OBJECTIVE This study investigates whether the adult attachment styles of support partners in a cardiac rehabilitation context predict their use of overprotective support strategies, and whether such overprotection in turn predicts lower self-efficacy and poorer program attendance in cardiac rehabilitation patients. RESEARCH METHOD Participants were 69 partner-patient dyads, mostly older adults (mean age = 65 years) in long-term relationships (M = 35 years). During the first week of a 10-week cardiac rehabilitation program in a midsized rural hospital, participants completed self-report questionnaires that were used to assess partners' attachment styles and levels of overprotection, as well as patients' health-related self-efficacy. Attendance at each session of the program was then tracked by cardiac rehabilitation staff members. RESULTS A moderated mediation model using bootstrapping showed that when partners were insecurely attached (high in both attachment avoidance and attachment anxiety), a mediational model held, such that more insecure partner attachment predicted more extensive use of overprotective support strategies, which in turn predicted lower patient self-efficacy for exercise and less-frequent program attendance. IMPLICATIONS Implications for training support partners in more-effective support strategies are discussed. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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合作伙伴的依恋风格和过度保护支持作为心脏康复患者结果的预测指标。

目的 本研究调查心脏康复环境中支持伙伴的成人依恋风格是否能预测他们过度保护支持策略的使用，以及这种过度保护是否反过来预测心脏康复患者较低的自我效能和较差的计划参与度。研究方法 参与者是 69 对伴侣 - 患者，主要是长期关系（M = 35 岁）中的老年人（平均年龄 = 65 岁）。在一家中型农村医院为期 10 周的心脏康复计划的第一周，参与者完成了自我报告问卷，用于评估伴侣的依恋风格和过度保护水平，以及患者与健康相关的自我效能感。然后由心脏康复工作人员跟踪该计划每节课的出席情况。结果 使用自举法的调节中介模型表明，当伴侣不安全依恋（依恋回避和依恋焦虑都很高）时，中介模型成立，这样更不安全的伴侣依恋预测更广泛地使用过度保护支持策略，反过来预测更低患者锻炼的自我效能感和较少参加计划的次数。影响 讨论了在更有效的支持策略中培训支持合作伙伴的影响。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。因此，更不安全的伴侣依恋预示着更广泛地使用过度保护的支持策略，这反过来又预示着患者锻炼的自我效能感较低，参加计划的频率较低。影响 讨论了在更有效的支持策略中培训支持合作伙伴的影响。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。因此，更不安全的伴侣依恋预示着更广泛地使用过度保护的支持策略，这反过来又预示着患者锻炼的自我效能感较低，参加计划的频率较低。影响 讨论了在更有效的支持策略中培训支持合作伙伴的影响。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。