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Methods: Analytic Approach8Hierarchical Linear Modeling (HLM 5.0), accounts for nesting of measures within participants. Level 1: Average outcomes (intercepts) and effect of interactions with attachment figures (slopes) estimated for each individual. Level 2: Intercepts and slopes estimated at Level 1 predicted by attachment variables.  Results: Interaction QuantityP Adolescents reported talking to friend(s) at 79% of readings at school and 35% after school; to parents 32% after school. Higher Avoidant Attachment less likely to be talking with friends at school, p < .01. Higher Anxious Attachment less likely to report talking with parents after school and less pleasant interactions, ps < .01. ^P"t " F W.Attachment Quality and BP/HR(Higher Anxious Attachment the higher Amby SBP and DBP when interacting with friends Higher Anxious Attachment trend toward higher Amby HR when interacting with friends Higher avoidant attachment higher Amby DBP during conflict >%YD> Effect of Anxious Attachment by Talking with Friend(s) on SBP??$ 6 ImplicationsDAnxious Attachment could influence adolescent health risks by altering daily BP regulation, as related to interactions with attachment figures. 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Low Avoidance(2  , 0z lL I Security $ (2  , 0Lz Z: A Preoccupation(2 , 0"z $ * HDismissive-Avoidance(2 , 0&z B H EFearful-Avoidance(2 , 0$*z 0V* GFraley & Shaver, 2000 2H , 0޽h ? 33ff̙y___PPT10Y+D=' | = @B +  0 0(  0r 0 S `1z & ` z   0 c 2z gֳgֳ ?"   z  H 0 0޽h ? 33ff̙y___PPT10Y+D=' | = @B +m  0 @$(  r  S p9z "   z  r  S =z &  z  H  0޽h ? 33ff̙y___PPT10Y+D=' | = @B +m  0 `T$(  Tr T S Ez "   z  r T S Iz &  z  H T 0޽h ? 33ff̙y___PPT10Y+D=' | = @B +m  0 \$(  \r \ S ,"&    r \ S #"    H \ 0޽h ? 33ff̙y___PPT10Y+D=' | = @B +}  0 `x$(  xr x S Nz " P  z  r x S \Oz &  z  H x 0޽h ? fMMMfff̙___PPT10i.@+D=' | = @B +]   0 |x(  xr x S [z " @  z  l x 0A A??x A x 6TTz   $)R2= .08, p < .05H"*"H x 0޽h ? 33ff̙y___PPT10Y+D=' | = @B +m  0  $(  r  S Piz "   z  r  S (jz & + z  H  0޽h ? 33ff̙y___PPT10Y+D=' | = @B +}  0 p|$(  |r | S sz " P  z  r | S sz &  z  H | 0޽h ? fMMMfff̙___PPT10i.AGE+D=' | = @B +Z 0 (  X  C    z   S hz  @  z  vIn recent years, there has been increasing interest in extending models of infant-caregiver attachment to research concerning adult and adolescent relationships. These efforts have revealed that Attachment style predicts relationship satisfaction, as well as behavior, emotion, and cognition in adolescent and adult close social relationships. More recently, some researchers have proposed that attachment style may have implications for adult or adolescent health. In fact, studies have shown that attachment insecurity predicts elevated and prolonged physiological responses to social stressors in children and adults. [H  0޽h ? ̙33 0 4,(  4X 4 C    z  4 S z  @  z  .A limitation of prior research concerning attachment and physiological responses is the reliance on laboratory manipulations. The purpose of the current study was to examine effects of Anxious and Avoidant attachment dimensions within naturalistic social interactions with attachment figures, specifically, parents and friends. We hypothesized that by fostering vigilance for threat-related social cues, Anxious attachment would lead to exaggerated physio and emotional stress responses to interactions with attachment figures. In contrast, we predicted that Avoidant Attachment would shape the quantity of social interaction with attachment figures, which would have implications for social connectivity and support. >y H 4 0޽h ? ̙33 0 C;8(  8X 8 C    z ; 8 S z  @  z  #Early work on adult attachment examined categorical conceptualizations, consistent with the infant-caregiver work. However, the current consensus in the field is that attachment patterns are best represented through two independent dimensions - anxiety and avoidance. Individuals with higher anxious attachment tend to have a negative self concept, are often highly dependent on others, strongly fear rejection, and are highly vigilant to social threats. Individuals who are high in avoidant attachment tend to have a negative concept of others, to devalue relationships, to be mistrustful of others, and to be highly self-reliant. The degree to which Anxious and Avoidant attachment are concurrently elevated may also have important implications for relational behavior and social functioning. 8$`X , oH 8 0޽h ? ̙33X 0 @(  @X @ C    z  @ S z  @  z  205 adolescents, recruited from two Pittsburgh, PA area high schools 14-16 years old 50% female 50% Black; 50% White Good health, specifically, no CVD, ANS medications, within 80% of ideal height and weight for age and sex. G1md6d0@ d dkddH @ 0޽h ? ̙33F  0 pX(  XX X C    z  X S |  @  z  Data were analyzed using Hierarchical Linear Modeling, to account for the nested structure of the data. The first level of analysis examined the repeated measures of blood pressure and diary variables, and accounted for time-varying covariates (such as posture, location, activity level). At this level, distinct estimates of average outcomes (intercepts) and of the effect of interacting with attachment figures (slopes) are produced for each individual. At the second level of analysis, these intercept and slope parameters become outcomes, which are predicted by attachment variables. Level 2 also accounted for BMI, sex, and ethnicity. H X 0޽h ? ̙33k 0 +#(  X  C    | #  S |  @  |  OThis slide shows the association between Anxious Attachment and AmSBP reactivity to interactions with friends (blue bar), when compared to readings when adolescents were not interacting with friends (green bar). For illustrative purposes, attachment is shown at the sample mean, and at 1 and 2SD above and below the sample mean. Individuals with higher Anxious Attachment displayed higher levels of SBP when talking with friends when compared to when they were not. Direction of the effect was OPPOSITE at lower levels of attachment. Pattern of association for DBP and HR was similarP2 ,@H  0޽h ? ̙33 0 @(  X  C    |   S z  @  |   H  0޽h ? ̙33  0 PM(  X  C    |   S |  @  z  OThe Anxious and Avoidant Attachment dimensions were assessed through the Measurement of Attachment Quality (MAQ) {Carver 1997 293 /id}, Anxious attachment, sample item, and Avoidant attachment, sample item, We also examined the interactive influence of these attachment dimensions.    H  0޽h ? ̙33M  0  (  X  C    |   S  +|  @  |  _Adolescents reported talking to friend(s) at 63% of readings. Higher Avoidant Attachment, less likely to be talking with friends. Adolescents reported talking to parent(s) at 13% of readings. 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   On-screen ShowSDSU~   !Times New RomanArial WingdingsSymbolWP Greek CenturyArial Unicode MS ErieBlackAzureCustom DesignMicrosoft Graph 2000 Chart$Use of EMA Methods in Adolescents:Slide 2Overall BP Burden@Types of hypotheses addressed in relation to BP burden: role ofRationale for Use of EMAMethod: ParticipantsSelf-report dataAssessment Content: Concurrent=YES/NO SCALE Example: At time of BP are you calm/relaxed?Assessment Content: 10 Min.YYES/NO SCALE Example: In the last 10 minutes, did you have a conflict or disagreement? Assessment MethodsData AnalysisBackground: Attachment Theory'Dimensional model of adult attachment 'Current Study: Purpose and HypothesesMethod: ProcedureMethods: Analytic ApproachResults: Interaction QuantityAttachment Quality and BP/HR? Effect of Anxious Attachment by Talking with Friend(s) on SBP ImplicationsLessons Learned  Fonts UsedDesign TemplateEmbedded OLE Servers Slide Titles8@,_AdHocReviewCycleID_EmailSubject _AuthorEmail_AuthorEmailDisplayName_ReviewingToolsShownOnceq$KMatthews EMA Talkarnoldla@upmc.eduArnold, Lori_Z0TimTim  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~Root EntrydO)PicturesCurrent UserSummaryInformation(UPowerPoint Document(~DocumentSummaryInformation8