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

Author(s):  
Kaiping Zhou ◽  
Linjing Zhang ◽  
Tonggui Li ◽  
Weiping Wang

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.

2017 ◽  
Vol 10 ◽  
pp. 105-116
Author(s):  
Stéphanie Laforte ◽  
Caroline Dugal ◽  
Claude Bélanger ◽  
Natacha Godbout

More than one-third of adults report having experienced emotional abuse in childhood, which is one of the most common interpersonal traumas. Although survivors of interpersonal trauma are at risk of developing post-traumatic stress symptoms, few studies have specifically examined the links between childhood emotional abuse and symptoms of post-traumatic stress in adulthood. Recent studies highlight the role of mindfulness as a key variable in understanding how interpersonal traumas can be associated with long-term post-traumatic stress symptoms (Godbout, Dion, & Bigras, 2016). The purpose of this study is to examine the mediating role of mindfulness in the relationship between emotional abuse in childhood and post- traumatic stress symptoms. The sample consisted of 354 women from the community who responded to self -reported online questionnaires. The results of multiple regression analyses show that the relationship between emotional abuse in childhood and symptoms of post-traumatic stress is explained by a decrease in mindfulness capacities. Overall, the results highlight the role of mindfulness as a mechanism partially explaining the impacts of interpersonal traumas in childhood.


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