title: An appraisal-based coping model of attachment and adjustment to arthritis.
abstract: Guided by pain-related attachment models and coping theory, we used structural equation modeling to test an appraisal-based coping model of how insecure attachment was linked to arthritis adjustment in a sample of 365 people with arthritis. The structural equation modeling analyses revealed indirect and direct associations of anxious and avoidant attachment with greater appraisals of disease-related threat, less perceived social support to deal with this threat, and less coping efficacy. There was evidence of reappraisal processes for avoidant but not anxious attachment. Findings highlight the importance of considering attachment style when assessing how people cope with the daily challenges of arthritis.
authors.affiliation: Bishop's University, Canada Centre for Research on Aging, Canada fsirois@ubishops.ca.
authors.forename: Fuschia M
authors.initials: FM
authors.lastname: Sirois
authors.affiliation: Carleton University, Canada.
authors.forename: Mary L
authors.initials: ML
authors.lastname: Gick
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001007:Anxiety; D001168:Arthritis / Q000523:psychology*; D002908:Chronic Disease / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009769:Object Attachment; D010146:Pain; D012944:Social Support; D011795:Surveys and Questionnaires
keywords: attachment style; chronic illness; coping; efficacy; social