Adolescent–parent attachment characteristics and quality of youth sport friendship

ObjectivesTo examine the link between security of adolescent–parent attachment relationships and experiences of friendship quality in male team sport participants.Design and methodNinety six male adolescents involved in team sports completed self-report assessments of relationship security with a key parental attachment figure and of the nature of their friendship with a nominated sporting best friend. Teammates and coaches also provided ratings related to how easy they found it to get along with participants.ResultsResults provided evidence that the nature of the adolescent–parent attachment relationship was significantly related to sporting friendship experiences. More secure adolescent–parent attachment characteristics corresponded to more positive sporting friendships. Furthermore, sporting friendship dyads where both friends reported more secure attachment relations with parents were experienced more positively than dyads where both friends were less securely attached to parents or even where one friend was less securely attached.ConclusionThere is a suggestion that adolescent attachment relations with parents are indicative of underpinning working models of attachment that may subsequently influence the manner in which youngsters negotiate friendships in sporting contexts.     

The link between personality disorder and parenting behaviors: A systematic review

ObjectiveTo systematically review the literature on the link between personality disorder and parenting capacity from an attachment theory perspective.MethodFour electronic databases were searched systematically. Those studies that met the pre-defined inclusion criteria were quality assessed. Data was then extracted and synthesized from the included studies using a qualitative approach.ResultsFifteen thousand and sixty one hits were found. A further 22 studies were identified through expert contact, and two from references lists. Two thousand eight hundred and eighty five duplicates were removed and a further 11,926 irrelevant studies were excluded. Of the remaining 250 articles, 229 did not meet the inclusion criteria and were therefore removed and two articles were unobtainable. A further 19 studies were removed following quality assessment, leaving a total of 11 studies to be reviewed. The majority of the findings supported the association between a diagnosis of personality disorder, poor parent–child interactions and problematic parenting practices.ConclusionsParental personality disorder was identified as a risk factor for impaired parenting behaviors and disturbed parent–infant. More rigorous research is required in relation to how co-morbidity and personality disorder alone influence the broad dimensions of parenting capacity for both mothers and fathers.     

Temperamental precursors of infant attachment with mothers and fathers

The degree to which parent sensitivity and infant temperament distinguish attachment classification was examined. Multilevel modeling was used to assess the effect of parent sensitivity and infant temperament on infant–mother and infant–father attachment. Data were collected from mothers, fathers, and their infants (N = 135) when the infant was 3-, 5-, 7-, 12-, and 14-months old. Temperament was measured using the Infant Behavior Questionnaire-Revised ( Gartstein & Rothbart, 2003); parent sensitivity was coded during the Still Face Paradigm ( Tronick, Als, Adamson, Wise, & Brazelton, 1978); attachment was coded using the Strange Situation ( Ainsworth, Blehar, Waters, & Wall, 1978). Results indicate that mothers and fathers were less sensitive with insecure-avoidant infants. Whereas only one difference was found for infant–mother attachment groups and temperament, five significant differences emerged for infant–father attachment groups, with the majority involving insecure-ambivalent attachment. Infants classified as ambivalent with fathers were higher in perceptual sensitivity and cuddliness and these infants also showed a greater increase in low-intensity pleasure over time compared with other infants. Results indicate the importance of both parent sensitivity and infant temperament, though operating in somewhat different ways, in the development of the infant–mother and infant–father attachment relationship.     

Do early parental postnatal depression,attachment style and perceived social support affect neurodevelopmental outcomes of premature infants?

BackgroundThe birth of a premature infant is both a stressful event for both parents and associated with an increased rate of postnatal depression (PND). Additionally some mothers may have delayed feelings of attachment to their babies because of the medical procedures or possible medical complications. Social support is known as an important factor for well-being in the postnatal period. However there is scarce data about these factors for fathers. We aimed to identify the impact of parental PND, attachment style and social support on premature infant development considering the prematurity degree and risk groups.MethodsThis prospective study was conducted by including 96 infants who were born preterm. Mothers and fathers were given Edinburgh Postnatal Depression Scale (EPDS), Adult Attachment Style Scale (AASS), and Multidimensional Scale of Perceived Social Support (MSPSS) to fill out when their infants’ corrected age was 3 months. The developmental evaluation was conducted with Bayley III at the corrected 6 months and 18 months of age.ResultsPostnatal depression scores were more in mothers than fathers, the rates of secure attachment and social support were similar between mothers and fathers. Factors associated with the neurodevelopmental outcomes including prematurity degree and risk groups, EPDS, AASS and MSPSS scores were analyzed for both parents. In multivariate analysis, fathers’ depression scores were inversely associated with cognitive development (p = 0.030, R² = 0.080, B=-0.283) and mothers’ anxious/ambivalent attachment style was inversely associated with language development (p = 0.011, R² = 0.108, B=-0.329) at the age of corrected 6 months old.ConclusionsOur findings underscore that the efforts to improve developmental outcomes of premature infants should include parental well-being taking into account new fathers’ depressive symptomatology and maternal anxious/ambivalent attachment.     

Examining antecedents of infant attachment security with mothers and fathers: An ecological systems perspective

Taking an ecological systems perspective, early parent–child relationships can be affected by interactions between systems where some are more proximally linked to the child than others. Socioeconomic status, a distal factor, is associated with social functioning during childhood, but research on its association with functioning during infancy, particularly attachment, is scant and inconsistent. Moreover, it is not clear how distal factors affect infant functioning. Other systems such as marital adjustment and parenting may moderate or mediate relations between distal factors and infant attachment. The current longitudinal study (n = 135) examined the role of various systems – parental resources, marital functioning, parental sensitivity and involvement – in early infancy (3-, 5-, 7-months) on infant–mother (12-months) and infant–father (14-months) attachment security. Findings supported moderating processes but in different ways for infant–mother versus infant–father dyads. Implications for future studies and interventions are discussed.     

The mother’s mental representation of her infant

Abstract

The mother’s intrapsychic mental representation of her infant begins before pregnancy and is modified during pregnancy and thereafter. Parents have conscious expectations and unconscious fantasies about their infant, which are all too often not consistent with reality. Early intervention in infant–parent disturbances is important for repair of the relationship and prevention of later pathogenic development. A clinical example of a mother’s unconscious ambivalent mental representations of her infant is presented.     

Infant brain responses to live face-to-face interaction with their mothers: Combining functional near-infrared spectroscopy (fNIRS) with a modified still-face paradigm

BackgroundNon-invasive imaging techniques, such as fNIRS, allow us to shed light on the neural correlates of infant’s social-emotional development within the context of parent-infant interaction. On a behavioral level, numerous studies have investigated parent-infant interaction employing the still-face paradigm and found that the primary caregiver(s), often the mother, is an important coregulator of the infant’s physiological and behavioral stress response. However, limited information is available on how the infant’s brain reacts to the maternal cues during real-life interaction.MethodsTherefore, the main aim of the current study was to design a fNIRS paradigm to study live mother-infant interaction and to explore the neural correlates of infant affect regulation during real-life dyadic interaction. To this end, a modified still-face paradigm was designed, which consists of live face-to-face mother-infant, and stranger-infant, interaction episodes, including stressful, “still-face” and non-stressful, “happy-face” interaction blocks, combined with infant fNIRS imaging.ResultsHemodynamic brain responses were collected in n = 10 (6 females, mean age 230.2 ± 17.5 days), typically developing infants using the Hitachi ETG-4000 continuous-wave system (22 channels spanning the frontal cortex; 10 Hz system sampling frequency). Infants with usable data (n = 7) showed negative activations, indicated by a decrease in oxygenated hemoglobin, over the middle frontal gyrus in response to happy-face (reunion) interaction with their mothers compared to a female stranger; suggesting deactivation of brain regions associated with affect regulation. We also explored correlations between infant brain responses to maternal interaction and infant characteristics (temperament) as well as experiential/environmental factors (mothers’ self-reported depression symptoms).ConclusionsAlthough the current results are very preliminary, they overall suggest that live design in infant populations is doable and offers unique opportunities to study the neural mechanisms underlying early caregiver(s)-child interaction in a more naturalistic context. Restrictions, and implications, of the methodology are critically discussed.     

Marriage and Attachment

SUMMARY

Attachment behavior (Bowlby, 1969) is considered an integral part of intimate human relating throughout the life span. This research examined the recollections of ten happy couples in long-term marriages as to their attachment experiences in childhood, and their current attachment experiences in marriage. The findings indicated that none of these happily married subjects were raised in homes where both parents were physically and emotionally available. Yet, in adult life they had clearly succeeded in establishing fulfilling long-term relationships. These findings suggested that attachment behavior is subject to modification throughout the life cycle and is not rigidly fixed in childhood. The data suggested that insight, changes in the parent/subject relationship, and the marital relationship were some of the primary factors which could account for the changes in attachment behavior.     

Parental caring and loss during childhood and adult cortisol responses to stress

Abstract

This study was designed to test the hypothesis that the impact of early parental loss on adult physiological responses to stress is moderated by the level of perceived caring from the surviving parent. University students who lost a parent during childhood were compared to students raised by both biological parents. Salivary Cortisol samples were collected immediately before and at 5 and 20 minutes following a stressful speech task. Perceptions of parental caring (Care) during childhood were measured using the Parental Bonding Instrument. Repeated measures multivariate analysis of variance revealed a significant (p = .01) three-way interaction of Loss by Care by Period (baseline, task, recovery) such that participants who lost a parent and perceived low parental caring showed higher Cortisol levels following stress relative to other participants. These findings indicate that childhood loss of a parent is associated with long-term neurohormonal consequences only if the quality of the bond with the surviving parent is poor.     

The Association Between Reflective Functioning and Parent–Child Relationship Quality

Research consistently links adult and infant attachment styles, yet the means by which attachment is transmitted is relatively elusive. Recently, attention has been directed to the psychological underpinnings of caregiver sensitivity—originally thought to be the mechanism of transmission—as indicated by caregivers’ ability to keep in mind children’s mental states when interpreting children’s behavior, or reflective functioning. Unfortunately for researchers, extant measures of reflective functioning are time-consuming and require extensive observation and coding. A self-report measure could help facilitate the study and assessment of reflective functioning in research and clinical settings. This study investigated the relationship between parental reflective functioning and multiple aspects of the parent–child relationship, by using a new, self-report measure of reflective functioning. Participants were 79 caregivers (M _age = 31.8 years) who completed self-report measures assessing reflective functioning, parent–child relationship characteristics, perceived rejection in early relationships, attachment anxiety and avoidance in current close relationships, depression, and substance use. The results indicated that reflective functioning is a strong predictor of parent–child relationship quality (i.e., parental involvement, communication, parent satisfaction, limit setting, and parental support), independent of other potential indicators. Findings support parental reflective functioning as a contributor to the quality of parent–child relationship and suggest that a parent’s capacity to reflect on the mental states of his or her child in parent–child interactions may provide a key target for interventions that aim to improve parent–child relationships.     

Infant carrying as a tool to promote secure attachments in young mothers: Comparing intervention and control infants during the still-face paradigm

Infants of adolescent mothers have a greater risk of developing insecure attachment types and attachment disorders into adulthood. Previous research suggests that skin-to-skin contact predicts secure attachment; however, it is largely unknown whether infant carrying or “babywearing” has similar benefits. We hypothesized that adolescent mothers (Mage=19.1 years, SD = 2.0; 40.6 % Hispanic; 40 %< = 11th grade) who were randomly assigned to an infant carrying condition at 2–4 weeks’ post-partum (n = 16; 1 h daily for 3 months), compared to a control group (n = 17; reading), would be more likely to have securely attached infants at 7 months (M = 29.0 weeks, SD = 3.4). We coded infant gaze orientation, fretfulness, affect, self-soothing behaviors, and vocalizations in the reunion phase of the Still-Face Paradigm, and used an algorithm derived from the infant Global Rating Scales to determine attachment type. Infants in the intervention condition were more likely to have secure attachments and less likely to have disorganized attachments compared to the control condition. Hours spent babywearing was positively correlated with secure attachment, r_pb = .40, and negatively correlated with disorganized attachment, r_pb =−0.36. There were no statistically significant differences between the conditions or babywearing hours for avoidant or resistant attachment types. The results suggest that infant carrying may be an effective tool at promoting secure attachments, particularly for mothers and infants at greater risk for attachment insecurity.     

Sleep and Attachment in Preterm Infants

Infants born preterm are at elevated risk for socioemotional difficulties; however, factors contributing to this risk are largely understudied. Within the present study, we explored infant sleep as a biosocial factor that may play a role in infant socioemotional development. Within a prospective longitudinal design, we examined parent‐reported sleep patterns and observed parenting quality as predictors of infant–mother attachment in 171 infants born preterm. Using structural equation modeling, we examined main effect and moderator models linking infant sleep patterns and parenting with attachment security. Sleep patterns characterized by more daytime sleep and positive/responsive parenting predicted infant attachment security. Parent‐reported nighttime sleep patterns were unrelated to attachment in this sample of infants born preterm. These results indicate that daytime sleep and parenting quality may be important for emerging attachment relationships in infants born preterm.     

Microstate analysis in infancy

BackgroundMicrostate analysis is an emerging method for investigating global brain connections using electroencephalography (EEG). Microstates have been colloquially referred to as the “atom of thought,” meaning that from these underlying networks comes coordinated neural processing and cognition. The present study examined microstates at 6-, 8-, and 10-months of age. It was hypothesized that infants would demonstrate distinct microstates comparable to those identified in adults that also parallel resting-state networks using fMRI. An additional exploratory aim was to examine the relationship between microstates and temperament, assessed via parent reports, to further demonstrate microstate analysis as a viable tool for examining the relationship between neural networks, cognitive processes as well as emotional expression embodied in temperament attributes.MethodsThe microstates analysis was performed with infant EEG data when the infant was either 6- (n = 12), 8- (n = 16), or 10-months (n = 6) old. The resting-state task involved watching a 1-minute video segment of Baby Einstein while listening to the accompanying music. Parents completed the IBQ-R to assess infant temperament.ResultsFour microstate topographies were extracted. Microstate 1 had an isolated posterior activation; Microstate 2 had a symmetric occipital to prefrontal orientation; Microstate 3 had a left occipital to right frontal orientation; and Microstate 4 had a right occipital to left frontal orientation. At 10-months old, Microstate 3, thought to reflect auditory/language processing, became activated more often, for longer periods of time, covering significantly more time across the task and was more likely to be transitioned into. This finding is interpreted as consistent with language acquisition and phonological processing that emerges around 10-months. Microstate topographies and parameters were also correlated with differing temperament broadband and narrowband scales on the IBQ-R.ConclusionThree microstates emerged that appear comparable to underlying networks identified in adult and infant microstate literature and fMRI studies. Each of the temperament domains was related to specific microstates and their parameters. These networks also correspond with auditory and visual processing as well as the default mode network found in prior research and can lead to new investigations examining differences across stimulus presentations to further explain how infants begin to recognize, respond to, and engage with the world around them.     

Contributions of Attachment Research to Understanding Dissociative Attunement

This discussion elaborates the author’s use of attachment theory and research to understanding Susan’s clinical process (see Jacobs, this issue). I have delineated different patterns of attachment, its precursors in infancy, both in infant parent interactions and in parent’s state of mind with respect to attachment. I also link this to how dissociative process can be embedded in a combination of infant disorganization and trauma. I think that clinical applications of the ideas Jacobs and I subscribe to add a great deal to understanding how unformulated experiences with a frightened and frightening parent can lead to a person’s vulnerability to developing dissociative responses to later trauma. The dialogic nature of infant parent attachment experiences can further enrich an understanding of how certain transference–countertransference enactments are manifestations of certain kinds of procedural or relational knowing. In this way, clinicians can further understand the possibilities for psychic transformation as embedded in bearing that which was experienced but which cannot yet be known.     

Attachment and sensitivity in family context: the roles of parent and infant gender

This study examined the role of child gender in fathers' and mothers' sensitivity to and attachment relationships with their infants from a family systems perspective. Eighty‐seven 1‐year‐olds participated in the Strange Situation with each parent. Parental sensitivity was examined during a competing demands task. Results indicated that fathers and mothers were equally sensitive to sons, but fathers were less sensitive than mothers to daughters, and mothers were more sensitive to daughters than to sons. Although mothers and fathers within the same families were similarly sensitive to daughters and sons, daughters' attachment security with fathers and mothers was similar whereas sons' was not. Further analyses revealed that fathers were more sensitive to sons with an insecure relationship with their mothers. Results of this investigation suggest that child gender is relevant for parent–infant, especially father–infant, attachment relationships. Copyright © 2006 John Wiley & Sons, Ltd.     

Maternal avoidance,anxiety cognitions and interactive behaviour predicts infant development at 12 months in the context of anxiety disorders in the postpartum period

BackgroundFew studies have examined the relation between anxiety disorders in the postpartum period and cognitive as well as language development in infancy.AimsThis longitudinal study investigated whether anxiety disorder in the postpartum period is linked to infant development at twelve months. A closer look was also taken at a possible link between maternal interaction and infant development.Study designSubjects were videotaped during a Face-to-Face-Still-Face interaction with their infant (M = 4.0 months). Specific maternal anxiety symptoms were measured by self-report questionnaires (Anxiety Cognition Questionnaire (ACQ), Body Sensations Questionnaire (BSQ), Mobility Inventory (MI)) to check for a connection with infant development. The Bayley Scales of Infant and Toddler Development-III (Bayley-III) were used to assess infant language and cognitive development at one year of age.Subjectsn = 34 mothers with anxiety disorder (SCID-I; DSM-IV) and n = 47 healthy mothers with their infant.Outcome measuresInfant performance on Bayley-III language and cognitive scales.ResultsInfants of mothers with anxiety disorder yielded significantly lower language scores than infants of controls. No significant group differences were found regarding infant cognitive development. Exploratory analyses revealed the vital role of “maternal avoidance accompanied” in infant language and cognitive development. Maternal neutral engagement, which lacks positive affect and vocalisations, turned out as the strongest negative predictor of cognitive development. Maternal anxiety cognitions and joint activity in mother-infant interaction were the strongest predictors of infant language performance.ConclusionsResults underline the importance to also consider the interaction behaviour of women with anxiety disorders to prevent adverse infant development.