Pathway linking attachment styles to post-traumatic growth among recovered COVID-19 patients: testing the mediating role of coping styles

<b>Background:</b> Research on post-disaster mental health shows that people have unique resources to undergo positive changes like posttraumatic growth (PTG) after facing adversities.<b>Objective:</b> This study aimed to investigate the relationship between attachment styles and PTG in COVID-19 survivors, with a focus on exploring the mediating role of coping strategies. Through examining these dynamics, the study seeks to contribute to deeper understanding of the psychological processes underlying growth in individuals recovering from the pandemic.<b>Method:</b> A total of 210 participants were enrolled from the hospitals in Tabriz, Iran, in January 2021, and completed self-report questionnaires. PTG, attachment styles, and coping strategies were assessed using Posttraumatic Growth Inventory (PTGI), Revised Adult Attachment Scale (RAAS), and Coping Inventory for Stressful Situations (CISS). Structural equation modelling (SEM) was used to assess the mediation models.<b>Results:</b> The direct effects of secure (β = 0.22, <i>p</i> < .001), and ambivalent-anxious attachment (β = -0.22, <i>p</i> < .001) on PTG were significant. Also, task-oriented coping significantly predicted PTG (β = .60, <i>p</i> < .001). The direct path from secure (β = 0.16, <i>p</i> < .05) and ambivalent-anxious attachment (β = -0.38, <i>p</i> < .001) to task-oriented coping was significant, as was direct impact of secure (β = -0.18, <i>p</i> < .01) and ambivalent-anxious attachment (β = 0.37, <i>p</i> < .001) to emotion-oriented coping. The association between secure attachment and PTG is significantly mediated by task-oriented coping (β = 0.1, (95% CI: 0.01-0.18)). Also, task-oriented coping was a significant negative mediator between ambivalent-anxious attachment and PTG (β = -0.24, (95% CI: -0.33 - -0.15)).<b>Conclusions:</b> Results support the mediating role of coping strategies in the relationship between attachment styles and PTG. It emphasizes the importance of interventions for improving coping resources in individuals with life-threatening illnesses, focusing on improving problem-focused coping and reducing maladaptive strategies.