Childhood Anxiety/Withdrawal, Adolescent Parent–Child Attachment and Later Risk of Depression and Anxiety Disorder

Previous research has shown that children with high levels of early anxiety/withdrawal are at increased risk of later anxiety and depression. It has also been found that positive parent–child attachment reduces the risk of these disorders. The aim of this paper was to examine the extent to which positive parent–child attachment acted to mitigate the risk of later internalising disorders amongst children with high levels of early anxiety/withdrawal using data from a 30 years longitudinal study of a New Zealand birth cohort. The findings of this study showed that: (a) increasing rates of early anxiety/withdrawal were associated with an increased risk of later anxiety and depression; (b) positive parent–child attachment in adolescence was associated with a decline in the risk of later anxiety and depression; and (c) these associations persisted even after controlling for confounding factors. The implications of these findings for the role of parent–child attachment in mitigating the adverse effects of early anxiety/withdrawal are discussed. It is concluded that positive parent–child attachment in adolescence may act as a compensatory factor which buffers the adverse effects of childhood anxiety/withdrawal on risks of developing later anxiety and depression.     

Parent–child attachment as a mediator of the relationship between parenting style and gelotophobia among adolescents

Fear of being laughed at and family interaction are highly related. Parental over‐control and over‐protection influence children's excessive anxiety over being laughed at. Conversely, parental attachment is an important index of the parent–child relationship and is closely correlated to children's gelotophobia. However, is it the style of parenting or the outcome of parenting (i.e. attachment) that influences a child's gelotophobia? To answer this question, the present study analysed the relationships between gelotophobia, perceived parenting of children and parent–child attachment, as well as the mediating role of attachment between parenting and children's gelotophobia, using a sample of 373 high‐school students. The results show that being highly communicative and close attachment completely weakened the negative correlation between warm, caring parenting and the child's gelotophobia; moreover, being highly communicative and close attachment, together with over‐protective and over‐controlling parenting, influence children's gelotophobia. In sum, this study indicates that parent–child attachment has a direct and indirect influence on perceived parental care and protection and children's fear of being laughed at.     

Anna Freud’s Diagnostic Profile: Then and Now

ABSTRACT

This article argues that Anna Freud’s diagnostic aim of assessing a child’s developmental status to obtain a picture of the child’s total personality remains central and relevant to contemporary child mental health. It introduces the work of a research group at the Anna Freud Centre which re-examined Anna Freud’s Provisional Diagnostic Profile (1965), in 2001 and again in 2016, to include contemporary developmental psychology and attachment research. The resulting 2016 revised Diagnostic Profile is published in this issue for the first time.     

Mother's attachment representations of their premature infant at 6 and 18 months after birth

The effects of premature birth on attachment have generally been examined from the infant's perspective. There is a lack of data concerning parental attachment representations toward a premature child. Because of the psychological stress engendered in parents confronted with a premature birth, we hypothesized that their attachment representations would be altered during the first months after the hospital discharge. Fifty families with a premature infant (25–33 gestation weeks) and a control group of 30 families with a full‐term infant participated to the study. Perinatal risks were evaluated during hospitalization. To assess mothers' representations of their infant, the Working Model of the Child Interview (WMCI, Zeanah & Benoit, 1995 & Benoit, Zeanah, Parker, Nicholson, & Coolbear, 1997) were administered when their children were 6 and 18 months old. The severity of the perinatal risks was found to have an impact on the mothers' attachment representations. At six months, only 20% of the mothers of a prematurely born infant (30% at 18 months) had secure attachment representations, vs. 53% for the control group (57% at 18 months). Furthermore, mothers of low‐risk premature infants more often had disengaged representations, whereas distorted representations were more frequent in the high‐risk group of premature children. These findings suggest that the parental response to a premature birth is linked to the severity of postnatal risks. The fact that secure attachment representations are affected in mothers of low‐risk infants just as much as they are in mothers of high‐risk infants points to the need to conduct further studies aimed at evaluating whether preventive intervention for both low‐risk and high‐risk premature will be helpful.     

Child–Mother Attachment Security and Child Characteristics as Joint Contributors to Young Children's Coping in a Challenging Situation

Moderate challenges provide opportunities for young children to develop coping skills, yet little is known about factors related to individual differences in early coping. This study investigated child–mother attachment security (9‐point rating) assessed via a modified Strange Situation procedure, child expressive language, and child social fearfulness as contributors to coping responses among 33‐month‐old children (N = 128, 66 girls) following receipt of an empty gift box. Associations between child–mother attachment security and child coping were moderated by child characteristics. As hypothesized, greater attachment security was associated with more action towards the stressor (i.e. vocalizing about the empty box and searching for the missing gift), but only for children high on social fearfulness. Further, greater attachment security was associated with seeking more physical proximity to mothers for children low on expressive language and less physical proximity for children high on expressive language. Lastly, greater attachment security was related to more self‐distraction for children with moderate to high expressive language. Results are discussed in terms of child–mother attachment security as a psychological resource constructed over time, which the child may draw upon when confronted with a moderate non‐attachment‐related stressor. Copyright © 2014 John Wiley & Sons, Ltd.     

Adult attachment and sexual behavior

The relations between adult attachment processes and sexuality were examined in a community sample of 792 young adults (327 men and 465 women) from the Niagara region of Canada. Participants completed questionnaires that included Simpson’s (1990) measure of adult attachment, self‐reported physical attractiveness, erotophilia, and a variety of sexual behavior measures (e.g., number of sexual partners, age of first sexual experience, frequency of sexual behaviors in the past year, whether an affair had occurred in the past year, and consistent condom usage). The sexuality measures were factor analyzed to extract common factors. The results were modest, but a number of significant relationships between sexuality and attachment were observed. For example, people scoring higher on a secure attachment index perceived themselves as more physically attractive, whereas people scoring higher on an anxious attachment index perceived themselves as less physically attractive, had an early first intercourse (and more lifetime partners), more infidelity, and took more sexual precautions (e.g., condom usage). The results were generally stronger in women, with most of the attachment/sexuality associations in the full sample being driven by the results in women. Implications for understanding sexual variability, including high‐risk sexual behavior, are discussed.     

Adult attachment styles,self‐esteem,and depressive symptoms: A comparison between postpartum and nonpostpartum women in Korea

Life stress related to child bearing has been suggested to increase the risk of maternal depression in vulnerable women who have an insecure relationship. This study examined the relationship between adult attachment security and maternal depression in postpartum women as compared to nonpostpartum women. A total of 254 Korean women were recruited from pediatric hospitals, of whom 119 were in the postpartum period. Participants completed the Relationship Questionnaire, the Beck Depression Inventory, and the Rosenberg Self‐Esteem Scale. Both preoccupied and fearful attachment styles were associated with low self‐esteem and higher levels of depressive symptoms, but a dismissing attachment style was not related to self‐esteem and depression severity. Low self‐esteem was found to mediate the relation between insecure attachment and depression severity; however, this mediating effect differed depending on the insecure attachment style. For preoccupied attachment, the role of self‐esteem as a mediator was observed only in postpartum women, not in nonpostpartum women (moderated mediation). In contrast, for fearful attachment, the mediating effects emerged in both groups. The results highlight the fact that there is a complex mechanism behind the link between interpersonal relationships and risk of maternal depression.     

Attachment insecurity as a moderator of cardiovascular arousal effects following dyadic support

We examine the cardiovascular arousal effects of emotional support receipt, and the moderation of these by the support recipient’s and provider’s attachment. Seventy couples engaged in a laboratory dyadic supportive interaction, while their ECG was monitored. With more emotional support, men with high attachment anxiety showed greater arousal reduction during the dyadic interaction, whereas men with low attachment anxiety showed less reduction; additionally, women coupled with partners with high attachment anxiety showed greater arousal reduction, whereas women coupled with partners with low attachment anxiety showed less reduction. Men and women with high attachment avoidance showed less arousal reduction, whereas those with low attachment avoidance showed greater reduction. These results highlight the differential ways in which support gets under the skin.     

有无二胎与父母教养能力感的关系:头胎子女亲子依恋的调节作用

研究选取650名中小学生为研究对象,采用父母教养能力感量表和亲子依恋安全性问卷,考察了有无二胎与父母教养能力感的关系,并探讨了头胎子女的父子依恋和母子依恋在有无二胎与父母教养能力感关系中的调节作用。研究发现：（1）二胎家庭中父母的教养能力感高于独生子女父母的教养能力感;（2）头胎子女的母子依恋能够调节有无二胎与父母教养能力感的关系：对于高母子依恋组的被试而言,有无二胎无法预测父母教养能力感,而对于低母子依恋组的被试来说,有无二胎能显著正向预测父母教养能力感。而父子依恋的调节作用不显著。结果表明,对高母子依恋群体而言,有无二胎不影响父母教养能力感,而对于低母子依恋群体来说,家庭中有二胎会促进父母教养能力感的发展。     

有无二胎与父母教养能力感的关系:头胎子女亲子依恋的调节作用

研究选取650名中小学生为研究对象,采用父母教养能力感量表和亲子依恋安全性问卷,考察了有无二胎与父母教养能力感的关系,并探讨了头胎子女的父子依恋和母子依恋在有无二胎与父母教养能力感关系中的调节作用。研究发现：（1）二胎家庭中父母的教养能力感高于独生子女父母的教养能力感;（2）头胎子女的母子依恋能够调节有无二胎与父母教养能力感的关系：对于高母子依恋组的被试而言,有无二胎无法预测父母教养能力感,而对于低母子依恋组的被试来说,有无二胎能显著正向预测父母教养能力感。而父子依恋的调节作用不显著。结果表明,对高母子依恋群体而言,有无二胎不影响父母教养能力感,而对于低母子依恋群体来说,家庭中有二胎会促进父母教养能力感的发展。     

MOURNING THE LOSS BUILDS THE BOND: PRIMAL COMMUNICATION BETWEEN FOSTER,ADOPTIVE, OR STEPMOTHER AND CHILD

In this article, a particular source for the gifts and agonies of non-biological mothering bonds will be examined, namely the losses both mother and child bring to the new bond-building endeavor. As many women choose non-biological parenting because they are unable to have children of their own, the degree to which they grieve their loss is a factor in their capacity to fully attach with foster, step or adoptive children. On the other side of the connection, many agonies that mothers endure result from the use of projective identification by the child to communicate the devastating feelings due to losses experienced prior to engaging with this new caretaker. The child, too, needs to make peace with these losses, to have them acknowledged so that s/he can move on to new developmental pains and gains. On neither side of the interaction can the attachment process be taken for granted: both mother and child have to work at belonging to one another. Often the feelings which permeate the intersubjective space between mother and newly-claimed child seem like insurmountable obstacles because of their unconscious, primitive or preverbal nature.The mother may be called upon to contain and bear witness to the child's profound distress, which can undermine her confidence as a mother. Similarly the child may be subject to the mother's unconscious fantasies about the child she wished she'd had, and experience the futility of living up to such expectations.This piece is an attempt to delineate the pitfalls, due to not-yet-mourned losses, on the way to mutual recognition on the part of mother and child in non-biological bonds.     

Internalizing and Externalizing Problems as Correlates of Self-Reported Attachment Style and Perceived Parental Rearing in Normal Adolescents

The current study examined relationships between attachment style, parental rearing behaviors, and symptoms of internalizing and externalizing in a large sample of nonreferred adolescents (N = 742). Adolescents completed (a) a single-item measure of attachment style, (b) the child version of the EMBU, a questionnaire measuring perceptions of parental rearing behaviors, and (c) the Youth Self-Report, an index of severity of internalizing and externalizing symptoms. Results showed that attachment style was related to internalizing as well as externalizing symptoms. More specifically, adolescents who classified themselves as avoidantly or ambivalently attached displayed higher levels of internalizing and externalizing symptoms than adolescents who classified themselves as securely attached. Furthermore, perceived parental rearing behaviors were also associated with internalizing and externalizing symptoms. That is, low levels of emotional warmth and high levels of rejection and overprotection were accompanied by high levels of psychopathological symptoms. Finally, both attachment and parental rearing behaviors accounted for a unique proportion of the variance in internalizing symptoms. Yet, when predicting externalizing symptoms, only parental rearing behaviors declared a significant proportion of the variance.     

Child anger proneness moderates associations between child-mother attachment security and child behavior with mothers at 33 months

Child-mother attachment security, assessed via a modified Strange Situation procedure (Cassidy & Marvin, with the MacArthur Attachment Working Group, 1992), and parent-reported child proneness to anger were examined as correlates of observed child behavior toward mothers during a series of interactive tasks (N = 120, 60 girls). Controlling for maternal sensitivity and child gender and expressive language ability, greater attachment security, and lower levels of anger proneness were related to more child responsiveness to maternal requests and suggestions during play and snack sessions. As hypothesized, anger proneness also moderated several security-behavior associations. Greater attachment security was related to (a) more committed compliance during clean-up and snack-delay tasks for children high on anger proneness, (b) more self-assertiveness during play and snack for children moderate or high on anger proneness, and (c) more help-seeking during play and snack for children moderate or low on anger proneness. Findings further our understanding of the behavioral correlates of child-mother attachment security assessed during late toddlerhood via the Cassidy-Marvin system and underscore child anger proneness as a moderator of attachment-related differences in child behavior during this developmental period.     

父母成人依恋、怜悯与亲子关系质量:主客体互倚分析

本研究考察了父母的成人依恋对亲子关系的影响以及怜悯的中介作用。采用方便取样法调查广东省某市小学2~5年级学生的父母。534对父母自我报告了各自的成人依恋、怜悯和亲子关系质量。主客体互倚模型分析发现：（1）父母各自的依恋焦虑和依恋回避显著负向预测自己与孩子的关系质量（主体效应）,但无法显著预测伴侣与孩子的关系质量（客体效应）;（2）父母各自的怜悯在上述主体效应中起到中介作用;（3）母亲的怜悯在自身依恋回避对父子关系的客体效应中起到“遮掩效应”;（4）母亲的怜悯在自身依恋焦虑对父子关系的客体效应中起到中介作用。研究结果有利于从成对关系视角理解父母成人依恋如何影响亲子关系,实际干预中可以通过提高父母的怜悯能力来改善亲子关系。     

Prevalence of transitional objects in young children in Tokyo and New York

This study compared the prevalence of children's transitional object attachment in the two groups of young children in Tokyo and New York. The subjects (mothers of a child who was between two and four years of age) were 50 Caucasian women who resided in New York and 50 Japanese women who resided in Tokyo. Families of all subjects were within middle and upper socioeconomic status. There was a higher prevalence of transitional object attachment in American children (62%) than in Japanese children (38%). Japanese children more often slept in the same bed or same room with mothers than American children. The two groups did not differ regarding the hours of mother's availability. The results lend support to Gaddini and Gaddini's suggestion that children whose mothers are continuously available, especially at night, are not likely to develop attachment to transitional objects. The results from this survey research were discussed in terms of significance of transitional object attachment on child development. ©2003 Michigan Association for Infant Mental Health.     

学步儿母亲过度投入/未解决的依恋表征与控制行为：婚姻质量及儿童性别的调节作用

采用追踪设计,以北京市94名学步儿及其母亲为被试,系统考察学步儿期母亲过度投入/未解决的依恋表征对控制行为的影响,以及婚姻质量、儿童性别的调节作用。结果发现：(1)过度投入/未解决的依恋表征对3岁时的强制性控制具有显著的正向预测作用。(2)过度投入/未解决的依恋表征对3岁时温和控制及命令性控制的影响受到婚姻质量的调节。(3)婚姻质量及儿童性别共同调节过度投入/未解决的依恋表征与3岁强制性控制之间的关系。     

Prenatal views of baby and parenthood: Association with sociodemographic and pregnancy factors

The aim of the present study was to explore whether sociodemographic and pregnancy factors are associated with the content of prenatal maternal representations about the child and maternity. The study was designed as a questionnaire‐based, anonymous, cross‐sectional study. Participants were 391 pregnant women in routine follow‐up visits enrolled from 14 maternity care centers in Southwestern Finland. Measures consisted of self‐report questionnaires for background data and adjective lists (i.e., semantic differentials) regarding the mother's prenatal view of this child, herself, child's father, and own mother‐as‐mother. Of the nine background factors explored in this study, two factors had significant associations with the content of prenatal representations: a number of children under 7 years of age in the household and (b) planning of the current pregnancy. Prenatal maternal representations about the child, self, partner, and own mother were more negative in content, especially if the mother already had two to three children under 7 years of age, if this pregnancy was not planned, or both. Background factors which did not have significant associations with the content of any prenatal representations included social class, previous abortions, duration of gestation, and somatic problems in this pregnancy. The results are important considering the previous research findings on the role of prenatal representations for the quality of postnatal maternal interactive behavior with the child, intergenerational transmission of attachment security, and developmental outcome of the child later, even in school age. The factors found in this study to have significance for the content of prenatal representations are routinely asked in all maternity care practice and do not need any arrangements to be explored. The results suggest that professionals working in maternity care should pay more attention to the subgroups of pregnant women with many small children in the family and/or whose pregnancy is unplanned. Their need for support in the relationship with this particular child should be especially attended to.     

Maternal employment and infant-mother attachment security at 12 months postpartum

This study assessed the association between aspects of mother's employment and security of infant-mother attachment, in combination with proximal (maternal sensitivity) and distal (demographic, maternal, child, child-care) factors. Participants were 145 Australian mothers and their firstborn children. Attachment security was assessed with the Strange Situation at 12 months. Results showed that mothers' prenatal attitudes to work and timing of the return to work made significant, independent contributions to attachment outcomes over and above the effects of proximal and distal predictors. Mothers who expressed more commitment to work and less anxiety about using nonfamily child care, and who returned to work earlier, were more likely to have secure infants. These findings are considered in relation to contemporary expectations about mothers' participation in paid work and other predictors of secure attachment.