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.
Study Type
OBSERVATIONAL
Enrollment
268
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.
Service de médecine et santé au travail des HCL
Lyon, France
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.
Time frame: 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.
Time frame: Day 30
Correlation between Questionnaire PCL-5 AND ECR-R attachment questionnaire
Correlation of outcome 1 and outcome 2
Time frame: Day 30
Questionnaire Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5)
Risk of Post-Traumatic Stress Disorder at 90 days. Items are rated on a 5 point scale. The maximum score is 80.
Time frame: Day 90
Questionnaire Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5)
Type of attachment. Items are rated on a 5 point scale. The maximum score is 80.
Time frame: Day 90
Correlation between PCL-5 questionnaire.And PCL-5 questionnaire.at D90
Correlation between the type of attachment and the risk of Post-Traumatic Stress Disorder
Time frame: Day 90
Relationship Scales Questionnaire (RSQ)
30-item self-questionnaire that categorizes participants into four categories of attachment (secure or autonomous, avoiding or detached, preoccupied or ambivalent, fearful or disorganized)
Time frame: Day 3
Relationship Scales Questionnaire (RSQ)
30-item self-questionnaire that categorizes participants into four categories of attachment (secure or autonomous, avoiding or detached, preoccupied or ambivalent, fearful or disorganized)
Time frame: Day 30
Relationship Scales Questionnaire (RSQ)
Measure of Psychometric performance; 30-item self-questionnaire that categorizes participants into four categories of attachment (secure or autonomous, avoiding or detached, preoccupied or ambivalent, fearful or disorganized)
Time frame: Day 90
Experiences in Close Relationships-Revised (ECR-R) attachment questionnaire
Attachment Type. Each item is rated on a 7-point scale where 1 = strongly disagree and 7 = strongly agree
Time frame: Day 3
Experiences in Close Relationships-Revised (ECR-R) attachment questionnaire
Attachment Type. Each item is rated on a 7-point scale where 1 = strongly disagree and 7 = strongly agree
Time frame: Day 30
Experiences in Close Relationships-Revised (ECR-R) attachment questionnaire
Attachment Type. Each item is rated on a 7-point scale where 1 = strongly disagree and 7 = strongly agree
Time frame: Day 90
Questionnaire Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5)
Risk of Post Traumatic Stress Disorder (D90). Items are rated on a 5 point scale. The maximum score is 80.
Time frame: Day 90
Impact of Event Scale Revised
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).
Time frame: Day 3
Relationship Scales Questionnaire (RSQ)
30-item self-questionnaire that categorizes participants into four categories of attachment (secure or autonomous, avoiding or detached, preoccupied or ambivalent, fearful or disorganized)
Time frame: Day 90
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