C. Vandoorn et al., THE INFLUENCE OF MARITAL QUALITY AND ATTACHMENT STYLES ON TRAUMATIC GRIEF AND DEPRESSIVE SYMPTOMS, The Journal of nervous and mental disease, 186(9), 1998, pp. 566-573
Few studies have examined the relationship between marital quality and
adjustment to the impending loss of a terminally ill spouse. Most stu
dies of marital quality and grief have been based on retrospective rep
orts of the marriage rather than pre-loss assessments. Here, we tested
the pre-loss cross-sectional effects of having a security-enhancing m
arriage on traumatic grief and depressive symptoms among 59 caregivers
aged 50 and over of terminally ill spouses. We also examined whether
insecure attachment styles were associated with traumatic grief and de
pressive symptoms. findings suggest that security-increasing marriages
and insecure attachment styles put spouses at risk for elevated traum
atic grief symptoms. Results also indicate that marital quality and at
tachment style did not interact and that neither was significantly ass
ociated with depressive symptoms. The differences in the relationship
of marital quality and attachment styles to the two outcomes suggest t
hat the etiology of traumatic grief and depressive symptoms may be dis
tinct.