Insecure adult attachment style is associated with elevated psychological symptoms in early adjustment to severe burn: A cross-sectional study

Holt, Rachael; Kornhaber, Rachel; Kwiet, Julia; Rogers, Eric; Shaw, Joanne; J, Law; Mt, Proctor; Vandervord, John; Streimer, Jeffrey; Visentin, Denis; Cleary, Michelle; McLean, Loyola

doi:10.1016/j.burns.2019.03.011

Cited by 8 publications

(14 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For example, insecure attachment types among post-natal women are associated with post-traumatic stress symptoms and the development of anxiety and depression [8,9]. Post-traumatic stress and low psychological adjustment were found in insecurely attached hospitalized burn patients [10]. Divorcees and separated individuals were more insecurely attached compared with married and remarried individuals [11].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Validation of the Relationships Questionnaire (RQ) against the Experience of Close Relationship-Revised Questionnaire in a Clinical Psychiatric Sample

Wongpakaran

DeMaranville

2021

Healthcare

View full text Add to dashboard Cite

Background: The Relationship Questionnaire (RQ) is a commonly used self-reporting questionnaire used to measure adult attachment styles. The RQ has two parts. RQ1, a single item where individuals have to indicate their preferred relationship style, and RQ2, where individuals can rate their relationship style in more detail using four different scales. Agreement is expected between the highest levels selected and the style chosen in RQ1. An advantage of the RQ is its brevity, whereas a disadvantage is that it constitutes a single item. A validation of RQ has not been clearly demonstrated, even though it has convergent validity in relation to other measurements in this area. Methods: 168 patients completed the RQ, the short version of the Experience in Close Relationships (Revised) questionnaire (ECR-R), and scales of depression and interpersonal problems. Regression analysis was conducted to examine the congruity in regard to attachment theory. Results: ratings from 15.5% of the patients showed disagreement between RQ1 and RQ2. Each type of attachment measured by the RQ was predicted by the ECR-R scores, as hypothesized. In the predictive analysis of depression and interpersonal problems, both RQ dimensions and ECR-R scores were coherent. Conclusions: RQ is a valid self-reported measurement that can be applied clinically on the condition that the rater identifies an agreement between RQ1 and RQ2.

show abstract

Section: Introductionmentioning

confidence: 99%

“…Categorical measurements are used by clinicians because they are easy to communicate and explain in theoretical terms [8][9][10]16]. Some use it to maximize the comparability of the current long-term results with earlier outcomes [17].…”

Section: Introductionmentioning

confidence: 99%

Validation of the Relationships Questionnaire (RQ) against the Experience of Close Relationship-Revised Questionnaire in a Clinical Psychiatric Sample

Wongpakaran

DeMaranville

2021

Healthcare

View full text Add to dashboard Cite

show abstract

“…Holt et al[ 22 ] found that the severity of psychological problems may not only be positively correlated with the severity of injury among burn patients, but may also be associated with pain, burn sites, and age. Due to the anxiety caused by unbearable pain, patients may be at high risk of chronic PTSD, demonstrating the necessity to alleviate patients’ pain during clinical treatment[ 22 ].…”

Section: Discussionmentioning

confidence: 99%

Long-term medical treatment of patients with severe burns at exposed sites

Du¹,

Lv²,

Yu³

et al. 2020

WJCC

View full text Add to dashboard Cite

BACKGROUND Body parts such as the face and hands are highly exposed during daily life and burns may accumulate in these areas. In addition, residual wounds, scar hyperplasia and contracture often exist in the late stage of a deep burn in these areas, which may affect patients’ appearance, movements, and mental health. However, inadequate attention has been paid to this issue which can result in problems, such as difficulty in healing, possibility of carcinoma, chronic pain and a heavy mental burden. AIM To investigate the long-term medical treatment of patients with severe burns at exposed sites following a mass burn casualty event. METHODS A retrospective analysis of 13 patients with severe burns at exposed sites was performed to determine their respective long-term medical treatment. A combined wound dressing scheme consisting of traditional Chinese and Western medicine was introduced to repair residual wounds. Active and passive functional exercises with massage, Chinese herbal baths and compression fixation were proposed to ameliorate the condition of the hands. A combination of physical, chemical and photoelectrical measures was adopted for anti-scar treatment. A psychological intervention and recovery guide was provided which corresponded to the patients’ psychological status. RESULTS Compared to patients who did not simultaneously receive the same treatment, patients who underwent systematic treatment recovered with a lower wound infection rate ( P < 0.05), a shorter healing time (13.6 ± 3.2 d) compared with (19.1 ± 3.5 d) and more bearable pain during wound dressing at three days, one week and two weeks after a Chinese herbal bath ( P < 0.05). Satisfactory results were achieved with regard to restored function of patients’ joints and blood supply to nerve endings, closure of the eyelids and the size of mouth opening tended to be normal, and only 7.1% of patients were diagnosed with severe scar hyperplasia and contracture deformity compared with 30.7% in the control group. In addition, the color, thickness, vascular distribution and softness score of the scars improved ( P < 0.01), and the effects of the psychological intervention was remarkable as shown by the Self-Rating Anxiety Scale and Self-Rating Depression Scale. CONCLUSION A better prognosis can be achieved in patients in the late stage of a burn with active residual wound repair, limb functional exercise, anti-scar and psychological rehabilitation.

show abstract

“…30 On the contrary, secure attachment may buffer against psychopathology as it is related to lower anxiety, lower hostility, better emotional regulation, and, consequently, to better ability to relate to others and appropriately seek help and social support. [30][31][32] Insecure attachment has been associated with poorer psychological and health outcomes also in different groups of patients. 30 Gerson et al reported that attachment style affected the number of health visits and consultations in patients with irritable bowel syndrome.…”

mentioning

confidence: 99%

“…Psychological, burn, and treatment-related factors interact in determining postburn adjustment outcomes. 9,14,30 The severity of psychological symptoms does not always correlate with that of burn injury, and symptoms can be ongoing in certain patients for a longer period of time, leading to a need for early screening for psychological vulnerabilities. 30 Identifying patients who might be at risk of poor adjustment, both during hospitalization and after discharge, enables targeted early intervention and linkage to care.…”

mentioning

confidence: 99%

Psychological Aspects in Early Adjustment After Severe Burn Injury

Sirancova

Raudenská

Zajíček³

et al. 2021

Journal of Burn Care &Amp; Research

View full text Add to dashboard Cite

Burn injury is one of the most serious traumatic events with possible psychological and psychosocial consequences. Health status perception is one of the main health outcomes. The severity of psychological symptoms does not always correlate with that of the burn injury, suggesting that early screening for psychological vulnerabilities may be beneficial. The aim of our study was to identify the personality, clinical, and sociodemographic characteristics related to patient´s subjective perception of health, depression, and anxiety, in a sample of 52 adult patients with severe burn injury shortly before discharge from specialty Burn clinic. Subjective health perception was predicted by depression (β = -.143, t(47) = -3.94, P < .001) and neuroticism (β = -.106, t(43) = -4.83, P < .001), and it correlated positively with extraversion (r = .2858, P = .0465) and conscientiousness (r = .3663, P = .0096). Depression was predicted by neuroticism (F(1,49) = 18.4; P < .001) and correlated with attachment avoidance (r = .29, P = .0383) and negatively with extraversion (r = -.32, P = .0220). Anxiety was related to attachment anxiety (F(1,49) = 4.25; P = .045), neuroticism (F(1,49) = 15.75; P < .001), and agreeableness (r = -.36, p = .0101). Unemployed patients experienced higher levels of depression and anxiety. This research suggests that personality traits and adult attachment may play an important role in the acute phase of the recovery from a severe burn injury. These findings can be relevant for early intervention and holistic rehabilitation.

show abstract

Insecure adult attachment style is associated with elevated psychological symptoms in early adjustment to severe burn: A cross-sectional study

Cited by 8 publications

References 40 publications

Validation of the Relationships Questionnaire (RQ) against the Experience of Close Relationship-Revised Questionnaire in a Clinical Psychiatric Sample

Validation of the Relationships Questionnaire (RQ) against the Experience of Close Relationship-Revised Questionnaire in a Clinical Psychiatric Sample

Long-term medical treatment of patients with severe burns at exposed sites

Psychological Aspects in Early Adjustment After Severe Burn Injury

Contact Info

Product

Resources

About