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Preoccupied attachment style and beliefs about medicines in patients with Major Depressive Disorder

Published online by Cambridge University Press:  01 September 2022

G. Santarelli ,
G. Sanfilippo ,
F. Benvenuti ,
L. Santoro ,
A. Nistri ,
A. Ballerini  and
V. Ricca
G. Santarelli*
Affiliation:
University of Florence, Human Health Sciences, Firenze, Italy
G. Sanfilippo
Affiliation:
University of Florence, Human Health Sciences, Firenze, Italy
F. Benvenuti
Affiliation:
University of Florence, Human Health Sciences, Firenze, Italy
L. Santoro
Affiliation:
University of Florence, Human Health Sciences, Firenze, Italy
A. Nistri
Affiliation:
University of Florence, Human Health Sciences, Firenze, Italy
A. Ballerini
Affiliation:
University of Florence, Human Health Sciences, firenze, Italy
V. Ricca
Affiliation:
University of Florence, Human Health Sciences, firenze, Italy
*
*Corresponding author.

Abstract

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Introduction

Attachment style is defined by the American Psychological Association as “the characteristic way people relate to others in the context of intimate relationships”. Four attachment styles have been described: secure, fearful, preoccupied, and dismissing. While the effect of attachment style on psychotherapy was widely investigated, few studies have investigated its role in determining beliefs about medicines in patients with Major Depressive Disorder (MDD).

Objectives

This study aimed to investigate the relationship between preoccupied attachment style and beliefs about medicines in patients with MDD.

Methods

27 patients admitted in the Psychiatric Unit of Careggi with diagnosis of MDD were enrolled. Working Alliance Inventory - patient version (WAI-P), Relationship Style Questionnaire (RSQ) and Beliefs about Medicines Questionnaire (BMQ) were administered. An ANCOVA model having BMQ total score as dependent variable and age, sex, RSQ preoccupied attachment subscale and WAI-P task subscale as predictors was considered. WAI-P task was intended to assess the role of agreement on therapeutic choices.

Results

The overall model was significant (F(4,22)=9,571, P<0.001) and explained 66.8% of BMQ total score variance (R2=0.668). Both RSQ preoccupied attachment subscale (B=3.331, t(22)=3.907, p=0.001) and WAI-P task subscale (B=0.238, t(22)=4.565, p<0.001) showed a positive correlation with BMQ total scores. RSQ preoccupied attachment subscale explained 44.6% of variance of BMQ total scores (partial η2=0.446), WAI-P task explained 52.3% of variance of BMQ total scores (partial η2= 0.523). Age (B=0.059, t(22)=1.588, p=0.129) and sex (F(1,22)=0.035, p=0.854) had no significant effect.

Conclusions

These preliminary data suggest a possible influence of preoccupied attachment style on beliefs about medicines in patients with MDD.

Disclosure

No significant relationships.

Keywords

attachment stylebeliefs about medicinesmajor depressive disorderdepressive disorders
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S557
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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