ABSTRACT
Objective: Attachment and rumination were examined as the intermediary variables on post-traumatic stress disorder and medication compliance in stroke or TIA patients. Methods: A total of 300 participants with stroke or TIA from 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 the 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 the Sobel test analysis and verification by the Baron and Kenny's stepwise approach 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.
ABSTRACT
Behavior studies demonstrate that the attachment-orientation difference is a powerful predictor for emotional processing in children and adults, with anxious individuals being hyperactive and avoidant individuals being deactive to emotional stimuli. This study used the event-related potential technique to explore brain responses to facial expressions by adults with anxious, avoidant, or secure attachment-orientation. Differences were found in N1, N2, P2, and N400 components between the groups of participants, suggesting that adults with different attachment-orientations have differences in both earlier, automatic encoding of the structural properties of faces and later, more elaborative retrieval of emotional contents.