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A 15 item mother-infant attachment scale was developed. It is a simple, brief and easy to comprehend even by the illiterate rural woman. The split half reliability was found to be 0.83 and there was high internal consistency. It has high face and construct validity. The babies separated for longer period had shown lesser attachment subsequently, compared to those who had no separation.
Previous studies have found that children with cleft lip and palate (CLP) and isolated cleft palate (CP) have elevated risk for a variety of psychosocial problems, but the origins of such problems are unclear. We expected that early medical and other stressors during infancy--including feeding problems and facial disfigurement--would have adverse effects on the infant, his or her caregivers, and the family environment, leading to a higher than expected rate of insecure attachments among infants with clefts. Twelve-month attachment classifications of CLP, CP, and comparison group infants were examined. No significant group differences in attachment status were found. When 3-month infant, maternal, and social/family characteristics were examined as potential predictors of insecure attachment, predictors interacted with diagnostic status. For the cleft group, infant and maternal characteristics, but not family characteristics, significantly predicted insecure attachment. For the comparison group, maternal and family characteristics, but not factors associated with the infant, were predictive. Infants with clefts, despite their special needs and caregiving requirements, seem not to have elevated risk for insecure attachments at the end of their first year. Contrary to social-psychological formulations, the facial appearance of infants with CLP had no adverse effect on the quality of their maternal attachment.
We examined the relationship quality of 55 (27 girls) 9-year-old children with their mothers, teachers, and friends as rated by teachers and by the children themselves. The goal of this longitudinal study was to examine stability and continuity in the quality of children's relationships between infancy and 9 years of age. At age 9, children's perception of their relationships with their teachers was associated with their current teachers' ratings of their relationships with the children. Children's perceptions of their relationships with their mothers were consistent with earlier ratings of attachment security. Children's perceptions of their relationships with teachers were predicted by the quality of their attachment relationships with their first teachers. Children's perceptions of their friendship quality was predicted by preschool teacher ratings of friendship quality and the quality of their attachment relationships with their first teachers.
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Following up the results of a previous population association study (Lakatos et al. [2000: Mol Psychiatry 5:633-637; Lakatos et al. [2002: Mol Psychiatry 7:27-31]) by analyses based on parental genetic data confirmed the link between infant attachment and the dopamine D4 receptor (DRD4) gene. Extended transmission disequilibrium tests (ETDT) were performed to determine whether biased transmission of exon III 48 basepair repeat alleles occurred to infants displaying disorganized and secure attachment behavior with their mothers. The overall allele-wise TDTs were significant for both groups (P = 0.038 and 0.020, respectively): a trend for preferential transmission of the seven-repeat allele to disorganized infants was observed (TDT(chi)(2) = 3.27, df = 1, P = 0.071), and there was a significant non-transmission of the same allele to securely attached infants (TDT(chi)(2) = 6.00, df = 1, P = 0.014). Analysis of haplotypes of the exon III repeat and the -521 C/T promoter polymorphisms in family trios showed that the transmission bias in the larger secure group was due to the low-rate transmission of the T.7 haplotype containing both the seven-repeat and the -521 T alleles (TDT(chi)(2) = 4.46, df = 1, P = 0.035). This suggests that not carrying the T.7 haplotype of the DRD4 gene may act as a resilience factor in the optimal development of early attachment.
The relation of attachment status to autobiographical memory was assessed in 3.5- to 4.5-year-olds. Of specific interest was the relation between attachment status and the emotional content of parent-child memory conversations. Forty-six mother-child dyads discussed four events designed to elicit positive and negative emotional themes. Both attachment status and gender moderated the emotional content of this memory talk. Mother-daughter dyads with insecurely attached girls engaged in relatively more negative memory talk than mother-daughter dyads with securely attached girls. However, the dyads of secure girls elaborated more often on both positive and negative emotional themes than did the dyads of insecure girls who primarily elaborated on positive themes. The relations between attachment status and emotion talk for mother-son dyads were inconsistent. Findings were discussed in terms of the role of attachment in the social construction of autobiographical memories.
This conceptual article presents a model of severe, chronic combat-related PTSD based on several years of longitudinal clinical observations of Vietnam veterans. The model describes a repeating cycle of decompensation that profoundly disrupts the veteran's life. There appear to be "stages" of decompensation that can be described clinically and may be distinct physiologically. The stages describe a wide range of functioning, from adaptive to totally dysfunctional PTSD core symptoms, as well as several other dimensions of clinical functioning, such as affect regulation, defenses, ego states, interactions with the environment, capacity for self-destruction/suicide and capacity for attachment and insight are described for each stage. Clinical and research implications are discussed.
The effect of fetal movement counting on maternal attachment to fetus was investigated in 213 women with uncomplicated singleton pregnancies at 28 to 32 weeks' gestation. Women were randomized into those who counted fetal movements using the Sadovsky (n = 63) or Cardiff (n = 62) charts and controls (n = 88). After 1 month of fetal movement counting, the Cranley 24-item scale with five subscales was used as a measure of maternal-fetal attachment. Univariate analysis revealed a statistically significant increase in total attachment scores and in each of the five attachment subscales among women who counted fetal movements (p less than 0.0001). Turkey's studentized range test confirmed significant differences between each of the Sadovsky and Cardiff groups compared with controls (p less than 0.05). Our study suggests that fetal movement counting may enhance the maternal-fetal attachment process.
The aim of this study is to make a preliminary examination of the relationship between body satisfaction, maternal fetal attachment, and breast or bottle feeding plans in pregnancy. Thirty eight women between 32 and 38 weeks pregnant were examined by means of the Maternal Foetal Attachment Scale, the Eating Disorders Examination, and the Body Satisfaction Scale. Women intending to breast feed were more satisfied with their shape. Women intending to breast feed had higher levels of maternal fetal attachment. Body shape dissatisfaction and low maternal fetal attachment may account for why some women choose to bottle feed.
Beginning in infancy, people can be characterized in terms of two dimensions of attachment insecurity: attachment anxiety (i.e., fear of rejection and abandonment) and attachment avoidance (distancing oneself from close others, shunning dependency; Bowlby, J., 1969/1982. Attachment and loss: Vol. 1. Attachment, 2nd ed., Basic Books, New York). The capacity for emotion regulation varies with attachment style, such that attachment-anxious individuals become highly emotional when threatened with social rejection or relationship loss, whereas avoidant individuals tend to distance themselves or disengage from emotional situations. In the present study, 20 women participated in an fMRI experiment in which they thought about--and were asked to stop thinking about--various relationship scenarios. When they thought about negative ones (conflict, breakup, death of partner), their level of attachment anxiety was positively correlated with activation in emotion-related areas of the brain (e.g., the anterior temporal pole, implicated in sadness) and inversely correlated with activation in a region associated with emotion regulation (orbitofrontal cortex). This suggests that anxious people react more strongly than non-anxious people to thoughts of loss while under-recruiting brain regions normally used to down-regulate negative emotions. Participants high on avoidance failed to show as much deactivation as less avoidant participants in two brain regions (subcallosal cingulate cortex; lateral prefrontal cortex). This suggests that the avoidant peoples' suppression was less complete or less efficient, in line with results from previous behavioral experiments. These are among the first findings to identify some of the neural processes underlying adult attachment orientations and emotion regulation.
This meta-analysis addresses the association between attachment security and each of three maternal mental health correlates. The meta-analysis is based on 35 studies, 39 samples, and 2,064 mother-child pairs. Social-marital support (r = .14; based on 16 studies involving 17 samples and 902 dyads), stress (r = .19; 13 studies, 14 samples, and 768 dyads), and depression (r = .18; 15 studies, 19 samples, and 953 dyads) each proved significantly related to attachment security. All constructs showed substantial variance in effect size. Ecological factors and approach to measuring support may explain the heterogeneity of effect sizes within the social-marital support literature. Effect sizes for stress varied according to the time between assessment of stress and assessment of attachment security. Among studies of depression, clinical samples yielded significantly larger effect sizes than community samples. We discuss these results in terms of measurement issues (specifically, overreliance on self-report inventories) and in terms of the need to study the correlates of change in attachment security, rather than just the correlates of attachment security per se.
The present study sought to document an example of how maternal and infant vulnerabilities interact in contributing to the quality of early attachment relationships. Maternal depressive symptoms, neonatal health characteristics, and infant mother attachment were assessed for 42 preterm, low birth weight infants and 42 full-term infants at 12 months postterm. Results indicated that preterm birth moderated the relation between maternal depressive symptoms and quality of infant-mother attachment, even controlling for level of neonatal health complications. Preterm infants with more symptomatic mothers were most likely to be classified as insecurely attached to their mothers, whereas no direct relation between subclinical depressive symptoms and attachment was found for full-term infants.
This study investigated relations among preschoolers' secure-base behavior with mother at home, stressful family conditions, and qualities of developing relationships with peers and teachers in preschool. Preschool-age children (N = 94; 51 boys and 43 girls) and their mothers were observed during multiple home visits, and their security of attachment was assessed with the Attachment Q-Set. Children in families with lower levels of stress had more secure attachment relationships with mothers. Both boys and girls who were less securely attached to their mothers expressed significantly more anger-aggression in preschool. For boys, higher levels of family stress were also significantly related to anger-aggression and to social competence in preschool. In addition, boys who were more securely attached to their mothers were more securely attached to their preschool teachers and were more popular with peers in preschool.
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.
This study examined linkages between child disruptive behavior disorder (DBD), quality of mother-child interactions, and mothers' recollections of and attitudes toward their own parents. Twenty-five preschool boys referred to a psychiatric clinic were matched with normally functioning boys. Mothers and sons were videotaped during a separation-reunion sequence, the Adult Attachment Interview was administered to mothers, and mothers completed questionnaires assessing family environment. Mothers of boys with DBD described relationships with their own parents less coherently than comparison mothers did, indicating less secure representations of attachment. Maternal and child attachment classifications were concordant. Log-linear analyses suggested that the influence of maternal representation of attachment on disruptive behavior problems was secondary to the quality of mother-child interaction.
Because of parental interference, some pediatricians prefer examining children without parents nearby. Can inanimate, noninterfering attachment agents placate children during medical evaluations? Accompanied through random assignment by their mother, blanket, mother plus blanket, or no supportive agent, 64 blanket-attached or blanket-nonattached 3-year-olds underwent 4 routine medical procedures. Behavioral and physiological measures showed that mothers and blankets (for children attached to them) equally mitigated distress compared with no supportive agents. However, simultaneously presenting 2 attachment agents did not produce additive soothing effects. For comforting blanket-attached children during moderately upsetting medical procedures, blankets can function as appropriate maternal substitutes. Distress evidenced by children with no attachment agent demonstrates the undesirability of conducting medical examinations without supportive agents.
This study tested whether working models of attachment guide how people construe and respond to social interactions by examining immediate responses to a range of everyday interactions and to specific attachment-relevant interactions. Patterns for immediate reports were compared with those for more memory-based, global reports. Secure, preoccupied, fearful, and dismissing participants provided immediate reports after their social interactions for 1 week and completed retrospective questionnaires. Attachment differences were accentuated in attachment-relevant, high-conflict interactions. Preoccupied participants responded more favorably after conflict than did secure or dismissing-models contribute to perceptions may depend on the fit between attachment goals and the situation and on the extent of memory-based processing.