eprintid: 1479117 rev_number: 35 eprint_status: archive userid: 608 dir: disk0/01/47/91/17 datestamp: 2016-04-16 22:18:13 lastmod: 2021-12-02 23:11:44 status_changed: 2017-03-21 12:17:20 type: article metadata_visibility: show creators_name: Kidd, T creators_name: Poole, L creators_name: Ronaldson, A creators_name: Leigh, E creators_name: Jahangiri, M creators_name: Steptoe, A title: Attachment anxiety predicts depression and anxiety symptoms following coronary artery bypass graft surgery ispublished: pub divisions: UCL divisions: B02 divisions: D12 divisions: J96 divisions: DD4 keywords: Anxiety, attachment, coronary artery bypass graft, depression note: © 2016 The Authors. British Journal of Health Psychology published by John Wiley & Sons Ltd on behalf of British Psychological Society. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. abstract: OBJECTIVE: Depression and anxiety are associated with poor recovery in coronary artery bypass graft (CABG) patients, but little is known about predictors of depression and anxiety symptoms. DESIGN: We tested the prospective association between attachment orientation, and symptoms of depression and anxiety in CABG patients, 6-8 weeks, and 12 months following surgery. METHOD: One hundred and fifty-five patients who were undergoing planned CABG surgery were recruited. Patients completed questionnaires measuring attachment, depression, and anxiety prior to surgery, then 6-8 weeks, and 12 months after surgery. RESULTS: Attachment anxiety predicted symptoms of depression and anxiety at both follow-up time points, whereas attachment avoidance was not associated with depression or anxiety symptoms. The findings remained significant when controlling for baseline mood scores, social support, demographic, and clinical risk factors. CONCLUSION: These results suggest that attachment anxiety is associated with short-term and long-term depression and anxiety symptoms following CABG surgery. These results may offer important insight into understanding the recovery process in CABG surgery. Statement of contribution What is already known on this subject? Depression and anxiety symptoms are twice more likely to occur in coronary artery bypass graft (CABG) populations than in any other medical group. Depression and anxiety are associated with poor recovery following cardiac surgery. Predictors of depression and anxiety in CABG patients have been underexplored. What does this study add? This study highlights the importance of close interpersonal relationships on health. Attachment anxiety was prospectively associated with higher levels of depression and anxiety. These results add to understanding mechanisms linked to recovery following CABG. date: 2016-11 date_type: published official_url: http://dx.doi.org/10.1111/bjhp.12191 oa_status: green full_text_type: pub language: eng primo: open primo_central: open_green article_type_text: JOURNAL ARTICLE verified: verified_manual elements_id: 1120364 doi: 10.1111/bjhp.12191 lyricists_name: Poole, Lydia lyricists_name: Steptoe, Andrew lyricists_id: LFPOO38 lyricists_id: ASTEP39 actors_name: Poirier, Elizabeth actors_id: EPPOI23 actors_role: owner full_text_status: public publication: British Journal of Health Psychology volume: 21 number: 4 pagerange: 796-811 issn: 2044-8287 citation: Kidd, T; Poole, L; Ronaldson, A; Leigh, E; Jahangiri, M; Steptoe, A; (2016) Attachment anxiety predicts depression and anxiety symptoms following coronary artery bypass graft surgery. British Journal of Health Psychology , 21 (4) pp. 796-811. 10.1111/bjhp.12191 <https://doi.org/10.1111/bjhp.12191>. Green open access document_url: https://discovery.ucl.ac.uk/id/eprint/1479117/1/Kidd_et_al-2016-British_Journal_of_Health_Psychology.pdf