El apego en la vejez, una dimensión a tener en cuenta
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https://doi.org/10.5944/ap.17.2.29838Palabras clave:
teoría del apego, vejez, enfermedad, regulación emocionalResumen
La teoría del apego aporta un marco nuevo para la comprensión de la vejez. Por sus características de respuesta de activacion automática ante cualquier situación percibida como amenazante, el apego es un constructo especialmente importante en la vejez. Se postula el apego como el factor precursor de la regulación emocional del anciano, por su automatismo, estabilidad en el ciclo vital y conexión con mecanismos biológicos básicos de la ansiedad. Los apegos resistentes actúan en la vejez produciendo respuestas de extrema dependencia y sufrimiento; y los tipos evitativos activan una independencia excesiva, que impide el autocuidado y la percepción de riesgo. Ademas los problemas de salud propios de la vejez, se agravan en los sujetos con apego inseguro, creando una mayor vulnerabilidad a la enfermedad por los procesos biológicos de tipo inflamatorio y cardiaco, subyacentes a este tipo de apegos. Más de la mitad de la población mayor puede considerarse población de riesgo, debido a la presencia de apegos inseguros. A través de la teoria del apego se pueden comprender las reacciones de las personas mayores sometidas a tensión e intervenir de un modo ajustado, pues esta perspectiva se convierte en moduladora y novedosa para la comprensión del envejecimiento patológico y saludable.
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Ai J. y Zhang M. (2012). Study on the Relationship between the Elderly Loneliness, Suicide Attitude and Attachment Style. Chinese Health Psychology Journal of China Psychological Health, 20(6), 830–833.
Bakermans-Kranenburg, M. J. y van IJzendoorn, M. H. (2009). The First 10,000 Adult Attachment Interviews: Distributions of adult attachment representations in clinical and non-clinical groups. Attachment & Human Development, 11(3), 223–263. https://doi.org/10.1080/14616730902814762
Bowlby, J. (1983). La pérdida afectiva. Paidós.
Bradley, J. M. y Cafferty, T. P. (2001). Attachment among older adults: Current issues and directions for future research. Attachment & Human Development, 3(2), 200–221. https://doi.org/10.1080/14616730110058016
Cassidy, J. y Shaver, P. R. (2016). Handbook of attachment: Theory, Research, and Clinical Applications (3ª ed.). The Guilford Press.
Chen, E., Miller, G. E., Kobor, M. S. y Cole, S. W. (2011). Maternal Warmth Buffers the Effects of Low Early-Life Socioeconomic Status on pro-Inflammatory Signaling In Adulthood. Molecular Psychiatry, 16(7), 729–737. https://doi.org/10.1038/mp.2010.53
Chung, H. Y., Cesari, M., Anton, S., Marzetti, E., Giovannini, S., Seo, A. Y., Carter, C, Yu, B. P. y Leeuwenburgh, C. (2009). Molecular Inflammation: Underpinnings of Aging and Age-related Diseases. Ageing Research Reviews, 8(1), 18–30. https://doi.org/10.1016/j.arr.2008.07.002
Coan, J. A. (2008). Toward a neuroscience of attachment. En J. Cassidy y P. R. Shaver (Eds.), Handbook of Attachment: Theory, Research, and Clinical Applications (2ª ed.; pp. 241–265). The Guilford Press.
Consedine, N. S. y Magai, C. (2003). Attachment and Emotion Experience in Later Life: The View from emotions theory. Attachment & Human Development, 5(2), 165–187.
Consedine, N. S., Fiori, K. L. y Magai, C. (2012). Regulating Emotion Expression and regulating Emotion Experience: Divergent Associations with Dimensions of Attachment Among Older Women. Attachment & Human Development, 14(5), 477–500. https://doi.org/10.1080/14616734.2012.706433
Diehl, M., Elnick, A. B., Bourbeau, L. S. y Labouvie-Vief, G. (1998). Adult Attachment Styles: Their Relations to Family Context and Personality. Journal of Personality and Social Psychology, 74(6), 1656–1669. https://doi.org/10.1037/0022-3514.74.6.1656
Ein-Dor, T., Mikulincer, M., Doron, G. y Shaver, P. R. (2010). The Attachment Paradox: How Can so many of us (the insecure ones) Have no Adaptive Advantages? Perspectives on Psychological Science, 5(2), 123–141. https://doi.org/10.1177/1745691610362349
Ein-Dor, T., Verbeke, W. J. M. I., Mokry, M. y Vrtička, P. (2018). Epigenetic Modification of the Oxytocin and Glucocorticoid Receptor Genes is Linked to Attachment Avoidance in Young Adults. Attachment & Human Development, 20(4), 439–454. https://doi.org/10.1080/14616734.2018.1446451
Feeney, J. A. y Noller, P. (1990). Attachment Style as a Predictor of Adult Romantic Relationships. Journal of Personality and Social Psychology, 58(2), 281–291. https://doi.org/10.1037/0022-3514.58.2.281
Frías, M. T., Shaver, P. R. y Díaz-Loving, R. (2014). Individualism and Collectivism as Moderators of the Association between Attachment Insecurities, Coping, and Social Support. Journal of Social and Personal Relationships, 31(1), 3–31.
Gouin, J. P., Glaser, R., Loving, T. J., Malarkey, W. B., Stowell, J., Houts, C. y Kiecolt-Glaser, J. K. (2009). Attachment Avoidance Predicts Inflammatory Responses to Marital Conflict. Brain, Behavior, and Immunity, 23(7), 898–904. https://doi.org/10.1016/j.bbi.2008.09.016
Granqvist, P., Mikulincer, M. y Shaver, P. R. (2010). Religion as attachment: Normative processes and individual differences. Personality and Social Psychology Review, 14(1), 49–59. https://doi.org/10.1177/1088868309348618
Guzmán, M. y Contreras, P. (2012). Estilos de apego en relaciones de pareja y su asociación con la satisfacción marital [Attachment Styles in Couples and their Association with Marital Satisfaction]. Psykhe: Revista de La Escuela de Psicología, 21(1), 69–82. https://doi.org/10.4067/S0718-22282012000100005
Hatefi, M., Tarjoman, A. y Borji, M. (2019). Do Religious Coping and Attachment to God Affect Perceived Pain? Study of the Elderly with Chronic Back Pain in Iran. Journal of Religion and Health, 58(2), 465–475. https://doi.org/10.1007/s10943-018-00756-9
Hazan, C. y Shaver, P. (1987). Romantic Love conceptualized as an Attachment Process. Journal of Personality and Social Psychology, 52(3), 511–524. https://doi.org/10.1037/0022-3514.52.3.511
Hofer, M. A. (2006). Psychobiological Roots of Early Attachment. Current Directions in Psychological Science, 15(2), 84–88. https://doi.org/10.1111/j.0963-7214.2006.00412.x
Homan, K. J. (2014). Symbolic Attachment Security and Eudemonic Well-Being in Older Adults. Journal of Adult Development, 21(2), 89–95. https://doi.org/10.1007/s10804-013-9182-6
Homan, K. J. y Sirois, F. M. (2017). Self-Compassion and Physical Health: Exploring the Roles of Perceived Stress and Health-Promoting Behaviors. Health Psychology Open, 4(2), 1–9. https://doi.org/10.1177/2055102917729542
Iyengar, U., Rajhans, P., Fonagy, P., Strathearn, L. y Kim, S. (2019). Unresolved Trauma and Reorganization in Mothers: Attachment and Neuroscience Perspectives. Frontiers in Psychology, 10. https://doi.org/10.3389/fpsyg.2019.00110
Jaremka, L. M., Glaser, R., Loving, T. J., Malarkey, W. B., Stowell, J. R. y Kiecolt-Glaser, J. K. (2013). Attachment Anxiety is Linked to Alterations in Cortisol Production and Cellular Immunity. Psychological Science, 24(3), 272–279. https://doi.org/10.1177/0956797612452571
Ketay, S. y Beck, L. A. (2017). Attachment Predicts Cortisol Response and Closeness in Dyadic Social Interaction. Psychoneuroendocrinology, 80, 114–121. https://doi.org/10.1016/j.psyneuen.2017.03.009
Kim, Y. (2006). Gender, Attachment, and Relationship Duration on Cardiovascular Reactivity to Stress in a Laboratory Study of Dating Couples. Personal Relationships, 13(1), 103–114. https://doi.org/10.1111/j.1475-6811.2006.00107.x
Long, M., Verbeke, W., Ein-Dor, T. y Vrtička, P. (2020). A Functional Neuro-Anatomical Model of Human Attachment (NAMA): Insights from first- and Second-Person Social Neuroscience. Cortex: A Journal Devoted to the Study of the Nervous System and Behavior, 126, 281–321. https://doi.org/10.1016/j.cortex.2020.01.010
Magai, C., Hunziker, J., Mesias, W. y Culver, L. C. (2000). Adult Attachment Styles and Emotional Biases. International Journal of Behavioral Development, 24(3), 301–309. https://doi.org/10.1080/01650250050118286
Magai, C. (2016). Attachment in middle and later life. En J. Cassidy y P. R. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical applications (2ª ed. pp. 534–552). The Guilford Press.
McMahon, G., Creaven, A. y Gallagher, S. (2019). Perceived Social Support Mediates the Association between Attachment and Cardiovascular Reactivity in Young Adults. Psychophysiology. https://doi.org/10.1111/psyp.13496
Meaney, M. J. (2001). Maternal care, Gene Expression, and the Transmission of Individual Differences in Stress Reactivity Across Generations. Annual Review of Neuroscience, 24, 1161–1192. https://doi.org/10.1146/annurev.neuro.24.1.1161
Mickelson, K. D., Kessler, R. C. y Shaver, P. R. (1997). Adult Attachment in a Nationally Representative Sample. Journal of Personality and Social Psychology, 73(5), 1092–1106. https://doi.org/10.1037/0022-3514.73.5.1092
Mikulincer, M. y Shaver, P. R. (2016). Adult Attachment and Emotion Regulation. En J. Cassidy y P. R. Shaver (Eds.), Handbook of Attachment: Theory, Research, and Clinical Applications (3ª ed.; pp. 507–533). The Guilford Press.
Mikulincer, M. y Shaver, P. R. (2019). Attachment Orientations and Emotion Regulation. Current Opinion in Psychology, 25, 6–10. https://doi.org/10.1016/j.copsyc.2018.02.006
Mikulincer, M. y Shaver, P. R. (2020). Broaden-and-build Effects of Contextually Boosting the Sense of Attachment Security in Adulthood. Current Directions in Psychological Science, 29(1), 22–26. https://doi.org/10.1177/0963721419885997
Miller, G. E., Chen, E. y Parker, K. J. (2011). Psychological Stress in Childhood and Susceptibility to the Chronic Diseases of Aging: Moving toward a Model of Behavioral and Biological Mechanisms. Psychological Bulletin, 137(6), 959–997. https://doi.org/10.1037/a0024768
Pan, J. (2009). Different Attachment Styles, Social Support and Subjective Sense of Happiness of the Elderly. Jiangxi Normal University.
Picardi, A., Battisti, F., Tarsitani, L., Baldassari, M., Copertaro, A., Mocchegiani, E. y Biondi, M. (2007). Attachment Security and Immunity in Healthy Women. Psychosomatic Medicine, 69(1), 40–46. https://doi.org/10.1097/PSY.0b013e31802dd777
Pietromonaco, P. R., DeBuse, C. J. y Powers, S. I. (2013). Does Attachment Get under the Skin? Adult Romantic Attachment and Cortisol Responses to Stress. Current Directions in Psychological Science, 22(1), 63–68. https://doi.org/10.1177/0963721412463229
Quiroga Méndez M. P. (2018). Apego y Vejez, aportaciones al desarrollo evolutivo. En Actas del V Congreso Internacional de Investigación en Salud y Envejecimiento. Vol 1.
Roisman, G. I., Fraley, R. C. y Belsky, J. (2007). A Taxometric Study of the Adult Attachment Interview. Developmental Psychology, 43(3), 675–686. https://doi.org/10.1037/0012-1649.43.3.675
Scharfe, E. y Bartholomew, K. (1994). Reliability and Stability of Adult Attachment Patterns. Personal Relationships, 1(1), 23–43. https://doi.org/10.1111/j.1475-6811.1994.tb00053.x
Selcuk, E., Zayas, V., Günaydin, G., Hazan, C. y Kross, E. (2012). Mental Representations of Attachment Figures Facilitate Recovery following Upsetting Autobiographical Memory Recall. Journal of Personality and Social Psychology, 103(2), 362–378. https://doi.org/10.1037/a0028125
Shaver, P. R. y Mikulincer, M. (2004). Attachment in the Later Years: A Commentary. Attachment & Human Development, 6(4), 451–464. https://doi.org/10.1080/1461673042000303082
Sheinbaum, T., Kwapil, T. R., Ballespí, S., Mitjavila, M., Chun, C. A., Silvia, P. J. y Barrantes-Vidal, N. (2015). Attachment Style Predicts Affect, Cognitive Appraisals, and Social Functioning in Daily Life. Frontiers in Psychology, 6. https://doi.org/10.3389/fpsyg.2015.00296
Shirtcliff, E. A., Skinner, M. L., Obasi, E. M. y Haggerty, K. P. (2017). Positive Parenting Predicts Cortisol Functioning six Years Later in Young Adults. Developmental Science, 20(6). https://doi.org/10.1111/desc.12461
Sippel, L. M., Han, S., Watkins, L. E., Harpaz-Rotem, I., Southwick, S. M., Krystal, J. H., Olff, M., Sherva, R., Farrer, L. A., Kranzler, H. R., Gelernter, J. y Pietrzak, R. H. (2017). Oxytocin Receptor Gene Polymorphisms, Attachment, and PTSD: Results from the National Health and Resilience in Veterans Study. Journal of Psychiatric Research, 94, 139–147. https://doi.org/10.1016/j.jpsychires.2017.07.008
Spence, R., Jacobs, C. y Bifulco, A. (2018). Attachment Style, Loneliness and Depression in Older Age Women. Aging & Mental Health, 24(5), 837–839. https://doi.org/10.1080/13607863.2018.1553141
Shunqin, Y. (2015). Review of Effects of “attachment” of the elderly on physical and mental health of old chronic patients. Studies in Asian Social Science, 2(2), 15. https://doi.org/10.5430/sass.v2n2p15
Thompson, R. A. (1994). Emotion regulation: A theme in search of definition. Monographs of the Society for Research in Child Development, 59(2–3), 25–52. https://doi.org/10.2307/1166137
Van Assche, L., Luyten, P., Bruffaerts, R., Persoons, P., van de Ven, L. y Vandenbulcke, M. (2013). Attachment in old age: Theoretical assumptions, empirical findings and implications for clinical practice. Clinical Psychology Review, 33(1), 67–81. https://doi.org/10.1016/j.cpr.2012.10.003
Vrtička, P., & Vuilleumier, P. (2012). Neuroscience of Human Social Interactions and Adult Attachment Style. Frontiers in Human Neuroscience, 6. https://doi.org/10.3389/fnhum.2012.00212
Webster, J. D. (1997). Attachment Style and Well-Being in Elderly Adults: A Preliminary Investigation. Canadian Journal on Aging, 16(1), 101–111. https://doi.org/10.1017/S0714980800014185
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