Are patient–nurse relationships in breast cancer linked to adult attachment style?. (3rd June 2015)

• Record Type: Journal Article
• Authors: Harding, Rachel; Beesley, Helen; Holcombe, Christopher; Fisher, Jean; Salmon, Peter
• Is Part Of: Journal of advanced nursing. Volume 71:Number 10(2015:Oct.)
• Page Start: 2305
• Page End: 2314
• Publication Date: 2015-06-03
• Subjects: Nursing -- Periodicals; 610.7305
• DOI: 10.1111/jan.12693
• Languages: English
• ISSNs: 0309-2402

Abstract

<abstract abstract-type="main" id="jan12693-abs-0001"> <title>Abstract</title> <sec id="jan12693-sec-0001" sec-type="section"> <title>Aims</title> <p>The aim of this study was to ascertain if patients with breast cancer who have positive attachment models of 'self' and 'other' perceive higher levels of support from nurses than do patients with negative attachment models.</p> </sec> <sec id="jan12693-sec-0002" sec-type="section"> <title>Background</title> <p>Attachment models of 'self' and 'other' develop in childhood and affect relationships throughout life. People with negative attachment models tend to perceive themselves as unworthy of receiving support and to perceive others as incapable or unwilling to offer support. Attachment processes are activated when individuals feel threatened and seek support from those close to them. Breast cancer may represent such a threat and relationships between patients with breast cancer and nurses may therefore be influenced by patients' attachment models.</p> </sec> <sec id="jan12693-sec-0003" sec-type="section"> <title>Design</title> <p>A between‐subjects cross‐sectional design was used. Explanatory variables were indicators of patients' attachment models. Response variables were patient ratings of nurse support. Covariates were patient age and patient distress levels.</p> </sec> <sec id="jan12693-sec-0004" sec-type="section"> <title>Method</title> <p>One hundred and fifty‐three patients with breast cancer, diagnosed 1‐3 years previously, were recruited when attending follow‐up oncology appointments over 51 weeks in 2010–2011. Participants completed questionnaires assessing attachment models, distress and perceived support, from the nurse who was available to support them through their cancer. The hypotheses were tested by logistic regression analysis.</p> </sec> <sec id="jan12693-sec-0005" sec-type="section"> <title>Results</title> <p>Patients with more positive models of 'self' perceived more support from nurses.</p> </sec> <sec id="jan12693-sec-0006" sec-type="section"> <title>Conclusions</title> <p>Patients' perceptions of nurses when being treated for breast cancer are influenced by patients' own models of attachment. Knowledge of this would help nurses further to individualize the emotional support they give patients.</p> </sec> </abstract>