Underlying Role of Rumination-Mediated Attachment Style Plays In PTSD After TIA And Stroke

Abstract

Objective: Attachment and rumination was examined as intermediary variable on post-traumatic stress disorder and medication compliance in stroke or TIA patients.Methods: 300 participants with stroke or TIA form The Second Hospital of Hebei Province were selected. Patients accomplished NIHSS, ABCD2, ECR, RSQ and RRS on admission. After 3 months the PCL-C and MMAS were collected.Results: In this stroke or TIA patients, the incident of PTSD was 7.7%; PTSD scores were significantly associated with attachment anxiety (r= 0.225，p<0.01), symptom rumination (r= 0.197, p<0.01), and obsessive thinking (r=0.187, p<0.01).After Sobel test analysis and verification by Baron and Kenny (1996) 's method, we found that ruminant mediated the relationship between attachment anxiety and PTSD; obsessive thinking mediated the relationship between attachment anxiety and PTSD.Conclusions: The relationship between attachment anxiety and PTSD was positively predicted by rumination and obsessive thinking. Adult attachment style, rumination and PTSD scores may not predict medication compliance.