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CTRI Number  CTRI/2026/03/105508 [Registered on: 06/03/2026] Trial Registered Prospectively
Last Modified On: 04/03/2026
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Study examining how early relationship experiences and trust in others influence maladaptive independence among emerging adults aged 18-29 years. 
Scientific Title of Study   Relationship Between Attachment Styles, Dimensions of Epistemic Trust and Hyper-Independence Among Emerging Adults 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
nil  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Ms Samridhi M Salian 
Designation  Student 
Affiliation  Manipal College of Health Professions MAHE 
Address  Department of Clinical Psychology fifth floor Manipal College of Health Professions MAHE Madhav Nagar Eshwar Nagar Manipal

Udupi
KARNATAKA
576104
India 
Phone  7259405731  
Fax    
Email  samridhi.mchpmpl2023@learner.manipal.edu  
 
Details of Contact Person
Scientific Query
 
Name  Dr Vaishalee S 
Designation  Assistant Professor Manipal College of health Professions MAHE 
Affiliation  Manipal College of Health Professions MAHE 
Address  Department of Clinical Psychology fifth floor Manipal College of Health Professions MAHE Madhav Nagar Eshwar Nagar Manipal

Udupi
KARNATAKA
576104
India 
Phone  9488615322  
Fax    
Email  vaishalee.s@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Ms Samyukta Vaidyanathan 
Designation  Assistant Professor Manipal College of Health Professions MAHE 
Affiliation  Manipal College of Health Professions MAHE 
Address  Department of Clinical Psychology fifth floor Manipal College of Health Professions MAHE Madhav Nagar Eshwar Nagar Manipal

Udupi
KARNATAKA
576104
India 
Phone  8939372782  
Fax    
Email  samyukta.v@manipal.edu  
 
Source of Monetary or Material Support  
Manipal College of Health Professions MAHE Madhav Nagar Eshwar Nagar Manipal Udupi Karnataka India 576104 
 
Primary Sponsor  
Name  Manipal College of Health Professions MAHE 
Address  Madhav Nagar Eshwar Nagar Manipal 576104 Udupi Karnataka India 
Type of Sponsor  Research institution 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Samridhi M Salian  Manipal College of Health Professions MAHE  Madhav Nagar Eshwar Nagar Manipal 576104
Udupi
KARNATAKA 
7259405731

samridhi.mchpmpl2023@learner.manipal.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical College and Kasturba Hospital Institutional Ethics Committee 2 Student Research  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  attachment styles dimensions of epistemic trust hyperindependence 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  29.00 Year(s)
Gender  Both 
Details  Emerging adults between 18 and 29 years of age
Lived with primary caregivers for the first 10 years of life
Functional fluency in English, including the ability to read, write and speak
 
 
ExclusionCriteria 
Details  Clinically diagnosed mental health condition
They are currently taking psychiatric medication
They have undergone more than five structured psychotherapy sessions
Those who are dependent on caregivers for day-to-day functioning
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To examine the relationship between attachment styles dimensions of epistemic trust and
hyperindependence among emerging adults 
8 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
If significant relationship exists then to investigate how dimensions of epistemic trust mediate
the relationship between attachment styles & hyper-independence in emerging adults 
8 weeks 
 
Target Sample Size   Total Sample Size="1224"
Sample Size from India="1224" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   17/03/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   The study aims To examine the relationship between attachment styles, dimensions of epistemic trust, and hyper-independence among emerging adults and If significant relationship exists then, to investigate how dimensions of epistemic trust mediate the relationship between attachment styles and hyper-independence in emerging adults. Approval from the Departmental Scientific Committee has been obtained first, followed by approval from the Institutional Research Committee. Permission for using the assessment  tools has been given from the authors. Following this, ethical clearance has been attained from the Institutional Ethics Committee. After this, the study will be registered with the Clinical Trial Registry- India. Henceforth, the data collection will be initiated after approval from the Institutional Ethics Committee and CTRI registration. Recruitment of emerging adults will be carried out through flyers sent online to students across the MAHE campus with brief descriptions about the purpose, inclusion criteria, and contact details. Individuals who are interested and meet the criteria would be given further study details and prior attaining of informed consent will be ensured before participating in the study. Eligible participants will be identified and provided with an overview of the study. They will be assured that their participation is entirely voluntary. Data collection can be effectively achieved by starting with one-on-one collection where the researcher is present, or by approaching small groups (such as peers in a library orneighborhood) to introduce the study and facilitate on-site completion. Finally, researchers should maintain personal weekly targets (e.g., 150 forms per person) to ensure the completion of the proposed sample size of the study. Statistical Package for Social Sciences (SPSS) Version 26 to analyze data, “Anderson-Darling Test” to test “Normality”, “Pearson’s Product Moment Correlation” to examine the relationship between attachment styles, epistemic trust, and hyper-independence, “Multiple Linear Regression Analysis” used to investigate how dimensions of epistemic trust mediate the relationship between attachment styles and hyper-independence. Criteria for proceeding with mediation analysis require statistically significant evidence that suggests that the indirect path is non-zero. Bootstrapping method will be used to test the significance of the indirect effect. p < 0.05 set as the ‘level of significance’ for all analyses. Study will adopt a cross-sectional design.  
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