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Abstract
Purpose
Test hope as mediator of relationships between attachment and depressive symptoms for trauma patients, and evaluate relationships among psychological variables (i.e., attachment, hope, and depression) and medical variables (i.e., patient admission disposition, length of intensive care unit (ICU) stay, discharge status, intubation, and days on ventilator).
Design
Quantitative descriptive design using multiple regression and correlational techniques.
Participants
106 participants were recruited from among admitted patients at a nationally verified university Level I trauma center.
Results
Hope was a significant mediator of the relationship between attachment and depression. Admission to the ICU instead of less intensive care was associated with lower secure attachment and elevated avoidant attachment. Longer ICU stays were related to lower secure attachment, elevated anxious attachment, low hope, and elevated depression. Discharge to a facility (rather than home) was associated with elevated anxious attachment and elevated depression. Intubation and days on a ventilator were associated with elevated anxious attachment. Secure attachment, anxious attachment, and hope were related to depression.
Conclusion
screening trauma patients for personality and psychological characteristics that hamper recovery may improve outcomes. Hope-enhancing interventions may decrease attachment-predicted depression and improve recovery for trauma patients.
Article usage
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