Infant Attachment Security Research Articles

Intergenerational pathways from reflective functioning to infant attachment through parenting.

The aim of this prospective study was to examine temporal pathways from mothers’ reflective functioning (RF) through parenting to infant attachment measured more than 16 months later. Participants were 88 mother–infant dyads from demographically diverse backgrounds and included a group of mothers with histories of childhood maltreatment. RF was assessed using the RF rating of the Adult Attachment Interview before the birth of the baby. Parenting was assessed when the infants were 6 months old using the Maternal Sensitivity scale, as well as when they were 16 months using the Disconnected and Extremely Insensitive Parenting scale. Infant attachment was assessed when the infants were 16 months old using the Strange Situation. As hypothesised, the study findings showed that mothers’ mentalization regarding their own early attachment relationships was associated with later parenting and infant attachment. Negative parenting behaviours explained the link between mothers’ RF about their own attachment relationships and infant attachment disorganization. The findings suggest that mothers’ mentalization about their early attachment relationships has important implications in the transition to becoming parents themselves. Mentalization appears to be particularly important in helping mothers screen and inhibit negative parenting behaviours that would otherwise undermine infant attachment security and organization.

Attachment and temperament revisited: infant distress, attachment disorganisation and the serotonin transporter polymorphism

Objective: This study’s aim was to evaluate whether infant disorganised attachment and infant proneness to distress exhibited differential relations to infant genetic factors as indexed by the serotonin transporter polymorphism. Background: The role of the short allele of the serotonin transporter polymorphism (5-HTTLPR) in enhancing sensitivity to fearful and negative affect has been well-established. In the current study, we used this known property of the short allele to provide a test of an important postulate of attachment theory, namely that infant attachment security or disorganisation is not a function of the infant’s proneness to distress. Methods: Participants were 39 parents and infants assessed between 12 and 18 months in the Strange Situation Procedure. Genotype categories for the 5-HTTLPR (and rs25531) were created by both the original and the reclassified grouping system; infant proneness to distress was assessed directly in the Strange Situation Procedure. We also assessed maternal behaviour at 18 months to evaluate whether any observed genetic effect indicated a passive effect through the mother. Results: Consistent with previous findings, the 5-HTTLPR short allele was significantly related to the infant’s wariness and distress, but was not related to attachment security or attachment disorganisation. In addition, maternal disrupted interaction with the infant was not related to infant genotype or infant distress. Conclusion: Results support the concept that infant proneness to distress is associated with serotonergic factors while infant attachment security or disorganisation is not a function of either 5-HTTLPR or behaviourally rated proneness to distress.

Beyond the usual suspects: a multidimensional genetic exploration of infant attachment disorganization and security

Although the environmental influences on infant attachment disorganization and security are well-studied, little is known about their heritability. Candidate gene studies have shown small, often non-replicable effects. In this study, we gathered the largest sample (N = 657) of ethnically homogenous, 14-month-old children with both observed attachment and genome-wide data. First, we used a Genome-Wide Association Study (GWAS) approach to identify single nucleotide polymorphisms (SNPs) associated with attachment disorganization and security. Second, we annotated them into genes (Versatile Gene-based Association Study) and functional pathways. Our analyses provide evidence of novel genes (HDAC1, ZNF675, BSCD1) and pathways (synaptic transmission, cation transport) associated with attachment disorganization. Similar analyses identified a novel gene (BECN1) but no distinct pathways associated with attachment security. The results of this first extensive, exploratory study on the molecular-genetic basis of infant attachment await replication in large, independent samples.

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.

Parent-infant psychotherapy for improving parental and infant mental health.

Parent–infant psychotherapy (PIP) is a dyadic intervention that works with parent and infant together, with the aim of improving the parent–infant relationship and promoting infant attachment and optimal infant development. PIP targets the mother’s view of her infant, linking her own early

Psychotherapy process and relationship in the context of a brief attachment-based mother-infant intervention.

The present study investigated links between the observer-rated process of psychotherapy and 2 key psychotherapy relationship constructs (i.e., working alliance and attachment to the therapist) in the context of a brief, attachment-based, home-visiting, mother-infant intervention that aimed to promote later secure infant attachment. Additionally, links between observer ratings of intervener and mother contributions to process were examined. Participants included 85 economically stressed mothers of first-born, 5.5-month-old, temperamentally irritable infants. Therapists included 2 doctoral-level and 4 master's-level home visitors. Observer-rated therapist psychotherapy process variables (i.e., warmth, exploration, and negative attitude) were not linked to maternal ratings of working alliance. Therapist warmth, however, was positively associated with maternal ratings of security of attachment to the therapist, and therapist negative attitude was positively related to maternal ratings of preoccupied-merger attachment to the therapist. As expected, both therapist warmth and exploration were positively associated with both maternal participation and exploration. Therapist negative attitude was inversely related to maternal exploration, but not to maternal participation. Results support the idea that attention to the psychotherapy process and relationship may be important in the context of a brief home-visiting parenting intervention with a nonclinical sample.

Parent‐infant Psychotherapy for Improving Parental and Infant Mental Health: A Systematic Review

Parent‐infant Psychotherapy for Improving Parental and Infant Mental Health: A Systematic Review

Infant attachment security and early childhood behavioral inhibition interact to predict adolescent social anxiety symptoms.

Insecure attachment and behavioral inhibition (BI) increase risk for internalizing problems, but few longitudinal studies have examined their interaction in predicting adolescent anxiety. This study included 165 adolescents (ages 14-17years) selected based on their reactivity to novelty at 4months. Infant attachment was assessed with the Strange Situation. Multimethod BI assessments were conducted across childhood. Adolescents and their parents independently reported on anxiety. The interaction of attachment and BI significantly predicted adolescent anxiety symptoms, such that BI and anxiety were only associated among adolescents with histories of insecure attachment. Exploratory analyses revealed that this effect was driven by insecure-resistant attachment and that the association between BI and social anxiety was significant only for insecure males. Clinical implications are discussed.

Enhancing maternal sensitivity and infant attachment security with video feedback: an exploratory study in Italy.

This study aims to explore whether a short-term and attachment-based video-feedback intervention, the Video-Feedback Intervention to Promote Positive Parenting With Discussions on the Representational Level (VIPP-R; F. Juffer, M.J. Bakermans-Kranenburg, & M.H. van IJzendoorn, 2008), might be effective in enhancing maternal sensitivity and in promoting infants' attachment security in an Italian sample of dyads with primiparous mothers. Moreover, we explore whether the effectiveness of VIPP-R might be different for parents with insecure attachment representations who might be most in need of preventive intervention, as compared to parents who already have a more balanced and secure state of mind. Thirty-two infants (40% female) and their mothers participated in the study. The sample was divided into an intervention group (n = 16) and a comparison group (n = 16). At 6 and 13 months of age, the Adult Attachment Interview (AAI; M. Main, N. Kaplan, & J. Cassidy, 1985) was administered. Moreover, a 30-min mother-infant play situation was videotaped and coded for maternal sensitivity with the Emotional Availability Scales (Z. Biringen, J. Robinson, & R.N. Emde, 2000). At 13 months of age, the Strange Situation Procedure (M.D.S. Ainsworth, M.D. Blehar, E. Waters, & S. Wall, 1978) was used to assess the security of mother-infant attachment. Results revealed a significant interaction effect between intervention and AAI security for infant attachment security; moreover, main effects of AAI security and intervention for maternal sensitivity were found. The VIPP-R appears effective in enhancing maternal sensitivity and infant attachment security, although only mothers with an insecure attachment representation may benefit from the intervention.

Insecure attachment during infancy predicts greater amygdala volumes in early adulthood.

BackgroundThe quality of the early environment is hypothesized to be an influence on morphological development in key neural areas related to affective responding, but direct evidence to support this possibility is limited. In a 22-year longitudinal study, we examined hippocampal and amygdala volumes in adulthood in relation to early infant attachment status, an important indicator of the quality of the early caregiving environment.MethodsParticipants (N = 59) were derived from a prospective longitudinal study of the impact of maternal postnatal depression on child development. Infant attachment status (24 Secure; 35 Insecure) was observed at 18 months of age, and MRI assessments were completed at 22 years.ResultsIn line with hypotheses, insecure versus secure infant attachment status was associated with larger amygdala volumes in young adults, an effect that was not accounted for by maternal depression history. We did not find early infant attachment status to predict hippocampal volumes.ConclusionsCommon variations in the quality of early environment are associated with gross alterations in amygdala morphology in the adult brain. Further research is required to establish the neural changes that underpin the volumetric differences reported here, and any functional implications.

Maternal reflective functioning among mothers with childhood maltreatment histories: links to sensitive parenting and infant attachment security

This study examined relationships among maternal reflective functioning, parenting, infant attachment, and demographic risk in a relatively large (N = 83) socioeconomically diverse sample of women with and without a history of childhood maltreatment and their infants. Most prior research on parental reflective functioning has utilized small homogenous samples. Reflective functioning was assessed with the Parent Development Interview, parenting was coded from videotaped mother–child interactions, and infant attachment was evaluated in Ainsworth’s Strange Situation by independent teams of reliable coders masked to maternal history. Reflective functioning was associated with parenting sensitivity and secure attachment, and inversely associated with demographic risk and parenting negativity; however, it was not associated with maternal maltreatment history or PTSD. Parenting sensitivity mediated the relationship between reflective functioning and infant attachment, controlling for demographic risk. Findings are discussed in the context of prior research on reflective functioning and the importance of targeting reflective functioning in interventions.

Infant emotion regulation: Relations to bedtime emotional availability, attachment security, and temperament

The present study examines the influences of mothers’ emotional availability toward their infants during bedtime, infant attachment security, and interactions between bedtime parenting and attachment with infant temperamental negative affectivity, on infants’ emotion regulation strategy use at 12 and 18 months. Infants’ emotion regulation strategies were assessed during a frustration task that required infants to regulate their emotions in the absence of parental support. Whereas emotional availability was not directly related to infants’ emotion regulation strategies, infant attachment security had direct relations with infants’ orienting toward the environment and tension reduction behaviors. Both maternal emotional availability and security of the mother–infant attachment relationship interacted with infant temperamental negative affectivity to predict two strategies that were less adaptive in regulating frustration.

Examining Circle of Security™

The Circle of Security™ interventions are psychosocial treatments intended to increase maternal sensitivity and thus child attachment security in infants and young children. A small number of publications have reported empirical research on outcomes of these treatments. This article reviews the research evidence, plausibility, theoretical background, and generalizability of Circle of Security, and concludes that these interventions are plausible emerging treatments, presently weakly supported by research evidence, but potentially able to receive support from further research. The commercialization of Circle of Security is discussed as a possible obstacle to independent research. The current level of research support is described as similar to support for other interventions for young children.

The roles of maternal mind-mindedness and infant security of attachment in predicting preschoolers’ understanding of visual perspective taking and false belief

This study is a follow-up to a previous study that examined two aspects of mother–child relationships—mothers’ mind-mindedness and infant attachment security—in relation to toddlers’ early manifestations of theory of mind understanding at 2years of age. The current study aimed to assess the same two aspects of mother–child relationships in relation to children’s (N=59) theory of mind performance at 4years of age. Results of the current study confirmed and expanded on relations observed at 2years. Mothers’ use of appropriate mind-related comments specifically during toy-based free play at 12months of age predicted preschoolers’ understanding of false belief and Level 2 visual perspective taking over and above earlier perspective-taking abilities. Furthermore, more securely attached boys, but not girls, performed better on a task requiring Level 2 visual perspective taking. The similarity of results across the two time points suggests the reliability of associations among mothers’ use of mind-related comments during toy-based play, boys’ attachment security, and children’s subsequent social understanding. The current results also suggest that maternal mind-mindedness may be most relevant to children’s social cognition when assessed in toy-based play contexts.

TEP/TDM d’une bartonellose : à propos d’un cas

This study is a follow-up to a previous study that examined two aspects of mother–child relationships—mothers’ mind-mindedness and infant attachment security—in relation to toddlers’ early manifestations of theory of mind understanding at 2 years of age. The current study aimed to assess the same two aspects of mother–child relationships in relation to children’s (N = 59) theory of mind performance at 4 years of age. Results of the current study confirmed and expanded on relations observed at 2 years. Mothers’ use of appropriate mind-related comments specifically during toy-based free play at 12 months of age predicted preschoolers’ understanding of false belief and Level 2 visual perspective taking over and above earlier perspective-taking abilities. Furthermore, more securely attached boys, but not girls, performed better on a task requiring Level 2 visual perspective taking. The similarity of results across the two time points suggests the reliability of associations among mothers’ use of mind-related comments during toy-based play, boys’ attachment security, and children’s subsequent social understanding. The current results also suggest that maternal mind-mindedness may be most relevant to children’s social cognition when assessed in toy-based play contexts.

Insightfulness and later infant attachment in clinically depressed and nonclinical mothers.

The aim of this pilot study was to investigate the relationship between maternal insightfulness and sensitivity and subsequent infant attachment security and disorganization in clinically depressed and nonclinical mother-infant groups. Nineteen depressed mothers with infants ages 3 to 11 months participated in this study. Twenty nonclinical mother-infant dyads were matched to the clinical sample according to infant sex and age. Maternal depression was assessed using the Diagnostic and Statistical Manual of Mental Disorders, fourth edition (American Psychiatric Association, 1994), insightfulness using the Insightfulness Assessment (IA), and sensitivity using the Maternal Sensitivity Scales (M.D.S. Ainsworth, 1969). IA classifications and subscales were considered separately. Later infant attachment was assessed by the Strange Situation Procedure (M.D.S. Ainsworth, M.C. Blehar, E. Waters, & S. Wall, 1978). Depressed mothers tended to have less securely attached children than did nonclinical mothers. Within the clinical sample, the insightfulness categories correlated slightly moderately with attachment security, but were not related to attachment disorganization. Within the nonclinical sample, the IA categories were slightly moderately associated with attachment security and with disorganization. On IA subscales, relationship patterns differed in clinically depressed and nonclinical mother-infant dyads. These findings provide the first evidence of the predictive power of the IA categorization and subscales on subsequent infant attachment. They also may allow the development of different foci of intervention for enhancing insightful caregiving.

The eye of the begetter: predicting infant attachment disorganization from women's prenatal interpretations of infant facial expressions.

Infant-caregiver attachment disorganization has been linked to many long-term negative psychosocial outcomes. While various prevention programs appear to be effective in preventing disorganized attachment, methods currently used to identify those at risk are unfortunately either overly general or impractical. The current investigation tested whether women's prenatal biases in identifying infant expressions of emotion--tendencies previously shown to relate to some of the maternal variables associated with infant attachment, including maternal traumatization, trauma symptoms, and maternal sensitivity--could predict infant attachment classification at 18 months postpartum. Logistic regression analyses revealed that together with women's adult history of high betrayal traumatization, response concordance with a normative reference sample in labeling infant expressions as negatively valenced, and the number of infant facial expressions that participants classified as "sad" and "angry" predicted subsequent infant attachment security versus disorganization. Implications for screening and prevention are discussed.

Emotional and adrenocortical regulation in early adolescence

The aim of the present study was to examine differences in emotion expression and emotion regulation in emotion-eliciting situations in early adolescence from a bio-psycho-social perspective, specifically investigating the influence of early mother-infant attachment and attachment disorganization on behavioural and adrenocortical responses. The sample consisted of 96 children of the Regensburg Longitudinal Study IV. At age 12 months, attachment security and disorganization were assessed in the Strange Situation. At age 12 years, the adolescents were observed together with their mother during a computer game (eliciting anger) and the “Talk Show Task” (eliciting fear). Analyses included self-ratings and mother-ratings of the adolescents’ emotions (anger and fear), observations of the adolescents’ emotional expression and emotional regulation (social regulation, effective regulation) as well as concurrent maternal emotional support. In addition, adrenocortical activity was assessed from saliva samples before and after observation. The findings revealed different patterns of social-emotional responses depending on early attachment security. Adolescents with secure infant attachment reported more anger, when anger was induced, were rated as less anxious by their mothers, and their emotion self-ratings were more similar to their mothers’ ratings compared to adolescents with an early insecure attachment. An increased adrenocortical response was only found in the group of adolescents with attachment disorganization in infancy, especially with increased fear.

A randomized controlled trial comparing Circle of Security Intervention and treatment as usual as interventions to increase attachment security in infants of mentally ill mothers: Study Protocol

BackgroundPsychopathology in women after childbirth represents a significant risk factor for parenting and infant mental health. Regarding child development, these infants are at increased risk for developing unfavorable attachment strategies to their mothers and for subsequent behavioral, emotional and cognitive impairments throughout childhood. To date, the specific efficacy of an early attachment-based parenting group intervention under standard clinical outpatient conditions, and the moderators and mediators that promote attachment security in infants of mentally ill mothers, have been poorly evaluated.Methods/DesignThis randomized controlled clinical trial tests whether promoting attachment security in infancy with the Circle of Security (COS) Intervention will result in a higher rate of securely attached children compared to treatment as usual (TAU). Furthermore, we will determine whether the distributions of securely attached children are moderated or mediated by variations in maternal sensitivity, mentalizing, attachment representations, and psychopathology obtained at baseline and at follow-up. We plan to recruit 80 mother-infant dyads when infants are aged 4-9 months with 40 dyads being randomized to each treatment arm. Infants and mothers will be reassessed when the children are 16-18 months of age. Methodological aspects of the study are systematic recruitment and randomization, explicit inclusion and exclusion criteria, research assessors and coders blinded to treatment allocation, advanced statistical analysis, manualized treatment protocols and assessments of treatment adherence and integrity.DiscussionThe aim of this clinical trial is to determine whether there are specific effects of an attachment-based intervention that promotes attachment security in infants. Additionally, we anticipate being able to utilize data on maternal and child outcome measures to obtain preliminary indications about potential moderators of the intervention and inform hypotheses about which intervention may be most suitable when offered in a clinical psychiatric outpatient context.Trial registrationCurrent Controlled Trials ISRCTN88988596

Love Thy Baby: Breastfeeding and Its Relation to Infant Attachment Security

A popular assumption among authors is that breastfeeding promotes a strong relationship between the mother and baby. Publications on the topic often make unsubstantiated claims about the positive effects of breastfeeding on a maternal bond with the infant or on the attachment of the infant to His/Her mother. This notion is so pervasive that mothers report improvement of their relationship with their infants, rather than health or developmental effects as their main reason for breastfeeding. A UK study by Murphy (recently reviewed by Jansen et al.) found that those intending to bottle-feed were more commonly accused of being poor mothers-an attitude likely to cause inordinate stress and guilt in those who are unable to breastfeed for whatever reason. This paper reviews the existing empirical scientif ic literature, and argues that there is not enough evidence to support the claim that breastfeeding has a significant advantage over bottle-feeding on infant attachment security, positing mediating factors such as maternal sensitivity and overall dyadic interaction quality, as well as an effect of demographic variables such as socioeconomic status and race, particularly the influence of cultural beliefs and childrearing practices on both breastfeeding initiation/duration and attachment security outcomes.