title: Associations between adult attachment and: oral health-related quality of life, oral health behaviour, and self-rated oral health.
abstract: OBJECTIVE
  Although adult attachment theory has been revealed as a useful theoretical framework for understanding a range of health parameters, the associations between adult attachment patterns and a range of oral health parameters have not yet been examined. The aim of this study was to examine potential associations between attachment insecurity and: (1) oral health-related quality of life (OHRQoL), (2) oral health behaviours, and (3) self-rated oral health. In association with this aim, sample characteristics were compared with normative data.
  
  
  METHODS
  The sample in this cross-sectional study was comprised of 265 healthy adults, recruited via convenience sampling. Data were collected on attachment patterns (Experiences in Close Relationships Scale-Short Form, ECR-S), OHRQoL (Oral Health Impact Profile-14, OHIP-14), oral health behaviours (modified Dental Neglect Scale, m-DNS), and self-rated oral health (one-item global rating of oral health). Multivariate regression models were performed.
  
  
  RESULTS
  Both dimensions of attachment insecurity were associated with lowered use of favourable dental visiting behaviours, as well as decreased OHRQoL for both overall well-being and specific aspects of OHRQoL. Attachment avoidance was linked with diminished self-rated oral health.
  
  
  CONCLUSIONS
  This study supports the potential value of an adult attachment framework for understanding a range of oral health parameters. The assessment of a client's attachment pattern may assist in the identification of people who are at risk of diminished OHRQoL, less adaptive dental visiting behaviours, or poorer oral health. Further research in this field may inform ways in which attachment approaches can enhance oral health-related interventions.
authors.affiliation: Occupational Therapy, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, QLD, 4072, Australia. p.meredith@uq.edu.au.
authors.forename: Pamela
authors.initials: P
authors.lastname: Meredith
authors.affiliation: Occupational Therapy, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, QLD, 4072, Australia.
authors.forename: Jenny
authors.initials: J
authors.lastname: Strong
authors.affiliation: School of Dentistry, The University of Queensland, Brisbane, QLD, Australia.
authors.forename: Pauline
authors.initials: P
authors.lastname: Ford
authors.affiliation: Occupational Therapy, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, QLD, 4072, Australia.
authors.forename: Grace
authors.initials: G
authors.lastname: Branjerdporn
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D015438:Health Behavior; D006801:Humans; D008297:Male; D009909:Oral Health; D011788:Quality of Life; D011795:Surveys and Questionnaires
keywords: Adult attachment; Oral health behaviours; Oral health-related quality of life; Psychosocial factors; Self-rated oral health