Document Type : Research Article


M. A. in Psychology, University of Mohaghegh Ardabili, Ardabil, Iran


Cardiovascular diseases are regarded as one of the most disabling diseases of human beings around the world, particularly when psychological characteristics are taken into consideration. This study compared attachment styles, problem solving styles and sensitivity anxiety in cardiovascular diseases patients and normal Individuals. A total of 40 participants (20 diseased, 20 normal) were selected thought random cluster sampling procedure from among a population of cardiovascular diseases in the city of Ardabil. Data were collected using the attachment styles inventory (AAI), problem-solving styles questionnaire (PSSQ) and the anxiety sensitivity index (ASI); moreover, multivariate analysis of variance used for data analysis. These finding implied that among attachment styles, problem solving and sensitivity anxiety there existed differences in cardiovascular diseases patients and non-patients. Results showed that cardiovascular diseases patients used higher avoidance and ambivalence attachment than non-patients. Result also revealed that non-patients used higher safety attachment than cardiovascular disease patients and patients employed avoidant attachment style as well as ambivalence. Moreover, cardiovascular diseases patients had higher helplessness, problem solving control and avoidance style more than non-patients and the non-patients used higher creativity style, problem-solving confidence, avoidance style more than cardiovascular diseases patients. It was also found that cardiovascular diseases patients used higher physical, cognitive, social worries than non-patients. Overall, the finding indicated that attachment styles, problem solving styles and sensitivity anxiety were important components discriminating cardiovascular diseases patients from non-patients. The suggestion for further studies is about other variables in cardiovascular diseases to provide preventive strategies for these diseases


Main Subjects

Abdi, R., (2001). Comparison of problem-solving in addiction and normal individuals. M.A thesis in general psychology, University of Ferdowsi Mashhad.
Anderson, E. R., & Hope, D. A. (2009). The relationship among social phobia, objective and perceived physiological reactivity, and anxiety sensitivity in an adolescent population. Journal of Anxiety Disorders, 23(1), 18-26. 
Ball, S. A. (1998). Manualized treatment for substance abusers with personality disorders: dual focus schema therapy. Addictive Behaviors, 23(6), 883-891. 
Behrouz, B., Farhadi, M., Khazaie, H., & Mehrabi, H. A. (2013). The comparison of Personality dimensions and problem-solving styles in people with coronary heart disease (CHD), chronic low back pain (CLBP), and healthy people. Journal of Kermanshah University of Medical Sciences, 17(2), 131-141. 
Cassibba, R., van IJzendoorn, M. H., Bruno, S., & Coppola, G. (2004). Attachment of mothers and children with recurrent asthmatic bronchitis. Journal of Asthma, 41(4), 419-431.
Cassidy, T., & Long, C. (1996). Problem‐solving style, stress, and psychological illness: Development of a multifactorial measure. British Journal of clinical psychology, 35(2), 265-277.
Deacon, B., & Abramowitz, J. (2006). Anxiety sensitivity and its dimensions across anxiety disorders. Journal of Anxiety Disorders, 20(7), 837-857.  
Deacon, B. J., Abramowitz, J. S., Woods, C. M., & Tolin, D. F. (2003). The Anxiety Sensitivity Index-Revised: psychometric properties and factor structure in two nonclinical samples. Behavior research and therapy, 41(12), 1427-1449.
Floyd, M., Garfield, A., & LaSota, M. T. (2005). Anxiety sensitivity and worry. Personality and Individual Differences, 38(5), 1223-1229. 
Fraley, R. C., Garner, J. P., & Shaver, P. R. (2000). Adult attachment and the defensive regulation of attention and memory: examining the role of preemptive and postemptive defensive processes. Journal of Personality and Social Psychology, 79(5), 816-826.
Ghasemim, N. (2012). The Comparison of Anxiety Sensitivity and Happiness in Irritable Bowel Syndrome Patients with Normal Matched Group in Shiraz. Journal of Advanced Biomedical Sciences, 2(2), 101-112. 
Hazan, C., & Shaver, P. (1987). Romantic love is conceptualized as an attachment process. Journal of Personality and Social Psychology, 52(3), 511-524. 
Izadi tameh, a., Nemati Dehkordi, s., & Nemati Dehkordi, m. (2014). The Relationship between Attachment Style on Self-Efficacy and Self-Care in Patients with Type 2 Diabetes. Journal of Diabetes Nursing, 1(2), 50-60. 
Kashdan, T. B., Zvolensky, M. J., & McLeish, A. C. (2008). Anxiety sensitivity and affect regulatory strategies: individual and interactive risk factors for anxiety-related symptoms. Journal of Anxiety Disorders, 22(3), 429-440. 
Mikulincer, M., Horesh, N., Eilati, I., & Kotler, M. (1999). The association between adult attachment style and mental health in extreme life-endangering conditions. Personality and Individual Differences, 27(5), 831-842.
Mikulincer, M., & Nachshon, O. (1991). Attachment styles and patterns of self-disclosure. Journal of Personality and Social Psychology, 61(2), 321-331.
Rector, N. A., Szacun-Shimizu, K., & Leybman, M. (2007). Anxiety sensitivity within the anxiety disorders: Disorder-specific sensitivities and depression comorbidity. Behavior research and therapy, 45(8), 1967-1975.
Reiss, S., Peterson, R. A., Gursky, D. M., & McNally, R. J. (1986). Anxiety sensitivity, anxiety frequency, and the prediction of fearfulness. Behaviour Research and Therapy, 24(1), 1-8. 
Rosanoff, A., & Seelig, M. S. (2004). Comparison of mechanism and functional effects of magnesium and statin pharmaceuticals. Journal of the American College of Nutrition, 23(5), 501s-505s. 
Smith, N. J., & Washousky, R. C. (1995). The coping styles of alcoholics with Axis II disorders. Journal of substance abuse, 7(4), 425-435.
Soleimani, E. (2009). Comparison of emotional intelligence, thinking styles, and attachment styles blind student and the normal individual. M.A thesis in general psychology. University of Mohaghegh Ardabili. 
WHO (2007). Prevention of Cardiovascular Disease: Guidelines for assessment and management of cardiovascular risk.
zaree, h., & Nahravanian, P. (2018). The Effect of Critical Thinking Training on Decision Making Styles and Problem Solving Styles. Biquarterly Journal of Cognitive Strategies in Learning, 5(9), 13-31.   
Zvolensky, M. J., Schmidt, N. B., Bernstein, A., & Keough, M. E. (2006). Risk-factor research and prevention programs for anxiety disorders: A translational research framework. Behavior research and therapy, 44(9), 1219-1239.