{"id":"https://openalex.org/W7225786141","doi":"https://doi.org/10.21203/rs.3.rs-11325648/v1","title":"Secure Attachment Buffers the Impact of Early Childhood Emergency Room Encounters on Long-Term Emotional Problems","display_name":"Secure Attachment Buffers the Impact of Early Childhood Emergency Room Encounters on Long-Term Emotional Problems","publication_year":2026,"publication_date":"2026-11-11","ids":{"openalex":"https://openalex.org/W7225786141","doi":"https://doi.org/10.21203/rs.3.rs-11325648/v1"},"language":"en","primary_location":{"id":"doi:10.21203/rs.3.rs-11325648/v1","doi":"https://doi.org/10.21203/rs.3.rs-11325648/v1","is_oa":true,"landing_page_url":"https://doi.org/10.21203/rs.3.rs-11325648/v1","pdf_url":null,"source":{"id":"https://openalex.org/S4306525896","display_name":"Research Square","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Research Square","raw_type":"posted-content"},"volume":null,"type":"preprint","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://doi.org/10.21203/rs.3.rs-11325648/v1","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5161427809","display_name":"Rebecca Gregory","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1925986","display_name":"Loyola University Chicago","ror":"https://ror.org/04b6x2g63","country_code":"US","type":"education","lineage":["https://openalex.org/I1925986"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rebecca Gregory","raw_affiliation_strings":["Loyola University Chicago"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Loyola University Chicago","institution_ids":["https://openalex.org/I1925986"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5060139794","display_name":"Seulki Ku","orcid":"https://orcid.org/0000-0001-6123-7579","observed_orcids":["https://orcid.org/0000-0001-6123-7579"]},"institutions":[{"id":"https://openalex.org/I67734520","display_name":"Erikson Institute","ror":"https://ror.org/02gen5m31","country_code":"US","type":"education","lineage":["https://openalex.org/I67734520"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Seulki Ku","raw_affiliation_strings":["Erikson Institute"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Erikson Institute","institution_ids":["https://openalex.org/I67734520"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5085433158","display_name":"Yang Shi","orcid":"https://orcid.org/0000-0001-9995-4370","observed_orcids":["https://orcid.org/0000-0001-9995-4370"]},"institutions":[{"id":"https://openalex.org/I52357470","display_name":"The Ohio State University","ror":"https://ror.org/00rs6vg23","country_code":"US","type":"education","lineage":["https://openalex.org/I52357470"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Yang Shi","raw_affiliation_strings":["The Ohio State University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Ohio State University","institution_ids":["https://openalex.org/I52357470"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10182","display_name":"Child and Adolescent Psychosocial and Emotional Development","score":0.6973000168800354,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10182","display_name":"Child and Adolescent Psychosocial and Emotional Development","score":0.6973000168800354,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10677","display_name":"Attachment and Relationship Dynamics","score":0.22630000114440918,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10426","display_name":"Child Abuse and Trauma","score":0.01899999938905239,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[],"concepts":[{"id":"https://openalex.org/C93225998","wikidata":"https://www.wikidata.org/wiki/Q1941972","display_name":"Moderation","level":2,"score":0.8607000112533569},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.5313000082969666},{"id":"https://openalex.org/C142853389","wikidata":"https://www.wikidata.org/wiki/Q744778","display_name":"Association (psychology)","level":2,"score":0.5134999752044678},{"id":"https://openalex.org/C97928714","wikidata":"https://www.wikidata.org/wiki/Q7251376","display_name":"Protective factor","level":2,"score":0.5091999769210815},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.4668000042438507},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.4424000084400177},{"id":"https://openalex.org/C2908744105","wikidata":"https://www.wikidata.org/wiki/Q105821669","display_name":"Adverse Childhood Experiences","level":3,"score":0.3937999904155731},{"id":"https://openalex.org/C2777082460","wikidata":"https://www.wikidata.org/wiki/Q3377398","display_name":"Early childhood","level":2,"score":0.3767000138759613},{"id":"https://openalex.org/C2911097071","wikidata":"https://www.wikidata.org/wiki/Q909609","display_name":"Insecure attachment","level":3,"score":0.3750999867916107},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3571000099182129},{"id":"https://openalex.org/C50440223","wikidata":"https://www.wikidata.org/wiki/Q1475848","display_name":"Risk factor","level":2,"score":0.3395000100135803},{"id":"https://openalex.org/C526869908","wikidata":"https://www.wikidata.org/wiki/Q3298118","display_name":"Suicide prevention","level":3,"score":0.3125},{"id":"https://openalex.org/C138496976","wikidata":"https://www.wikidata.org/wiki/Q175002","display_name":"Developmental psychology","level":1,"score":0.30809998512268066},{"id":"https://openalex.org/C166735990","wikidata":"https://www.wikidata.org/wiki/Q1750812","display_name":"Human factors and ergonomics","level":3,"score":0.30379998683929443},{"id":"https://openalex.org/C190385971","wikidata":"https://www.wikidata.org/wiki/Q373494","display_name":"Injury prevention","level":3,"score":0.301800012588501},{"id":"https://openalex.org/C53059260","wikidata":"https://www.wikidata.org/wiki/Q374758","display_name":"Multilevel model","level":2,"score":0.2930999994277954},{"id":"https://openalex.org/C120936955","wikidata":"https://www.wikidata.org/wiki/Q2155640","display_name":"Empirical research","level":2,"score":0.2786000072956085},{"id":"https://openalex.org/C3017944768","wikidata":"https://www.wikidata.org/wiki/Q1450463","display_name":"Poison control","level":2,"score":0.27129998803138733},{"id":"https://openalex.org/C119477188","wikidata":"https://www.wikidata.org/wiki/Q909609","display_name":"Attachment theory","level":2,"score":0.2680000066757202},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.2623000144958496},{"id":"https://openalex.org/C24614281","wikidata":"https://www.wikidata.org/wiki/Q17086331","display_name":"Moderated mediation","level":2,"score":0.2551000118255615}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.21203/rs.3.rs-11325648/v1","doi":"https://doi.org/10.21203/rs.3.rs-11325648/v1","is_oa":true,"landing_page_url":"https://doi.org/10.21203/rs.3.rs-11325648/v1","pdf_url":null,"source":{"id":"https://openalex.org/S4306525896","display_name":"Research Square","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Research Square","raw_type":"posted-content"}],"best_oa_location":{"id":"doi:10.21203/rs.3.rs-11325648/v1","doi":"https://doi.org/10.21203/rs.3.rs-11325648/v1","is_oa":true,"landing_page_url":"https://doi.org/10.21203/rs.3.rs-11325648/v1","pdf_url":null,"source":{"id":"https://openalex.org/S4306525896","display_name":"Research Square","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Research Square","raw_type":"posted-content"},"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":58,"referenced_works":["https://openalex.org/W37721220","https://openalex.org/W1831545790","https://openalex.org/W1882594138","https://openalex.org/W1927643219","https://openalex.org/W1929048319","https://openalex.org/W1965478461","https://openalex.org/W1974868683","https://openalex.org/W1980577318","https://openalex.org/W1983809012","https://openalex.org/W1989772887","https://openalex.org/W1990253173","https://openalex.org/W1993950240","https://openalex.org/W2007074194","https://openalex.org/W2019083467","https://openalex.org/W2019377279","https://openalex.org/W2041670105","https://openalex.org/W2072500831","https://openalex.org/W2088815980","https://openalex.org/W2089915984","https://openalex.org/W2100561415","https://openalex.org/W2110230679","https://openalex.org/W2122480004","https://openalex.org/W2141265035","https://openalex.org/W2240591609","https://openalex.org/W2396430223","https://openalex.org/W2535920504","https://openalex.org/W2555400177","https://openalex.org/W2606516070","https://openalex.org/W2629933581","https://openalex.org/W2790866740","https://openalex.org/W2803670849","https://openalex.org/W2895571561","https://openalex.org/W2904226249","https://openalex.org/W2906808589","https://openalex.org/W2936330004","https://openalex.org/W2943528311","https://openalex.org/W3015059727","https://openalex.org/W3018209775","https://openalex.org/W3128007028","https://openalex.org/W3138943010","https://openalex.org/W3184685781","https://openalex.org/W3185070640","https://openalex.org/W3205514457","https://openalex.org/W4221083668","https://openalex.org/W4225097880","https://openalex.org/W4241570482","https://openalex.org/W4247333096","https://openalex.org/W4250597380","https://openalex.org/W4288042550","https://openalex.org/W4290065736","https://openalex.org/W4292103616","https://openalex.org/W4296702784","https://openalex.org/W4315880941","https://openalex.org/W4362458280","https://openalex.org/W4385945465","https://openalex.org/W4389861991","https://openalex.org/W4399523896","https://openalex.org/W4407149019"],"related_works":[],"abstract_inverted_index":{"Abstract":[0],"Childhood":[1],"medical":[2],"experiences":[3,44,222],"in":[4,68,105,195],"the":[5,36,58,69,106,196,216,239],"emergency":[6,42,72,93,147,220,234],"room,":[7],"including":[8],"pain,":[9],"injury,":[10],"and":[11,78,80,117,153,237],"fear":[12],"of":[13,39,61,114,219,233,241],"uncertainty,":[14],"are":[15],"known":[16],"as":[17,210],"risk":[18],"factors":[19,32],"for":[20,169],"later":[21,46,224],"psychological":[22,47,225],"stress.":[23],"However,":[24],"there":[25],"is":[26],"limited":[27],"empirical":[28],"research":[29,228],"on":[30,45,223],"protective":[31,212],"that":[33,205,214],"can":[34],"mitigate":[35],"adverse":[37],"effects":[38,218],"children\u2019s":[40,62],"early":[41],"room":[43,73,94,148,221,235],"outcomes.":[48,226],"This":[49,191],"study":[50],"employed":[51],"hierarchal":[52],"moderated":[53,130],"linear":[54],"regression":[55,88],"to":[56],"examine":[57],"moderating":[59],"role":[60],"attachment":[63,128,144,176,206],"security":[64,129,145,177,207],"at":[65,75,83],"age":[66,76,84],"3":[67,77],"association":[70,132,165],"between":[71],"visits":[74,95,149,236],"emotional":[79,116,152],"behavioral":[81,118,154],"difficulties":[82,119,155],"5.":[85],"The":[86],"moderation":[87,192,198],"model":[89,199],"without":[90],"covariates":[91],"indicated":[92],"(0":[96],"=":[97,101,121,124,134,138,157,160,179,182,185,189],"no":[98],",":[99],"1":[100],"one":[102],"or":[103,173],"more":[104],"past":[107],"year":[108],")":[109],"were":[110],"a":[111,211],"significant":[112,168,194],"predictor":[113],"long-term":[115],"(\u03b2":[120,133,156,178],".10,":[122,158],"p":[123,137,159,181,188],"<":[125,161],".001).":[126,162],"Furthermore,":[127],"this":[131,164],"\u2212":[135,186],".06,":[136],".003).":[139],"For":[140],"children":[141,170],"with":[142,171,200],"low":[143],"(M-1SD),":[146],"predicted":[150],"greater":[151],"Meanwhile,":[163],"was":[166],"not":[167],"average":[172],"high":[174],"(M+1SD)":[175],".04,":[180],".07;":[183],"\u03b2":[184],".02,":[187],".41).":[190],"remained":[193],"final":[197],"covariates.":[201],"These":[202],"results":[203],"suggest":[204],"may":[208],"serve":[209],"factor":[213],"buffers":[215],"negative":[217],"Further":[227],"should":[229],"explore":[230],"contextual":[231],"mechanisms":[232],"evaluate":[238],"efficacy":[240],"attachment-based":[242],"interventions.":[243]},"counts_by_year":[],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2026-11-12T00:00:00"}
