Emergency medical care utilization, romantic attachment, and psychological distress in pregnant adolescent and young adult couples.

Purpose: The present study investigated the association of one's own and one'spartner's emergency medical care utilization during pregnancy with psychological distress in adolescent and young adult couples. Effect modification by sex and romantic attachment style was also explored. Method: Participants were pregnant adolescent and young adult couples recruited from 4 university-affiliated hospitals in Connecticut. Participants self-reported demographics, emergency medical care utilization (emergency room or overnight hospitalization), romantic attachment style, and psychological distress at baseline during the second or third trimester. Multilevel models were estimated to account for interdependence within couples. Results: One's own and one's partner's emergency medical care was associated with higher levels of psychological distress only at low levels of avoidant attachment (-1 SD), B = 2.20, p < .001, and, B = 1.15, p = .097, respectively (associations were not significant at high levels of attachment avoidance, ps > .12). No significant interactions emerged for medical care utilization with sex or attachment anxiety. Conclusions: Emergency medical care utilization during pregnancy was associated with higher psychological distress only for individuals reporting lower avoidant attachment. These individuals may have more resources to deal with distress (e.g., coping, social support), and may therefore also be more capable of experiencing it. Tailoring interventions to bolster healthy romantic attachment and relational wellbeing could improve mental health outcomes in at-risk pregnant adolescent and young adult couples. (PsycInfo Database Record (c) 2021 APA, all rights reserved).