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

NCT05020197 | Completed

• 1 other identifier: 69HCL20_0814
• Study Type: observational
• Target: 268
• Locations: 1 country
• Sites: 1

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.

Conditions

Post-Traumatic Stress Disorder

Keywords

Attachment; PTSD; risk factor

Outcome Measures

Primary Outcomes (3)

• Experiences in Close Relationships-Revised (ECR-R) attachment questionnaire

  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.

  Day 30

• Questionnaire Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5)

  Risk of developing Post Traumatic Stress Disorder. Items are rated on a 5 point scale. The maximum score is 80.

  Day 30

• Correlation between Questionnaire PCL-5 AND ECR-R attachment questionnaire

  Correlation of outcome 1 and outcome 2

  Day 30

Secondary Outcomes (12)

• Questionnaire Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5)

  Day 90

• 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 3

• Relationship Scales Questionnaire (RSQ)

  Day 30

Interventions

self-questionnaires on attachment and PTSD DIAGNOSTIC_TEST

The questionnaires (attachement type, PTSD symptoms) are administered face to face at the inclusion visit (at D0-D3). Validated self-questionnaires in French will be sent to the patients, either electronically or by post, according to their choice at D30 and D90. To describe the characteristics of the subjects, socio-demographic data, lifestyle, and medical history will be collected. The questionnaires will be administered three times to study the evolution of the parameters over time.

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

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)

You may qualify if:

• 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

You may not qualify if:

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

Sponsors & Collaborators

• Hospices Civils de Lyon: lead

Study Sites (1)

Service de médecine et santé au travail des HCL

Lyon, 69003, France

Location

MeSH Terms

Conditions

Stress Disorders, Post-Traumatic

Condition Hierarchy (Ancestors)

Stress Disorders, Traumatic; Trauma and Stressor Related Disorders; Mental Disorders

Study Officials

• Ludivine NOHALES, MD

  Service de médecine et santé au travail des HCL

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 19, 2021
• First Posted: August 25, 2021
• Study Start: March 23, 2022
• Primary Completion: November 7, 2024
• Study Completion: November 7, 2024
• Last Updated: November 25, 2024

Record last verified: 2024-11

Locations

FR (1)