{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T13:11:24Z","timestamp":1767705084701,"version":"3.41.2"},"reference-count":46,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,1,17]],"date-time":"2025-01-17T00:00:00Z","timestamp":1737072000000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100010809","name":"Jascha Fonden","doi-asserted-by":"publisher","award":["7659"],"award-info":[{"award-number":["7659"]}],"id":[{"id":"10.13039\/100010809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003035","name":"Aase og Ejnar Danielsens Fond","doi-asserted-by":"publisher","award":["18\u201010\u20100584"],"award-info":[{"award-number":["18\u201010\u20100584"]}],"id":[{"id":"10.13039\/501100003035","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003554","name":"Lundbeck Foundation","doi-asserted-by":"publisher","award":["R264\u20102017\u20102034"],"award-info":[{"award-number":["R264\u20102017\u20102034"]}],"id":[{"id":"10.13039\/501100003554","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Psychology and Psychoth"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>There is evidence that emotion regulation plays a role in the aetiology and maintenance of OCD, but knowledge about what impacts emotion dysregulation is limited. Attachment style is related to both emotion regulation and OCD symptoms, but the link between them has not been thoroughly studied. Examining emotion dysregulation within the context of OCD through an attachment theory framework may lead to a better understanding of the aetiology and maintenance of OCD. In the present study, we combined theoretically and empirically derived knowledge to examine the mediating role of emotion regulation between attachment dimensions (avoidance and anxiety) and OCD symptoms. One\u2010hundred seventy\u2010nine individuals with OCD were assessed with Experiences in Close Relationships\u2010Revised (ECR\u2010R), Difficulties in Emotion Regulation Scale (DERS) and Yale\u2010Brown Obsession Compulsion Scale (Y\u2010BOCS), and mediation analyses were conducted. Our results indicate that the association between OCD and attachment anxiety\/avoidance was mediated by emotion dysregulation. The primary limitation of our study is that data are cross\u2010sectional and, therefore, we cannot infer anything about the causal direction of these relationships. A second limitation of the study is that two of the three measures were derived from self\u2010reported questionnaires, which may be prone to biassed reporting. Our results suggest that insecure attachment is important in OCD when taking emotion regulation into account. Thus, clinical interventions for OCD may improve by targeting attachment and difficulties related to emotion regulation. However, our findings are based on cross\u2010sectional data that preclude conclusions relating to causal influence.<\/jats:p>","DOI":"10.1002\/cpp.70031","type":"journal-article","created":{"date-parts":[[2025,1,17]],"date-time":"2025-01-17T16:10:38Z","timestamp":1737130238000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Adult Attachment Style, Emotion Regulation and Obsessive\u2013Compulsive Disorder\u2014A Preliminary Cross\u2010Sectional Mediational Investigation of an Attachment\u2010Based Model"],"prefix":"10.1002","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4412-4633","authenticated-orcid":false,"given":"Sara\u00a0Kerstine\u00a0Kaya","family":"Nielsen","sequence":"first","affiliation":[{"name":"Department of Psychology University of Copenhagen  Copenhagen Denmark"},{"name":"Mental Health Services, Capital Region of Denmark  Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne\u00a0Christine","family":"Stuart","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Copenhagen  Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clas","family":"Winding","sequence":"additional","affiliation":[{"name":"Mental Health Services, Capital Region of Denmark  Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mette\u00a0\u00d8llgaard","family":"Pedersen","sequence":"additional","affiliation":[{"name":"Mental Health Services, Capital Region of Denmark  Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah\u00a0Ingrid\u00a0Franksdatter","family":"Daniel","sequence":"additional","affiliation":[{"name":"Private Practice  Hilleroed Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Signe","family":"Vangkilde","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Copenhagen  Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole","family":"Rosenberg","sequence":"additional","affiliation":[{"name":"Mental Health Services, Capital Region of Denmark  Copenhagen Denmark"},{"name":"Mental Health Services, Region of Sealand  Slagelse Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ida","family":"Hageman","sequence":"additional","affiliation":[{"name":"Mental Health Services, Capital Region of Denmark  Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anders","family":"Petersen","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Copenhagen  Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin\u00a0Balslev","family":"J\u00f8rgensen","sequence":"additional","affiliation":[{"name":"Mental Health Services, Capital Region of Denmark  Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,1,17]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2009.11.004"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/14616730902814762"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2024.01.011"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1939\u20100025.1982.tb01456.x"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.paid.2008.10.016"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920\u2010013\u20100357\u20104"},{"key":"e_1_2_13_9_1","unstructured":"Disabato D.2016. \u201cThe Double Standard Against Cross\u2010Sectional Mediation.\u201dhttp:\/\/www.daviddisabato.com\/blog\/2016\/5\/22\/the\u2010double\u2010standard\u2010against\u2010cross\u2010sectional\u2010mediation."},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2005.02.002"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2016.00484"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.99.1.20"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022\u20103514.73.5.1080"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022\u20103514.78.2.350"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1989.01810110048007"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1023\/B:JOBA.0000007455.08539.94"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/mono.12113"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/2167702614536164"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/03637750903310360"},{"volume-title":"Introduction to Mediation, Moderation, and Conditional Process Analysis","year":"2013","author":"Hayes A. F.","key":"e_1_2_13_20_1"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopsycho.2020.107908"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1352465812000665"},{"volume-title":"Emotion Regulation and Psychopathology: A Transdiagnostic Approach to Etiology and Treatment","year":"2009","author":"Kring A. M.","key":"e_1_2_13_23_1"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10802\u2010018\u20100445\u20103"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2014.10.007"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajop.12001"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1037\/1082\u2010989X.12.1.23"},{"key":"e_1_2_13_28_1","first-page":"143","volume-title":"Attachment Theory and Close Relationships","author":"Mikulincer M.","year":"1998"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1350\u20104126.2005.00108.x"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.copsyc.2018.02.006"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.31296\/aop.v2i9.83"},{"key":"e_1_2_13_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100047.2004.00271.x"},{"key":"e_1_2_13_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2017.04.047"},{"key":"e_1_2_13_34_1","doi-asserted-by":"publisher","DOI":"10.15288\/jsad.2018.79.171"},{"key":"e_1_2_13_35_1","doi-asserted-by":"publisher","DOI":"10.1080\/14616734.2013.745713"},{"key":"e_1_2_13_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2021.09.045"},{"key":"e_1_2_13_37_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0207514"},{"key":"e_1_2_13_38_1","doi-asserted-by":"publisher","DOI":"10.1521\/jscp.2005.24.4.580"},{"key":"e_1_2_13_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2022.07.023"},{"key":"e_1_2_13_40_1","doi-asserted-by":"publisher","DOI":"10.1177\/20438087231190121"},{"key":"e_1_2_13_41_1","first-page":"465","article-title":"Adult Attachment Strategies and the Regulation of Emotion","volume":"446","author":"Shaver P. R.","year":"2007","journal-title":"Handbook of Emotion Regulation"},{"key":"e_1_2_13_42_1","article-title":"The Mini\u2010International Neuropsychiatric Interview (M.I.N.I.): The Development and Validation of a Structured Diagnostic Psychiatric Interview for DSM\u2010IV and ICD\u201010","author":"Sheehan D. V.","year":"1998","journal-title":"Journal of Clinical Psychiatry"},{"key":"e_1_2_13_43_1","first-page":"330","article-title":"Early Attachment and Later Development: Reframing the Questions","volume":"3","author":"Thompson R. A.","year":"2016","journal-title":"Handbook of Attachment: Theory, Research, and Clinical Applications"},{"key":"e_1_2_13_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurpsy.2017.03.009"},{"key":"e_1_2_13_45_1","doi-asserted-by":"publisher","DOI":"10.1891\/0889\u20108391.28.4.264"},{"key":"e_1_2_13_46_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2020.102187"},{"key":"e_1_2_13_47_1","doi-asserted-by":"publisher","DOI":"10.1080\/14616734.2023.2234891"}],"container-title":["Clinical Psychology &amp; Psychotherapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cpp.70031","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T11:47:04Z","timestamp":1747396024000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/cpp.70031"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":46,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1002\/cpp.70031"],"URL":"https:\/\/doi.org\/10.1002\/cpp.70031","archive":["Portico"],"relation":{},"ISSN":["1063-3995","1099-0879"],"issn-type":[{"type":"print","value":"1063-3995"},{"type":"electronic","value":"1099-0879"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"2024-10-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70031"}}