ETHICS REVIEW BOARD FEEDBACK FORM

SECTION A (To be filled by the Investigator(s))

Title of Study:

The relationship between parental attachment and romantic relationships.

Investigator(s):

Eugene Joseph (B1102169)

Kavirajah Selvarajah (B1101934)

Supervisor:

Ms Ruth Goh Heng Chin

This ERB form is a:

New submission

Re-submission: the previous submission was rejected by _______________________________

(fill in the name of one of the ERB members who rejected your submission) .

SECTION B (To be filled by the Ethics Review Board)

Date of Meeting:

_________________

Action Taken:

Approved

Conditionally Approved see supervisor for final approval

Conditionally Rejected see / email / call _______________________________________________

Rejected revise & re-submit to ERB

Conditions to fulfill:
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Signature: ________________________________
Name:

________________________________

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Member
Member
*This page should be the COVER PAGE to the Request for Ethics Review Form.

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Request for Ethics Review Form (a.k.a. ERB Form)

1. Principal Investigator(s) - Add rows as necessary.
Name
Eugene Joseph
Kavirajah Selvarajah

Department
Psychology
Psychology

Phone
016-9551709
010-2694317

E-mail
etodajoseph@gmail.com
k_raj35@yahoo.com.my

ID number
B1102169
B1101934

2. Research Supervisor (if applicable)

Name
Ruth Goh Heng Chin

Phone
03- 2711 2000

E-mail
goh.heng.chin@help.edu.my

3. Full Title of Research Project

The relationship between parental attachment and romantic relationships.

4. Type of Project

Postgraduate Thesis/Dissertation

Undergraduate Thesis

Class Project (Subject Code: PSY221)

Faculty Research

Other: Please specify:______________

5. Duration of Project (Note: You can only start running the study, whether for pilot test or main
research, AFTER receiving a written approval from the ERB)
Proposed Starting Date: 20/ 9/ 2013

Proposed Date of Completion: 14/ 12/ 2013

6. Checklist of Attachments
Proposed interview questions

Proposed questionnaire or other instrument

Proposed information letter to participants,

parents, or guardians

Proposed oral invitation to young children (if

applicable)

Proposed informed consent form(s)

(adult and/or children)

Proposed debriefing statement (if applicable)

Evidence of explicit permission to use any

copyrighted materials or evidence that
permission is not explicitly required

Evidence of actual or pending permission to

access classified documents (e.g., case files
etc.) at an agency

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7. Summary of Purpose and Methodology

Please state briefly your research question, aims of study, hypotheses, methodological design.
1. Research question: 1) Is there a relationship between parental attachment style and romantic
relationships?
2. Aim of study: To investigate whether there is a relationship between Parental attachment style
and the presents of anxiety in attachment in recent or current romantic
relationships of participants.

8. Source of Participants
Describe (a) source and number; (b) method of recruitment and selection; (c) expected ages, gender,
ethnicities and any special characteristics; (d) compensation (if any); and (e) the investigators
relationship to participants (address any conflict of interest here).
a) HELP University students, 30 participants
b) Random sampling.
c) Participants are of 18-25 years of age, should be English literates, male or female, from any ethnic
group.
d) No compensations will be given to participants.
e) Participants will be made up of same college mates of investigators hence there could be conflict of
interest. However professionalism will be maintained during the experiment.

9. Research Procedures
Outline the specific procedures or activities involving the participants. Exactly what will be done, to
whom, by whom, how, where, how often and for how long, etc.?
All participants are HELP University students. Participants will be recruited randomly. Participants will
be given a questionnaire created for this study. They will be given a consent form and be briefed about the
questionnaire. After giving the consent, participants will fill up their demographic information. Then they
will fill up the scales that are used to measure (a) Parent child attachment style and (b) Romantic
relationship anxiety/avoidance questionnaire. It will take about 20 minutes to fill up the questionnaire.
10. Ethical Training of Additional Research Staff
If additional research staff (such as research assistants, data entry personnel, interviewers, volunteers etc.)
are employed, describe briefly how you ensure their competency in ethical research.
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11. Please tick the box(es) applicable to your research.

No. Activities
1
My research will involve deception.
2
My research will use invasive procedures e.g. asking participants to inject, ingest,
inhale or externally apply a substance (s) to the skin etc.
3
I will use participants below age 18 in my research.
4
My research will involve the viewing/listening to any form of media containing
horror, violent and/or sexual scenes/topics.
5
My research will involve clinical patients as participants.
6
My research will involve the recording of participants behaviors using audio
and/or video equipment.
7a My research will be using published psychological tests (commercialized and/or
non-commercialized) established by other researchers. I have received
permission from the authors to use these tests & the permission letters/emails are
attached in the appendix. Or permission is not required & I have attached proof
that permission is not required.
7b My research will be using published psychological tests (commercialized and/or
non-commercialized) established by other researchers. I have not been able to
receive explicit permission from the authors, but my supervisor has deemed the
use of these tests fair use.
Supervisor:
I confirm that this student has made a reasonable number of attempts to contact
the researcher but has failed to receive a reply. I have reviewed the measure &
deem that it can be used under the terms of fair use.

NO
NO

YES
YES

NO
NO

YES
YES

NO
NO

YES
YES

NO

YES

NO

YES

Signature: __________________ Date: _________________

12. If you answer YES to Item 11 (1-6), please provide your justification and the appropriate
ethical measures to be taken. In addition, you are required to attach the relevant documentation
along with the ERB form (e.g., Debriefing Statements, Parental Consent form etc.)
Activity Justification
Ethical Measure To Be Taken
No.

Investigator(s): I/we have read the Ethical Guidelines for Psychological Research at HELP UniversityCollege, and agree to comply with them. The above information is correct to the best of my knowledge,
and I/we shall adhere to the procedure as described. I/we also agree to report any significant and relevant
changes in the procedures or instruments to the ERB for additional review.
Signature: ______________________ Name: Eugene Joseph

Date: 20 th September 2013

Signature: _____________________

Date: 20 th September2013

Modified 24.12.2012

Name: Kavirajah Sevarajah

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