The Correlation between Attachment Styles and Defense Mechanisms with Mental Health in Diabetic Patients

Background and Objectives: Mental health in diabetic patients is affected by psychological and social factors. Attachment styles and defensive mechanisms are also important due to their fundamental role in management of challenges and various personal and interpersonal issues. This study aimed to investigate the correlation between attachment styles and defense mechanisms with mental health in diabetic patients. Method: This research was a descriptive-correlational (analytical) study. The statistical population included all type I diabetic patients (age, 30-55 years), who referred to Endocrinology and Metabolism Research Center of Bushehr City (2013-2014). Using available sampling, 100 individuals were selected as statistical sample. The data collection tools included DASS-21 questionnaire, defense mechanisms of Andrews et al., Adult Attachment Styles questionnaire, and demographic information form. Data were analyzed using correlation coefficient and stepwise regression analysis. Results: There was a significant negative correlation between avoidant and ambivalent attachment style and mental health in diabetic patients (p<0.001). There was also a significant positive correlation between secure attachment style and mental health among diabetic patients (p<0.001). There was a significant positive correlation between mature defense mechanism and mental health in diabetic patients (p<0.001). There was also a significant negative correlation between immature defense mechanism and Neuroticism with mental health in diabetic patients (p<0.001). Conclusion: Diabetic individuals who use safe attachment styles and mature defense mechanisms have a better mental health.