Attachment style and interpersonal difficulties in immigrants with coronary heart disease

The aim of this study was to investigate the role of interpersonal factors and immigration in the development and management of coronary heart disease (CHD). In a cross-sectional design, three groups matched on age and gender were compared on attachment style and interpersonal difficulties: a group of 20 Greek-Cypriot immigrants with CHD, a group 20 Greek-Cypriot immigrants without CHD, and a group of 18 Greek-Cypriots with the disease living in Cyprus, without a history of immigration. Three self-report questionnaires were used: the Interpersonal Problems, the Relationship Questionnaire, and the Hostility Scale. According to the findings, a dismissive attachment style in couple relationships and difficulties indicating lack of general interpersonal engagement were associated with the presence of CHD. Although the association between dismissing attachment and CHD was indicated irrespective of immigrant status, general interpersonal problems were related to the disease only when such a status was also present. Examined in the context of the relevant literature, these findings suggested that attachment and interpersonal difficulties may play a role in the development and/or successful management of CHD. Such a role may be particularly evident in social groups experiencing additional psychosocial stressors, such as the immigrants. Future studies are needed to explore the issue further.