Related Experiment Video
Updated: Jun 10, 2026

Assessing the Coherence of Parents' Short Narratives Regarding their Child Using the Five-Minute Speech Sample Procedure
Published on: September 19, 2019
The relationship between parental attachment and coping skills in hospitalized children
Ayfer Ekim1, Gamze Aksu Baysal2, Aslıhan Altun Inan3
1Faculty of Health Sciences, Department of Pediatric Nursing, Kırklareli University, Kırklareli, Turkey.
Insights
Secure parent-child attachment enhances coping skills in hospitalized children, particularly problem-solving and help-seeking strategies. This highlights the importance of the attachment relationship for children
Area of Science:
- Child Psychology
- Attachment Theory
- Pediatric Health
Background:
- Hospitalization significantly impacts children's psychological adjustment.
- Parent-child attachment is a critical factor in children's emotional regulation and coping.
- Understanding this relationship is vital for supporting hospitalized children.
Purpose of the Study:
- To investigate the influence of the parent-child attachment relationship on the coping skills of hospitalized children.
- To determine if secure attachment predicts better coping mechanisms in pediatric patients.
Main Methods:
- A cross-sectional study involving 318 hospitalized children aged 9-12 years.
- Data collected using the Coping Scale for Children and Youth (CSCY) and Kerns' Security Scale (SS).
- Study adhered to STROBE and Child-Centred Research Checklist (CCRC) guidelines.
Main Results:
- Secure attachment significantly predicted coping skills, explaining 19.6% of the variance (Adjusted R² = 0.196, p < .001).
- Positive correlations found between secure attachment and problem-solving/help-seeking coping.
- Negative correlations observed between secure attachment and cognitive/behavioral avoidance coping strategies.
Conclusions:
- Parent-child attachment significantly affects the coping styles of hospitalized children.
- Findings underscore the importance of the attachment relationship in developing children's coping skills during hospitalization.
- Interventions should consider parental attachment to enhance children's ability to manage hospitalization stress.
Objective:
Examining the relationship between coping skills and child-parent attachment is crucial for understanding the psychological adjustment of hospitalized children. The aim of this study was to examine the effect of the parent-child attachment relationship on coping skills in hospitalized children.
Design And Methods:
A cross-sectional study was conducted with 318 hospitalized children aged between 9 and 12 years. The Coping Scale for Children and Youth (CSCY) and Kerns' Security Scale (SS) were utilized to collect the necessary data. The study design and reporting followed the STROBE and Child-Centred Research Checklist (CCRC) guidelines.
Results:
The mean age of the children was 10 ± 1.0 years, and 55.3% of them were girls. The mean coping skills score was 58.9 ± 6.1, with girls having a significantly higher coping score than boys. In the linear regression analysis, secure attachment was a significant predictor of coping skills, explaining 19.6% of the variance (Adjusted R2 = 0.196, p < .001). Correlation analyses showed a positive significant relationship between secure attachment and problem-solving and help-seeking coping strategies, and a negative significant relationship between cognitive and behavioral avoidance skills.
Conclusions:
The study results show that the coping styles of hospitalized children were affected by parent-child attachment. These findings provide important implications for developing children's coping skills during hospitalization.
Practice Implications:
Understanding the interaction between parental attachment and coping styles will help design therapeutic interventions aimed at developing children's coping skills with hospitalization stress.
Related Concept Videos
Relationship with Parents: Attachment
Attachment Styles
Theory of Romantic Attachment in Adulthood
Attachment
Coping Strategies: Emotion Focused
Hazan and Shaver's Attachment Styles
