The mediator role of marital satisfaction between the attachment styles and relationship-centered and partner-focused obsessive compulsive symptoms
Yıl 2023,
Cilt: 7 Sayı: 1, 11 - 25, 02.05.2023
Ebru Pelin Özel
Selin Karaköse
Öz
Insecure attachment in close relationships in adulthood affects the quality of the relationship and is closely related to various psychopathologies. Relationship-centered and partner-oriented obsessions and compulsions are concepts that have been introduced to the literature in recent years and are considered an important part of obsessive-compulsive symptoms. Although previous studies investigated the associations between insecure attachment patterns and relationship obsessive-compulsive disorder in individuals in romantic relationships, the mediator role of marital satisfaction in this relationship has not been examined. The aim of this study was to investigate the mediational role of marital satisfaction between the relationship adult attachment styles and relationship-centered and partner-focused obsessive-compulsive symptoms. The sample of the study consisted of 380 married individuals (200 females, 180 males) between the ages of 22-70 (M = 40.75, SD = 10.57) living in Istanbul, Turkey. Participants completed the Sociodemographic Information Form, Experiences in Close Relationship Scale-Revised (ECR-R), Dyadic Adjustment Scale (DAS), Relationship Obsessive-Compulsive Inventory (ROCI) and, Partner-Related Obsessive-Compulsive Symptoms Inventory (PROCSI). Findings indicated that marital satisfaction demonstrated a mediational role between insecure attachment styles and relationship-centered and partner-focused obsessive-compulsive symptoms. These results implicate that clinicians might consider the role of the insecure attachment styles and marital satisfaction in the treatment of relationship obsessive-compulsive disorder.
Kaynakça
- Abak, E. (2019). Ruminatif düşünme stili, beden algısı ve sosyal görünüş kaygısının romantik ilişki ve partner odaklı obsesif kompulsif semptomlarla ilişkisi (Yayınlanmamış yüksek lisans tezi). Yıldırım Beyazıt Üniversitesi, Sosyal Bilimler Enstitüsü, Ankara.
- Banse, R. (2004). Adult attachment and marital satisfaction: Evidence for dyadic configuration effects. Journal of Social and Personal Relationships, 21, 273-282.
- Barry, R. A. ve Lawrence, E. (2013). “Don’t stand so close to me”: An attachment perspective of disengagement and avoidance in marriage. Journal of Family Psychology, 27, 484-494.
- Baş, E. P. (2019). Association of relationship obsessive-compulsive symptoms with depression, anxiety and stress: Marriage and child related factors as moderators (Yayınlanmamış yüksek lisans tezi). Abant İzzet Baysal Üniversitesi Sosyal Bilimler Enstitüsü, Bolu.
- Beach, S. (2001). Marital therapy for co-occurring marital discord and depression. S. R. H. Beach (Ed.), Marital and family processes in depression: A scientific foundation for clinical practice içinde (s. 205-224). American Psychological Association.
- Beach, S., Katz, J., Kim, S. ve Brody, G. H. (2003). Prospective effects of marital satisfaction on depressive symptoms in established marriages: A dyadic model. Journal of Social and Personal Relationships, 20, 355- 371.
- Beach, S., Sandeen, E. ve O'Leary, K. (1990). Depression in marriage. Guilford Press.
- Bowlby, J. (1982). Attachment and loss: Retrospect and prospect. American Journal of Orthopsychiatry, 52(4), 664.
- Bowlby, J. (1988). A secure base: Clinical applications of attachment theory. Routledge.
- Brassard, A., Lussier, Y. ve Shaver, P. R. (2009). Attachment, perceived conflict, and couple satisfaction: Test of a mediational dyadic model. Family Relations, 58, 634-646.
- Canals, J., Hernández-Martínez, C., Cosi, S. ve Voltas, N. (2012). The epidemiology of obsessive-compulsive disorder in Spanish school children. Journal of Anxiety Disorders, 26(7), 746-752.
- Cebeci, B. (2019). Evlı̇lı̇k doyumunun eş desteğı̇ ve ı̇lı̇şkı̇ ı̇çerı̇klı̇ obsesı̇f-kompulsı̇f semptomlar ile ı̇lı̇şkı̇lerı̇ (Yayınlanmamış yüksek lisans tezi). Maltepe Üniversitesi, Sosyal Bilimler Enstitüsü, İstanbul.
- Clark, D. A. (2004). Cognitive-behavioral therapy for OCD. Guilford Press.
- Collins, N. L. ve Read, S. J. (1990). Adult attachment, working models, and relationship quality in dating couples. Journal of Personality and Social Psychology, 58, 644-663.
- Davila, J., Karney, B. R., Hall, T. W. ve Bradbury, T. N. (2003). Depressive symptoms and marital satisfaction: Within-subject associations and the moderating effects of gender and neuroticism. Journal of Family Psychology, 17(4), 557.
- Del Giudice, M. (2011). Sex differences in romantic attachment: A metaanalysis. Personality and Social Psychology Bulletin, 37, 193-214.
- Doron, G., Derby, D. S., Szepsenwol, O., Nahaloni, E. ve Moulding, R. (2016). Relationship obsessive–compulsive disorder: Interference, symptoms, and maladaptive beliefs. Frontiers in Psychiatry, 7, 58.
- Doron, G., Derby, D. S., Szepsenwol, O. ve Talmor, D. (2012a). Tainted love: Exploring relationship-centered obsessive compulsive symptoms in two non-clinical cohorts. Journal of Obsessive-Compulsive and Related Disorders, 1(1), 16-24.
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- Doron, G., Derby, D. S. ve Szepsenwol, O. (2014). Relationship Obsessive-Compulsive Disorder (ROCD): A conceptual framework. Journal of Obsessive-Compulsive and Related Disorders, 3, 169-180.
- Doron, G., Moulding, R., Kyrios, M., Nedeljkovic, M. ve Mikulincer, M. (2009). Adult attachment insecurities are related to obsessive compulsive phenomena. Journal of Social and Clinical Psychology, 28(8), 1022-1049.
- Doron, G., Moulding, R., Nedeljkovic, M., Kyrios, M., Mikulincer, M. ve Sar-el, D. (2012). Adult attachment insecurities are associated with obsessive compulsive disorder. Psychology and Psychotherapy: Theory, Research and Practice, 85, 163-178.
- Doron, G., Szepsenwol, O., Karp, E. ve Gal, N. (2013). Obsessing about intimate-relationships: Testing the double relationship-vulnerability hypothesis. Journal of Behavior Therapy and Experimental Psychiatry, 44(4), 433-440.
- Erbek, E., Beştepe, E., Akar, H., Eradamlar, N. ve Alpkan, R. L. (2005). Evlilik uyumu. Düşünen Adam, 18(1), 39-47.
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- Kasalova, P., Prasko, J., Ociskova, M., Holubova, M., Vanek, J., Kantor, K. ve Barnard, L. (2020). Marriage under control: Obsessive compulsive disorder and partnership. Neuroendocrinology Letters, 41(3).
- Karney, B. R. ve Bradbury, T. N. (1995). The longitudinal course of marital quality and stability: A review of theory, method, and research. Psychological Bulletin, 118(1), 3-34.
- Koran, L. M. (2000). Quality of life in obsessive-compulsive disorder. Psychiatric Clinics of North America, 23, 509-517.
- Li, T. ve Chan, D. K. (2012). How anxious and avoidant attachment affect romantic relationship quality differently: A meta-analytic review. European Journal of Social Psychology, 42, 406-419.
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- McKay, D., Abramowitz, J. S., Calamari, J. E., Kyrios, M., Radomsky, A., Sookman, D., Taylor, S. ve Wilhelm, S. (2004). A critical evaluation of obsessive-compulsive disorder subtypes: Symptoms versus mechanisms. Clinical Psychology Review,24(3), 283-313.
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- Molero, F., Shaver, P. R., Ferrer, E., Cuadrado, I. ve Alonso-Arbiol, I. (2011). Attachment insecurities and interpersonal processes in Spanish couples: A dyadic approach. Personal Relationships, 18, 617-629.
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Bağlanma stilleri ile ilişki merkezli ve partner odaklı obsesif kompulsif belirtiler arasındaki ilişkide evlilik uyumunun aracı rolü
Yıl 2023,
Cilt: 7 Sayı: 1, 11 - 25, 02.05.2023
Ebru Pelin Özel
Selin Karaköse
Öz
Yetişkinlikte yakın ilişkilerde güvensiz bağlanmanın ilişkinin niteliğini etkilediği ve çeşitli psikopatolojiler ile yakından ilişkili olduğu bilinmektedir. İlişki merkezli ve partner odaklı obsesyon ile kompulsiyonlar alanyazına son yıllarda kazandırılmış kavramlardır ve önemli obsesif kompulsif belirtiler içerikleri olarak ele alınmaktadır. Geçmiş çalışmalarda güvensiz bağlanma örüntüleri ile ilişki merkezli ve partner odaklı obsesyon ve kompulsiyonlar bir arada ele alınsa da, alan yazında evlilik uyumunun bu ilişkideki aracı rolünü inceleyen bir çalışma henüz yer almamaktadır. Bu çalışmanın amacı, yetişkin bağlanma stilleri ile ilişki merkezli ve partner odaklı obsesif kompulsif arasında evlilik uyumunun aracı rolünü araştırmaktır. Araştırmanın örneklemi, İstanbul’da yaşayan 22-70 yaş (Ort. = 40.75, SS = 10.57) arasında 380 evli bireyden (200 kadın, 180 erkek) oluşmaktadır. Çalışma kapsamında Sosyodemografik Bilgi Formu, Yakın İlişkilerde Yaşantılar Envanteri-2 (YİYE-2), Çift Uyum Ölçeği (ÇUÖ), Romantik İlişki Obsesyon ve Kompulsiyonlar Ölçeği (RİOKÖ) ile Partnere İlişkin Obsesif Kompulsif Belirtiler Ölçeği (PİOKBÖ) katılımcılara sunulmuştur. Bulgular, evlilik uyumunun kaygılı ve kaçınmacı bağlanma stili ile ilişki merkezli ve partner odaklı obsesif kompulsif belirti düzeyi arasında aracılık rolü olduğunu göstermektedir. Araştırma bulguları, ilişki merkezli ve partner odaklı obsesif kompulsif belirtiler söz konusu olduğunda klinisyenlerin evlilik uyumuna ek olarak güvensiz bağlanma stillerine yönelik de müdahalelerde bulunmasının önemine işaret etmektedir.
Kaynakça
- Abak, E. (2019). Ruminatif düşünme stili, beden algısı ve sosyal görünüş kaygısının romantik ilişki ve partner odaklı obsesif kompulsif semptomlarla ilişkisi (Yayınlanmamış yüksek lisans tezi). Yıldırım Beyazıt Üniversitesi, Sosyal Bilimler Enstitüsü, Ankara.
- Banse, R. (2004). Adult attachment and marital satisfaction: Evidence for dyadic configuration effects. Journal of Social and Personal Relationships, 21, 273-282.
- Barry, R. A. ve Lawrence, E. (2013). “Don’t stand so close to me”: An attachment perspective of disengagement and avoidance in marriage. Journal of Family Psychology, 27, 484-494.
- Baş, E. P. (2019). Association of relationship obsessive-compulsive symptoms with depression, anxiety and stress: Marriage and child related factors as moderators (Yayınlanmamış yüksek lisans tezi). Abant İzzet Baysal Üniversitesi Sosyal Bilimler Enstitüsü, Bolu.
- Beach, S. (2001). Marital therapy for co-occurring marital discord and depression. S. R. H. Beach (Ed.), Marital and family processes in depression: A scientific foundation for clinical practice içinde (s. 205-224). American Psychological Association.
- Beach, S., Katz, J., Kim, S. ve Brody, G. H. (2003). Prospective effects of marital satisfaction on depressive symptoms in established marriages: A dyadic model. Journal of Social and Personal Relationships, 20, 355- 371.
- Beach, S., Sandeen, E. ve O'Leary, K. (1990). Depression in marriage. Guilford Press.
- Bowlby, J. (1982). Attachment and loss: Retrospect and prospect. American Journal of Orthopsychiatry, 52(4), 664.
- Bowlby, J. (1988). A secure base: Clinical applications of attachment theory. Routledge.
- Brassard, A., Lussier, Y. ve Shaver, P. R. (2009). Attachment, perceived conflict, and couple satisfaction: Test of a mediational dyadic model. Family Relations, 58, 634-646.
- Canals, J., Hernández-Martínez, C., Cosi, S. ve Voltas, N. (2012). The epidemiology of obsessive-compulsive disorder in Spanish school children. Journal of Anxiety Disorders, 26(7), 746-752.
- Cebeci, B. (2019). Evlı̇lı̇k doyumunun eş desteğı̇ ve ı̇lı̇şkı̇ ı̇çerı̇klı̇ obsesı̇f-kompulsı̇f semptomlar ile ı̇lı̇şkı̇lerı̇ (Yayınlanmamış yüksek lisans tezi). Maltepe Üniversitesi, Sosyal Bilimler Enstitüsü, İstanbul.
- Clark, D. A. (2004). Cognitive-behavioral therapy for OCD. Guilford Press.
- Collins, N. L. ve Read, S. J. (1990). Adult attachment, working models, and relationship quality in dating couples. Journal of Personality and Social Psychology, 58, 644-663.
- Davila, J., Karney, B. R., Hall, T. W. ve Bradbury, T. N. (2003). Depressive symptoms and marital satisfaction: Within-subject associations and the moderating effects of gender and neuroticism. Journal of Family Psychology, 17(4), 557.
- Del Giudice, M. (2011). Sex differences in romantic attachment: A metaanalysis. Personality and Social Psychology Bulletin, 37, 193-214.
- Doron, G., Derby, D. S., Szepsenwol, O., Nahaloni, E. ve Moulding, R. (2016). Relationship obsessive–compulsive disorder: Interference, symptoms, and maladaptive beliefs. Frontiers in Psychiatry, 7, 58.
- Doron, G., Derby, D. S., Szepsenwol, O. ve Talmor, D. (2012a). Tainted love: Exploring relationship-centered obsessive compulsive symptoms in two non-clinical cohorts. Journal of Obsessive-Compulsive and Related Disorders, 1(1), 16-24.
- Doron, G., Derby, D. S., Szepsenwol, O. ve Talmor, D. (2012b). Flaws and all: Exploring partner-focused obsessive-compulsive symptoms. Journal of Obsessive-Compulsive and Related Disorders, 1(4), 234-243.
- Doron, G., Derby, D. S. ve Szepsenwol, O. (2014). Relationship Obsessive-Compulsive Disorder (ROCD): A conceptual framework. Journal of Obsessive-Compulsive and Related Disorders, 3, 169-180.
- Doron, G., Moulding, R., Kyrios, M., Nedeljkovic, M. ve Mikulincer, M. (2009). Adult attachment insecurities are related to obsessive compulsive phenomena. Journal of Social and Clinical Psychology, 28(8), 1022-1049.
- Doron, G., Moulding, R., Nedeljkovic, M., Kyrios, M., Mikulincer, M. ve Sar-el, D. (2012). Adult attachment insecurities are associated with obsessive compulsive disorder. Psychology and Psychotherapy: Theory, Research and Practice, 85, 163-178.
- Doron, G., Szepsenwol, O., Karp, E. ve Gal, N. (2013). Obsessing about intimate-relationships: Testing the double relationship-vulnerability hypothesis. Journal of Behavior Therapy and Experimental Psychiatry, 44(4), 433-440.
- Erbek, E., Beştepe, E., Akar, H., Eradamlar, N. ve Alpkan, R. L. (2005). Evlilik uyumu. Düşünen Adam, 18(1), 39-47.
- Erdinç, İ. (2018). Evli çiftlerde, evlilik uyumu, cinsel yaşam doyumu ve yaşam doyumu arasındaki ilişkinin incelenmesi (Yayınlanmamış yüksek lisans tezi). İstanbul Gelişim Üniversitesi Sosyal Bilimler Enstitüsü, İstanbul.
- Feeney, J. A. (1999). Adult attachment, emotional control, and marital satisfaction. Personal Relationships, 6, 169-185.
- Fışıloğlu, H. ve Demir, A. (2000). Applicability of the Dyadic Adjustment Scale for measurement of marital quality with Turkish couples. European Journal of Psychological Assessment, 16(3), 214.
- Fraley, R. C. ve Shaver, P. R. (2000). Adult romantic attachment: Theoretical developments, emerging controversies, and unanswered questions. Review of General Psychology. 4, 132-154.
- Fraley, R. C., Waller, N. G. ve Brennan, K. A. (2000). An item response theory analysis of self-report measures of adult attachment. Journal of Personality and Social Psychology, 78(2), 350.
- Gallo, L. C. ve Smith, T. W. (2001). Attachment style in marriage: Adjustment and responses to interaction. Journal of Social and Personal Relationships, 18, 263-290.
- George, D. ve Mallery, P. (2010). SPSS for Windows step by step. A simple study guide and reference (10. Baskı). Pearson Education, Inc.
- Goldfarb, M. R., Trudel, G., Boyer, R. ve Préville, M. (2007). Marital relationship and psychological distress: Its correlates and treatments. Sexual and Relationship Therapy, 22(1), 109-126.
- Guidano, V. F. ve Liotti, G. (1983). Cognitive processes and emotional disorders: A structural approach to psychotherapy. Guilford Press.
- Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process: A regression-based approach (2. baskı). The Guilford Press.
- Hazan, C. ve Shaver, P. (1987). Romantic love conceptualized as an attachment process. Journal of Personality and Social Psychology, 52(3), 511-524.
- Hazan, C. ve Shaver, P. R. (1994). Attachment as an organizational framework for research on close relationships. Psychological Inquiry, 5(1), 1-22.
- İlericiler, N. K. (2015). Evlilik uyumunu açıklamada yakın ilişkilerde bağlanma, erken dönem uyum bozucu şemalar ve psikolojik travmanın rolü (Yayınlanmamış yüksek lisans tezi). Maltepe Üniversitesi, Sosyal Bilimler Enstitüsü, İstanbul.
- Kasalova, P., Prasko, J., Ociskova, M., Holubova, M., Vanek, J., Kantor, K. ve Barnard, L. (2020). Marriage under control: Obsessive compulsive disorder and partnership. Neuroendocrinology Letters, 41(3).
- Karney, B. R. ve Bradbury, T. N. (1995). The longitudinal course of marital quality and stability: A review of theory, method, and research. Psychological Bulletin, 118(1), 3-34.
- Koran, L. M. (2000). Quality of life in obsessive-compulsive disorder. Psychiatric Clinics of North America, 23, 509-517.
- Li, T. ve Chan, D. K. (2012). How anxious and avoidant attachment affect romantic relationship quality differently: A meta-analytic review. European Journal of Social Psychology, 42, 406-419.
- Lyons-Ruth, K. ve Jacobvitz, D. (2008). Attachment disorganization: Genetic factors, parenting contexts, and developmental transformation from infancy to adulthood. J. Cassidy ve P. R. Shaver (Ed.), Handbook of attachment: Theory, research, and clinical applications (2. baskı) içinde (s. 666-697). The Guilford Press.
- McKay, D., Abramowitz, J. S., Calamari, J. E., Kyrios, M., Radomsky, A., Sookman, D., Taylor, S. ve Wilhelm, S. (2004). A critical evaluation of obsessive-compulsive disorder subtypes: Symptoms versus mechanisms. Clinical Psychology Review,24(3), 283-313.
- Melli, G., Carraresi, C. ve Doron, G. (2015). The role of perfectionism in relationship obsessive-compulsive disorder (ROCD). In Eabct Congress.
- Mikulincer, M. ve Shaver, P. R. (2007). Attachment in adulthood: Structure, dynamics, and change. Guilford.
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