title: Insecure attachment moderates women's adjustment to inflammatory bowel disease severity.
abstract: OBJECTIVE
  Insecure attachment was explored as a moderator of the relationship between disease severity and psychosocial variables in a study of adjustment in women with inflammatory bowel disease (IBD).
  
  
  METHODS
  Participants were 218 women recruited through notices placed in the community, in gastroenterologists' offices, and through online postings to support groups and message boards specifically for people with Crohn's disease, colitis, or IBD in general. Participants completed a mail-in or online survey assessing severity and frequency of symptoms, attachment style (separated into anxious and avoidant subscales), perceived social support, negative affect, and efficacy of coping with IBD.
  
  
  RESULTS
  Anxious and avoidant attachment styles were correlated positively with disease severity and negative affect and negatively with perceived social support and coping efficacy. Hierarchical regressions indicated that disease severity was most strongly associated with negative affect for high avoidant attachment, as compared with moderate and low avoidant attachment. Disease activity was inversely related to perceived social support and coping efficacy for high and moderate, but not low, anxious attachment.
  
  
  CONCLUSIONS
  Our study indicates that attachment moderates associations between disease severity in women with different kinds of IBD and psychological indicators of adjustment. Limitations and relationship to previous research on attachment and health are discussed.
authors.affiliation: Department of Psychology, Carleton University, Ottawa, Ontario K1S5B6, Canada. Mary_Gick@carleton.ca
authors.forename: Mary L
authors.initials: ML
authors.lastname: Gick
authors.forename: Fuschia M
authors.initials: FM
authors.lastname: Sirois
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000339:Affect; D001294:Attitude to Health; D005260:Female; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000523:psychology*; D009769:Object Attachment; D011795:Surveys and Questionnaires