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Attachment representations in Dutch veterans with and without deployment-related PTSD.
Attach Hum Dev. 2009 Nov; 11(6):515-36.AH

Abstract

In this study we tested for a protective effect of secure attachment representations in the development of posttraumatic stress disorder (PTSD). In a design with a control group, we replicated and extended a recent study that found no underrepresentation of secure attachment representations in veterans with PTSD (Nye, Katzman, Bell, Kilpatrick, Brainard, & Haaland, 2008). Furthermore, we examined the association of the Adult Attachment Interview (AAI) classification of unresolved loss or trauma and PTSD symptomatology. The Adult Attachment Interview and the Clinician Administered PTSD Scale (CAPS) were administered with 31 veterans with PTSD and 29 trauma-exposed veterans without PTSD of similar age and country of deployment. Patient and control groups did not differ in the prevalence of secure attachment representations, neither did unresolved and not unresolved subjects differ in prevalence of secure attachment representations. Unresolved state of mind with respect to deployment related trauma was found to correlate strongly with total CAPS score. This study shows no protective effect of secure attachment representations in the development of PTSD. AAI unresolved state of mind with respect to deployment related trauma and PTSD correlate strongly, due to the common core phenomenon of lack of integration.

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Authors+Show Affiliations

Harari D
Psychotrauma Diagnostic Centre, Utrecht, the Netherlands.
Bakermans-Kranenburg MJ
No affiliation info available
de Kloet CS
No affiliation info available
Geuze E
No affiliation info available
Vermetten E
No affiliation info available
Westenberg HG
No affiliation info available
van IJzendoorn MH
No affiliation info available

MeSH

AdultCross-Sectional StudiesDiagnostic and Statistical Manual of Mental DisordersHumansMaleMilitary PersonnelNetherlandsObject AttachmentPrevalenceSeverity of Illness IndexStress Disorders, Post-TraumaticVeteransYoung Adult

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

20183554

Citation

Harari, D, et al. "Attachment Representations in Dutch Veterans With and Without Deployment-related PTSD." Attachment & Human Development, vol. 11, no. 6, 2009, pp. 515-36.
Harari D, Bakermans-Kranenburg MJ, de Kloet CS, et al. Attachment representations in Dutch veterans with and without deployment-related PTSD. Attach Hum Dev. 2009;11(6):515-36.
Harari, D., Bakermans-Kranenburg, M. J., de Kloet, C. S., Geuze, E., Vermetten, E., Westenberg, H. G., & van IJzendoorn, M. H. (2009). Attachment representations in Dutch veterans with and without deployment-related PTSD. Attachment & Human Development, 11(6), 515-36. https://doi.org/10.1080/14616730903282480
Harari D, et al. Attachment Representations in Dutch Veterans With and Without Deployment-related PTSD. Attach Hum Dev. 2009;11(6):515-36. PubMed PMID: 20183554.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Attachment representations in Dutch veterans with and without deployment-related PTSD. AU - Harari,D, AU - Bakermans-Kranenburg,M J, AU - de Kloet,C S, AU - Geuze,E, AU - Vermetten,E, AU - Westenberg,H G M, AU - van IJzendoorn,M H, PY - 2010/2/26/entrez PY - 2010/2/26/pubmed PY - 2010/5/25/medline SP - 515 EP - 36 JF - Attachment & human development JO - Attach Hum Dev VL - 11 IS - 6 N2 - In this study we tested for a protective effect of secure attachment representations in the development of posttraumatic stress disorder (PTSD). In a design with a control group, we replicated and extended a recent study that found no underrepresentation of secure attachment representations in veterans with PTSD (Nye, Katzman, Bell, Kilpatrick, Brainard, & Haaland, 2008). Furthermore, we examined the association of the Adult Attachment Interview (AAI) classification of unresolved loss or trauma and PTSD symptomatology. The Adult Attachment Interview and the Clinician Administered PTSD Scale (CAPS) were administered with 31 veterans with PTSD and 29 trauma-exposed veterans without PTSD of similar age and country of deployment. Patient and control groups did not differ in the prevalence of secure attachment representations, neither did unresolved and not unresolved subjects differ in prevalence of secure attachment representations. Unresolved state of mind with respect to deployment related trauma was found to correlate strongly with total CAPS score. This study shows no protective effect of secure attachment representations in the development of PTSD. AAI unresolved state of mind with respect to deployment related trauma and PTSD correlate strongly, due to the common core phenomenon of lack of integration. SN - 1469-2988 UR - https://www.unboundmedicine.com/medline/citation/20183554/Attachment_representations_in_Dutch_veterans_with_and_without_deployment_related_PTSD_ L2 - https://www.tandfonline.com/doi/full/10.1080/14616730903282480 DB - PRIME DP - Unbound Medicine ER -