Study of the Association Between the Type of Attachment and the Risk of Post-Traumatic Stress Disorder: A Prospective Cohort Study in the Forensic Medicine Department of the Hospices Civils de Lyon
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 268
- 试验地点
- 1
- 主要终点
- Experiences in Close Relationships-Revised (ECR-R) attachment questionnaire
研究概览
简要总结
Attachment theory models the emotional bonding that is activated in situations of danger, via mental representations of self and others. Four types of attachment (TA) exist in adults: 3 insecure (Preoccupied, Detached, Fearful) and 1 secure. Attachment type is a major factor in the development of Post-Traumatic Stress Disorder (PTSD), a frequent and disabling mental disorder that occurs after a traumatic event. A meta-analysis based on Anglo-Saxon studies including various populations (general, military or clinical) (n=9268 patients) suggested an association between Fearful BP and high level of PTSD symptoms (r=0.44). Nevertheless, these results did not allow the identification of variations related to the individual risk factors (RDFs) of the subject and his environment, especially in the French socio-cultural context. The investigators propose to study the association between LDs and the risk of PTSD in the days following exposure, their mutual influence in the months following, and their associated factors. Thus, a prospective cohort study among French adult victims of a traumatic event could objectify the link between BP - as close as possible to the event - and the risk of PTSD.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Major patient
- •Having experienced a Potentially Traumatic Event within 3 days and according to DSM5 criterion A: Exposure to actual or potential death, serious injury, or sexual violence in one (or more) of the following ways: Directly experiencing the traumatic event, witnessing the event in person by others, learning that the traumatic event (violent or accidental) was experienced by a close family member or friend, experiencing repeated or extreme exposure to the harrowing details of the traumatic event (e.g., first responders or police officers) (exposure through electronic media, television, films, or photographs, if the exposure is work-related)
- •Good understanding of oral and written French
- •Having given written consent
- •Patient affiliated to a social security scheme
排除标准
- •Psychiatric pathology with current clinical instability (agitation, maladaptive consciousness...) or patient unable to understand questionnaires
- •Vulnerable adult (curatorship, guardianship)
- •Non French resident
结局指标
主要结局
Experiences in Close Relationships-Revised (ECR-R) attachment questionnaire
时间窗: Day 30
Type of attachment Disorder will be measured at inclusion by the ECR-R attachment questionnaire. Each item is rated on a 7-point scale where 1 = strongly disagree and 7 = strongly agree.
Questionnaire Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5)
时间窗: Day 30
Risk of developing Post Traumatic Stress Disorder. Items are rated on a 5 point scale. The maximum score is 80.
Correlation between Questionnaire PCL-5 AND ECR-R attachment questionnaire
时间窗: Day 30
Correlation of outcome 1 and outcome 2
次要结局
- Experiences in Close Relationships-Revised (ECR-R) attachment questionnaire(Day 90)
- Impact of Event Scale Revised(Day 3)
- Questionnaire Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5)(Day 90)
- Correlation between PCL-5 questionnaire.And PCL-5 questionnaire.at D90(Day 90)
- Relationship Scales Questionnaire (RSQ)(Day 90)