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<front>
<journal-meta>
<journal-id journal-id-type="pmc">697</journal-id>
<journal-title-group>
<journal-title specific-use="original" xml:lang="es">Universitas Psychologica</journal-title>
</journal-title-group>
<issn pub-type="ppub">1657-9267</issn>
<issn pub-type="epub">2011-2777</issn>
<publisher>
<publisher-name>Pontificia Universidad Javeriana</publisher-name>
<publisher-loc>
<country>Colombia</country>
<email>universitas.psych@javeriana.edu.co</email>
</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="art-access-id" specific-use="pmc">6972857004</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Artículos</subject>
</subj-group>
</article-categories>
<title-group>
<article-title xml:lang="en">Do attachment, emotional dysregulation, and self-evaluation explain psychopathological symptoms in university students?<sup>
<xref ref-type="fn" rid="fn3">*</xref>
</sup>
</article-title>
<trans-title-group>
<trans-title xml:lang="es">¿El apego,
la desregulación emocional y la autoevaluación explican los síntomas
psicopatológicos en estudiantes universitarios?</trans-title>
</trans-title-group>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6519-254X</contrib-id>
<name name-style="western">
<surname>Nunes Baptista</surname>
<given-names>Makilim</given-names>
</name>
<xref ref-type="corresp" rid="corresp1"><sup>a</sup></xref>
<xref ref-type="aff" rid="aff1"/>
<email>makilim01@gmail.com</email>
</contrib>
<contrib contrib-type="author" corresp="no">
<contrib-id contrib-id-type="orcid">https://orcid.org/0009-0006-0261-8172</contrib-id>
<name name-style="western">
<surname>Sbruzzi de Aguiar Carvalho de Almeida</surname>
<given-names>Marcella</given-names>
</name>
<xref ref-type="aff" rid="aff2"/>
</contrib>
<contrib contrib-type="author" corresp="no">
<contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4255-3733</contrib-id>
<name name-style="western">
<surname>Francisco-Ritoni</surname>
<given-names>Caroline de Fátima</given-names>
</name>
<xref ref-type="aff" rid="aff3"/>
</contrib>
<contrib contrib-type="author" corresp="no">
<contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5276-3208</contrib-id>
<name name-style="western">
<surname>Jonás García</surname>
<given-names>Matías</given-names>
</name>
<xref ref-type="aff" rid="aff4"/>
</contrib>
</contrib-group>
<aff id="aff1">
<institution content-type="original">Pontifícia Universidade Católica de Campinas</institution>
<institution content-type="orgname">Pontifícia Universidade Católica de Campinas</institution>
<country country="BR">Brasil</country>
</aff>
<aff id="aff2">
<institution content-type="original">Pontifícia
Universidade Católica de Campinas</institution>
<institution content-type="orgname">Pontifícia
Universidade Católica de Campinas</institution>
<country country="BR">Brasil</country>
</aff>
<aff id="aff3">
<institution content-type="original">Pontifícia Universidade Católica de Campinas</institution>
<institution content-type="orgname">Pontifícia Universidade Católica de Campinas</institution>
<country country="BR">Brasil</country>
</aff>
<aff id="aff4">
<institution content-type="original">Instituto de Psicología Básica, Aplicada y Tecnología</institution>
<institution content-type="orgname">Instituto de Psicología Básica, Aplicada y Tecnología</institution>
<country country="AR">Argentina</country>
</aff>
<author-notes>
<corresp id="corresp1">
<email>a Correspondence autor. Email: makilim01@gmail.com</email>
</corresp>
</author-notes>
<pub-date pub-type="epub-ppub">
<season>January-December</season>
<year>2026</year>
</pub-date>
<volume>25</volume>
<history>
<date date-type="received" publication-format="dd mes yyyy">
<day>26</day>
<month>11</month>
<year>2025</year>
</date>
<date date-type="accepted" publication-format="dd mes yyyy">
<day>22</day>
<month>01</month>
<year>2026</year>
</date>
</history>
<permissions>
<ali:free_to_read/>
<license xlink:href="https://creativecommons.org/licenses/by/4.0/">
<ali:license_ref>https://creativecommons.org/licenses/by/4.0/</ali:license_ref>
<license-p>Esta obra está bajo una Licencia Creative Commons Atribución 4.0 Internacional.</license-p>
</license>
</permissions>
<abstract xml:lang="en">
<title>Abstract</title>
<p>This study examined the relationship between attachment styles, emotional dysregulation, depressive symptoms, and minor mental disorders in a sample of 540 university students (68.33 % women; mean age = 21.6 years) from public and private institutions. Participants completed the Emotional Dysregulation Scale (adult version), the Battery for the Assessment of Depression Indicators, the Brazilian Attachment Scale (adult version), and the Minor Mental Disorders Scale. Confirmatory factor analyses indicated that insecure attachment (preoccupied and fearful) was directly associated with emotional dysregulation, which emerged as a significant mediator in the development of depressive symptoms and minor mental disorders. In contrast, secure attachment showed a protective effect, being associated with positive self-perception and greater emotional regulation capacity. These findings underscore the relevance of early caregiving relationships and highlight emotional dysregulation as a central mechanism linking attachment to depressive symptomatology.</p>
</abstract>
<trans-abstract xml:lang="es">
<title>Resumen</title>
<p>Este estudio examinó la relación entre los estilos de apego, la desregulación emocional, los síntomas depresivos y los trastornos mentales menores en una muestra de 540 estudiantes universitarios (68,33 % mujeres; edad media = 21,6 años) de instituciones públicas y privadas. Los participantes completaron la Escala de Desregulación Emocional (versión para adultos), la Batería para la Evaluación de Indicadores de Depresión, la Escala Brasileña de Apego (versión para adultos) y la Escala de Trastornos Mentales Menores. Los análisis factoriales confirmatorios indicaron que el apego inseguro (preocupado y temeroso) se asoció directamente con la desregulación emocional, la cual se reveló como un mediador significativo en el desarrollo de síntomas depresivos y trastornos mentales menores. Por otro lado, el apego seguro mostró un efecto protector, relacionándose con una autopercepción positiva y una mayor capacidad de regulación emocional. Estos hallazgos subrayan la relevancia de las relaciones de cuidado tempranas y destacan la desregulación emocional como un vínculo central entre el apego y la sintomatología depresiva.</p>
</trans-abstract>
<kwd-group xml:lang="en">
<title>Keywords</title>
<kwd>depression</kwd>
<kwd>minor mental disorders</kwd>
<kwd>secure attachment</kwd>
<kwd>emotional regulation</kwd>
<kwd>university students</kwd>
<kwd>mental health</kwd>
</kwd-group>
<kwd-group xml:lang="es">
<title>Palabras clave</title>
<kwd>depresión</kwd>
<kwd>trastornos mentales leves</kwd>
<kwd>apego seguro</kwd>
<kwd>regulación emocional</kwd>
<kwd>estudiantes universitarios</kwd>
<kwd>salud mental</kwd>
</kwd-group>
<counts>
<fig-count count="5"/>
<table-count count="4"/>
<equation-count count="0"/>
<ref-count count="81"/>
</counts>
<custom-meta-group>
<custom-meta>
<meta-name>How to cite</meta-name>
<meta-value>Nunes-Baptista,
M., Carvalho de Almeida, M.
S. de A., Francisco-Ritoni, C. de F., &amp; García, M. J. (2026). ¿Do
attachment, emotional dysregulation, and self-evaluation explain
psychopathological symptoms in university students?. <italic>Universitas Psychologica, 25</italic>, 1-14. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.11144/Javeriana.upsy25.aeds">https://doi.org/10.11144/Javeriana.upsy25.aeds</ext-link>
</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
<body>
<sec>
<title/>
<p>The Attachment theory was first described by <xref ref-type="bibr" rid="ref14">John Bowlby (1969)</xref> and subsequently examined through observational and laboratory studies (<xref ref-type="bibr" rid="ref2">Ainsworth et al., 2015</xref>). It emphasizes the relationship between early caregiving and the later capacity to establish affective bonds, insofar as the child is provided with the availability to create either a secure or insecure base (<xref ref-type="bibr" rid="ref16">Bowlby, 1982</xref>; <xref ref-type="bibr" rid="ref41">Kobak et al., 2016</xref>).</p>
<p>Attachment models have allowed the identification of two broad groups: secure and insecure (<xref ref-type="bibr" rid="ref46">Lippold et al., 2022</xref>). The first occurs when the mother adequately interprets and responds to the child’s signals, establishing communication attuned to the child’s needs (<xref ref-type="bibr" rid="ref58">Pineda, 2021</xref>). Accordingly, individuals with secure attachment develop a mindset that values trust in others as much as self-confidence. These individuals can recognize their needs, express emotions without resorting to aggression, establish bonds, and remain cognitively flexible (<xref ref-type="bibr" rid="ref35">Hernández-Cadeño et al., 2019</xref>).</p>
<p>Insecure attachment, in turn, involves inconsistent or rejecting interactions on the part of the mother (<xref ref-type="bibr" rid="ref1">Ainsworth, 1982</xref>). In adulthood, this pattern is associated with the use of maladaptive emotion regulation strategies (<xref ref-type="bibr" rid="ref11">Bekaroglu &amp; Bozo, 2017</xref>). More specifically, one line of research in this field has identified four types of attachment: secure, preoccupied, fearful, and dismissing (<xref ref-type="bibr" rid="ref10">Bartholomew &amp; Horowitz, 1991</xref>; <xref ref-type="bibr" rid="ref32">Griffin &amp; Bartholomew, 1994</xref>).</p>
<p>Building on the studies of Bowlby (<xref ref-type="bibr" rid="ref14">1969</xref>, <xref ref-type="bibr" rid="ref15">1973</xref>, <xref ref-type="bibr" rid="ref17">1988</xref>), <xref ref-type="bibr" rid="ref10">Bartholomew and Horowitz (1991)</xref>, and <xref ref-type="bibr" rid="ref32">Griffin and Bartholomew (1994)</xref>, proposed that individuals with secure attachment exhibit a positive model of both self and other. The dismissing pattern is characterized by a positive model of self and a negative model of other. By contrast, the preoccupied pattern is characterized by a negative model of self and a positive model of other. Finally, individuals with both negative self and other representations tend to display a fearful attachment style. In this sense, insecure attachment patterns have been linked to various psychological conditions, among which emotional dysregulation stands out (<xref ref-type="bibr" rid="ref53">Milozzi &amp; Marmo, 2022</xref>).</p>
<p>Emotional dysregulation (ED) is defined as the maladaptive strategies used to cope with intense emotions (<xref ref-type="bibr" rid="ref33">Gross, 2013</xref>). It has been shown to predict psychopathological symptoms, such as depression (<xref ref-type="bibr" rid="ref19">Cole et al., 2019</xref>; <xref ref-type="bibr" rid="ref72">Thompson, 2019</xref>). Research has reported a correlation between ED and depressive symptoms (<xref ref-type="bibr" rid="ref70">Tartaro et al., 2024</xref>), suggesting that ED may represent a relevant variable in the manifestation of depressive symptomatology (<xref ref-type="bibr" rid="ref75">Vanderlind et al., 2020</xref>; <xref ref-type="bibr" rid="ref81">Yoon &amp; Rottenberg, 2020</xref>).</p>
<p>In this regard, it is essential to recognize that depressive symptoms in university students are closely related to affective processes, as emotions are central to these processes and emerge as intense, temporary responses to contextual stimuli (<xref ref-type="bibr" rid="ref31">Gómez &amp; Calleja, 2016</xref>; <xref ref-type="bibr" rid="ref51">Mestre &amp; Guil, 2012</xref>; <xref ref-type="bibr" rid="ref56">Perera-Medina et al., 2019</xref>). ED may therefore operate as a negative mediator, increasing vulnerability and fostering the development of depression (<xref ref-type="bibr" rid="ref20">Dryman &amp; Heimberg, 2018</xref>; <xref ref-type="bibr" rid="ref39">Jackson-Koku &amp; Grime, 2019</xref>; <xref ref-type="bibr" rid="ref43">Leehr et al., 2015</xref>; <xref ref-type="bibr" rid="ref48">Malik et al., 2015</xref>).</p>
<p>Depression is an affective disorder that has accompanied human experience throughout history and represents a leading cause of social disability (<xref ref-type="bibr" rid="ref4">American Psychiatric Association [APA], 2014</xref>); <xref ref-type="bibr" rid="ref79">World Health Organization [WHO], 2020</xref>) From a pathological perspective, it is characterized by mood alterations and emotional disturbance, with well-defined signs and symptoms (<xref ref-type="bibr" rid="ref28">França et al., 2022</xref>). It is conceptualized as Major Depressive Disorder (MDD) in the DSM-5 TR (<xref ref-type="bibr" rid="ref3">APA, 2022</xref>). However, depressive symptoms are highly prevalent among university students, even in the absence of a formal diagnosis, along with other psychopathological manifestations (<xref ref-type="bibr" rid="ref54">Oswalt et al., 2020</xref>).</p>
<p>MDD is characterized by persistent feelings of sadness, emptiness, or irritability, accompanied by alterations that significantly impair functional capacity. According to the <xref ref-type="bibr" rid="ref78">WHO (2023)</xref>, approximately 280 million people worldwide suffer from depression. In Brazil, data from the Brazilian Institute of Geography and Statistics (<xref ref-type="bibr" rid="ref37">IBGE, 2019</xref>) indicate that 10.2 % of individuals aged 18 years or older had been diagnosed with depression by a health professional.</p>
<p>In the university context, the mental health of students has received increasing attention in recent years, not only from health specialists but also from society at large (<xref ref-type="bibr" rid="ref63">Serra et al., 2015</xref>), given that academic trajectories involve considerable pressure related to study and practical demands (<xref ref-type="bibr" rid="ref26">Flesch et al., 2020</xref>). More specifically, the prevalence of depression and/or depressive symptoms has been reported among students in medicine (22.73 %), nursing (71.02 %), and dentistry (60.64 %) programs (<xref ref-type="bibr" rid="ref45">Lima et al., 2019</xref>). Thus, depressive symptoms are included within the broader set of Minor Mental Disorders (MMD), given their high prevalence and impact on individuals across different regions of the world (<xref ref-type="bibr" rid="ref57">Perini et al., 2019</xref>; <xref ref-type="bibr" rid="ref68">Steel et al., 2014</xref>).</p>
<p>MMD are characterized by non-psychotic symptoms, generally related to subclinical conditions of stress, anxiety, and depression, which compromise normal functioning-conditions that are less severe but more frequent than major psychiatric disorders (<xref ref-type="bibr" rid="ref65">Silva &amp; Santos, 2019</xref>; <xref ref-type="bibr" rid="ref64">Silva et al., 2020</xref>; <xref ref-type="bibr" rid="ref73">Toneli et al., 2024</xref>). Experiencing MMD does not necessarily require a formal psychiatric diagnosis; however, it is associated with psychological distress and can negatively influence quality of life (<xref ref-type="bibr" rid="ref24">Fiorotti et al., 2010</xref>).</p>
<p>A factor associated with MMD is the transition into higher education, as students’ efforts to achieve strong academic performance may increase their susceptibility to stress and depressive symptoms, potentially leading to course withdrawal (<xref ref-type="bibr" rid="ref49">Melo et al., 2020</xref>; <xref ref-type="bibr" rid="ref65">Silva et al., 2019</xref>). In this regard, <xref ref-type="bibr" rid="ref6">Auerbach et al. (2018)</xref> study conducted among university students from eight countries found that 35 % screened positive for at least one minor mental disorder.</p>
<p>Although there is evidence suggesting a negative association between anxious attachments and emotional dysregulation with psychopathological symptomatology, no investigations have yet been conducted aiming at a confirmatory factor analysis that integrates the concepts of attachment, emotional dysregulation, self-evaluation, and psychopathological symptoms. This is due to the fact that, in the literature, these constructs have been based in isolation. Furthermore, most previous investigations in this area have focused predominantly on intrapersonal approaches to emotional regulation, disregarding social interactions in the mechanisms of emotional dysregulation (<xref ref-type="bibr" rid="ref50">Messina et al., 2023</xref>) and self-evaluation, as well as their symptomatic consequences.</p>
<p>Accordingly, the present study aimed to conduct a confirmatory factor analysis of the path analysis model examining the relationships among attachment, emotional dysregulation, minor mental disorders, and depressive symptomatology. The following hypotheses were proposed: H1. Anxious attachment (preoccupied and fearful) will be positive-associated with emotional dysregulation (ED), and negative-associated with a positive auto-perception; H2. ED will have heavier weight than auto-perception regarding psychopathological symptoms; H3. The dismissing attachment will show a low capacity to explain the model.</p>
</sec>
<sec>
<title><bold><bold>Methods</bold></bold>
</title>
<p>A total of 540 university students of both genders, aged 18 years or older (<italic>M</italic> = 21.6 years, <italic>SD</italic> = 5.2), enrolled in public or private higher education institutions, participated in the study, as shown in <xref ref-type="table" rid="gt1">Table 1</xref>.</p>
<p>
<table-wrap id="gt1">
<label>Table 1</label>
<caption>
<title>
<italic>Sociodemographic
characteristics of the participants</italic>
</title>
</caption>
<alt-text>Table 1 Sociodemographic
characteristics of the participants</alt-text>
<graphic xlink:href="6972857004_gt2.png" position="anchor" orientation="portrait"/>
</table-wrap>
</p>
<sec>
<title><bold><bold>Instruments </bold></bold>
</title>
<p>
<italic>Identification Questionnaire (QI):</italic> The questionnaire contained both closed- and open-ended questions regarding age, biological sex, marital status, and type of university (public or private).</p>
<p>
<italic>Brazilian Attachment Scale – Adult Version</italic> (EBRAPEG-A; <xref ref-type="bibr" rid="ref70">Tartaro et al., 2024</xref>): The scale assesses adult attachment and comprises 24 items rated on a 4-point Likert-type scale, ranging from “strongly disagree” to “strongly agree.” It has a multifactorial structure with four attachment styles: secure, fearful, dismissing, and preoccupied. Reliability indices ranged from 0.88 to 0.92 across subscales.</p>
<p>
<italic>Depression Indicators Assessment Battery</italic> [HUMOR-A] (<xref ref-type="bibr" rid="ref7">Baptista &amp; Borges, 2025</xref>): This battery was designed to evaluate various indicators related to depression (e.g., self-assessment). It comprises 49 items and assesses seven factors: loneliness/social isolation, helplessness, hopelessness, self-esteem, self-concept/self-image, and self-efficacy. Responses are given on a 3-point Likert-type scale (0 = “no/never,” 1 = “sometimes,” 2 = “yes/always”). Reliability indices ranged from 0.84 to 0.93 across factors.</p>
<p>
<italic>Emotional Dysregulation Scale – Adult Version</italic> (EDE-A; <xref ref-type="bibr" rid="ref9">Baptista et al., 2023</xref>): The EDE-A contains 15 items across four dimensions: adaptive coping strategies (+), externalization of aggression (-), pessimism (-), and freezing/paralysis (-). Responses are rated on a 5-point Likert-type scale, ranging from “never/not at all” to “always.” Reliability indices ranged from 0.79 to 0.95 across dimensions.</p>
<p>
<italic>Minor Mental Disorders Scale</italic> (MENTAL; <xref ref-type="bibr" rid="ref8">Baptista &amp; Franco, 2025</xref>): this scale comprises 36 items rated on a 4-point Likert-type scale, ranging from “never/none” to “always/every day.” Reliability indices ranged from 0.80 to 0.90 across subscales.</p>
</sec>
<sec>
<title><bold><bold>Procedure</bold></bold>
</title>
<p>Data were collected individually online via Google Forms, following participants’ signing of the Informed Consent Form. The session lasted approximately 30 minutes. After completing the identification questionnaire, the scales were administered in the following order: EDE-A, HUMOR-A, EBRAPEG-A, and MENTAL. The study protocol was approved by the institutional ethics committee (CAAE: 78143824.5.0000.5481).</p>
</sec>
<sec>
<title><bold><bold>Data analysis </bold></bold>
</title>
<p>Data were compiled in an Excel spreadsheet and analyzed using Jamovi (<xref ref-type="bibr" rid="ref71">The Jamovi Project, 2024</xref>) and RStudio [version 2024.12.1] (<xref ref-type="bibr" rid="ref59">R Core Team, 2023</xref>). Analyses were conducted in multiple stages. First, the measurement model was tested via Confirmatory Factor Analysis (CFA) within a Structural Equation Modeling (SEM) framework. This measurement model specified latent variables based on observed indicators, without including structural paths between latent variables (<xref ref-type="bibr" rid="ref40">Kline, 2016</xref>). The model supports a linear association from attachment, as an early form of socioemotional and cognitive learning, to the development of minor mental disorder symptoms (<xref ref-type="fig" rid="gf1">Figure 1</xref>).</p>
<p>Second, descriptive analyses were performed (<xref ref-type="table" rid="gt2">Table 2</xref>). As normality assumptions were not met, non-parametric analyses were conducted using the R packages <italic>dplyr</italic> (<xref ref-type="bibr" rid="ref76">Wickham et al., 2023</xref>), <italic>psych</italic> (<xref ref-type="bibr" rid="ref60">Revelle, 2025</xref>), and <italic>moments</italic> (<xref ref-type="bibr" rid="ref42">Komsta &amp; Novomestky, 2022</xref>).</p>
<p>
<fig id="gf1">
<label>
<italic>Figure 1.</italic>
</label>
<caption>
<title>Model 1.</title>
</caption>
<alt-text>Figure 1. Model 1.</alt-text>
<graphic xlink:href="6972857004_gf2.png" position="anchor" orientation="portrait"/>
</fig>
</p>
<p>
<table-wrap id="gt2">
<label>Table 2.</label>
<caption>
<title>
<italic>Descriptive results</italic>
</title>
</caption>
<alt-text>Table 2. Descriptive results</alt-text>
<graphic xlink:href="6972857004_gt4.png" position="anchor" orientation="portrait"/>
</table-wrap>
</p>
<p>Third, reliability analyses were conducted for the instruments used, employing Cronbach’s alpha and omega coefficients. Fourth, the proposed model was tested using confirmatory factor analysis (CFA) with diagonally weighted least squares (DWLS) estimation, recommended for violations of multivariate normality (<xref ref-type="bibr" rid="ref25">Fitriyati &amp; Wijaya, 2022</xref>; <xref ref-type="bibr" rid="ref38">Izquierdo et al., 2014</xref>; <xref ref-type="bibr" rid="ref44">Li, 2016</xref>). Model fit was evaluated using incremental fit indices (NFI, CFI), absolute fit indices (GFI, AGFI), and error approximation indices (RMSEA, SRMR) (<xref ref-type="bibr" rid="ref12">Bentler, 1990</xref>; <xref ref-type="bibr" rid="ref13">Bentler &amp; Bonett, 1980</xref>; <xref ref-type="bibr" rid="ref36">Hu &amp; Bentler, 1998</xref>; <xref ref-type="bibr" rid="ref40">Kline, 2016</xref>). Estimates were computed with the <italic>lavaan</italic> package (<xref ref-type="bibr" rid="ref61">Rosseel, 2012</xref>), and graphical representations were created using <italic>semPlot</italic> (<xref ref-type="bibr" rid="ref23">Epskamp et al., 2026</xref>).</p>
<p>Thus, the present study employed a confirmatory SEM composed of two rival measurement models, whose comparison allowed for an evaluation of the robustness of the proposed associations and provided a basis for the presentation of results. Based on the data, criteria for good model fit were defined according to various indices. For NFI (Normed Fit Index), CFI (Comparative Fit Index), GFI (Goodness of Fit Index), and AGFI (Adjusted Goodness of Fit Index), fit is considered acceptable if values exceed 0.90 and good if values exceed 0.95. For RMSEA (Root Mean Square Error of Approximation) and SRMR (Standardized Root Mean Square Residual), fit is considered acceptable if values are below 0.08 and good if below 0.05. Additionally, for RMSEA, the upper bound of the 90 % confidence interval should be below 0.08 to be considered acceptable.</p>
<p>Finally, a rival model was developed. A Spearman correlation analysis was first conducted to examine the associations among components. After performing a theoretical and empirical clustering of the factors, a model including these factors was constructed and refined to assess its fit.</p>
</sec>
</sec>
<sec>
<title><bold><bold>Results </bold></bold>
</title>
<p>A reliability analysis was conducted for each instrument, using both Cronbach’s alpha and omega coefficients. Results indicate good reliability for all instruments, except for the Externalization of Aggression factor in the EDE-A (<xref ref-type="table" rid="gt3">Table 3</xref>).</p>
<p>
<table-wrap id="gt3">
<label>Table 3</label>
<caption>
<title>
<italic>Reliability Data</italic>
</title>
</caption>
<alt-text>Table 3 Reliability Data</alt-text>
<graphic xlink:href="6972857004_gt5.png" position="anchor" orientation="portrait"/>
<table-wrap-foot>
<fn-group>
<fn id="fn6" fn-type="other">
<label>
<italic>Note.</italic>
</label>
<p> α = Cronbach’s alpha; <italic>ω</italic>
= Omega. The hierarchical omega is reported, as it represents a single factor
that encompasses other factors within the test structure.</p>
</fn>
</fn-group>
</table-wrap-foot>
</table-wrap>
</p>
<p>Next, a confirmatory analysis of the proposed model was conducted. The first model tested was based on a theoretical interpretation of attachment theory, in which secure attachment occurs when the caregiver accurately interprets and responds to the child’s signals (<xref ref-type="bibr" rid="ref58">Pineda, 2021</xref>). In contrast, insecure attachment involves inconsistent or rejecting interactions by the caregiver (<xref ref-type="bibr" rid="ref1">Ainsworth, 1982</xref>), which in adulthood leads to the use of maladaptive emotion regulation strategies (<xref ref-type="bibr" rid="ref11">Bekaroglu &amp; Bozo, 2017</xref>). These strategies are associated with depression and/or MMD symptoms (<xref ref-type="bibr" rid="ref5">Aslan et al., 2024</xref>; <xref ref-type="bibr" rid="ref70">Tartaro et al., 2024</xref>). Model fit is presented in <xref ref-type="table" rid="gt4">Table 4 </xref>and in the model summary diagram in <xref ref-type="fig" rid="gf2">Figure 2</xref>. The results indicate a good model fit to the data, with appropriate factor loadings.</p>
<p>
<table-wrap id="gt4">
<label>Table 4</label>
<caption>
<title>
<italic>Models fit</italic>
</title>
</caption>
<alt-text>Table 4 Models fit</alt-text>
<graphic xlink:href="6972857004_gt6.png" position="anchor" orientation="portrait"/>
</table-wrap>
</p>
<p>
<fig id="gf2">
<label>
<italic>Figure 2. </italic>
</label>
<caption>
<title>
<italic>Model 1 with factor loadings.</italic>
</title>
</caption>
<alt-text>Figure 2.  Model 1 with factor loadings.</alt-text>
<graphic xlink:href="6972857004_gf3.png" position="anchor" orientation="portrait"/>
</fig>
</p>
<p>Considering the fit of the previous model, a model with improved fit was designed. Spearman correlations were used to examine the associations between variables (<xref ref-type="fig" rid="gf3">Figure 3</xref>). Based on these results, a new model was constructed (<xref ref-type="fig" rid="gf4">Figure 4</xref>) and subsequently tested (<xref ref-type="table" rid="gt4">Table 4</xref>).</p>
<p>
<fig id="gf3">
<label>
<italic>Figure 3. </italic>
</label>
<caption>
<title> Heatmap for Spearman correlations.</title>
</caption>
<alt-text>Figure 3.   Heatmap for Spearman correlations.</alt-text>
<graphic xlink:href="6972857004_gf4.png" position="anchor" orientation="portrait"/>
</fig>
</p>
<p>
<fig id="gf4">
<label>
<italic>Figure 4.</italic>
</label>
<caption>
<title>
<italic> Model 2.</italic>
</title>
<p>
<italic>Note.</italic>
Anxious Attachment = Fearful,
Preoccupied, Dismissing; Emotional Dysregulation (Mediator 1 = EDEA Adequate,
EDEA Aggressiveness, EDEA Pessimism, and EDEA Freezing); Self-Perception
(Mediator 2 = Self-Esteem, Self-Concept, and Self-Efficacy); Psychopathological
Symptoms (Mediator 3 = Mental Somatocognitive, Mental Insocial, Mental
Hopelessness, Mental Dysphoria, Mental Hyperactivation, HUMOR-A Depression,
Isolation, and Hopelessness/Helplessness). *Hierarchical omega is reported, as
it represents a single factor encompassing other subfactors within the test
structure.</p>
</caption>
<alt-text>Figure 4.  Model 2.</alt-text>
<graphic xlink:href="6972857004_gf5.png" position="anchor" orientation="portrait"/>
</fig>
</p>
<p>Although the second model showed good fit, variables with lower correlations with other factors, as well as the EDEA aggressiveness externalization variable—which displayed lower reliability—were removed. Accordingly, a third model was constructed (<xref ref-type="fig" rid="gf5">Figure 5</xref>). Testing the fit of this model revealed results similar to the previous ones, while providing a more theoretically coherent structure and regularized parameter estimates (<xref ref-type="table" rid="gt4">Table 4</xref>).</p>
<p>
<fig id="gf5">
<label>
<italic>Figure 5.</italic>
</label>
<caption>
<title>
<italic>Model
3.</italic>
</title>
<p>
<italic>Note.</italic> Anxious Attachment = Fearful and Preoccupied; Emotional
Dysregulation (Mediator 1 = EDEA aggressiveness, EDEA pessimism, and EDEA
freezing); Self-Perception (Mediator 2 = Self-esteem, Self-concept, and
Self-efficacy); Psychopathological Symptoms (Mediator 3 = MentalSomacog,
MentalInsocial, MentalDesperanza, MentalDeshumor, MentalHyperactivation,
HUMOR-A Depression, and Desperanza/Helplessness). *Hierarchical omega is
reported, as it represents a single factor that encompasses others within the
test structure.</p>
</caption>
<alt-text>Figure 5. Model
3.</alt-text>
<graphic xlink:href="6972857004_gf6.png" position="anchor" orientation="portrait"/>
</fig>
</p>
</sec>
<sec>
<title><bold><bold>Discussion </bold></bold>
</title>
<p>This study aimed to examine, using confirmatory factor analysis (CFA) within a structural equation modeling (SEM) framework, the associations among attachment styles, emotional dysregulation (ED), depression, and additional indicators of minor mental disorders (MMD), including self-evaluation. To this end, a series of competing models were specified and compared.</p>
<p>Model 1 demonstrated acceptable-to-good fit indices. However, despite its satisfactory statistical performance, it was considered theoretically underspecified, as it did not incorporate self-perception–related variables, which are conceptually relevant to the proposed framework. Model 2 was subsequently specified to address this limitation; nevertheless, it lacked theoretically and statistically robust structural paths linking mediating constructs and symptom-related latent variables, resulting in a less coherent structural configuration.</p>
<p>In Model 3, dismissing attachment and aggressiveness were removed from the structural model. This decision was based on both statistical and substantive criteria: these variables showed weak loadings and limited contribution to overall model fit, and their inclusion reduced model parsimony. Moreover, given that the sample consisted of non-clinical university students, these traits exhibited restricted variance, which may have compromised parameter stability and inflated estimation error. The final model therefore prioritized theoretical coherence, empirical adequacy, and parsimony.</p>
<p>The results aligned with previous literature, showing correlations between insecure attachment styles, ED, and depressive indicators (<xref ref-type="bibr" rid="ref70">Tartaro et al., 2024</xref>). As highlighted by <xref ref-type="bibr" rid="ref75">Vanderlind et al. (2020)</xref>, ED may play a crucial role in the development of depression, as well as other psychopathological symptoms (<xref ref-type="bibr" rid="ref55">Paulus et al., 2021</xref>).</p>
<p>It is essential to understand that exposure to insufficiently supportive caregiving in childhood can lead to insecure/anxious attachment styles. These styles, in turn, show a significant association with psychopathological symptoms in adulthood (<xref ref-type="bibr" rid="ref18">Cassidy et al., 2013</xref>; <xref ref-type="bibr" rid="ref27">Fonagy et al., 2011</xref>; <xref ref-type="bibr" rid="ref34">Hayre et al., 2019</xref>; <xref ref-type="bibr" rid="ref52">Mikulincer &amp; Shaver, 2017</xref>; <xref ref-type="bibr" rid="ref62">Schindler, 2019</xref>;<xref ref-type="bibr" rid="ref77"> Williams et al., 2019</xref>). In this context, analyses indicated that insecure attachment could account for ED (Mediator 1, composed of aggressiveness, pessimism, and freezing). This association may arise from the lack of consistent protection and support from primary caregivers, a factor that can contribute to the development of insecure attachment styles (<xref ref-type="bibr" rid="ref66">Simons et al., 2014</xref>; <xref ref-type="bibr" rid="ref67">Smith et al., 2016</xref>). Similarly, insecure attachment was also able to explain the self-evaluation processes of participants, including self-esteem, self-concept, and self-efficacy, as reported by <xref ref-type="bibr" rid="ref74">Vacaru et al. (2018)</xref>.</p>
<p>Based on the previous study, the main explanation for the relationship between low self-concept and insecure attachment is that exploratory behavior acts as a mediator. Children who develop insecure attachment with their caregivers tend to experience less freedom or safety to explore their surroundings. This limitation in exploration prevents them from mastering new skills and acquiring competencies, which are crucial for the development of a positive self-image. Instead, the lack of opportunities to engage with the world leads to a perception of inefficacy or incapacity, resulting directly in a low self-concept.</p>
<p>However, dismissive attachment was removed from the explanatory model due to its lack of association with other constructs (<xref ref-type="bibr" rid="ref69">Tartaro et al., 2021</xref>) and absence of statistical significance. In addition, insecure attachment was found to negatively predict self-perception (mediator 2, composed of self-esteem, self-concept, and self-efficacy), consistent with evidence that negligent caregiving in childhood affects the expression of insecure attachment styles (<xref ref-type="bibr" rid="ref22">Ensink et al., 2020</xref>). <xref ref-type="bibr" rid="ref47">Lyvers et al. (2019)</xref> reported associations between insecure attachment and low emotional regulation skills, supporting the idea that the presence of insecure attachment styles can contribute significantly to the development of psychopathological symptoms (<xref ref-type="bibr" rid="ref69">Tartaro et al., 2021</xref>).</p>
<p>Secure attachment, in contrast, negatively predicted emotional dysregulation, although this effect was modest in the current results, suggesting that attachment quality emerges as a key factor enabling individuals to face environmental challenges across the lifespan (<xref ref-type="bibr" rid="ref21">Eikenæs et al., 2015</xref>). Secure attachment may therefore serve as a protective factor for maltreated children at high risk of emotional dysregulation (<xref ref-type="bibr" rid="ref30">Gause et al., 2022</xref>). Secure attachment was also positively associated with self-perception, reflecting the influence of early learning experiences and perceptions from a secure base (e.g., caregiver) that promote positive views of self and others (<xref ref-type="bibr" rid="ref10">Bartholomew &amp; Horowitz, 1991</xref>; <xref ref-type="bibr" rid="ref32">Griffin &amp; Bartholomew, 1994</xref>). This attachment style is characterized by adaptive affect regulation, emotional closeness combined with interpersonal autonomy, and the ability to understand mental states and regulate emotions (<xref ref-type="bibr" rid="ref17">Bowlby, 1988</xref>). Accordingly, individuals with secure attachment tend to report higher life satisfaction, more positive self-image, and higher self-esteem (<xref ref-type="bibr" rid="ref29">Frederick et al., 2016</xref>).</p>
<p>The results indicate that emotional dysregulation provided the strongest explanation for psychopathological symptomatology (Mediator 3, comprising somatocognitive factors, social insecurity, hopelessness, dysphoria, hyperactivation, depression, and feelings of helplessness), with a very high loading (0.90), indicating that nearly all psychopathological symptoms are explained by emotional dysregulation. Furthermore, this factor acts as a key mediator of attachment styles, particularly insecure attachment. This association may be explained by the well-established link between insecure attachment and emotional dysregulation, which increases individuals’ tendency to ruminate on problems and attribute blame to themselves or others, processes that are closely related to the development of psychopathological symptoms (<xref ref-type="bibr" rid="ref80">Ye et al., 2024</xref>).</p>
<p>Finally, regarding study limitations, despite the sample size, the participant pool was largely concentrated in the Southeast region, especially in the city of Campinas, and predominantly female. Future research should include university students from other regions to assess the prevalence of depressive symptoms and minor mental disorders across diverse institutions, both public and private, as well as among groups with diagnosed psychopathologies.</p>
</sec>
<sec>
<title><bold><bold>Conclusions and final considerations </bold></bold>
</title>
<p>This study aimed to examine an explanatory model involving attachment styles, emotional dysregulation, self-evaluation, and psychopathological symptoms in university students. The results indicated that supportive relationships established during childhood may be associated with the manifestation of psychopathological symptoms in university students, highlighting the importance of early caregiving experiences for mental health in adulthood.</p>
<p>CFA demonstrated that insecure attachment, particularly the preoccupied and fearful types, was directly associated with higher levels of emotional dysregulation and negative self-evaluation (low self-esteem and self-efficacy), which in turn were significant predictors of depressive symptoms and other minor mental disorders. In contrast, secure attachment was identified as a protective factor, showing a positive association with self-evaluation and a negative association with emotional dysregulation, albeit modest.</p>
<p>These findings underscore the role of emotional dysregulation as a crucial mediator linking attachment style to psychopathological manifestations. Accordingly, the results highlight the need for psychotherapeutic and preventive interventions in university settings that focus not only on overt symptoms but also on emotional regulation strategies and attachment patterns, aiming to foster a safer and more resilient emotional foundation for students.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgments</title>
<p>This research was funded by
FAPIC/RECTORY, under the research project “Do Attachment, Emotional
Dysregulation, and Self-Evaluation Explain Psychopathological Symptoms in
University Students?”. The authors also thank CNPq for supporting the research
through the productivity scholarship awarded to the first author.</p>
</ack>
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<fn-group>
<title>Notes</title>
<fn id="fn3" fn-type="other">
<label>
<sup>*</sup>
</label>
<p>Research
article</p>
</fn>
</fn-group>
</back>
</article>
