Brief Article
Copyright ©2013 Baishideng. All rights reserved.
World J Psychiatr. Jun 22, 2013; 3(2): 41-49
Published online Jun 22, 2013. doi: 10.5498/wjp.v3.i2.41
Contribution of attachment insecurity to health-related quality of life in depressed patients
Alexander M Ponizovsky, Angela Drannikov
Alexander M Ponizovsky, Mental Health Services, Ministry of Health, Jerusalem 9101002, Israel
Angela Drannikov, Talbieh Mental Health Center, Jerusalem 9101002, Israel
Author contributions: Ponizovsky AM designed the study, analyzed data and wrote the manuscript; Drannikov A collected data, was involved in writing and approved a final version of the manuscript.
Supported by (in part) The Ministry of Immigrant Absorption to Dr. Ponizovsky AM
Correspondence to: Alexander M Ponizovsky, MD, PhD, Mental Health Services, Ministry of Health, 39 Yirmiyahu Str 1176, Jerusalem 9101002, Israel.
Telephone: +972-3-5080627 Fax: +972-2-5655911
Received: March 25, 2013
Revised: April 17, 2013
Accepted: May 16, 2013
Published online: June 22, 2013
Core Tip

Core tip: Adult attachment insecurity is a factor predisposing to relational stress and, as a result, to depressive reactions. Depression is a well-known factor reducing health-related quality of life (HRQoL). The study hypothesises that both variables will significantly predict poor HRQoL outcome, even after controlling for confounding sociodemographic variables. The results show that the anxious/ambivalent attachment style together with depression symptom severity substantially and independently predict the HRQoL outcome in adjustment disorder (AJD) with depressed mood. The findings also suggest that therapeutic techniques, alleviating emotional distress and promoting well-being, could accelerate recovery and improve HRQoL in the anxious/ambivalently attached patients with protracted AJD.