The Relationship Between Fear of Intimacy, Paranoid Thoughts, and Marital Problems: The Mediating Role of Attachment Styles

Document Type : Original Article

Authors

1 Associate Professor in Psychology, University of Payme Noor, Tehran, Iran.

2 M.A. in Psychology, Department of Education of Pars‌Abad city, Ardabil, Iran.

Abstract

Introduction: For many adults, relationships with their spouses are among the most significant connections in life. A fulfilling romantic relationship is a strong predictor of psychological well-being, physical health, and overall life satisfaction. Paranoid thoughts and fear of intimacy are critical factors in determining the stability of marital relationships.
Method: The aim of this study was to investigate the mediating role of attachment styles in the relationship between fear of intimacy and paranoid thoughts, as well as their impact on marital problems among couples. The research was descriptive and correlational, with the study population consisting of all couples in Ardebil city. A sample of 250 individuals was selected using a convenience sampling method. Participants in the study included 108 females and 142 males, who were asked to complete the Fear of Intimacy Scale (FIS), the Adult Attachment Questionnaire (ECR-R), the Marital Satisfaction Questionnaire (GRIMS), and the Revised Paranoid Thought Scale (R-GPTS). Data were analyzed using Pearson correlation and path analysis, employing SPSS version 26 and AMOS version 24 software.
Results: The results indicated that fear of intimacy and paranoid thoughts are significantly positively correlated with avoidant and anxious attachment styles. Additionally, avoidant and anxious attachment styles also show a significant positive relationship with marital problems among couples.
Discussion and conclusion: The results of the path analysis confirm that attachment styles mediate the relationship between fear of intimacy, paranoid thoughts, and marital problems in couples.

Keywords


  • Robles, T. F., Slatcher, R. B., Trombello, J. M., & McGinn, M. M. Marital quality and health: A meta-analytic review. Psychological Bulletin, 2014; 140: 140–187.

https://doi.org/10.1037/a0031859

  • Pourmovahed, Z., Mazloomi, S. S., Zareei Mahmoodabadi, H., Tavangar, H.,Yasini, M., Vaezi, A. Deficiency of Self-efficacy in Problem-solving as a Contributory Factor in Family Instability: A Qualitative Study. Iran Journal of Psychiatry, 2018; 13(1): 32- 39.

https://www.researchgate.net/publication/323586503_Deficiency_of_Self-Efficacy_in_Problem-Solving_as_a_Contributory_Factor_in_Family_Instability_A_Qualitative_Study

  • Finzi-Dottan, R. The Role of Fear of Intimacy as Mediator between Self-Differentiation and Marital Relationship Satisfaction: A Dyadic Model. The Family Journal: Counselling and Therapy for Couples and Families, 2023; 3 (13): 392-398. https://doi.org/1177/10664807231163254
  • Bowlby, J. Attachment. Attachment and loss: Vol. 1: Loss. New York, NY: Basic Books. 1969.
  • Carr, S. C., Hardy, A., Fornells-Ambrojo, M. Relationship between attachment style and symptom severity across the psychosis spectrum: A meta-analysis. Clinical Psychology Review, 2018; 59: 145–158.

https://doi.org/10.1016/j.cpr.2017.12.001

  • Fraley, R. C., Shaver, P. R. Attachment theory and its place in contemporary organization of emotion, cognition, and behavior. In J. A. Simpson, & W. Rholes organization of emotion, cognition, and behavior. In J. A. Simpson, & W. S. Rholes. 2021.
  • Cambell, L., & Stanton, S., CE. Adult attachment and trust in romantic relationships. Current Opinion in Psychology, 2019; 25: 148-151.

https://doi.org/10.1016/j.copsyc.2018.08.004

  • Kobak, R., Bosmans, G. Attachment and psychopathology: a dynamic model of the insecure cycle. Current. Opinion. Psychology. 2019; 25: 76–80.

https://doi.org/10.1016/j.copsyc.2018.02.018

  • Hagekull, B., Bohlin, G. Early temperament and attachment as predictors of the Five Factor Model of personality. Attachment & Human Development, 2003; 5: 2–18.

https://doi.org/10.1080/1461673031000078643

  • Lavin, R., Bucci, S., Varese, F., Berry, K., The relationship between insecure attachment and paranoia in psychosis: a systematic literature review. British Journal of Clinical, Psychology, 2020; 59: 39–65.

https://doi.org/10.1111/bjc.12231

  • Bebbington, P. E., McBride, O., Steel, C., Kuipers, E., Radovanovic, M., Brugha, T., ... Freeman, D. The structure of paranoia in the general population. The British Journal of Psychiatry, 2013; 202: 419–427.

https://doi.org/10.1192/bjp.bp.112.119032

  • Savage, Ch., Orth, R., Bennett, M., Blanchard, J. Interpersonal consequences of paranoid ideation, negative symptoms and sleep problems in a trans diagnostic sample of individuals with psychosis. Journal of Psychiatric Research, 2024; 177: 194-202. https://doi.org/ 1016/j.jpsychires.2024.07.010
  • Freeman, D., Garety, P. A., Bebbington, P. E., Smith, B., Rollinson, R., Fowler, D., Dunn, G. Psychological investigation of the structure of paranoia in a non-clinical population. The British Journal of Psychiatry, 2005; 186: 427–435. 2005. https://doi.org/10.1192/bjp.186.5.427
  • Bentall, R. P., Fernyhough, C. Social predictors of psychotic experiences: specificity and psychological mechanisms. Schizophrenia Bulletin, 2008; 34: 1012–1020.

https://doi.org/10.1093/schbul/sbn103

  • Trucharte, A., Valiente, C., Espinosa, R., Chaves, C. The role of insecure attachment and psychological mechanisms in paranoid. Schizophrenia Research, 2022; 243: 9-16.

https://doi.org/10.1016/j.schres.2022.02.021

[In Persian].

  • Habibi, A; Kolahi, B. Structural Equation Modeling and Factor Analysis. Tehran: Jahad Daneshgaghi, second edition. 1401. [In Persian].
  • Descutner, C. J, & thelen, M. H. Development and validation of a fear-intimacy scale. Journal of counseling and clinical psychology, 1991; 3: 218-225. https://doi.org/10.1037/1040-3590.3.2.218
  • Besharat, M. A. Investigating the psychometric properties of the Fear of Intimacy Scale. Research report, Tehran: University of Tehran, 2010. [In Persian].
  • Fraley, R. C., Waller, N. G., & Brennan, K. A. An item response theory analysis of self-report measures of adult attachment. Journal of Personality and Social Psychology, 2000; 78: 350–365.

https://doi.org/10.1037/0022-3514.78.2.350

  • Khojasteh-Mehr, R. Investigating personality traits, social skills, attachment styles, and demographic characteristics as predictors of marital success and failure in couples seeking divorce and normal couples in Ahvaz. PhD thesis in psychology, Ahvaz: Shahid Chamran University of Ahvaz. 2003. [In Persian].
  • Rust, J., Bennun, I., Crow, M., Golombok, S. The Golombok-Rust Inventory of Maritital State Questionnaire. Sexual and marital Therapy, 1986; 1: 55-60.

https://doi.org/10.1080/02674658608407680

  • Besharat, M. A. Investigating the Psychometric Properties of the Fear of Intimacy Scale. Research report, Tehran: University of Tehran, 2010. [In Persian].
  • Green C.E.L., Freeman D., Kuipers E, Bebbington, P., Fowler, D., Dunn, D., & Garety, P.A. Measuring ideas of persecution and social reference: The Green et al. Paranoid Thought Scales (GPTS). Psychological Medicine, 2008; 38 (1): 101-111.

https://doi.org/ 10.1017/S0033291707001638

  • Kollolemad, F., Kraskian Mujembari, ,Bahrami, M. Determine the Psychometric Properties of Green et al. Paranoid Thoughts Scale (GPTS). Journal of Psychological Models and Methods, June 2018; 9(31‌): 97-110.

http://noo.rs/3aeOF [In Persian].

  • Wanger, R., Roy, A.R.K., Gorman, K. R., Ferguson, K. Attachment, relationship communication style and the use of jealousy induction techniques in romantic relationships. Personality and Individual Differences, 2018; 129: 6-11.

https://doi.org/10.1016/j.paid.2018.02.033

  • Mohseni Kabir, M., Dehghani, M., & Kiamanesh, A. Study of the relationship between object relations and defence mechanisms with marital satisfaction. Indian Journal of Fundamental and Applied Life Sciences, 2015; 5: 3588–3597. Study of the relationship between object relations and defense mechanisms with marital satisfaction
  • Hamphery, CH., Bussi, S., Varese, F., Degnan, A., Berry, K. Paranoia and negative schema about the self and others: A systematic review and meta-analysis. Clinical Psychology Review, 2021; 90: 102081.

https://doi.org/10.1016/j.cpr.2021.102081

  • Sitko, K., Varese, F., Sellwood, w., Hammond, A., Bentall, r. The dynamics of attachment insecurity and paranoid thoughts: An experience sampling study. Psychiatry Research, 2016; 242: 32-38. https://doi.org/1016/j.psychres.2016.08.057
  • Granieri A, La Marca L, Mannino G, Giunta S, Guglielmucci F, Schimmenti A. The relationship between defense patterns and DSM-5 maladaptive personality domains. Frontiers in Psychology, 2017; 2‌, 8: 1926.

https://doi.org/10.3389/fpsyg.2017.01926

  • Freeman, D., Dunn, G., Fowler, D., Bebbington, P., Kuipers, E., Emsley, R., Garety, P. Current paranoid thinking in patients with delusions: The presence of cognitive-affective biases. Schizophrenia Bulletin, 2013; 39: 1281–1287.