Child Attachment Research Articles

Evaluating the Effect on Infants and Parents Attending the Parent-Child Psychological Support Programme®, a Community-Based Program to Promote Attachment Security.

The foremost index of caregiving quality is child attachment, as supported by attachment theory. Research supports the relevance of early parenting interventions in improving child outcomes in attachment quality to promote public health because of their long-term effects on mental health and functioning. This study aimed at evaluating the impact on both parenting and child outcomes of the Parent-Child Psychological Support Programme® (PCPS), a community-based program individually tailored to parents and their infants during periodic center-based visits to promote attachment security. The evaluation involved two cohorts from "vulnerable populations" and used the resources embedded in the program design without interfering with the normal functioning of the service. From an evaluative research approach, the effects on mothers and children were assessed using a quantitative approach. Pre- and post-test measures (parenting questionnaires) and child attachment quality assessments through the Strange Situation Procedure were examined. The equivalence of the cohorts was verified and used as a baseline for parenting outcomes. PCPS participants demonstrated increased parental competence and self-efficacy, as well as reduced levels of parenting stress. Analysis of the two cohorts showed a significant difference in the number of visits and proxies for intervention, which were associated with the expected pre-post changes in parenting dimensions. The proportion of securely attached children was significantly higher in the "medium-high intervention" group than in the "no/low intervention" group (72.7% vs 54.5%). Furthermore, compared with international baselines, this proportion showed no differences in the "no-/low-intervention" group but demonstrated expected significant differences in the "medium-high intervention" group.

Bridging attachment theory and interpersonal acceptance-rejection theory in the strange situation procedure in a low-risk sample in Egypt.

This study is the first to explore the relation between children's attachment classifications, assessed by Mary Ainsworth's Strange Situation Procedure (SSP), and mothers' acceptance-rejection behaviors from the lens of Interpersonal Acceptance-Rejection Theory (IPARTheory). As a pilot study, the sample consisted of 23 Egyptian mother-child dyads. The mean age of children in the SSP was 18.6 months (SD=3.10). Mothers' acceptance-rejection behaviors were explored through the Parental Acceptance-Rejection/Control Questionnaire (PARQ/Control). The pilot study's findings revealed that maternal acceptance-rejection behaviors significantly differed across children's attachment classifications. The findings also shed light on gender differences in parenting, as mothers tended to show a higher level of hostility/aggression, undifferentiated rejection, and control with their daughters more than sons. This study is an important stepping-stone for attachment research in the Arab world. It highlights several cultural aspects to be taken into account for future research using the SSP in Egypt or any other Arab country.

Early life stress, kangaroo care, parenting behavior and secure attachment predict executive functioning in 2 year olds born preterm

Self-regulation and executive functioning are known key predictors of future cognitive development and mental health. We examined the effect of early life neonatal stress, maternal perinatal stress, kangaroo care, maternal parenting behavior and secure child attachment on executive function at 2 years corrected age (CA) in children born preterm (i.e. < 34 weeks of gestation and/or < 1500 g birth weight). Neonatal child characteristics were recorded at the Neonatal Intensive Care Unit (NICU). We examined self-reported perinatal maternal stress during NICU stay, maternal emotional availability at 4 months CA, and child attachment security at 14 months CA. The executive function battery at 2 years CA was completed by 97 children. Low birth weight, a high number of skin breaking procedures and high level of maternal stress predicted lower executive function scores. Kangaroo care, non-intrusive maternal parenting behavior and secure attachment were associated with higher executive function scores. Even after controlling for background factors, modifiable factors such as neonatal child and mother stress, kangaroo care, parenting style, and child attachment style uniquely predict later executive functioning development, indicating that preventive interventions need to integrate multiple aspects of neuroprotective care, including supporting the child-parent bond, both at the NICU and beyond.

Investigating how Childhood Bonding Patterns Influence Adult Behavior and Intimacy

This quantitative research explores the role of early attachment styles in adult relationship experiences, intimacy, and emotional regulation as well as the intergenerational transmission of attachment. By the application of standardized surveys and psychometric tools like the Adult Attachment Scale, Difficulties in Emotion Regulation Scale (DERS), Trust in Close Relationships Scale (TCRS), Intimacy Scale, and Conflict Resolution Styles Inventory, data were collected from 120 health professionals, consisting of psychologists, therapists, and counselors, selected using simple random sampling. The statistical approaches utilized were correlation analysis, regression analysis, and ANOVA in determining whether or not childhood attachment styles predicted adult relational outcomes. The results showed that secure attachment in childhood was correlated significantly with healthier adult relationships: secure individuals had better emotional regulation (mean = 3.2, SD = 0.6), intimacy (mean = 4.5, SD = 0.5), and conflict resolution (mean = 4.3, SD = 0.5) as compared to insecure attachment styles, which were correlated with poorer emotional regulation, low intimacy, reduced trust, and difficulty in resolving conflicts. Regression analysis confirmed the predictive role of childhood attachment in adult emotional and relational outcomes, with insecure attachment types (anxious, avoidant, and disorganized) resulting in higher emotional dysregulation, lower trust, and intimacy (mean: 3.1–3.3), and greater conflict (mean: 2.9–3.2) in adulthood. ANOVA analysis also demonstrated significant differences across attachment groups, with those possessing secure attachment styles showing higher levels of emotional regulation and conflict resolution skills. In addition, it also pointed out intergenerational transmission of attachment where the securely attached parents have the chances of being with the securely attached offspring PAS mean: 4.6, AAS mean: 4.5 and therapeutic interventions were seen to be significantly improving attachment security showing a 25% improvement for the individuals having insecure attachment post-intervention p &lt; 0.01.

A call to represent the current diversity of family forms in attachment research

ABSTRACT As family forms become increasingly diverse, their underrepresentation in attachment research is glaring. Although attachment theory aims to explain the influence of early relationships, studies have disproportionately focused on mothers. Even when other attachment figures are considered, the research is typically limited to fathers in biparental mother-father families. In this piece, we report on the wide variety of family configurations worldwide, and how children experience care from multiple attachment figures. Drawing from the Child Attachment Studies Catalogue and Data Exchange (CASCADE), we assess the current state of attachment research with regard to diverse family configurations. Out of the available records in CASCADE, only four of 2,320 studies (0.2% of available studies) involved samples of diverse families. We conclude by issuing an explicit call for research that acknowledges and explores diverse family forms and propose strategies to improve reporting and research practices to promote more inclusivity of diverse family forms.

Heritability of children's Secure Base Script Knowledge in middle childhood: a twin study with the Attachment Script Assessment.

Are individual differences in attachment security inborn or shaped by the social environment? In infancy and early childhood, the evidence points to a substantial role of the environment, but a large twin study in early adolescence showed considerable heritability. Here we examined the twin heritability of attachment in middle childhood. We hypothesized that in middle childhood some heritability would emerge. Furthermore, we expected a role for cognitive and language abilities in explaining variance in attachment in middle childhood, partly related to the measurement of attachment, and we therefore examined associations with IQ. This pre-registered study included 415 same-sex twin pairs (52% girls, 58% monozygotic) between 8 and 11 years old (M = 9.59, SD = 0.79). Participants were recruited from an experimental cohort-sequential study including two age-overlapping longitudinal cohorts. Secure Base Script Knowledge was assessed with the Middle Childhood Attachment Script Assessment . Zygosity of the twins was determined using DNA samples. In the younger cohort, cognitive development was assessed with the Dutch version of the Wechsler Preschool and Primary Scale of Intelligence . In the older cohort, the Dutch version of the Wechsler Intelligence Scale for Children was used . Significant additive heritability (38%) was found in the absence of a common environment component. This result diverges from findings in infancy and early childhood and aligns with the results in early adolescence. The gene-environment correlation hypothesis suggesting that older children more actively shape their experiences in social contexts may offer a plausible explanation for the heritability of attachment in middle childhood. In middle childhood this mechanism might tip the balance toward a larger role for additive genetics. Larger longitudinal twin studies are needed to replicate the heritability of attachment after preschool age.

From Emotional Abuse to a Fear of Intimacy: A Preliminary Study of the Mediating Role of Attachment Styles and Rejection Sensitivity.

Based on the literature indicating that emotional abuse erodes children's secure attachment bonds, this study aimed to examine a mediation model positing that insecure attachment (anxious and/or avoidant styles) would mediate the association between childhood emotional abuse and rejection sensitivity (rejection and acceptance expectancies), which, in turn, will be associated with a fear of intimacy. One hundred and eighty members of the Israeli public aged 21-30 who were in relationships participated in the study. The results showed that avoidant and anxious attachment mediated the relationship between childhood emotional abuse and a fear of intimacy, acceptance expectancy mediated the relationship between avoidant and anxious attachment and a fear of intimacy, anxious attachment mediated the relationship between childhood emotional abuse and both rejection and acceptance expectancies, and avoidant attachment mediated the relationship between childhood emotional abuse and acceptance expectancy. These results indicated the salient role of insecure attachment styles and their associations with rejection sensitivity in forming intimate relationships due to having experienced childhood emotional abuse. Intervention promoting "earned security" was recommended.

Time-out under scrutiny: examining the relationships among the discipline strategy time-out, child well-being and attachment and exposure to adversity.

Discipline is a crucial aspect of parenting, shaping child development and behaviour. Time-out, a widely used disciplinary strategy with a strong evidence-base, has recently come under scrutiny with concerns about potential adverse effects on children's emotional development and attachment, particularly for those with a history of adversity. To contribute critical empirical insights to the current controversy surrounding time-out by exploring the associations among time-out implementation, parent-child attachment and child mental health, and whether adversity exposure moderated these associations. This cross-sectional study utilised a nationally representative sample of 474 primary caregivers in Australia, with children aged 6-8 years, who completed an online survey. Measures included the Implementation of Time-out Scale, Adverse Life Experiences Scale, Primary Attachment Style Questionnaire, Strengths and Difficulties Questionnaire and Spence Child Anxiety Scale. Appropriately implemented time-out was associated with enhanced mental health and attachment, while inappropriate time-out correlated with adverse child outcomes. Exposure to adversity moderated the relationship between time-out implementation and child well-being, such that children exposed to adversity were most likely to experience attachment enhancement from appropriately implemented time-out. Despite recent concerns of harm caused by time-out, particularly for children with a history of adversity, findings support the beneficial impact of time-out on child well-being and attachment when implemented in accordance with evidence-based parameters. Combatting misinformation and disseminating evidence-based time-out guidelines is crucial for promoting child well-being and attachment, especially for children who have experienced adversity.

Predictors of attachment in early- and late-placed adoptees

Although early experiences with primary caregivers have been recognised to play a significant role in individuals’ attachment relationships, little is known about adoptees’ attachment trajectories once placed within their respective adoptive families. This study aims to address this by investigating how attachment representations might be explained by early predictors including childhood attachment representations and other pertinent pre-placement variables. In early childhood, the Story Stem Assessment Profile (SSAP) is used to capture these representations, whilst in adolescence, an attachment-orientated interview (Friends and Family Interview; FFI) is employed. The sample here consisted of 35 early adoptees, placed before 12 months of age, and 35 maltreated, late-adoptees, placed between four and nine years old. Regression models were statistically significant for three out of four FFI constructs ( Security, Disorganisation, Coherence), though most of these effects were driven by IQ. When exploring the late adoptees alone, all regression models were significant in explaining variance in adolescent attachment, with SSAP Defensive Avoidance and Abuse as the strongest predictors. When examining the early adoptees alone, only two models were statistically significant, with most of these effects from IQ. These findings add to current knowledge on the role of childhood variables in predicting attachment and suggest potential areas to improve adoptees’ outcomes.

Agressions sexuelles, traumas relationnels précoces et processus de mentalisation d'adolescentes en contexte de protection de l'enfance

IntroductionChildhood sexual abuse, particularly intrafamilial (ICSA), has numerous negative repercussions, especially in the context of early relational traumas (ERT). These traumatic events can impair the development of psychic processes, notably mentalization. This capacity is essential for interpreting behaviors in terms of mental states (e.g., intentions, affects, thoughts), which are mental representations of oneself and others. ObjectiveTo explore the mental representations of adolescent girls aged 13 to 17 who have experienced ICSA in an ERT context and to better understand the underlying mentalizing processes. MethodAn Interpretative Phenomenological Analysis (IPA) was conducted based on the narratives of four adolescent girls, derived from the Child Attachment Interview, a semi-structured interview that explores relationships with primary caregivers and mentalizing processes. ResultsThe IPA reveals four main themes illustrated by cinematographic metaphors. First, through images, they express a need to protect themselves from bodily and affective intrusions that disrupt access to mentalizing processes. Second, the body plays a significant role in their relational experiences, profoundly influencing their interactions and self-perception. Third, in the absence of reliable relations and with a fragile sense of self, they often feel insufficient and invalidated, perceiving themselves as de-vitalized objects in the eyes of their aggressors. Finally, the adolescents maintain a hope for repair, seeking to rebuild themselves through the changes they experience. ConclusionThe results provide access to the complex and unique representations of adolescent girls who have experienced ICSA in the context of ERT and help to understand the processes underlying their relational experiences.

Contributions of Attachment and Cognitive Functioning on ADHD Symptoms in Children.

ADHD is a neurodevelopmental disorder with multifactorial origins. Several studies have shown that parent-child attachment impacts the expression of ADHD symptoms, while others have highlighted the influence of cognitive impairments on ADHD symptoms. However, few studies have simultaneously examined the respective contributions of child attachment and cognitive functions to ADHD, which is the aim of this study. We included 45 children with ADHD from a university hospital and 44 typically developing children from regular schools. Child attachment was evaluated using a self-report questionnaire, the French Attachment Security Scale (ASS-Fr), and a narrative interview, the Cartes pour l'évaluation de l'Attachement et de la Mentalisation chez l'Enfant (CAME). Cognitive assessment involved both objective and subjective measures. Perceived attachment security to both parents and disorganized attachment were significantly associated with ADHD symptoms, but these relationships were mediated by externalizing symptoms and executive function difficulties. The relationships between attachment and ADHD symptoms are indirect and mediated by the presence of externalizing symptoms and executive function impairments.

CIPAS Scale: Pilot Test for Evaluating Interaction Quality and Secure Attachment Potential

The adult's sensitivity to the child's communicative signals, their prompt and appropriate response to the child's needs for security, protection, and comfort, along with their ability to regulate emotions in the face of childhood stress, are parenting skills associated with attachment quality. Various instruments and observation scales code these constructs. Furthermore, developmental psychology has made significant contributions regarding the affective and communicative exchanges between parents and children during early stages of life and their implications for the formation of emotional bonds. The objective of this study is to describe the development and preliminary analysis of a new observation scale called: Quality of Interaction and Secure Attachment Potential (CIPAS), which aims to simply integrate the different parameters of the interactive relationship between attachment figures and children in early childhood. The construction process and initial psychometric analyses from a pilot sample are presented. The results showed very high inter-rater reliability, with an overall kappa value of κ=0.88. The relevance of CIPAS is discussed not only as a valuable tool for developmental psychology research but also as an effective instrument to guide educational practices in promoting secure attachment and quality interaction in young children.

Parental emotion socialization and parent-child attachment security: A meta-analytic review.

Although parental sensitivity is an established determinant of children's attachment security, effect sizes are modest, suggesting other aspects of parenting that might support secure attachment. Parental emotion socialization (ES) has been proposed as a parenting domain that is theoretically linked to secure parent-child attachment. The goal of this meta-analysis was to evaluate the strength of the relations between parental ES and attachment security in children under the age of 18. We conducted three meta-analyses assessing the links of supportive parental ES, nonsupportive parental ES, and parental elaboration with attachment security assessed with behavioral, representational, and questionnaire measures (ks = 9-11 samples; Ns = 576-1,763 participants). The relation between supportive ES and security was significant but very small (r = .06). The relation between nonsupportive ES and security was not significant (r = -.05). Parental elaboration emerged as a key correlate of secure attachment, with a medium effect size (r = .24), similar to the relation between sensitivity and attachment security. The findings underscore the need for further research to elaborate on the role of ES in the development of attachment. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Does 60‐ to 72‐Month‐Old Children's Attachment Predict Their Resilience?

ABSTRACTIn this study, the attachment and resilience levels of 60‐ to 72‐month‐old Turkish girls and boys were examined in terms of certain demographic characteristics, and the predictive role of attachment on resilience was investigated while controlling for these characteristics. The study was structured as a descriptive study within the scope of quantitative research methods of the survey model. Participants consisted of 361 children and 73 teachers. We collected the data for the study administering the Incomplete Stories with Doll Family Scale to each child for approximately 20 min by the researcher and having teachers complete the Preschool Period Resilience Scale. Independent samples t‐tests, one‐way analysis of variance (ANOVA) and multiple regression analysis were applied. In the study, the least observed attachment style in children was negative, followed by secure, with avoidance the most prevalent. While the child's gender, parental education level and socio‐economic status explained 14% of resilience, it was determined that the attachment variable explained 57.9% of the variance in resilience when common independent variables were controlled. The results of the study highlight the significance of the impact of attachment styles on the resilience of young children.

Supplemental Material for Parental Emotion Socialization and Parent–Child Attachment Security: A Meta-Analytic Review

Supplemental Material for Parental Emotion Socialization and Parent–Child Attachment Security: A Meta-Analytic Review

Parental Insightfulness, Parental Sensitivity, Parent and Child Mental Health, and Attachment in Autistic Children: A Systematic Review

AbstractThis systematic review aimed to examine whether parental insightfulness is associated with parental sensitivity, parent and child mental health, and attachment in autistic children. Eligible articles used a quantitative research design and included participants who were parents or caregivers of a child diagnosed with autism and who completed a measure of parental insightfulness. Eight papers (six studies) met inclusion criteria. Parental insightfulness was associated with higher parental sensitivity and attachment security. No studies investigated associations between parental insightfulness and parent mental health. Although research is limited, parental insightfulness appears to be associated with parental sensitivity and child attachment in families of autistic children. More research is required to confirm whether these relationships exist cross-culturally, and with different caregivers.

Family therapy and EMDR after child abuse and neglect: moderating effects of child attachment style and PTSD symptoms on treatment outcome

ABSTRACT Background: Effective and appropriate care and treatment for children in order to decrease the psychosocial problems that arose after experiencing child abuse and neglect (CAN) is of vital importance, given the severity of symptomatology that may develop. Objective: The purpose of the present study was to examine whether attachment style and core cluster Posttraumatic Stress Disorder symptoms acted as moderators for treatment outcomes of a new integrative treatment model for trauma and attachment. In this treatment model, family therapy is combined with EMDR and obstacles for trauma processing are tackled first. Method: we included children, ages 6–12 years, with a history of CAN, who did not respond to evidence-based trauma treatment. Target treatment outcomes were problems in attachment, posttraumatic stress symptoms, behaviour, and emotion regulation. We conducted a multiple-baseline ABC Single-Case Experimental Design (SCED). We categorized 12 participants into four groups of attachment style and core cluster PTSD symptoms: (1) non-disorganized & re-experiencing; (2) non-disorganized & avoidance/hyperarousal; (3) disorganized & re-experiencing; & (4) disorganized & avoidance/hyperarousal. We compared the four groups with each other and across time, and the interaction between groups and effect over time. We conducted non-parametric permutation tests and estimated q-values for false discovery rate control. Results: Children with a disorganized attachment style had more severe symptomatology in general, except for posttraumatic stress symptoms. The treatment appeared more effective in targeting and successfully treating children with a non-disorganized attachment style, and specifically children with a non-disorganized attachment style and re-experiencing as core cluster PTSD symptoms. Conclusion: Our study underlines the complexity of treating children who developed a complicated combination of symptomatology after CAN and calls for the continuous development of innovative interventions.

The Predictive Role of Preschool Children's Attachment on Social Competence, Anxiety, Aggression and Self-Control: Peer Relationships as a Mediator.

The main purpose of this study is to examine the predictive role of preschool children's attachment on social competence, anxiety, aggression, and self-control of 5-year-old children (60-71 months), and to test the mediating effect of peer relationships in this model. A total of 309 children participated in the study. The data of the study were collected through the teacher checklist of peer relationships, the social competence and behavior evaluation scale-30, the self-control rating scale which the teacher filled out, and the doll story completion task which the researcher used during the application process. Path analysis was used to explain the direct and indirect relationships between the variables, and a Sobel test was also used to determine the mediational role of peer relationships. The results showed that peer relationships had a mediating effect on parental attachment between anxiety, anger, social competence, and self-control. This study shows that the reflections of insecure attachment experienced in the first years of life can be reduced by peer relationships and the reflections of secure attachment can be strengthened by peer relationships.

Late Adolescents' Early Maladaptive Schemas: Are They Longitudinally Linked with Middle Childhood Temperament Over and Above Attachment?

Temperament is thought to influence the development of early maladaptive schemas (EMSs). However, whether temperament is longitudinally related to EMSs beyond attachment, the best known predictor of EMSs, hasbeen underexplored. Hence, this study investigated (1) Whether middle childhood temperament is longitudinally related to late adolescent EMSs, (2) To what extent temperament explains EMSs beyond middle childhood attachment, and (3) Whether attachment moderates this temperament-EMSs link. In total, 157 children (Mage = 10.91 in middle childhood,Mage = 16.71 in late adolescence) participated in this study. Adolescent EMSs were assessed along with middle childhood temperamental negative affect, affiliation, surgency, and effortful control, and attachment at both explicit and implicit levels. Results indicated that all temperamental features were longitudinally related to later EMSs; themajority of the temperament-EMSs links did not survive after controlling for attachment, except for some limited correlations between EMSs and negative affect and effortful control; and an inconsistent moderating effect for attachment on the temperament-EMSs link. This study provides further insight into the role of child factors (middle childhood temperament and late adolescent attachment) in understanding EMSs variability in late adolescence. It suggests that EMSs are informed more by past relational experiences (attachment) thanchildren'sinborn tendencies (temperament).

Intergenerational coparenting and child development outcomes: A systematic review

AbstractGrandparents often serve important childrearing roles. The present study is a systematic review of research that examined the association between intergenerational coparenting and children's development. Following the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses guidelines, 220 records were identified, and 16 studies were included in the final review. The review provided a detailed analysis of the methodological characteristics of research in this area. Findings indicated that better intergenerational coparenting was associated with higher levels of children's social competence, executive functioning, and attachment security. Evidence also suggests parenting mediates the relation between intergenerational coparenting and child development. Several directions for future research emerged from the review including the need (a) for measurement strategies that reflect the multidimensional nature of intergenerational coparenting, (b) to consider the various parent‐grandparent dyads, and (c) to incorporate other family factors and processes (e.g., quality of parent‐grandparent relationships) into studies that focus on intergenerational coparenting.