tan, L. H., Steele, A., & Black, K. (2004). Impact of demographic factors, early family relationships and depressive symptomatology in teenage pregnancy. Australian and New Zealand Journal of Psychiatry, 38, 197–203. doi:10.1111/j.1440-1614.2004.01336.x
- Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401. doi:10.1177/014662167700100306
- Ramchandani, P., Stein, A., Evans, J., O'Connor, T. G., & the ALSPAC study team. (2005). Paternal depression in the postnatal period and child development: A prospective study. The Lancet, 365, 2201–2205. doi:10.1016/S0140-6736(05)66778-5
- Rholes, W. S., & Simpson, J. A. (2004). Ambivalent attachment and depressive symptoms: The role of romantic and parent-child relationships. Journal of Cognitive Psychotherapy: An International Quarterly, 18, 67–78. doi:10.1891/jcop.18.1.67.28049
10.1891/jcop.18.1.67.28049 Google Scholar
- Rholes, W. S., Simpson, J. A., & Friedman, M. (2006). Avoidant attachment and the experience of parenting. Personality and Social Psychology Bulletin, 32, 275–285. doi:10.1177/0146167205280910
- Rosenblatt, A., & Greenberg, J. (1991). Examining the world of the depressed: Do depressed people prefer others who are depressed? Journal of Personality and Social Psychology, 60, 620–629. doi:10.1037/0022-3514.60.4.620
- Rothbaum, F., Weisz, J., Pott, M., Miyake, K., & Morelli, G. (2000). Attachment and culture security in the United States and Japan. American Psychologist, 55, 1093–1104.
- Selcuk, E., Gunaydin, G., Sumer, N., Harma, M., Salman, S., Hazan, C., … Ozturk, A. (2010). Self-reported romantic attachment style predicts everyday maternal caregiving behavior at home. Journal of Research in Personality, 44, 544–549. doi:10.1016/j.jrp.2010.05.007
- Shaver, P. R., Collins, N. J., & Clark, C. L. (1996). Attachment styles and internal working models of self and relationship partners. In G. J. O. Fletcher & J. Fitness (Eds.), Knowledge structures in close relationships: A social psychological approach. Mahwah, NJ: Erlbaum.
- Simpson, J. A., & Rholes, W. S. (2004). Anxious attachment and depressive symptoms: An interpersonal perspective. In W. S. Rholes & J. A. Simpson (Eds.), Adult attachment: theory, research, and clinical implications (pp. 408–467). New York, NY: The Guilford Press.
- Simpson, J. A., Rholes, W. S., Orina, M. M., & Grich, J. (2002). Internal working models of attachment in a support seeking situation. Personality and Social Psychology Bulletin, 28, 598–608.
- Sue, D. W., & Sue, D. (2003). Counseling the culturally diverse: Theory and practice ( 4th ed.). New York, NY: Wiley.
- Wei, M., Russel, D. W., Mallinckrodt, B., & Zakalik, R. A. (2004). Cultural equivalence of adult attachment across four ethnic groups: Factor structure, structured means, and associations with negative mood. Journal of Counseling Psychology, 51, 408–417. doi:10.1037/0022-0167.51.4.408
- Westdahl, C., Milan, S., Magriples, U., Kershaw, T. S., Rising, S. S., & Ickovics, J. R. (2007). Social support and social conflict as predictors of prenatal depression. Obstetrics & Gynecology, 110, 134–140. doi:10.1097/01.AOG.0000265352.61822.1b
- Williams, N. L., & Riskind, J. H. (2004). Adult romantic attachment and cognitive vulnerabilities to anxiety and depression: Examining the interpersonal basis of vulnerability models. Journal of Cognitive Psychotherapy: An International Quarterly, 18, 7–24. doi:10.1891/jcop.18.1.7.2804
10.1891/jcop.18.1.7.2804 Google Scholar