Forskning
Udskriv Udskriv
Switch language
Bispebjerg Hospital - en del af Københavns Universitetshospital
Udgivet

Attachment and symptom reporting in adolescents and young adults after a concussion

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Three different approaches to delimitation of functional somatic disorders: DanFunD

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. The unifying diagnostic construct of bodily distress syndrome (BDS) was confirmed in the general population

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. RIFD - A brief clinical research interview for functional somatic disorders and health anxiety

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Predictors of disability in adolescents and young adults with acquired brain injury after the acute phase

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Carpal Tunnel Syndrome as Sentinel for Harmful Hand Activities at Work: A Nationwide Danish Cohort Study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  • A Tuborgh
  • S W Svendsen
  • A Elklit
  • J Hunter
  • J S Jensen
  • A Schröder
  • J F Nielsen
  • M M Thastum
  • E T Næss-Schmidt
  • C U Rask
Vis graf over relationer

BACKGROUND: The incidence of hospital-treated concussion is 100-300/100,000 person years. Reporting of long-lasting post-concussion symptoms (PCS) is estimated at 5-15%. Attachment insecurity is a potential vulnerability factor for physical illness and poorer disease outcomes in general. This study aimed to explore associations between attachment insecurity and PCS in young people sustaining a concussion.

METHODS: This cross-sectional study was embedded in a cohort of 15-30-year-old patients (n = 3080) 3 months after sustaining a concussion. Data were obtained from a database and questionnaires. PCS were measured by the Rivermead Post-Concussion Symptoms Questionnaire and attachment dimensions (anxiety and avoidance) by the Experiences in Close Relationships-Relationship Structures Questionnaire. Multiple linear regression models were performed to investigate the association between the attachment dimensions and PCS with adjustment for demographic, injury-related and psychological factors and with additional testing for interaction between the attachment dimensions.

RESULTS: In the final study sample, comprising 973 patients (31.6%), we found an interaction between the attachment dimensions. Hence, the effect of attachment anxiety on PCS was statistically insignificant at low avoidance (25th percentile) but significant at high avoidance (75th percentile, β = 0.64 (95%CI: 0.02; 1.26)), whereas the effect of attachment avoidance was significant regardless of level of attachment anxiety (25th percentile, β = 1.09 (95%CI: 0.18; 2.01); 75th percentile, β = 2.71 (95%CI: 1.80; 3.61)).

CONCLUSION: Attachment insecurity, especially characterised by high avoidance in combination with high anxiety, also called fearful attachment, is associated with PCS. Considering the attachment perspective can potentially improve health care for this patient group.

OriginalsprogEngelsk
Artikelnummer110603
TidsskriftJournal of Psychosomatic Research
Vol/bind150
Sider (fra-til)110603
ISSN0022-3999
DOI
StatusUdgivet - nov. 2021
Eksternt udgivetJa

Bibliografisk note

Copyright © 2021. Published by Elsevier Inc.

ID: 68409904