title: Spousal support and cardiac patients' distress: the moderating role of attachment orientation.
abstract: Based on the Person-Environment Fit Model, the current prospective study explored the contribution of the interaction between spouses' ways of providing support and patients' attachment orientations to the patients' levels of psychological distress 6 months after experiencing a first Acute Coronary Syndrome (ACS). One hundred and eleven patients completed a measure of attachment orientations during hospitalization, while their spouses completed a measure of ways of providing support 1 month later. The outcome measures were patients' depressive and anxiety symptoms 6 months after their ACS. Whereas active engagement was associated with lower levels of anxiety symptoms among patients high in attachment anxiety, it was also associated with higher levels of anxiety symptoms among patients low on this orientation. In addition, none of the ways of providing support moderated the association between avoidance and distress. These results shed light on the possible interplay between providers' support and recipients' personalities.
authors: Department of Psychology, Bar-Ilan University, Ramat-Gan, Israel. noav18@inter.net.il
authors: Noa
authors: N
authors: Vilchinsky
authors: Liat
authors: L
authors: Haze-Filderman
authors: Morton
authors: M
authors: Leibowitz
authors: Orna
authors: O
authors: Reges
authors: Abid
authors: A
authors: Khaskia
authors: Morris
authors: M
authors: Mosseri
mesh_terms: D054058:Acute Coronary Syndrome / Q000523:psychology*; D000328:Adult; D000368:Aged; D001007:Anxiety / Q000209:etiology / Q000517:prevention & control / Q000523:psychology; D003863:Depression / Q000209:etiology / Q000517:prevention & control / Q000523:psychology; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008393:Marriage / Q000523:psychology*; D008875:Middle Aged; D009769:Object Attachment; D011446:Prospective Studies; D011569:Psychiatric Status Rating Scales; D011581:Psychological Tests; D012044:Regression Analysis; D013315:Stress, Psychological / Q000209:etiology / Q000517:prevention & control / Q000523:psychology*