Is Self-Report of Attachment Patterns in Young People Stable From Three to Nine Months After a Concussion?

IF 1.8 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY
Astrid Tuborgh, Susanne Wulff Svendsen, Ask Elklit, Jon Hunter, Jens Søndergaard Jensen, Eva Ørnbøl, Andreas Schröder, Jørgen Feldbæk Nielsen, Mille Møller Thastum, Erhard Trillingsgaard Næss-Schmidt, Charlotte Ulrikka Rask
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Abstract

Insecure adult attachment patterns have recently been associated with an increased risk of developing persistent post-concussion symptoms (PCS) and poorer treatment outcomes, highlighting the potential of attachment-informed treatment protocols for persistent PCS. A key requirement for such approaches is that attachment patterns remain relatively stable during the post-injury illness course, allowing them to serve as reliable indicators for guiding initial care and treatment planning. This study aimed to assess the stability of self-reported attachment anxiety and attachment avoidance in individuals aged 15-30 years, from three (T1) to nine (T2) months after a concussion, corresponding to the period when treatment for PCS typically becomes relevant. This study is a methodological follow-up of a larger clinical cohort study comprising 3080 individuals aged 15-30 years who were diagnosed with a concussion. Attachment dimensions were measured using the Experiences in Close Relationships-Relationship Structures Questionnaire at three (T1) and nine (T2) months post-injury. Both mean-level and individual changes were examined, taking relevant covariates such as sex, age, level of PCS, post-traumatic stress disorder symptoms, and social support into account. At T1, 958 respondents were included (39%), with 416 also responding at T2 (43%). Mean-level changes were minimal (attachment anxiety: β = -0.07 (95% confidence interval [CI]: -0.22; 0.08)), attachment avoidance: β = 0.00 (95% CI: -0.11; 0.11). Larger individual changes that could not be explained by measurement error were observed in 12% of participants. No association was found with any of the covariates. Self-reported attachment patterns appear to remain stable in most young people with a concussion from 3 to 9 months post-injury. The findings strengthen confidence in conducting research to investigate whether attachment-informed treatment approaches can improve healthcare for these patients.

青少年脑震荡后3 - 9个月的依恋模式自述是否稳定?
不安全的成人依恋模式最近与持续性脑震荡后症状(PCS)的风险增加和较差的治疗结果相关,强调了依恋知情治疗方案对持续性脑震荡后症状的潜力。这种方法的一个关键要求是,依恋模式在受伤后的疾病过程中保持相对稳定,使它们能够作为指导初始护理和治疗计划的可靠指标。本研究旨在评估15-30岁个体在脑震荡后3个月(T1)至9个月(T2)期间自我报告的依恋焦虑和依恋回避的稳定性,对应于PCS治疗通常变得相关的时期。这项研究是对一项更大的临床队列研究的方法学随访,该研究包括3080名年龄在15-30岁之间被诊断为脑震荡的个体。在受伤后3个月(T1)和9个月(T2)使用亲密关系体验-关系结构问卷测量依恋维度。考虑到相关协变量,如性别、年龄、PCS水平、创伤后应激障碍症状和社会支持,研究了平均水平和个体变化。在T1时,包括958名受访者(39%),在T2时也有416名受访者(43%)。平均水平变化最小(依恋焦虑:β = -0.07)(95%置信区间[CI]: -0.22;0.08)),依恋回避:β = 0.00 (95% CI: -0.11;0.11)。在12%的参与者中观察到无法用测量误差解释的较大的个体变化。没有发现与任何协变量相关。大多数年轻人脑震荡后3到9个月,自我报告的依恋模式似乎保持稳定。研究结果增强了开展研究的信心,以调查依恋知情的治疗方法是否可以改善这些患者的医疗保健。
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来源期刊
Scandinavian journal of psychology
Scandinavian journal of psychology PSYCHOLOGY, MULTIDISCIPLINARY-
CiteScore
4.20
自引率
0.00%
发文量
102
期刊介绍: Published in association with the Nordic psychological associations, the Scandinavian Journal of Psychology publishes original papers from Scandinavia and elsewhere. Covering the whole range of psychology, with a particular focus on experimental psychology, the journal includes high-quality theoretical and methodological papers, empirical reports, reviews and ongoing commentaries.Scandinavian Journal of Psychology is organised into four standing subsections: - Cognition and Neurosciences - Development and Aging - Personality and Social Sciences - Health and Disability
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