TY - JOUR PY - 2007// TI - The contribution of attachment security and social support to depressive symptoms in patients with metastatic cancer JO - Psycho-oncology A1 - Rodin, Gary A1 - Walsh, Andrew A1 - Zimmermann, Camilla A1 - Gagliese, Lucia A1 - Jones, Jennifer A1 - Shepherd, Frances A. A1 - Moore, Malcolm A1 - Braun, Michal A1 - Donner, Allan A1 - Mikulincer, Mario SP - 1080 EP - 1091 VL - 16 IS - 12 N2 - The present study examines the association between disease-related factors, perceived social support, attachment security (i.e. attachment anxiety and avoidance), and the occurrence of depressive symptoms in a sample of patients with metastatic gastrointestinal or lung cancer. Results from a sample of 326 cancer outpatients with advanced disease indicate that disease-related factors are significantly associated with the occurrence of depressive symptoms, and the latter are inversely related to the degree of attachment anxiety and avoidance, and perceived social support. Attachment security (on the dimension of anxious attachment) significantly buffered the effect of disease-related factors on depressive symptoms, and perceived social support mediated the relationship between attachment security and depressive symptoms. The buffering effect of attachment security on depressive symptoms and its partial mediation through social support suggest that the interaction of individual, social, and disease-related factors contribute to the emergence of depressive symptoms in patients with metastatic cancer. Copyright © 2007 John Wiley & Sons, Ltd.

LA - SN - 1057-9249 UR - http://dx.doi.org/10.1002/pon.1186 ID - ref1 ER -