Study of the Association Between the Type of Attachment and the Risk of Post-Traumatic Stress Disorder

Completed

• Conditions: Post-Traumatic Stress Disorder

• Registration Number: NCT05020197
• Lead Sponsor: Hospices Civils de Lyon

Brief Summary

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.

Detailed Description

Not available

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study First Submitted: 2021-07-19
• Study First Submitted QC: 2021-08-19
• Study First Posted: 2021-08-25
• Study Start: 2022-03-23
• Status Verified: 2024-11
• Primary Completion: 2024-11-07
• Study Completion: 2024-11-07
• Last Update Submitted: 2024-11-21
• Last Update Posted: 2024-11-25

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 268

Inclusion Criteria

• 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

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Exclusion Criteria

• Psychiatric pathology with current clinical instability (agitation, maladaptive consciousness...) or patient unable to understand questionnaires
• Vulnerable adult (curatorship, guardianship)
• Non French resident

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Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Experiences in Close Relationships-Revised (ECR-R) attachment questionnaire	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)	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	Day 30	Correlation of outcome 1 and outcome 2

Secondary Outcome Measures

Name	Time	Method
Experiences in Close Relationships-Revised (ECR-R) attachment questionnaire	Day 90	Attachment Type. Each item is rated on a 7-point scale where 1 = strongly disagree and 7 = strongly agree
Impact of Event Scale Revised	Day 3	The IES-R consists of a list of 22 symptoms of PTSD. The person indicates the intensity with which each symptom has manifested itself over the past 7 days, by self-reporting their response on a 5-point Lykert-type scale, ranging from 0 ("Not at all") to 4 ( "Extremely"). The total IES-R score is calculated by adding the values obtained for the 22 items (scores 0-88).
Questionnaire Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5)	Day 90	Risk of Post Traumatic Stress Disorder (D90). Items are rated on a 5 point scale. The maximum score is 80.
Correlation between PCL-5 questionnaire.And PCL-5 questionnaire.at D90	Day 90	Correlation between the type of attachment and the risk of Post-Traumatic Stress Disorder
Relationship Scales Questionnaire (RSQ)	Day 90	30-item self-questionnaire that categorizes participants into four categories of attachment (secure or autonomous, avoiding or detached, preoccupied or ambivalent, fearful or disorganized)

Trial Locations

Locations (1)

Service de médecine et santé au travail des HCL; 🇫🇷 Lyon, France