L’Attachement dans le Trouble de Stress Post-Traumatique chez l’adulte : revue de la littérature

Chronic pain and post-traumatic stress in older patients with psychiatric disorders during the Covid- 19 pandemic: co-occurrence and influence of attachment and personality factors

“…With regard to attachment, patients with both disorders and those with CP alone appear to be signi cantly more fearful than patients with no disorder at T2; while patients with PTSS appear to be more preoccupied than those with no PTSS at T2. These results are consistent with literature, showing an association between insecure attachment and CP (Meredith et al, 2008) or PTS symptoms (Nohales et al, 2021). Insecure attachment is indeed associated with dysregulation of the physiological response to stress (Pietromonaco & Beck, 2019): it represents a factor of vulnerability to stressors, and could prevent the care adherence and therapeutic alliance necessary to treat the physiological manifestations of stress -thus favoring their chronicity (Meredith et al, 2008).…”

“…In addition, the proportion of women seems higher (77.46%) than in the French population (60.15%). As CP (Bouhassira et al (2008)) and PTSD (Nohales et al, 2021) were found to be more frequent in women than in men, we can assume that the prevalence of these two disorders may have been slightly overestimated.…”

“…Insecure attachment is indeed associated with dysregulation of the physiological response to stress (Pietromonaco & Beck, 2019): it represents a factor of vulnerability to stressors, and could prevent the care adherence and therapeutic alliance necessary to treat the physiological manifestations of stress -thus favoring their chronicity (Meredith et al, 2008). Nevertheless, among the different insecure attachment pro les, it is the preoccupied subtype rather than the fearful one that had been most regularly highlighted as favoring CP (Meredith et al, 2008) and PTSD (Nohales et al, 2021). The existence of different attachment models, in three or four categories, limits the comparability between studies; but a dimensional analysis (Fig.…”

“…These results are in line with McWilliams and Bailey (2010), who found an association between high levels of anxiety/dependence and various health problemsincluding CP. Regarding PTSD, Nohales et al (2021) showed that preoccupied-subtype pro les are characterized by an over-activation of the attachment system and a focus on the feeling of threat and distress -explaining the higher reporting of PTS than avoidant-subtype people, who would tend to keep emotions at bay and minimize the feeling of distress felt.…”