Parenting and attachment among toddlers with congenital anomalies: Examining the Strange Situation and attachment Q‐sort

This study assessed parent and child predictors of attachment in a sample of 72 toddlers with neurological (e.g., cerebral palsy) and non‐neurological (e.g., cleft lip and palate) birth defects and their mothers. Parenting quality (e.g., sensitivity) was expected to be more important in predicting the attachment relationship than type and severity of child medical condition. Parenting and indices of severity of child condition were measured via researcher observation. Attachment was measured via the Strange Situation and parent reported Attachment Q‐sort. Parenting quality was better for children with more severe appearance disfigurements. Strange Situation and Q‐sort assessments of attachment were not significantly related. Children with neurological impairments were at greater risk for developing insecure attachments than were children with non‐neurological conditions. Parenting quality also directly predicted Strange Situation assessed attachment security and Q‐sort comfort seeking/exploration but not standard Q‐sort criterion scores. Parenting quality partially mediated the relation between child medical condition and attachment security. Results suggest child medical factors influence parenting, and thereby, child attachment. ©2002 Michigan Association for Infant Mental Health.     

Attachment Representation and Sensitivity: The Moderating Role of Posttraumatic Stress Disorder in a Refugee Sample

It has been hypothesized that adult attachment representations guide caregiving behavior and influence parental sensitivity, and thus affect the child's socio‐emotional development. Several studies have shown a link between posttraumatic stress disorder (PTSD) and reduced parental sensitivity, so it is possible that PTSD moderates the relationship between insecure attachment representations and insensitivity. In this study symptoms of PTSD (Harvard Trauma Questionnaire), parental sensitivity (Emotional Availability Scales), and attachment representations (Attachment Script Assessment) were assessed in 53 parents who were asylum seekers or refugees. Results showed that when parents were less able to draw on secure attachment representations, symptoms of PTSD increased the risk of insensitive parenting. These findings suggest that parental sensitivity is affected not just by attachment representations, but by a conjunction of risk factors including symptoms of PTSD and insecure attachment representations. These parents should therefore be supported to establish or confirm secure models of attachment experiences, to facilitate their ability interact sensitively and form a secure relationship with their children.     

The Effectiveness of an Attachment‐Based Intervention in Promoting Foster Mothers’ Sensitivity toward Foster Infants

Infants in foster care need sensitive, responsive caregivers to promote their healthy outcomes. The current study examined the effectiveness of the Attachment and Biobehavioral Catch‐up Intervention, a short‐term, targeted, attachment‐based intervention program designed to promote sensitive caregiving behavior among foster mothers. Ninety‐six foster mother–infant dyads participated in this study; 44 dyads were assigned to the Attachment and Biobehavioral Catch‐up Intervention, and 52 dyads were assigned to a control intervention. Results of hierarchical linear modeling indicated that foster mothers who were assigned to the Attachment and Biobehavioral Catch‐up Intervention showed greater improvements in their sensitivity from pre‐ to postintervention assessment time points when compared with foster mothers who were assigned to the control intervention. We conclude that a short‐term, targeted, attachment‐based intervention is effective in changing foster mothers’ responsiveness to their foster infants, which is critical for foster infants’ healthy socioemotional adjustment.     

Adult attachment style and stress as risk factors for early maternal sensitivity and negativity

The current study examined the individual and joint effects of self‐reported adult attachment style, psychological distress, and parenting stress on maternal caregiving behaviors at 6 and 12 months of child age. We proposed a diathesis‐stress model to examine the potential deleterious effects of stress for mothers with insecure adult attachment styles. Data from 137 mothers were gathered by the longitudinal Durham Child Health and Development Study. Mothers provided self‐reports using C. Hazan and P. Shaver's ( 1987 ) Adult Attachment Style measure, the Brief Symptom Inventory (L.R. Derogatis & P.M. Spencer, 1982 ), and the Parent Stress Inventory (R.R. Abidin, 1995 ); observations of parenting data were made from 10‐min free‐play interactions. Consistently avoidant mothers were less sensitive with their infants than were consistently secure mothers; however, this effect was limited to avoidant mothers who experienced elevated levels of psychological distress. Results suggest that the association between insecure adult attachment style and insensitive parenting behavior is moderated by concurrent psychosocial stress. Clinical implications for these findings are discussed.     

The Role of Attachment Style in Predicting Repetition of Adolescent Self‐Harm: A Longitudinal Study

This study investigated whether insecure attachment is associated with poorer outcomes at 6‐month follow‐up in adolescents who self‐harm. At baseline the Child Attachment Interview was administered to 52 adolescents (13‐17 years) referred to specialist child and adolescent mental health services and with a recent history of self‐harm. Participants also completed self‐report measures of self‐harm, peer attachment, anxiety, and depression and were administered the means end problem‐solving task. Self‐harm behavior and problem‐solving skills were assessed again at 6‐month follow‐up. At baseline, 14 (27%) were securely attached to their mothers. In the 49 (94%) adolescents followed‐up, those with insecure maternal attachment and insecure peer attachment were more likely to have repeated self‐harm. In addition, securely attached adolescents showed greater improvement in problem‐solving skills. These findings indicate that secure maternal and peer attachments may help recovery from self‐harm, possibly by supporting the acquisition of problem‐solving skills, and highlights the importance of social connections and attachments for youth with a history of self‐harm.     

Japanese Children's Reactions to Family Photographs: Associations with Mothers' Attachment Status

This study examined differences in children's responses to their family photographs within a sample of Japanese 6‐year‐olds (N = 44), exploring associations with their mothers' attachment status. The differences in children's photo reactions were captured by a 5‐point continuous scale to rate how engaged children were and how positively they responded to the photographs taken earlier with their mothers. Mothers' attachment security was assessed by the Adult Attachment Interview. The findings revealed that children of mothers with secure attachment status were significantly more engaged/positive in their photo reactions than were children of mothers with insecure attachment status. Implications of the findings and future research directions are discussed. Copyright © 2012 John Wiley & Sons, Ltd.     

Possible Insomnia Predicts Some Risky Behaviors Among Adolescents When Controlling for Depressive Symptoms

Attachment theory asserts that secure attachment representations are developed through sensitive and consistent caregiving. If sensitive caregiving is a constant characteristic of the parent, then siblings should have concordant attachment classifications. The authors explored maternal attachment quality assessed by the Attachment Q-Set, maternal sensitivity, and specific mother–child interactions between siblings. Hour-long observations took place in the homes of 9 preschool sibling pairs and their immediate caregivers. The interactions were analyzed using a modified version of Bales’ Small Group Analysis. The results reveal attachment discordance in a third of sibling pairs. While maternal sensitivity was higher with older siblings and mothers displayed more positive emotions when interacting with their younger siblings, attachment quality was not associated with birth order. Therefore, a shift toward a more contextual, family-based perspective of attachment is recommended to further understand how attachment strategies are created and maintained within the child's everyday context.     

A dyadic exploration of attachment and caregiving in long‐term couples

This cross‐sectional study explored associations between attachment style and caregiving patterns in 125 couples with children in the United Kingdom. The Actor–Partner Interdependence Model was used to model for both actor (own) and partner attachment effects on caregiving. Attachment was measured along the dimensions of avoidance and anxiety, and caregiving was measured along the dimensions of proximity, sensitivity, cooperation, and compulsion. Results indicated that different combinations of individual and partner attachment scores predicted different dimensions of caregiving. Own attachment scores best predicted caregiving proximity, cooperation, and compulsion, whereas own and partner attachment predicted caregiving sensitivity. The implications of the findings, limitations, and suggestions for future research are discussed.     

Attachment in low‐SES rural Appalachian infants: Contextual,infant, and maternal interaction risk and protective factors

Attachment classifications were obtained for 95 low‐socioeconomic‐status (SES) rural Appalachian infants in the Strange Situation procedure at 15 months. The distribution of secure (B) and insecure (A, C, D) infants was similar to other low‐SES samples and significantly different from low‐risk samples. Levels of contextual and infant risk, together with maternal responsiveness to crying and pattern of sensitivity from 4 to 9 months, predicted attachment security. High social support, when examined as a protective factor, related to reduced contextual risk, but not to increased likelihood of security. Exploratory discriminant function analyses showed that infants in secure relationships differed in positive directions on contextual and maternal interactional factors. Insecure‐organized (A and C) infants experienced contextual and maternal interaction risks, while insecure‐disorganized (D) infants were best distinguished by infant characteristics, including greater likelihood of being male and low use of mother as a secure base at 9 months. ©2001 Michigan Association for Infant Mental Health.     

Exposure to child care,parenting style and attachment security

The present study addressed whether security of attachment is differentiated by quality of parenting and quantity of exposure to child care. Sixty mothers participated with their 14‐month‐old infants, who by the age of 12‐months had received either exclusive maternal care, or varying degrees of exposure to child care. Levels of attachment security were assessed through maternal completion of the Attachment Q‐Set(AQS); parenting quality was assessed through observations of mother–infant interactions during structured tasks. The scores that less sensitive mothers assign their toddlers is higher when their children are in child care for more hours per week; whereas the scores that more sensitive mothers assign their toddlers is lower when their children are in child care for more hours per week. These contrasting patterns suggest that the effects of parenting style on attachment security are moderated by quantity of exposure to child care. Copyright © 2003 John Wiley & Sons, Ltd.     

Culturally sensitive assessment of attachment in children aged 18–40 months in a South African township

The objective of our work is to study the possible relevance nonwestern cultural traditions have on the concordance of attachment patterns assessed in mothers and their young children. The attachment of 46 toddlers and their mothers, living in a black township in Johannesburg, South Africa, was assessed using scores derived from mother‐child observations in the home (Attachment Q‐Sort) and an interview (Working Model of the Child Interview). Mothers also had a semistructured psychiatric interview. Agreement between home observations and interview ratings was 29% for secure and 71% for insecure attachment when U.S.‐developed scoring criteria for the interview were used. Agreement increased to 81% for secure and 67% for insecure attachment when the same protocols were rescored, using a culturally modified scoring system, developed by local cultural experts. This study suggests that verbal representations of attachment patterns are more influenced by cultural traditions than are actual parent‐child interactions.     

Mother and infant affective involvement states and maternal depression

This study shows two different dimensional types of maternal depression, one dull and slow, the other stressed and irritable. When the quality of the infant attachment to mother is assessed, it is noted that the dimensional aspect of the maternal depression can be of some importance in the quality of the attachment. In fact, children are more inclined to develop an insecure–ambivalent attachment to their stressed depressed mothers, while children of slow depressed mothers are more insecure–avoiding. Thus, the dimensions of maternal depression can be an indicator of the type of insecure attachment of the infant at one year of age. We have also found that insecure children of depressed mothers express very little joy in the course of face-to-face interactions. A parallel can be established between the characteristics of the different affective dimensions of the maternal depression, the affective involvement state level of the partners, their synchrony or non-synchrony, the affective expression of the baby, and the type of insecure attachment to the mother. Thus, affective interaction may be an indicator of the child's development, both to assess the interaction and to evaluate the type of attachment shown by the child, indicating that previous interactive patterns have been internalized. © 1997 Michigan Association for Infant Mental Health     

Maternal depression and children's attachment representations during the preschool years

This longitudinal study aimed to investigate the impact of chronic and transient maternal depression on children's attachment representations at 4 years of age measured with the Attachment Story Completion Task ( Bretherton, Ridgeway, & Cassidy, 1990 ). The impact of concurrent maternal depressive symptoms was also considered. A secondary aim was to investigate the continuity of attachment classification at 15 months with child attachment representations at 4 years. Children of mothers who were concurrently depressed were more likely to have attachment representations characterized by uncontained physical aggression. In contrast, there were no significant relationships between exposure to prior chronic maternal depression and children's attachment representations at 4 years, nor were there any significant relationships between behavioural assessments of attachment during infancy and later representational assessments. Findings are discussed in the context of caregiving behaviours that may foster secure attachment relationships and influence a child's social‐emotional development, limitations of representational measures, as well as poor attachment stability.     

Attachment security differs by later autism spectrum disorder: A prospective study

Although difficulties with social relationships are key to autism spectrum disorder (ASD), no previous study has examined infant attachment security prior to ASD diagnosis. We prospectively assessed attachment security at 15 months in high‐risk infants with later ASD (high‐risk/ASD, n = 16), high‐risk infants without later ASD (high‐risk/no‐ASD, n = 40), and low‐risk infants without later ASD (low‐risk/no‐ASD, n = 39) using the Strange Situation Procedure. High‐risk/ASD infants were disproportionately more likely to be classified as insecure (versus secure) and more likely to be classified as insecure‐resistant (versus secure or avoidant) than high‐risk/no‐ASD and low‐risk/no‐ASD infants. High‐risk infants with insecure‐resistant attachments were over nine times more likely to receive an ASD diagnosis than high‐risk infants with secure attachments. Insecure‐resistant attachment in high‐risk infants suggests a propensity toward negative affect with the parent in conditions of stress. Insecure‐resistant attachment may prove useful as a potential early index of propensity toward ASD diagnosis in high‐risk siblings, while insecure‐resistant attachment in the context of emergent autism may contribute to difficulties experienced by children with ASD and their families.     

Dyadic synchrony in parent–child interactions: A link with maternal representations of attachment relationships

The study examined the relation between maternal representations of attachment relationships from childhood and current parent–child interactions with their own preschool aged children. Thirty-six mother–child dyads were recruited from a community sample. The Adult Attachment Interview was converted into a questionnaire (AAIQ) and used to classify mothers as either “secure” or “insecure.” The mother–child dyads then engaged in a 20-min, videotaped play interaction task. The quality of maternal representations of attachment relationships was related to the degree of dyadic synchrony, as well as maternal affect and style of relating. Secure mothers and their children engaged in a more fluid, synchronous process of give-and-take than insecure mothers and their children. In addition, secure mothers expressed more warmth and affection, and their style of relating was less intrusive and more encouraging of child autonomy than insecure mothers. Children of secure mothers sought closer contact and were more compliant than children of insecure mothers. These interaction patterns were uniquely related to maternal representations of attachment, independent of maternal age, education and SES. There were no differences in these patterns of relating between mothers who had experienced loving relationships in childhood (continuous secure) and mothers who had come to terms with unloving and painful childhood relationships (earned secure). Therefore, rather than the quality of childhood histories, it was the manner in which these early experiences were mentally organized and integrated in adulthood that was significantly related to current parent–child interaction patterns. Finally, these differences in parent–child interaction patterns that were apparent on the observational measure were in contrast to information obtained from a maternal self-report measure. © 1997 Michigan Association for Infant Mental Health     

祖辈共同养育背景下多重依恋关系及对幼儿社会-情绪性发展的影响

采用依恋Q-Set分类程序考察72名幼儿(M=17.51个月)的母子依恋和祖孙依恋的安全性,用《婴幼儿社会-情绪性评价量表》(ITSEA)同时评估了幼儿的社会-情绪性(包括外显行为域、内隐行为域、失调域和能力域)的发展状况。结果发现:(1)在祖辈参与共同养育的背景下,大多数幼儿可以形成安全型的母子依恋和祖孙依恋,母子依恋的安全性高于祖孙依恋;(2)母子依恋和祖孙依恋存在着中等强度的相关,36%幼儿的母子依恋和祖孙依恋的安全性水平不一致;(3)回归分析表明,与祖孙依恋的安全性相比,母子依恋的安全性对幼儿的社会-情绪性发展的各领域具有更大的相对预测力,支持主导性假说;(4)拥有高安全性母子依恋和祖孙依恋的幼儿,其外显行为域和内隐行为域的得分显著低于其他3组,高安全性母子依恋或祖孙依恋不能补偿对方的低安全性依恋的消极影响。在失调域上,母子依恋和祖孙依恋的安全性存在着交互效应。     

Attachment and preschool children's understanding of maternal versus non‐maternal psychological states

There is growing evidence that insecurely attached children are less advanced in their social understanding than their secure counterparts. However, attachment may also predict how individual children use their social understanding across different relationships. For instance, the insecure child's social‐cognitive difficulties may be more pronounced when the psychological states of an attachment figure are being considered. In the current study, forty‐eight 4‐ to 5‐year‐old children were asked about their mothers' emotions and false beliefs, as well as those of non‐attachment figures. The Separation Anxiety Test (SAT) was administered to assess children's attachment representations. Children's SAT scores predicted their overall performance on the false belief and causes of emotion tasks, even after controlling for age and verbal ability. More interestingly, however, children with high scores on the Avoidance dimension of the SAT experienced greater difficulty understanding maternal false beliefs relative to those of an unfamiliar adult female. Thus, although attachment insecurity may hinder social‐cognitive development in general, the findings suggest that there are more specific effects as well. Attachment representations that are characterized by high levels of avoidance appear to interfere with children's ability to fully engage their social‐cognitive skills when reasoning about maternal mental states.     

Multiple attachment relationships within families: mothers and fathers with two young children

Security of attachment between mothers and fathers and their 2 children was examined in 41 maritally intact families. Strange Situation assessments of attachment security for the younger children (mean age = 1 year 10 months), Attachment Q-sort ratings of the older children (mean age = 4 years 8 months), and ratings of parental caregiving behavior of both children were obtained. Younger and older children developed concordant attachments to both parents. Parents were consistent in their caregiving behavior toward their 2 children. However, parents were not congruent in their attachment to their 2 children. Associations were found between maternal caregiving and attachment only in the younger group. The results support the idea that parental caregiving behavior accounts for only modest portions of the variance in attachment security; evolving attachments integrate developmental inputs from the children and the caregivers in the network of early family relationships.     

Late Adoptions: Attachment Security and Emotional Availability in Mother–Child and Father–Child Dyads

A growing body of research suggests that a history of neglect, abuse and institutionalization can negatively affect late-adopted children’s attachment representations, and that adoptive parents can play a key role in enabling adopted children to earn secure attachments. Still, only a few studies have explored the quality of caregiver–child interaction in adoptive families. The present study aimed at verifying both the concordance of attachment in adoptive dyads (mother–children and father–children) and the relationship between attachment representations and parent–child interaction. The research involved 20 adoptive families in which the child’s arrival had occurred between 12 to 36 months before the assessment, and where children were aged between 4.5 and 8.5 years. Attachment was assessed through the Adult Attachment Interview for parents and through the Manchester Child Attachment Story Task for children. The emotional quality of parent–child interaction was assessed trough the Emotional Availability Scales. Our results pointed out the presence of a relation between attachment representations of late-adopted children and their adoptive mothers (75%, K?=?0.50, p?=?.025). In addition, we found that both insecure children and mothers showed lower levels of EA than secure ones. Some explanations are presented about why, in the early post-adoption period, child attachment patterns and dyadic emotional availability seem to be arranged on different frameworks for the two parental figures.     

Longitudinal Assessment of Sleep–Wake Regulation and Attachment Security with Parents

The development of sleep–wake regulation occurs within the context of the infant–parent relationship. The present study investigated (1) patterns of change in night waking across infancy and attachment to parents and (2) if dependency, a characteristic of secure subgroup B4 and insecure‐resistant infants, accounted for differences in night waking. Forty‐six families reported on the number of infant night wakings at 7, 12, and 14 months of age. Attachment was measured at 12 (infant–mother) and 14 (infant–father) months. Findings suggest that infants with a secure (including the dependent‐secure, B4) pattern of attachment with mothers decreased in the number of night wakings over time, whereas infants with an insecure‐resistant pattern of attachment with mothers continued to wake at night into the second year. Attachment dependency did not account for differences in night waking. These findings are important to understanding the mechanism(s) underlying the relation between attachment and sleep–wake regulation. Copyright © 2012 John Wiley & Sons, Ltd.