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Attachment anxiety predicts IL-6 and length of hospital stay in coronary artery bypass graft surgery (CABG) patients
Authors:Tara Kidd  Lydia Poole  Elizabeth Leigh  Amy Ronaldson  Marjan Jahangiri  Andrew Steptoe
Institution:1. Department of Epidemiology and Public Health, University College London, 1-19 Torrington Place, London WC1E 6BT, United Kingdom;2. Department of Cardiac Surgery, St. George''s Hospital, University of London, Blackshaw Road, London SW17 0QT, United Kingdom
Abstract:

Objective

The mechanisms underlying the association between adult attachment and health are not well understood. In the current study, we investigated the relationship between attachment anxiety, attachment avoidance, inflammation, and length of hospital stay in coronary artery bypass graft (CABG) surgery patients.

Method

167 CABG patients completed an attachment questionnaire prior to surgery, and blood samples were taken before and after surgery to assess inflammatory activity.

Results

We found that attachment anxiety predicted higher plasma interleukin 6 (IL-6) concentration, and this association was mediated by self-reported sleep quality. Anxious attachment also predicted longer hospital stays following CABG surgery, even after controlling for demographic and clinical factors.

Conclusion

These data suggest that increased levels of IL-6 may be a process linking adult attachment anxiety with health outcomes.
Keywords:CABG  Attachment  IL-6  Sleep  Hospital stay
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