Attachment, emotion regulation, and well-being in couples: Intrapersonal and interpersonal associations

Attachment, Power/Influence, Conflict Management Strategies, and Sexual Aggression in Emerging Adult Romantic Relationships

Sexual aggression among young people is a public health concern. Although many episodes take place in a couple's relationship, few studies have explored the importance of relational variables in this interpersonal context. Of special interest may be the variables in a couple's functioning related to connectedness, power/influence, and conflict management. This dyadic longitudinal study aimed to examine the relationship between relational variables and sexual aggression in emerging adult romantic relationships. The sample consisted of 133 young heterosexual Spanish couples (mean age = 19.44; SD = 1.41) who completed an online questionnaire. At time 1 (T1), romantic attachment, partner's attempt to influence, perception of actual partner influence, conflict management strategies, and sexual aggression (perpetration and victimization) were assessed; 9 months later (T2), sexual aggression was assessed again. The data were analyzed following the Actor-Partner Interdependence Model (APIM). Males reported higher levels of perpetration than females, and females reported more victimization. Attachment-related anxiety predicted perpetration and victimization in both males and females (T1). In addition, males reported more perpetration when they perceived their partners as attempting to gain power in the relationship (T1) or having more actual influence in the romantic relationship (T2); whereas in females, victimization was more likely when they perceived more partner influence (T1 and T2), and their partners reported more female attempts at influence (T2). Negative conflict management strategies also explained male perpetration (T1 and T2) and female victimization (T1 and T2). These findings suggest the need to develop interventions aimed at promoting equity and relationship skills for emerging adults.

Emotion regulation and mental health across cultures: a systematic review and meta-analysis

Emotion regulation (ER) plays a central role in mental health, but the effect differs across cultures. Here, expanding from extant literature's focus on Western-Eastern dichotomy or individualism-collectivism, this meta-analysis synthesized evidence on the associations between the two most-studied ER strategies (cognitive reappraisal and expressive suppression) and two mental health outcomes (psychopathology and positive functioning) and investigated the moderating roles of several cultural dimensions: Hofstede's national cultures dimensions, education, industrialization, richness and democracy (EIRDness), and sample demographics. A comprehensive literature search was conducted using electronic databases (CINAHL, Scopus, Web of Science, PsycINFO and MEDLINE) to identify eligible studies reporting relationships between ER and mental health outcomes (PROSPERO: CRD42021258190, 249 articles, n = 150,474, 861 effect sizes, 37 countries/regions). For Hofstede's national cultures and EIRDness, multimodel inference revealed that greater reappraisal propensity was more adaptive in more short-term-oriented, uncertainty-tolerant and competition-driven cultures, whereas greater suppression propensity was more maladaptive in more indulgent and competition-driven cultures. For demographics, greater reappraisal propensity was more adaptive for samples with more female (B = -0.19, 95% confidence interval (CI) -0.29 to -0.09) and more racial minority participants (B = -0.32, 95% CI -0.51 to -0.13), whereas greater suppression propensity was more maladaptive in younger samples (B = -0.004, 95% CI -0.005 to -0.002). These findings elucidate how cultures are associated with the function of ER and suggests ways in which future studies can integrate cultural characteristics when examining ER and psychological adjustment.

Attachment Insecurity Mediates the Associations Between Childhood Trauma and Duration of Emotions During a Laboratory-Based Sexual Conflict Discussion Among Couples

Childhood trauma alters both emotional and relational processes, and thus could make it more difficult for couples to navigate relationship challenges such as sexual disagreements. Given the potential threat they involve, sexual conflicts may elicit more negative emotions for both partners. They can also trigger attachment insecurities-relational vulnerabilities that are particularly heightened during periods of stress, especially following childhood trauma. Hence, attachment anxiety and avoidance might be mechanisms through which childhood trauma influences couples' emotion dynamics during sexual conflicts. However, we know very little concerning how emotions unfold moment to moment in the context of couples' sexual disagreements, and the roles of childhood trauma and attachment insecurities therein. Same- and mixed-gender/sex couples (N = 151) completed online surveys and took part in a laboratory-based filmed discussion about their most important sexual problem. Following the discussion, participants completed self-reported measures of their positive and negative emotions. Then, partners independently viewed their filmed discussion to continuously report on their emotional experience during the conflict and, lastly, trained raters coded the valence of participants' expression of emotions during the task. Actor-partner interdependence models showed that a person's greater childhood trauma was associated with fewer positive emotions post-discussion and shorter experienced and expressed positive emotions during the conflict, as well as more negative emotions post-discussion and longer experienced and expressed negative emotions, both directly and indirectly via attachment anxiety (but not attachment avoidance). Results underscore the need to better understand sexuality-related positive and negative emotions in couple interactions, and the role of distal factors such as childhood trauma and attachment.

A research-driven flowchart to approach change in couples

In most cases, couple therapists systemically see couples' distress as the result of reciprocal maladaptive patterns to which each partner contributes. Yet, therapists can struggle to share with the couple such a relational understanding of their distress and identify goals for change accordingly, as structured, step-by-step methods are not available in the extant literature. This perspective paper reviews research across various domains of relationship science to summarize cohesively the best practices for goal identification in a step-by-step flowchart. The flowchart is divided into three main areas, derived from the available literature: establishing couple therapy appropriateness, determining general goals, and conceptualizing specific goals from a systemic perspective. Aimed at facilitating training, the resulting recommendations will broadly support a goal-focused approach to systemic assessment.

Emotion Regulation Difficulties as a Mediator Between Relationship Satisfaction Predicting Depressive Symptom Trajectories Among Couples in Couple Therapy

Although adults with depression struggle to effectively emotionally regulate themselves, these findings are limited to one partner in a romantic relationship, community samples, and cross-sectional designs. Hence, we aimed to address these gaps in the literature by investigating emotion regulation difficulties as a predictor of change in depression among couples in couple therapy. Additionally, we aimed to investigate whether emotion regulation difficulties mediated the well-established association between relationship satisfaction and changes in depression of couples in couple therapy. We examined 484 different-sex couples in couple therapy from the Marriage and Family Therapy Practice Research Network-a clinical dataset from clinics across the United States. Dyadic latent growth models revealed the actor and partner effects of emotion regulation difficulties at session 1, predicting decreases in depression trajectories across 16 sessions of couple therapy. Additionally, dyadic latent growth mediation models revealed that emotion regulation difficulties at session four did not mediate the associations between relationship satisfaction at session 1 with depression trajectories of sessions eight through 16. For couple therapy clinicians, emotion regulation difficulties can play a direct role in the treatment of depression. However, our results did not support emotion regulation difficulties as a mediator for the well-established association between relationship satisfaction and depression trajectories.

Exploring associations among baseline emotion regulation and change in relationship satisfaction among couples in a randomized controlled trial of emotionally focused therapy compared to usual care

BACKGROUND

Data from a two-arm randomized controlled trial of emotionally focused therapy (EFT) compared to usual care were used to examine whether baseline emotion regulation influences relationship satisfaction for female and male partners. This is clinically relevant as clinicians have debated whether clients' initial emotion regulation skills predict positive outcomes in EFT.

METHODS

Dyadic multilevel modeling was used to determine whether baseline emotion regulation predicted both initial levels and change in relationship satisfaction and whether that relationship differed by treatment group (i.e., EFT or usual care).

RESULTS

Baseline emotion regulation difficulties were associated with lower initial relationship satisfaction. However, baseline emotion regulation difficulties were not associated with change in relationship satisfaction over the course of treatment and this relationship did not differ by treatment group.

CONCLUSIONS

Results demonstrate that partners with diverse presentations of emotion regulation at baseline may benefit from couple therapy.

Attachment as a mechanism influencing end-of-life communication: An analogue investigation

Talking about dying when faced with end-of-life may be important for achieving optimal outcomes for young people and their families. Given the lack of research on young people's communication around end-of-life and death, this analogue study examined the role of attachment theory in conversations about dying. Experiment 1 assessed attachment security of 80 healthy young adults and randomised them to receive either an induction that raised awareness of one's attachment figures or a neutral induction, and then primed them with an imagined scenario where they were diagnosed with an incurable illness. Participants then completed a self-report measure of their willingness to discuss end-of-life topics with family, friends, or a psychologist. The experimental attachment induction did not increase willingness to talk about end-of-life concepts. Experiment 2 extended this design and asked participants to describe these conversations and assessed the content of their imagined end-of-life conversations. Experiment 2 replicated the finding that enhancing individuals' awareness of key attachment figures did not increase participants' willingness to engage in end-of-life conversations. However, heightened attachment awareness led participants to talk more about their relationship with the person they were hypothetically talking with. Across both experiments, avoidant attachment tendencies reduced the likelihood that participants receiving the attachment prime would want to engage in end-of-life conversation. Overall, it seems there are important differences between individuals on willingness to talk about death, and this may be influenced by one's attachment style. These results raise implications for the importance of attachment in the therapeutic relationship for healthcare professionals working with young people with life-limiting illnesses, such as cancer. Further research may shed light on how an individually tailored approach, taking into account attachment security, achieves the best outcomes for individuals who require end-of-life conversations.

Love Lost in Translation: Avoidant Individuals Inaccurately Perceive Their Partners' Positive Emotions During Love Conversations

Empathic accuracy-the ability to decipher others' thoughts and feelings-promotes relationship satisfaction. Those high in attachment avoidance tend to be less empathically accurate; however, past research has been limited to relatively negative or neutral contexts. We extend work on attachment and empathic accuracy to the positive context of love. To do so, we combined data from three dyadic studies (N = 303 dyads) in which couple members shared a time of love and rated each other's positive emotions. Using the Truth and Bias Model of Judgment, we found that individuals higher (vs. lower) in attachment avoidance were less accurate in inferring their partners' positive emotions during the conversation, but did not systematically over- or under-perceive their partners' positive emotions. Our results suggest that avoidant individuals may be less sensitive to positive cues in their relationships, potentially reducing relational intimacy.

Effect of partner presence on emotion regulation during parent-child interactions

Having people around, especially if they provide social support, often leads to positive outcomes both physically and mentally. Mere social presence is especially beneficial when it comes from a loved one or romantic partner. In these studies, we aim to expand the understanding of how the presence of one's romantic partner affects emotion regulation in parental situations. Specifically, we examined how partner presence influences the parent's emotional intensity, emotion regulation, and interpretation of their child's emotion regulation. We examined these questions in parents of both non-autistic children (Study 1) as well as autistic children (Study 2), which we hypothesize leads to more intense emotional interactions. The parents of autistic children were better able to regulate their emotions when their partners were present compared to when they were absent. Furthermore, in both studies, parents' ratings of their children's ability to regulate their emotions were higher when their parent's partner was present compared to when the partner was absent. However, in both studies, we found no significant difference in the parents' emotional intensity when their partners were present compared to when their partners were absent during the emotionally charged interaction with their child. Our findings help highlight the impact of partner presence on parent and child emotion regulation.

Emotion Regulation in Dementia Caregiving: The Role of Neuropsychiatric Symptoms and Attachment Orientation

Family caregivers are usually the main source of support for persons living with dementia, being exposed to a loved one's suffering, which can lead to experiencing strong and negative emotions. This study aimed to identify factors capable of explaining individual differences in the way caregivers regulate their emotions. This cross-sectional study included 78 informal caregivers (M = 64.84 years; SD = 13.32) and 84 controls (non-caregivers) (M = 77 years; SD = 7.59). Neuropsychiatric symptoms (NPS), attachment orientations, and emotion regulation were measured using self-report scales. Caregivers of persons living with dementia used more expressive suppression in comparison to non-caregivers. NPS and attachment avoidance were associated with expressive suppression. Moderation analyses showed that NPS only predicted expressive suppression when attachment avoidance was low or medium. The present study showed that caregivers are more likely to suppress their emotions in the presence of NPS, especially those with lower/middle levels of attachment avoidance. Psychological interventions targeting emotion regulation should be offered especially to caregivers that face NPS of persons living with dementia and present lower/middle levels of attachment avoidance.

Emotion dysregulation and couple relationship satisfaction of clinical couples: An actor-partner interdependence model

Despite the pivotal role that emotion regulation is thought to occupy for individual and relational wellbeing, emotion regulation in couples has been surprisingly understudied. With a clinical sample consisting of 275 couples starting therapy from 2017 to 2022, this study sought to clarify the actor and partner effects of clinical couples' emotion dysregulation on relationship satisfaction. Our results showed that, for partners' emotion dysregulation dimensions, while impulse control difficulties, lack of emotional awareness, and limited emotion regulation strategies were negatively predictive of couple relationship satisfaction, nonacceptance of negative emotions had a positive association with relationship satisfaction. Further, compared with other dimensions of emotion dysregulation, female limited emotion regulation strategies were greater predictors of decreased female relationship satisfaction. We also found significant gender differences in partners' emotion dysregulation dimensions and relationship satisfaction. These results show the significance of addressing emotion dysregulation for both partners at intra- and inter-personal levels simultaneously in couple therapy. Notably, the 275 couples in our sample did not report a clinically distressed relationship, though they attended at least one couple therapy session. Clinical implications and directions for future study are discussed.

Attachment style, religiosity, and well-being among Indonesian Christians

This study examines attachment styles, religiosity as measured by religious coping, and church activities, for their possible impact on feelings of well-being in an Indonesian Christian community. This cross-sectional study was conducted on both purposive and snowball samples of 264 Christians from Bandung and Semarang, Indonesia. The study hypothesized that a more positive Self-Other Model of attachment, greater positive religious coping, and higher church involvement would predict greater well-being as measured by flourishing/eudaimonic, affective, and subjective well-being scales. Pearson correlation and multiple regression methods were used to analyze data. Results indicated that 15% of the total variance in affective well-being is attributable to positive self-model attachment, positive religious coping, and higher subjective religiosity/spirituality. The study also found that 9.9% of the total variance in flourishing or eudaimonic well-being is counted for the self-model. However, neither predictor was correlated to hedonistic or subjective well-being. Greater religiosity, as measured through the church activities, was also not correlated with greater measures in the three types of well-being. This study concluded that the predictive power of religiosity such as church activities and attachment to well-being may depend on the characteristics of the culture.

Couples' extrinsic emotion regulation and dyadic adjustment: an actor-partner interdependence model analysis

Couples' extrinsic emotion regulation strategies are associated with marital quality or dyadic adjustment. However, only the strategies employed according to the objective they are expected to achieve have been examined; it is not known if strategies on the bases of positive or negative extrinsic emotion regulation motivation would have the same consequences for the dyad. The purpose of this study was to examine if extrinsic emotion regulation (EER) predicts one's own and one's partner's dyadic adjustment and if this effect differs by gender and relationship length. Using the Actor-Partner Interdependence Model (a type of dyadic data analysis, which incorporates the scores of the two members of the relationship into the analyses), data from 103 Chilean couples who completed self-report scales on dyadic adjustment and EER were analyzed. The participants were between 22 and 78 years old (M men = 39.84, SD = 11.37; M women = 38.01, SD = 10.64), and the relationship lengths were between 1 and 50 years (M = 12.98, SD = 11.53). The motivation or the intention to make the partner feel good (positive) or bad (negative) respectively predict higher and lower dyadic adjustment in both the one who uses the strategy (actor) and the receiver of the strategy (partner). There was no difference by gender or by duration of the relationship in the dyads, but there was with children in common. It is important to consider the motivation underlying the emotional management of the couple, given its implication in marital quality and the need to broaden the understanding of other EERs related to healthy dyadic functioning.

Emotion regulation and mental health among professionals of long-term care institutions for older adults: the mediating role of work engagement

BACKGROUND

This study examined whether work engagement mediated the association between emotion regulation and mental health of professionals working in long-term care institutions for older adults in Brazil.

PARTICIPANTS AND PROCEDURE

A cross-sectional study with a total of 104 professionals working in 13 long-term care facilities for the elderly in Brazil was conducted. Emotion regulation (expressive suppression and cognitive reappraisal), work engagement (vigor, dedication, and absorption), and mental health (depression, anxiety, and stress) were measured using self-report scales. Multiple mediation models were used to test the mediating role of engagement.

RESULTS

Expressive suppression was associated with more vigor, which in turn was associated with less anxiety and stress; cognitive reappraisal was associated with more vigor, which in turn was associated with less anxiety and stress. No indirect effects were found for depression.

CONCLUSIONS

Expressive suppression and cognitive reappraisal strategies to regulate emotions seem to be associated with more vigor in terms of resilience and persistence to deal with work demands in these professionals. These results seem to suggest that workers who are more capable of regulating their emotions (using both expressive suppression and cognitive reappraisal in a flexible way according to work demands) are more likely to be resilient, invest in their profession, and be persistent in the face of difficulties. This, in turn, contributes to protecting them from experiencing anxiety and stress.

The Emotion Regulation Goals Scale: Advancing its psychometric properties using item response theory analysis

OBJECTIVE

Emotion goals are considered paramount for influencing the initiation, maintenance, and cessation of emotion regulation. Recently, some authors developed an instrument to assess emotion goals-the Emotion Regulation Goals Scale (ERGS).

METHOD

This study included two studies aimed to examine the psychometric properties of the ERGS in two Portuguese samples: 400 adults from the community (76% women; M age = 37.10) (Study 1) and 205 university students (80% women; M age = 21.72) (Study 2).

RESULTS

Confirmatory factor analysis (CFA) and item response theory (IRT) analysis were used to examine the psychometric properties of the ERGS in the two samples. The CFA confirmed the five-factor structure of the 18-item ERGS, but the analyses of both studies suggested the elimination of two items given their lower loadings/low discrimination.

CONCLUSIONS

A five-factor structure with 16 items was proposed, with good reliability and with evidence of construct validity with relevant constructs.

Romantic Attachment and Difficulties in Emotion Regulation on Dyadic Adjustment: A Comprehensive Literature Review

In romantic relationships, individual differences are determinant factors for relational quality. Specifically, romantic attachment (RA) and difficulties in emotional regulation influence each other and may have predictive potential for the perceived dyadic adjustment (DA) level. This paper aims to identify the developmental parallel between behavioral patterns built since childhood and the construction of the emotional regulation skills that characterize them. Our analysis was based on the attachment theory and the concepts of romantic relationship and DA. In this way, we sought to further the understanding of relationship dynamics, beyond the usual focus on a single element and on associative relationships, and by exploring other effects among the different dimensions of relational functioning. In particular, we explored the predictive ability of emotional regulation patterns (more flexible individual characteristics) in discriminating between RA styles (more perennial influences), and their impact on the quality of romantic relationships, in the anticipation of dyadic adjustment variations.

The Effectiveness of EMOVERE: An Emotional Education Program for Young Couples

Our aim was to assess the effectiveness of EMOVERE, a psychoeducational and experiential program to increase emotion regulation in couples. Forty-four young couples (n = 88) aged between 18 and 36 years old participated in the study (53.4% women; M = 24.18; SD = 4.34). Twenty-two couples belonged to the experimental group (received the intervention) and 22 to the control group (received no intervention). The intervention program consisted of seven two-hour sessions over a month, in groups of four to five couples. The variables studied were sociodemographic characteristics, emotional intelligence (TMMS-24), emotional inter-regulation with the partner (SIERC), attachment (ECR-S) and satisfaction with the relationship (RAS). The proposed design was quasi-experimental, with two randomized groups (experimental and control group) and longitudinal data from two occasions. SPSS version 24.0 was used to perform analysis of variance (MANOVA and MANCOVA), multiple hierarchical regression and reliable change index. PROCESS was also used for moderation analyses. The results indicate that the program is effective in increasing emotional self-regulation and emotion regulation with the partner, as well as reducing couples' avoidance of intimacy. Age, relationship duration and previous relationship satisfaction moderate the effectiveness of the program. The importance of continuing this research line to address well-being of young populations is discussed.

A Review of Hyperscanning and Its Use in Virtual Environments

Hyperscanning is a technique which simultaneously records the neural activity of two or more people. This is done using one of several neuroimaging methods, such as electroencephalography (EEG), functional magnetic resonance imaging (fMRI), and functional near-infrared spectroscopy (fNIRS). The use of hyperscanning has seen a dramatic rise in recent years to monitor social interactions between two or more people. Similarly, there has been an increase in the use of virtual reality (VR) for collaboration, and an increase in the frequency of social interactions being carried out in virtual environments (VE). In light of this, it is important to understand how interactions function within VEs, and how they can be enhanced to improve their quality in a VE. In this paper, we present some of the work that has been undertaken in the field of social neuroscience, with a special emphasis on hyperscanning. We also cover the literature detailing the work that has been carried out in the human–computer interaction domain that addresses remote collaboration. Finally, we present a way forward where these two research domains can be combined to explore how monitoring the neural activity of a group of participants in VE could enhance collaboration among them.

Attachment, emotion regulation, and well-being in couples: Intrapersonal and interpersonal associations

Objective

There is a well‐established link in the literature between secure romantic attachment orientation and psychological well‐being. The underlying processes of this link and the couple interplay between attachment and well‐being are notably less explored. Using a dyadic framework, this study examines both couple members' emotion regulation strategies as potential mediators of this link.

Method

One hundred and nineteen heterosexual couples completed self‐report measures on attachment style, psychological well‐being, tendency to suppress emotions, and emotion expression. Analyses were performed using the actor–partner interdependence mediation model that distinguishes between intrapersonal and interpersonal influences.

Results

Results showed that controlling for relationship length, there was an intrapersonal indirect effect of attachment avoidance on psychological well‐being through emotion suppression. Moreover, interpersonal indirect effects were found (a) with individual attachment avoidance being associated with partner's psychological well‐being through own emotion expression and (b) individual's attachment anxiety being associated with partner's psychological well‐being through both own's emotion expression and partner's emotion suppression.

Conclusions

These findings highlight the complex associations among attachment, emotion regulation, and well‐being and point out the role of emotion regulation as a potential underlying pathway explaining these associations. The results suggest the importance of considering the relational nature of emotional and attachment dynamics in couples.