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The relationship between attachment styles and marital quality in women with breast cancer: The mediating role of death anxiety
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Fatemeh Jafarizadeh    , Somayeh Keshavarz * , Aristotle Mirani , Hasan Abdollahzadeh |
| Assistant Professor, Department of Psychology, Faculty of Social Sciences, Imam Khomeini International University, Qazvin, Iran. , s.keshavarz@soc.ikiu.ac.ir |
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Abstract: (6 Views) |
Background and aims: Breast cancer, beyond its physical effects, profoundly affects quality of life, mental health, and especially marital satisfaction and functioning for patients and their partners. This study examined the relationship between attachment styles and marital quality in women with breast cancer, considering the mediating role of death anxiety.
Methods: This descriptive-correlational study used path analysis. The statistical population comprised all women with breast cancer who attended the Mehr Golestan Center in Gorgan, Iran, in 2024. A convenience sample of 230 participants was recruited. Measures included the Marital Quality Questionnaire (Busby et al., 1995), the Attachment Styles Questionnaire (Collins & Read, 1990), and the Death Anxiety Scale (Collett–Lester, 1993). Data were analyzed using path analysis in AMOS 24.
Results: Significant direct relationships were found among secure and ambivalent attachment styles, death anxiety, and marital quality. In addition, death anxiety significantly mediated the relationship between attachment styles and marital quality.
Conclusion: Marital quality in women with breast cancer is influenced both directly and indirectly by psychological factors such as attachment styles and death anxiety. Considering these variables in therapeutic and intervention programs may substantially improve marital relationships and overall quality of life in this population.
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| Keywords: death, anxiety, attachment, marital |
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Full-Text [PDF 1615 kb]
(5 Downloads)
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Type of Study: Original |
Subject:
Disaster Medicine
Received: 2025/10/10 | Revised: 2025/11/13 | Accepted: 2025/11/16 | Published: 2025/11/22
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