The role of relationship attachment in psychological adjustment to cancer in patients and caregivers: a systematic review of the literature
2014; Wiley; Volume: 23; Issue: 10 Linguagem: Inglês
10.1002/pon.3664
ISSN1099-1611
AutoresWendy Nicholls, Nicholas J. Hulbert‐Williams, Ros Bramwell,
Tópico(s)Family Caregiving in Mental Illness
ResumoPsycho-OncologyVolume 23, Issue 10 p. 1083-1095 Review The role of relationship attachment in psychological adjustment to cancer in patients and caregivers: a systematic review of the literature Wendy Nicholls, Corresponding Author Wendy Nicholls Department of Psychology, University of Wolverhampton, Wolverhampton, UK Correspondence to: Department of Psychology, University of Wolverhampton, Mary Seacole Building, Nursery Street, Wolverhampton, WV1 1AD, UK. E-mail: [email protected]Search for more papers by this authorNick Hulbert-Williams, Nick Hulbert-Williams Department of Psychology, University of Chester, Chester, UKSearch for more papers by this authorRos Bramwell, Ros Bramwell Department of Psychology, University of Chester, Chester, UKSearch for more papers by this author Wendy Nicholls, Corresponding Author Wendy Nicholls Department of Psychology, University of Wolverhampton, Wolverhampton, UK Correspondence to: Department of Psychology, University of Wolverhampton, Mary Seacole Building, Nursery Street, Wolverhampton, WV1 1AD, UK. E-mail: [email protected]Search for more papers by this authorNick Hulbert-Williams, Nick Hulbert-Williams Department of Psychology, University of Chester, Chester, UKSearch for more papers by this authorRos Bramwell, Ros Bramwell Department of Psychology, University of Chester, Chester, UKSearch for more papers by this author First published: 25 August 2014 https://doi.org/10.1002/pon.3664Citations: 56Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat Abstract Objective The objective of this works is to report the results of a systematic review to evaluate the role of attachment in adjustment to cancer for patients and those close to them. Methods A systematic search of electronic databases was undertaken, identifying literature published up to June 2013. PsychINFO, Medline and the Cumulative Index to Nursing & Allied Health Literature were searched using search strings related to cancer, relationships, attachment and commonly assessed self-report psychosocial outcome measures. Extracted papers were assessed for their relevance. Key data were extracted to spreadsheets, and two raters coded the quality of the research. Results Following inclusion assessment, data were extracted from 15 quantitative studies. Scores from patients or caregivers on attachment questionnaires did not differ greatly from normative data. A more insecure attachment style has poorer outcomes for patients in terms of their psychological adjustment to cancer and their ability to perceive and access social support. A secure attachment style is associated with positive growth and better well-being. A more insecure attachment style in caregivers was associated with depression, higher caregiving stress, less autonomous motivations for caregiving and difficulties with caregiving. Conclusions An awareness of attachment theory and the ways in which different forms of insecure attachment impact on patients and caregivers and their well-being may substantially improve the ability of those working with cancer patients and their families to better understand and provide for their support needs. The development and evaluation of support interventions tailored to different attachment styles remains a longer-term goal. Copyright © 2014 John Wiley & Sons, Ltd. 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