Kerns Security Scale Research Articles

Associations between secure base script knowledge in early childhood and perceived quality of attachment in middle childhood

Previous studies suggest that mental representations of attachment can show moderate stability across childhood but none of these considered the child’s use of the Secure Base Script (SBS). This study tested the longitudinal stability of attachment representations from early to middle childhood, providing data that will allow us to determine whether the SBS score behaves like other attachment measures for early childhood in this regard. A sample of 70 Portuguese preschool children (36 girls) was assessed regarding their access to and use of the SBS when producing narratives relevant to attachment themes (e.g., separation, fear of ambiguous threat) at age 5 years using the Attachment Story Completion Task. Follow-up assessments were obtained at 8 and 9 years of age using the Kerns Security Scale. Security scores for both parents were obtained from the child in both years. All cross-time correlations were positive and significant. Subsequent tests on correlation magnitudes for mothers vs. fathers were not significant. Finally, correlations for mother/father security scores were significant at both age levels. Our findings indicate that children’s access to and use of the SBS in early childhood does predict their perceived quality of attachment with parents in middle childhood. Overall, our results indicate that access to and use of SBS in young children’s attachment-relevant narratives is a valid and potentially productive measure.

Is There a Difference in Parental Attitudes and Attachment for ADHD-Social Phobia Comorbidity?

Social phobia (SP) is one the commonest of comorbid anxiety disorders seen with ADHD. It is also known that Social phobia and ADHD patients have some differences in parental attitudes and attachment styles. We aimed to investigate the effects attachment status and parental attitudes in ADHD-social phobia comorbidity. 66 children and adolescents with ADHD were included for the study. the Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version, DSM-5 November 2016-Turkish Adaptation (KSADS-PL-DSM5-T) was used for evaluating diagnosis. Socioeconomic status (SES) was scored with Hollingshead Redlich Scale. Sosyodemografic and clinical data were recorded. Adult Attachment Scale (AAS) and Parental Attitudes Research Instrument (PARI) were completed by the parents. The patients filled Kerns Security Scale (KSS). We compared the ADHD patients with and without SAD comorbidity in terms of scales used and sociodemographic-clinical variables. There were no differences between ADHD + SP group and ADHD without SP group in terms of age, gender, SES, family structure and family history of diagnosed psychiatric disease (p>0.05). Rate of inattentive subtype of ADHD (p=0.05) and comorbid psychiatric disease frequency (p=0.00) was higher in ADHD+SP group compared to ADHD without social phobia group. However, the groups did not differ according to their attachment styles, their parent's attachment styles and parental attitudes (p>0.05). Parental attitudes and attachment styles may not play a role in the development of SP comorbidity in children and adolescents with ADHD. Other biological and environmental factors should be kept in mind when evaluating and treating children with ADHD who have SP. Biological treatments and individualized interventions such as CBT may be chosen as a first line treatment rather than psychotherapies targeting attachment and parenting styles in those children.

Psychometric Properties of the Child Attachment Interview in Italian Context: A Focus on Normative and Specific Clinical Groups in School-Aged Children.

While attachment assessments developed for infancy and adulthood are well established, no such gold standard measure exists for school years, where measures are not yet sufficiently robust. Nevertheless, the last decade has witnessed some progress in this field with the development of the Child Attachment Interview (CAI), a semistructured interview designed to access children's mental representations of their attachment relationships. This study aimed to test the validity and reliability of the CAI for an Italian population, using a normative group and a clinical group of disruptive behavior disorder and somatic symptom disorder patients. A total sample of 311 Italian children (213 normative and 98 clinical) aged 8 to 15 years completed a battery of measures assessing attachment, verbal IQ, and symptomatology. The psychometric properties of the CAI alongside other children (Kerns Security Scale, Inventory of Parent and Peer Attachment) and parents (Adult Attachment Interview) attachment measures in normative sample, as well as the distribution of attachment patterns in normative and clinical samples, were examined. The results revealed the CAI to have adequate interrater and test-retest reliability, as well as discriminant, and convergent validity. Significant differences in the CAI's distribution of attachment patterns for normative and specific clinical groups were found. Taken together, the findings show that the CAI Italian version is a reliable and valid measure for assessing attachment in school years and beyond.

Sustained effects on attachment security in middle childhood: results from a randomized clinical trial of the Attachment and Biobehavioral Catch-up (ABC) intervention.

Interventions have been developed to promote the development of secure and organized attachments during early childhood among children who have experienced early adversity, yet little is known about whether the effects of these early interventions are sustained beyond 12months postintervention. The current study examined whether receiving the Attachment and Biobehavioral Catch-Up (ABC) intervention during infancy led to improvements in perceived attachment security in middle childhood among 100 Child Protective Services (CPS)-referred children. Children and parents were randomized to receive ABC or a control intervention during infancy. Children completed the Kerns Security Scale at age nine (Mage =9.46, SD=0.36). (Trial Registry Name: Intervening Early with Neglected Children; Registry ID: NCT02093052; URL for registry: https://clinicaltrials.gov/ct2/show/NCT02093052?term=dozier&rank=1). Children whose parents received ABC reported higher levels of attachment security on the Kerns Security Scale at age nine than children whose parents had received the control intervention, t(98)=2.31, p=.023, d=0.49. Findings underscore the long-term benefits of intervening early to promote caregiving quality among at-risk families and demonstrate the efficacy of a brief 10-session intervention in promoting attachment security over the span of eight years in a sample of CPS-referred children.

A mediational model linking perceptions of security, alexithymia and behavior problems of sexually abused children.

Perceptions of security toward parents are related with internalized and externalized problems among victims of child sexual abuse (CSA). Alexithymia, which is difficulty in identifying and expressing feelings, is associated with the quality of parent-child relationships (Oskis et al., 2013) and behavior problems in children (Di Trani et al., 2013). The current study tested the mediational role of alexithymia in the relationship between perceptions of security toward parents and behavior problems among CSA victims. Using a short-term multi-informant prospective design, 263 victims of CSA aged 6-12 years completed the Kerns Security Scale (Kerns, Klepac, & Cole, 1996), which evaluates perceived attachment security to mothers and fathers. Parents completed the Child Behavior Checklist (Achenbach & Rescorla, 2001) at Time 1 to provide baseline scores of behavior problems and again four months later. At Time 2, parents also assessed the children's alexithymia using the Children's Alexithymia Measure (Way et al., 2010). Perceptions of security were both associated with alexithymia, as well as with internalizing and externalizing problems (p < .05). A mediational model showed that perception of security toward fathers outweighed the mother-child relationship in predicting children's alexithymia. Path analysis revealed that the father-child relationship predicted decreased behavioral problems at Time 2 through a lower level of alexithymia. The model explained 46.9% of internalizing problems and 56.1% of externalizing problems (p < .05). The findings support the relevance of alexithymia as an intervention target for CSA victims and underscore the importance of the father-child relationship.

An analysis of avoidant and approach coping as mediators of the relationship between paternal and maternal attachment security and outcomes in child victims of sexual abuse.

Prior studies have documented the potential role of nonoffending parent support in promoting recovery of adult survivors following sexual abuse (SA). However, few studies have distinguished the maternal and paternal role and the mechanisms by which quality of the parent-child relationship might foster more positive outcomes in child victims. The purpose of this study was to examine coping strategies as mediators of the link between mother-child and father-child relationship and outcomes following child SA. A sample of 505 children (339 girls and 166 boys) ages 6-13 years completed measures evaluating perceived attachment security to mother and father (Kerns Security Scale; Kerns, Klepac, & Cole, 1996), as well as coping strategies related to the SA experienced (Self-Reported Coping Scale; Causey & Dubow, 1992). Outcomes evaluated were posttraumatic stress symptoms (PSS; Children's Impact of Traumatic Events Scale-II [CITES-II]; Wolfe, 2002) and self-esteem (Harter, 1985). Results indicated that, in girls, both attachment security to the mother and to the father are associated with lower PSS symptoms and higher self-esteem through a lesser use of avoidant coping. Avoidance coping mediated the link between attachment security to the mother and outcomes in boys. In addition, security in the relationship with the same-sex parent was associated with approach coping, which in turn was associated with both outcomes for girls and with PSS for boys. Findings highlight the importance of involving both parents in interventions for sexually abused children as mothers and fathers appear to play different, yet complementary roles in sustaining children's recovery. (PsycINFO Database Record

Perceived attachment security to parents and peer victimization: Does adolescent's aggressive behaviour make a difference?

Peer victimization is one of the most prominent problems during adolescence. Research has distinguished aggressive and non-aggressive victims; however, there are still significant drawbacks in understanding the social and family functioning of these different groups of victimized adolescents. This study aimed to compare social behavior and perceived attachment security to parents of Portuguese adolescents, classified as aggressive victims, non-aggressive victims and non-victims. The sample consisted of 222 adolescents (115 boys, 107 girls) who completed the Kerns Security Scale and the Extended Class Play, to assess perceived attachment security and social behavior, respectively. Controlling for age and sex, aggressive victims and non-aggressive victims differed in anxious withdrawal but shared a similar profile in peer exclusion and prosocial behavior. Only aggressive victims reported lower attachment security to mother and father when compared to non-victims. These findings underline that victimized adolescents constitute a heterogeneous group in terms of their social and family functioning.

The role of maternal care in borderline personality disorder and dependent life stress

BackgroundBorderline Personality Disorder (BPD) affects 0.9%–3.2% of adolescents, and more than 20% of inpatient adolescents. Life stress has been linked to BPD across the lifespan, and previous research in adults has linked BPD to dependent stress (i.e., stress induced by the individual). However, prior research has not examined dependent stress alongside BPD in adolescents. Additionally, the potential protective effect of maternal care has not been considered in this relation. This study tested a moderation model expecting that (1) BPD would be positively associated with dependent life stress, (2) maternal care would be negatively associated with BPD, and (3) maternal care would moderate the relation between BPD and dependent life stress.MethodThe sample consisted of 184 adolescents recruited from an inpatient psychiatric facility serving a diverse population in the Southwestern United States. Dependent life stress, BPD, and maternal care were measured using the UCLA Life Stress Interview, DSM-IV Childhood Interview for BPD, and Kerns Security Scale, respectively.ResultsResults supported the first two hypotheses; BPD diagnosis was significantly, positively associated with dependent life stress, and negatively associated with maternal availability and dependability. Contrary to the third hypothesis, no significant evidence that maternal care acts as a buffer in the relation between BPD and dependent life stress was found.ConclusionsAlthough maternal care was not found to moderate the association between BPD and dependent life stress, results supported previously found relations between BPD, dependent life stress, and maternal care, and did so within a diverse inpatient adolescent sample.

児童期中期におけるアタッチメントの安定性を測定する試み：カーンズ・セキュリティ・スケール（KSS）の日本語版作成

児童期中期におけるアタッチメントの安定性を測定する試み：カーンズ・セキュリティ・スケール（KSS）の日本語版作成

Security, Reliance and Availability: Psychometric features of the Kerns’ Security Scale in Hungarian population

Background This study examines the Kerns’ Security Scale (KSS) that is a self-report questionnaire to assess school-age children’s certain family-related experiences, and is widely used in the United States and in certain European countries. Objectives The aim of the present investigation is to review the factor structure of the KSS in Hungarian population and to describe the characteristics of the scales in an Eastern-Central European country, as well as to check its external validity by the Child Depression Inventory, and to evaluate its feasibility in clinical practice and school psychology services. Methods The sample consisted of 323 primary and secondary schools students (137 boys and 186 girls), aged 10–18 years. They completed the Kerns’ Security Scale and the Child Depression Inventory. Results statistical analysis has revealed that the items of the security questionnaire can be divided into three subscales, namely: Reliance, Availability, and Autonomy support. The mothers’ subscale scores are higher than fathers’ subscale scores (Reliance: t = 7.1, p &lt; .001; Availability t = 8.9, p &lt; .001; Autonomy support t = 3.2, p &lt; .01). Conclusion The results supported the three factor model of the KSS, and recommended to apply for clinical practice and in school psychology services.

Secure attachment status is associated with white matter integrity in healthy young adults.

The present study investigates associations between security of attachment in the mother-child relationship and patterns of brain connectivity in young adults. We hypothesized that secure attachment would relate to more efficient connectivity in white matter association fibers due to increased myelination. Attachment security was measured in 53 young adults using the Kerns Security Scale; anatomical information was acquired using diffusion tensor imaging. Higher fractional anisotropy, an index of directionality of diffusion, related to security of attachment in four left-hemisphere white matter association fibers (uncinate fasciculus, cingulum, superior longitudinal fasciculus, and inferior fronto-occipital fasciculus). As expected, this result was mainly ascribable to increased myelination, which has been independently associated with attachment security. Security of attachment may have an identifiable biological basis. Our research demonstrates the feasibility of coupling neuroimaging tools with clinical investigation.

Children’s attachment to both parents from toddler age to middle childhood: links to adaptive and maladaptive outcomes

We examined children’s attachment security with their mothers and fathers in a community sample (N = 100). At 25 months, mothers, fathers, and trained observers completed Attachment Q-Set (AQS). At 100 months, children completed Kerns Security Scale (KSS) for each parent. Children’s adaptation (behavior problems and competence in broader ecologies of school and peer group, child- and parent-reported) was assessed at 100 months. Generally, the child’s security with the mother and father was modestly to robustly concordant across both relationships, depending on the assessment method. Observers’ AQS security scores predicted children’s self-reported security six years later. For children with low AQS security scores with mothers, variations in security with fathers had significant implications for adaptation. Those whose security with fathers was also low reported the most behavior problems and were seen as least competent in broader ecologies, but those whose security with fathers was high reported few problems and were seen as competent. Observer-rated security with fathers predicted children’s higher competence in broader ecologies, both self- and parent-reported. A cumulative index of the history of security from toddler age to middle childhood, integrating measures across both relationships and diverse methodologies, was significantly associated with positive adaptation at 100 months.

Emotional and behavioral problems in relation with the attachment securities of adopted vs. non-adopted children and the child rearing practices of their parents

This study aimed to investigate and compare emotional and behavioral problems in Turkish adoptees and non-adopted peers raised by their biological parents. The study included 61 adopted children (34 female and 27 male) aged 6-18 years and 62 age- and gender-matched non-adopted children (35 female and 27 male). Parents rated their children's problem behaviors using the Child Behavior Checklist/6-18, temperament characteristics using the School Age Temperament Inventory, their own personality traits using the Basic Personality Traits Inventory, and their parenting styles using the Measure of Child Rearing Styles. Children rated their parents' availability and reliability as attachment figures using the Kerns Security Scale and parenting styles using the Measure of Child Rearing Styles. Adolescents aged 11-18 years self-rated their problem behaviors using the Youth Self Report. Group differences and correlations were analyzed. There were non-significant differences in all scale scores between the adopted and non-adopted groups. In contrast to the literature, age of the children at the time of adoption was not associated with problem behaviors or attachment relationships. On the other hand, the findings indicate that as the age at which the children learned that they had been adopted increased emotional and behavioral problems increased. Adoption alone could not explain the problem behaviors observed in the adopted children; the observed problem behaviors should be considered within the context of the developmental process.

An investigation of the security of caregiver attachment during middle childhood in children with high-functioning autistic disorder

Previous research has investigated caregiver attachment relationships in children with autism during early childhood, with few differences found from matched control groups. However, little is known of this relationship during middle childhood (ages 8-12 years). In this study, the aim was to establish whether there are differences in the security of attachment in children with high-functioning autism compared to typically developing children. A secondary aim was to establish whether caregivers' perceptions of their child's attachment to them accorded with the children's own reports. Twenty-one children with high-functioning autism and 17 typically developing children were administered the Kerns Security Scale and the Inventory of Parent and Peer Attachment-Revised, and caregivers completed the same questionnaires from the viewpoint of their child. There were no differences between the groups in the children's and parents' reports of attachment security. Parents' and children's reports were moderately correlated on the Kerns Security Scale but were not correlated on the Inventory of Parent and Peer Attachment-Revised. The results indicate that levels of attachment security in children with high-functioning autism are not different from those in typically developing children.

Attachment Stability in Children Aged 6 to 9 Years in Extended and Nuclear Families

Research Findings: The main aim of this study was to identify whether the attachment security of children living in nuclear and extended families is stable from ages 6 to 9 years in a sample of Turkish children. In total, 54 children participated in the study, of whom 27 lived in nuclear families and the other 27 lived in extended families in Muş Province, Turkey. Incomplete Stories with a Doll Family and the Kerns Security Scale were used with the same group after a 3-year interval. Attachment was found to be stable for 54% of the overall sample: 47% of those living in extended families and 59% of those living in nuclear families. These findings support the argument that attachment follows a stable course from age 6 to 9 years onward. Depending on time, this stability was also found to be significant in terms of gender and family type. Practice or Policy: The findings from this study contribute to the relevant literature both in terms of the identification of attachment stability between the ages of 6 and 9 and with regard to the effects of family type on attachment stability.

Validity evidence for the security scale as a measure of perceived attachment security in adolescence

In this study, the validity of a self-report measure of children’s perceived attachment security (the Kerns Security Scale) was tested using adolescents. With regards to predictive validity, the Security Scale was significantly associated with (1) observed mother-adolescent interactions during conflict and (2) parent- and teacher-rated social competence. With regards to convergent validity, the Security Scale was significantly associated with all subscales of the Adult Attachment Scale (i.e., Depend, Anxiety, and Close) as measured 3 years later. Further, these links were found even after controlling for mother-child relationship quality as assessed by the Inventory of Parent and Peer Attachment (IPPA), and chi-square difference tests indicated that the Security Scale was generally a stronger predictor as compared to the IPPA. These results suggest that the Security Scale can be used to assess perceived attachment security across both childhood and adolescence, and thus could contribute significantly to developmental research during this period.

Social Information Processing, Security of Attachment, and Emotion Regulation in Children With Learning Disabilities

This study examined the contribution of attachment security and emotion regulation (ER) to the explanation of social information processing (SIP) in middle childhood boys with learning disabilities (LD) and without LD matched on age and grade level. Children analyzed four social vignettes using Dodge's SIP model and completed the Kerns security scale and the children's self-control scale. Study results demonstrated major difficulties in SIP, lower attachment security, and less ER in children with LD compared to children without LD. Attachment as well as the interaction between attachment and ER emerged as important contributors to most SIP steps, suggesting that children with higher security who also have better ER skills will have better SIP capabilities along the different steps, beyond group inclusion. Results were discussed in terms of practical and clinical implications regarding the importance of mother-child attachment and ER skills for social cognitive capabilities in children with LD.

Attachment to Mothers and Fathers during Middle Childhood: Associations with Child Gender, Grade, and Competence

AbstractAttachment relationships of first, third, and fifth graders with their mothers and fathers, and their associations with self‐perceived and teacher‐rated competence, were investigated. Children rated their attachment security with mothers and fathers using the Kerns security scale. Children's perceptions of academic and peer competence were measured using Harter's self‐perception profile, and teachers also rated children's competence. Girls felt greater attachment security to their mothers than to their fathers, and boys felt greater attachment security to their fathers than did girls. Greater attachment security with both mothers and fathers was associated with children's perceptions of greater peer and academic competence, and this association was stronger for older children. A greater sense of attachment security with both parents was associated with greater competence than a sense of attachment security with only one parent. Teacher‐rated competence was significantly related to attachment security with mothers but not fathers.