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<p>Childhood cancer survivors (CCS) are at risk for health-related and social challenges that can extend far into adulthood. However, CCS’ trajectories are heterogeneous. As a potential influencing factor, the present work investigated adult romantic attachment in conjunction with their relationship perceptions and experiences and help-seeking behavior. CCS (N = 633, aged 24–49&#xa0;years) were recruited in cooperation with the nationwide German Childhood Cancer Registry (GCCR). Participants underwent a comprehensive medical examination at the study centre. Validated self-report questionnaires (including the ECR-RD8, PHQ-9, F-SozU K6, UCLA 3-item loneliness scale) and further items regarding help-seeking behavior were applied. Adult romantic attachment orientations were substantially related to CCS’ relationships in adulthood: Both more attachment anxiety and avoidance were linked to higher loneliness (r = 0.471, <i>p</i> &lt; .001; r = 0.320, <i>p</i> &lt; .001) and lower perceived social support (r = −0.349, <i>p</i> &lt; .001; r = -0.300,<i> p</i> &lt; .001). While 20.2% of CCS reported a need for psychosocial support, only 7.3% reported currently using a professional support offer. Lastly, attachment orientations also played a role in whether CCS voiced such a need when experiencing distress: Attachment anxiety moderated the relationship between suicidal ideation and the expression of a need for support, diminishing help-seeking. The findings emphasize the importance of integrating attachment-informed approaches in the long-term care of CCS. Tailored interventions addressing the interpersonal and emotional needs shaped by attachment styles could enhance resilience and mitigate barriers to seeking psychosocial support.</p>

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The role of adult romantic attachment in long-term childhood cancer survivors’ social relationships and help-seeking

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年8月5日

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  • Lea-Bianka Tröster,
  • Hannah Marie Hermann,
  • Manfred E. Beutel,
  • Tamara Schwinn,
  • Judith Hirschmiller,
  • Jörg Wiltink,
  • Elmar Brähler,
  • Hiltrud Merzenich,
  • Jörg Faber,
  • Philipp S. Wild,
  • Mareike Ernst

摘要

Childhood cancer survivors (CCS) are at risk for health-related and social challenges that can extend far into adulthood. However, CCS’ trajectories are heterogeneous. As a potential influencing factor, the present work investigated adult romantic attachment in conjunction with their relationship perceptions and experiences and help-seeking behavior. CCS (N = 633, aged 24–49 years) were recruited in cooperation with the nationwide German Childhood Cancer Registry (GCCR). Participants underwent a comprehensive medical examination at the study centre. Validated self-report questionnaires (including the ECR-RD8, PHQ-9, F-SozU K6, UCLA 3-item loneliness scale) and further items regarding help-seeking behavior were applied. Adult romantic attachment orientations were substantially related to CCS’ relationships in adulthood: Both more attachment anxiety and avoidance were linked to higher loneliness (r = 0.471, p < .001; r = 0.320, p < .001) and lower perceived social support (r = −0.349, p < .001; r = -0.300, p < .001). While 20.2% of CCS reported a need for psychosocial support, only 7.3% reported currently using a professional support offer. Lastly, attachment orientations also played a role in whether CCS voiced such a need when experiencing distress: Attachment anxiety moderated the relationship between suicidal ideation and the expression of a need for support, diminishing help-seeking. The findings emphasize the importance of integrating attachment-informed approaches in the long-term care of CCS. Tailored interventions addressing the interpersonal and emotional needs shaped by attachment styles could enhance resilience and mitigate barriers to seeking psychosocial support.