Spousal support and cardiac patients' distress: The moderating role of attachment orientation

Noa Vilchinsky, Liat Haze-Filderman, Morton Leibowitz, Orna Reges, Abid Khaskia, Morris Mosseri

Research output: Contribution to journalArticlepeer-review

32 Scopus citations


Based on the Person-Environment Fit Model, the current prospective study explored the contribution of the interaction between spouses' ways of providing support and patients' attachment orientations to the patients' levels of psychological distress 6 months after experiencing a first Acute Coronary Syndrome (ACS). One hundred and eleven patients completed a measure of attachment orientations during hospitalization, while their spouses completed a measure of ways of providing support 1 month later. The outcome measures were patients' depressive and anxiety symptoms 6 months after their ACS. Whereas active engagement was associated with lower levels of anxiety symptoms among patients high in attachment anxiety, it was also associated with higher levels of anxiety symptoms among patients low on this orientation. In addition, none of the ways of providing support moderated the association between avoidance and distress. These results shed light on the possible interplay between providers' support and recipients' personalities.

Original languageEnglish
Pages (from-to)508-512
Number of pages5
JournalJournal of Family Psychology
Issue number4
StatePublished - Aug 2010
Externally publishedYes


  • Attachment orientations
  • Dyadic coping
  • Myocardial infarction
  • Ways of providing support


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