The association between adult attachment and quality of life in stroke patients: The mediating roles of fear of disease progression and stigma

This study, conducted in China, aimed to investigate the association between adult attachment and quality of life in stroke patients, and to explore the underlying mechanisms. Questionnaires were administered using the Experiences in Close Relationships Inventory, Fear of Progression Questionnaire-Short Form, Stroke Stigma Scale and World Health Organization Quality of Life-BREF. The sample consisted of 242 participants, with a mean age of 60.33 years; 81 were women and 161 were men, and 92.98% had an ischaemic stroke. The results indicated that attachment avoidance was negatively associated with the quality of life in these patients. Additionally, fear of disease progression and stigma mediated the association between adult attachment and patients' quality of life. These findings contribute to a deeper understanding of the psychological factors associated with quality of life in stroke patients, offering valuable insights for developing clinical practices and intervention strategies.