Attachment styles predict personality traits according to a pilot study of patients with anxiety and mood disorders
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Resumen
Objetivo. Determinar si los estilos de apego en personas con trastornos del afecto o ansiedad se asocian a la expresión de rasgos de personalidad y si esta expresión es modulada por la presencia del alelo corto del polimorfismo 5-HTTLPR.
Método. Se incluyeron 87 pacientes. Se emplearon los cuestionarios NEO-PI-R y el de Apego en el Adulto de Melero.
Resultados. Los estilos de apego inseguro se asociaron con una expresión mayor de neuroticismo y menor de extroversión, conciencia y amabilidad, especialmente en los individuos con el estilo de apego más inseguro. Se identificó una interacción entre el estilo de apego y el genotipo del 5-HTTLPR en la expresión de amabilidad. En los portadores del alelo corto hubo una tendencia hacia mayores valores de neuroticismo y menores niveles de extroversión y conciencia.
Discusión y conclusión. Los estilos de apego se asocian con la expresión de neuroticismo, extroversión, amabilidad y conciencia/responsabilidad. El alelo corto del 5-HTTLPR podría asociarse con la modulación de algunos aspectos de la personalidad. Los resultados sugieren la importancia de promover un apego adecuado entre los niños y sus cuidadores primarios para evitar posibles riesgos que se asocien con rasgos desadaptativos de la personalidad.
Referencias
Adam, K., Sheldon, K. A., & West, M. (1995). Attachment organization and vulnerability to loss, separation, and abuse in disturbed adolescents. In S. Goldber, R. Muir, & J. Kerr (Eds.), Attachment theory: social, developmental, and clinica perspective. Hillsdale, NJ: Analytic Press.
Ainsworth, M. D. S., Bell, S. M., & Stayton, D. J. (1971). Individual differences in the strange situation behaviour of one-year-olds. In H. R. Shaeffer (Ed.), The origins of human social relations (pp. 15-71). New York: Academic Press.
Ainsworth, M. D. S., Blehar, M., Waters, E., & Wall, S. (1978). Patterns of Attachment: A Psychological Study of the Strange situation.
Arbelle, S., Benjamin, J., Golin, M., Kremer, I., Belmaker, R. H., & Ebstein, R. P. (2003). Relation of shyness in grade school children to the genotype for the long form of the serotonin transporter promoter region polymorphism. American Journal of Psychiatry, 160(4), 671-676. doi: 10.1176/appi.ajp.160.4.671
Ball, D., Hill, L., Freeman, B., Eley, T. C., Strelau, J., Riemann, R., ... Plomin, R. (1997). The serotonin transporter gene and peer-rated neuroticism. NeuroReport, 8(5), 1301-1304. doi: 10.1097/00001756-199703240-00048
Beevers, C. G., Wells, T. T., Ellis, A. J., & McGeary, J. E. (2009). Association of the serotonin transporter gene promoter region (5-HTTLPR) polymorphism with biased attention for emotional stimuli. Journal of Abnormal Psychology, 118(3), 670-681. doi: 10.1037/a0016198
Benoit, D., & Parker, K. C. (1994). Stability and transmission of attachment across three generations. Child Development, 65(5), 1444-1456. doi: 10.1111/j.1467-8624.1994.tb00828.x
Bowlby, J. (1958). The Nature of the childʼs tie to his mother. International Journal of Psycho-Analysis, 39(5), 350-373.
Bowlby, J. (1998). Attachment and loss: Separation, (Vol. 2). London: Pimlico.
Bowlby, J. (2005). Childhood mourning and its implications for psychiatry. In The Making and Breaking of Affectional Bonds, (p. 57). London and New York: Routledge.
Brummett, B. H., Siegler, I. C., McQuoid, D. R., Svenson, I. K., Marchuk, D. A., & Steffens, D. C. (2003). Associations among the NEO Personality Inventory, Revised and the serotonin transporter gene-linked polymorphic region in elders: effects of depression and gender. Psychiatric Genetics, 13(1), 13-18. doi: 10.1097/00041444-200303000-00002
Camarena, B., Rinetti, G., Cruz, C., Hernández, S., de la Fuente, J. R., & Nicolini, H. (2001). Association study of the serotonin transporter gene polymorphism in obsessive-compulsive disorder. International Journal of Neuropsychopharmacology, 4(3), 269-272. doi: 10.1017/S1461145701002516
Collier, D. A., Stöber, G., Li, T., Heils, A., Catalano, M., Di Bella, D., ... Lesch, K. P. (1996). A novel functional polymorphism within the promoter of the serotonin transporter gene: possible role in susceptibility to affective disorders. Molecular Psychiatry, 1(6), 453-460.
Du, L., Bakish, D., & Hrdina, P. D. (2000). Gender differences in association between serotonin transporter gene polymorphism and personality traits. Psychiatric Genetics, 10(4), 159-164. doi: 10.1097/00041444-200010040-00002
Eggert, J., Levendosky, A., & Klump, K. (2007). Relationships among attachment styles, personality characteristics, and disordered eating. International Journal of Eating Disorders, 40(2), 149-155. doi: 10.1002/eat.20351
Flory, J. D., Manuck, S. B., Ferrell, R. E., Dent, K. M., Peters, D. G., & Muldoon, M. F. (1999). Neuroticism is not associated with the serotonin transporter (5-HTTLPR) polymorphism. Molecular Psychiatry, 4(1), 93-96. doi: 10.1038/sj.mp.4000466
Fonagy, P., & Target, M. (1997). Attachment and reflective function: Their role in self-organization. Development and Psychopathology, 9(4), 679-700. doi: 10.1017/s0954579497001399
Fonagy, P., Leigh, T., Steele, M., Steele, H., Kennedy, R., Mattoon, G., ...Gerber, A. (1996). The relation of attachment status, psychiatric classification, and response to psychotherapy. Journal of Consulting and Clinical Psychology, 64(1), 22-31. doi: 10.1037//0022-006x.64.1.22
Fonagy, P., Steele, H., & Steele, M. (1991). Maternal representations of attachment during pregnancy predict the organization of infant-mother attachment at one year of age. Child Development, 62(5), 891-905. doi: 10.1111/j.1467-8624.1991.tb01578.x
Fox, E., Ridgewell, A., & Ashwin, C. (2009). Looking on the bright side: biased attention and the human serotonin transporter gene. Proceedings. Biological Sciences, 276(1663), 1747-1751. doi: 10.1098/rspb.2008.1788
Gellman, M. (1994). The revised NEO personality inventory: Manual Supplement for the Spanish Edition. In. Odessa, Florida, USA: Psychological Assessment Resources Inc.
Greenberg, B. D., Li, Q., Lucas, F. R., Hu, S., Sirota, L. A., Benjamin, J., ... Murphy, D. L. (2000). Association between the serotonin transporter promoter polymorphism and personality traits in a primarily female population sample. American Journal of Medical Genetics, 96(2), 202-216. doi: 10.1002/(sici)1096-8628(20000403)96:23.0.co;2-j
Jang, K. L., Livesley, W. J., & Vernon, P. A. (1996). Heritability of the big five personality dimensions and their facets: A twin study. Journal of Personality, 64(3), 577-592. doi: 10.1111/j.1467-6494.1996.tb00522.x
Jorm, A. F., Henderson, A. S., Jacomb, P. A., Christensen, H., Korten, A. E., Rodgers, B., ...Easteal, S. (1998). An association study of a functional polymorphism of the serotonin transporter gene with personality and psychiatric symptoms. Molecular Psychiatry, 3(5), 449-451. doi: 10.1038/sj.mp.4000424
Kennair, L. E. O., Solem, S., Hagen, R., Havnen, A., Nysæter, T. E., & Hjemdal, O. (2021). Change in personality traits and facets (Revised NEO Personality Inventory) following metacognitive therapy or cognitive behaviour therapy for generalized anxiety disorder: Results from a randomized controlled trial. Clinical Psychology & Psychotherapy, 28(4), 872-881. doi: 10.1002/cpp.2541
Kim, H.-N., Roh, S.-J., Sung, Y. A., Chung, H. W., Lee, J.-Y., Cho, J., ...Kim, H.L. (2013). Genome-wide association study of the five-factor model of personality in young Korean women. Journal of Human Genetics, 58(10), 667-674. doi: 10.1038/jhg.2013.75
Lacasa, F., Mitjavila, M., Ochoa, S., & Balluerka, N. (2015). The relationship between attachment styles and internalizing or externalizing symptoms in clinical and nonclinical adolescents. Anales de Psicología, 31(2), 422-432. doi: 10.6018/analesps.31.2.169711
Lee, B. D., Gonzalez, S., Villa, E., Camarillo, C., Rodriguez, M., Yao, Y., ...Escamilla, M. (2017). A genome-wide quantitative trait locus (QTL) linkage scan of NEO personality factors in Latino families segregating bipolar disorder. American Journal of Medical Genetics Part B: Neuropsychiatric Genetics, 174(7), 683-690. doi: 10.1002/ajmg.b.32551
Lesch, K. P., Bengel, D., Heils, A., Sabol, S. Z., Greenberg, B. D., Petri, S., ... Murphy, D. L. (1996). Association of anxiety-related traits with a polymorphism in the serotonin transporter gene regulatory region. Science, 274(5292), 1527-1531. doi: 10.1126/science.274.5292.1527
Lyons-Ruth, K. (1996). Attachment relationships among children with aggressive behavior problems. The role of disorganized early attachment patterns. Journal of Consulting and Clinical Psychology, 64(1), 64-73. doi: 10.1037/0022-006X.64.1.64
Main, K., Kaplan, N., & Cassidy, J. (1985). Security in infancy, childhood, and adulthood: a move to the level of representation. In I. Bretherton & E. Waters, (Eds). Monographs of the Society for Research and Child Development (Vol. 1-2), (pp. 66-104). Chicago: the University of Chicago Press.
Main, M. (1995). Recent studies in attachment: Overview, with selected implications for clinical work. In S. Goldberg, R. Muir, J. Kerr, (Eds.). Attachment theory: Social, developmental, and clinical perspectives, (pp. 407-474). Hillsdale, NJ: The Analytic Press.
Malik, F., & Marwaha, R. (2022). Developmental Stages of Social Emotional Development in Chidren. StatPearls [Internet].
McCrae, R. R. (2002). NEO-PI-R Data from 36 cultures: Further intercultural comparisons. In R. R. McCrae & J. Allik (Eds.). The Five-factormodel of personality across cultures, (pp. 105-126). New York: Kluwer Academic/Plenum.
McCrae, R. R., Terracciano, A., & Personality Profiles of Cultures, P. (2005). Universal features of personality traits from the observerʼs perspective: data from 50 cultures. Journal of Personality and Social Psychology, 88(3), 547-561. doi: 10.1037/0022-3514.88.3.547
Melero, R., & Cantero, M. J. (2008). Los estilos afectivos en la población española: un cuestionario de evaluación del apego adulto. Clínica y Salud, 19(1), 83-100.
Munafò, M. R., Clark, T., & Flint, J. (2005). Does measurement instrument moderate the association between the serotonin transporter gene and anxiety-related personality traits? A meta-analysis. Molecular Psychiatry, 10(4), 415-419. doi: 10.1038/sj.mp.4001627
Nagel, M., Jansen, P. R., Stringer, S., Watanabe, K., de Leeuw, C. A., Bryois, J., ... Posthuma, D. (2018). Meta-analysis of genome-wide association studies for neuroticism in 449,484 individuals identifies novel genetic loci and pathways. Nature Genetics, 50(7), 920-927. doi: 10.1038/s41588-018-0151-7
Nestor, P. G., Hasler, V. C., OʼDonovan, K., Lapp, H. E., Boodai, S. B., & Hunter, R. (2021). In search of positive mental health: Personality profiles and genetic polymorphisms. Stress & Health, 37(2), 310-319. doi: 10.1002/smi.2996
Ortiz, F. (2006). Replicabilidad del modelo factorial de los cinco grandes y la ascertividad en México. Revista Electronica de Psicología Iztacala, 9(1), 126-152.
Patrick, M., Hobson, R. P., Castle, D., Howard, R., & Maughan, B. (1994). Personality disorder and the mental representation of early social experience. Development and Psychopathology, 6(2), 375-388. doi: 10.1017/S0954579400004648
Peralta-Leal, V., Leal-Ugarte, E., Meza-Espinoza, J. P., Dávalos-Rodríguez, I. P., Bocanegra-Alonso, A., Acosta-González, R. I., Durán-González, J. (2012). Association of a serotonin transporter gene (SLC6A4) 5-HTTLPR polymorphism with body mass index categories but not type 2 diabetes mellitus in Mexicans. Genetics and Molecular Biology, 35(3), 589-593. doi: 10.1590/S1415-47572012005000048
Rahman, M. S., Guban, P., Wang, M., Melas, P. A., Forsell, Y., & Lavebratt, C. (2017). The serotonin transporter promoter variant (5-HTTLPR) and childhood adversity are associated with the personality trait openness to experience. Psychiatry Research, 257, 322-326. doi: 10.1016/j.psychres.2017.07.071
Rholes, W. S., & Simpson, J. A. (2004). Adult attachment: Theory, research, and clinical implications. New York, NY: Guillford Publications.
Rosas Santiago, F. J., Marván Garduño, M. L., Hernández-Aguilera, R. D., & Campos Uscanga, Y. (2021). Insecure Attachment as a Risk Factor for the Development of Anxiety and Depression Symptoms in a Sample of Mexican Adults. Issues in Mental Health Nursing, 42(8), 768-775. doi: 10.1080/01612840.2020.1836538
Sarmiento-Hernández, E. I., Ulloa-Flores, R. E., Camarena-Medellín, B., Sanabrais-Jiménez, M. A., Aguilar-García, A., & Hernández-Munoz, S. (2019). Association between 5-HTTLPR polymorphism, suicide attempt and comorbidity in Mexican adolescents with major depressive disorder. Actas Españolas de Psiquiatría, 47(1), 1-6.
Schmidt, V., Firpo, L., Vion, D., Oliván, M. D. C., Casella, L., Cuenya, L., ... Pedrón, V. (2010). Modelo Psicobiológico de Personalidad de Eysenck: una historia proyectada hacia el futuro. Revista Internacional de Psicología, 11(2), 1-21. doi: 10.33670/18181023.v11i02.63
Stoltenberg, S. F., Twitchell, G. R., Hanna, G. L., Cook, E. H., Fitzgerald, H. E., Zucker, R. A., & Little, K. Y. (2002). Serotonin transporter promoter polymorphism, peripheral indexes of serotonin function, and personality measures in families with alcoholism. American Journal of Medical Genetics, 114(2), 230-234. doi: 10.1002/ajmg.10187
Ward, M. J., & Carlson, E. A. (1995). Associations among adult attachment representations, maternal sensitivity, and infant-mother attachment in a sample of adolescent mothers. Child Development, 66(1), 69-79. doi: 10.1111/j.1467-8624.1995.tb00856.x
Zheng, L., Luo, Y., & Chen, X. (2020). Different effects of attachment anxiety and attachment avoidance on depressive symptoms: A meta-analysis. Journal of Social and Personal Relationships, 37(12), 3028-3050. doi: 10.1177/0265407520946482
