View in EDS HTML Full Text PDF Full Text

Adult Separation Anxiety Disorder in Substance Use Disorder: The Role of Trauma and Attachment Styles in Mediating and Moderating Mechanisms.

Saved in:
Bibliographic Details
Title: Adult Separation Anxiety Disorder in Substance Use Disorder: The Role of Trauma and Attachment Styles in Mediating and Moderating Mechanisms.
Authors: Kurt, Mustafa (AUTHOR), Taşdemir, Ali (AUTHOR)
Source: Substance Use & Misuse. 2026, Vol. 61 Issue 8, p1221-1229. 9p.
Subjects: Risk assessment, Statistical power analysis, Emotion regulation, Separation anxiety, T-test (Statistics), Attachment behavior, Drug addiction, Questionnaires, Multiple regression analysis, Descriptive statistics, Severity of illness index, Chi-squared test, Emotional trauma, Odds ratio, Factor analysis, Data analysis software, Drug abusers, Comorbidity, Regression analysis, Children, Adults
Abstract: Objective: Adult Separation Anxiety Disorder (ASAD) is a clinically significant yet understudied comorbidity in individuals with Substance Use Disorder (SUD). The study aimed to assess the comorbidity of ASAD in individuals with SUD and to examine the association of trauma and attachment to this relationship. Method: This study included 168 inpatients diagnosed with SUD in an addiction treatment unit. Participants were assessed using self-report scales such as the Adult Separation Anxiety Questionnaire, Childhood Trauma Questionnaire, Three-Dimensional Attachment Style Scale, and Addiction Profile Index. Findings: The SUD sample revealed prevalence of clinical ASAD (26.8%). ASAD severity was negatively correlated with secure attachment (r=-0.549, p < 0.001) and positively correlated with insecure attachment styles and addiction severity. Regression analysis confirmed that insecure attachment styles and emotional neglect independently predicted higher ASAD scores (p < 0.001). Mediation analysis was rejected; the direct effect of emotional neglect on clinical ASAD remained significant (OR = 1.11, p = 0.038), indicating a parallel risk path. Moderation analysis revealed that secure attachment significantly reduced the negative impact of emotional neglect on ASAD (β=-0.09, p = 0.026). Conclusion: This study suggests that ASAD is not merely a comorbid condition in SUD but a important emotional regulation mechanism associated with the maintenance of addiction. The results support the parallel risk model in which emotional neglect appears to be independently associated with ASAD risk. Clinically, interventions that focus solely on reducing substance use may be insufficient; instead, therapies that enhance secure attachment skills and emotional regulation processes may be crucial to improving treatment outcomes and reducing the risk of relapse. [ABSTRACT FROM AUTHOR]
Copyright of Substance Use & Misuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 193623161
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Adult Separation Anxiety Disorder in Substance Use Disorder: The Role of Trauma and Attachment Styles in Mediating and Moderating Mechanisms.
– Name: Author
  Label: Authors
  Group: Au
  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Kurt%2C+Mustafa%22&quot;&gt;Kurt, Mustafa&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Taşdemir%2C+Ali%22&quot;&gt;Taşdemir, Ali&lt;/searchLink&gt; (AUTHOR)
– Name: TitleSource
  Label: Source
  Group: Src
  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Substance+Use+%26+Misuse%22&quot;&gt;Substance Use &amp; Misuse&lt;/searchLink&gt;. 2026, Vol. 61 Issue 8, p1221-1229. 9p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Risk+assessment%22&quot;&gt;Risk assessment&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Statistical+power+analysis%22&quot;&gt;Statistical power analysis&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Emotion+regulation%22&quot;&gt;Emotion regulation&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Separation+anxiety%22&quot;&gt;Separation anxiety&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22T-test+%28Statistics%29%22&quot;&gt;T-test (Statistics)&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Attachment+behavior%22&quot;&gt;Attachment behavior&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Drug+addiction%22&quot;&gt;Drug addiction&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Questionnaires%22&quot;&gt;Questionnaires&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Multiple+regression+analysis%22&quot;&gt;Multiple regression analysis&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Descriptive+statistics%22&quot;&gt;Descriptive statistics&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Severity+of+illness+index%22&quot;&gt;Severity of illness index&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Chi-squared+test%22&quot;&gt;Chi-squared test&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Emotional+trauma%22&quot;&gt;Emotional trauma&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Odds+ratio%22&quot;&gt;Odds ratio&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Factor+analysis%22&quot;&gt;Factor analysis&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Data+analysis+software%22&quot;&gt;Data analysis software&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Drug+abusers%22&quot;&gt;Drug abusers&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Comorbidity%22&quot;&gt;Comorbidity&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Regression+analysis%22&quot;&gt;Regression analysis&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Children%22&quot;&gt;Children&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Adults%22&quot;&gt;Adults&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: Adult Separation Anxiety Disorder (ASAD) is a clinically significant yet understudied comorbidity in individuals with Substance Use Disorder (SUD). The study aimed to assess the comorbidity of ASAD in individuals with SUD and to examine the association of trauma and attachment to this relationship. Method: This study included 168 inpatients diagnosed with SUD in an addiction treatment unit. Participants were assessed using self-report scales such as the Adult Separation Anxiety Questionnaire, Childhood Trauma Questionnaire, Three-Dimensional Attachment Style Scale, and Addiction Profile Index. Findings: The SUD sample revealed prevalence of clinical ASAD (26.8%). ASAD severity was negatively correlated with secure attachment (r=-0.549, p &lt; 0.001) and positively correlated with insecure attachment styles and addiction severity. Regression analysis confirmed that insecure attachment styles and emotional neglect independently predicted higher ASAD scores (p &lt; 0.001). Mediation analysis was rejected; the direct effect of emotional neglect on clinical ASAD remained significant (OR = 1.11, p = 0.038), indicating a parallel risk path. Moderation analysis revealed that secure attachment significantly reduced the negative impact of emotional neglect on ASAD (β=-0.09, p = 0.026). Conclusion: This study suggests that ASAD is not merely a comorbid condition in SUD but a important emotional regulation mechanism associated with the maintenance of addiction. The results support the parallel risk model in which emotional neglect appears to be independently associated with ASAD risk. Clinically, interventions that focus solely on reducing substance use may be insufficient; instead, therapies that enhance secure attachment skills and emotional regulation processes may be crucial to improving treatment outcomes and reducing the risk of relapse. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: &lt;i&gt;Copyright of Substance Use &amp; Misuse is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=193623161
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/10826084.2025.2601320
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 1221
    Subjects:
      – SubjectFull: Risk assessment
        Type: general
      – SubjectFull: Statistical power analysis
        Type: general
      – SubjectFull: Emotion regulation
        Type: general
      – SubjectFull: Separation anxiety
        Type: general
      – SubjectFull: T-test (Statistics)
        Type: general
      – SubjectFull: Attachment behavior
        Type: general
      – SubjectFull: Drug addiction
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Multiple regression analysis
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Severity of illness index
        Type: general
      – SubjectFull: Chi-squared test
        Type: general
      – SubjectFull: Emotional trauma
        Type: general
      – SubjectFull: Odds ratio
        Type: general
      – SubjectFull: Factor analysis
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Drug abusers
        Type: general
      – SubjectFull: Comorbidity
        Type: general
      – SubjectFull: Regression analysis
        Type: general
      – SubjectFull: Children
        Type: general
      – SubjectFull: Adults
        Type: general
    Titles:
      – TitleFull: Adult Separation Anxiety Disorder in Substance Use Disorder: The Role of Trauma and Attachment Styles in Mediating and Moderating Mechanisms.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Kurt, Mustafa
      – PersonEntity:
          Name:
            NameFull: Taşdemir, Ali
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 07
              Text: 2026
              Type: published
              Y: 2026
          Identifiers:
            – Type: issn-print
              Value: 10826084
          Numbering:
            – Type: volume
              Value: 61
            – Type: issue
              Value: 8
          Titles:
            – TitleFull: Substance Use & Misuse
              Type: main
ResultId 1