Predictors Of Attachment Security Research Articles

Specificity of Insecure Attachment in Adolescents With Borderline Personality Disorder in Psychiatric Inpatient and Community-Dwelling Adolescents.

Borderline personality disorder (BPD) has been conceptualized as a disorder of attachment. However, the specificity of attachment insecurity to BPD in adolescents remains unclear. In this study, an inpatient sample (n = 521), of which 173 (33.2%) met the criteria for BPD, and a control sample of community-dwelling adolescents (n = 294) ages 12-17 were compared on a self-report measure of attachment security. In addition, hierarchical regression analyses were carried out to examine the incremental contribution of BPD symptoms, over and above internalizing and externalizing symptoms, in predicting attachment security. Results showed expected group differences such that adolescents with BPD evidenced higher levels of attachment insecurity to both fathers and mothers than psychiatric and community-dwelling controls. BPD features also incremented internalizing and externalizing problems associated with attachment security. However, because psychiatric controls also evidenced high levels of attachment insecurity, we conclude that while attachment insecurity is particularly salient for BPD, it is not necessarily specific to the disorder.

Associations Among Parental Caregiving Quality, Cannabinoid Receptor 1 Expression-Based Polygenic Scores, and Infant-Parent Attachment: Evidence for Differential Genetic Susceptibility?

Attachment is a biological evolutionary system contributing to infant survival. When primary caregivers/parents are sensitive and responsive to their infants’ needs, infants develop a sense of security. Secure infant attachment has been linked to healthy brain and organ-system development. Belsky and colleagues proposed the term differential susceptibility to describe context-dependent associations between genetic variations and behavioral outcomes as a function of parenting environments. Variations in the Cannabinoid Receptor Gene 1 (CNR1) are associated with memory, mood, and reward and connote differential susceptibility to more and less optimal parental caregiving quality in predicting children’s behavioral problems.AimTo determine if parental caregiving quality interacts with children’s expression-based polygenic risk score (ePRS) for the CNR1 gene networks in the prefrontal cortex, striatum, and hippocampus in predicting the probability of attachment security and disorganized attachment.DesignProspective correlational methods examined maternal-infant pairs (n = 142) from which infants provided DNA samples at 3 months. Parental caregiving quality was assessed via the Child Adult Relationship Experiment (CARE)-index at 6 months, and attachment security via the Strange Situation Procedure at a mean age of 22 months. The CNR1 ePRSs include genes co-expressed with the CNR1 genes in the prefrontal cortex, striatum, or hippocampus, and were calculated using the effect size of the association between the individual single nucleotide polymorphisms from those genes and region-specific gene expression (GTEx). Logistic regression was employed (alpha < 0.05, two-tailed) to examine the main and interaction effects between parental caregiving quality and ePRSs in predicting attachment patterns. Interpretation of results was aided by analyses that distinguished between differential susceptibility and diathesis-stress.ResultsSignificant interactions were observed between (1) maternal sensitivity and ePRS in the striatum in predicting attachment security, (2) maternal unresponsiveness with the ePRS in the hippocampus in predicting disorganization, and (3) maternal controlling with the ePRS in the hippocampus in predicting disorganization.ConclusionThese findings offer support for genetic differential susceptibility to the quality of maternal sensitivity in the context of the ePRS in the striatum. However, the significant interactions between hippocampal ePRS and maternal unresponsiveness and controlling in predicting the probability of disorganization were more suggestive of the diathesis-stress model.

Aggressiveness in Adopted and Non-Adopted Teens: The Role of Parenting, Attachment Security, and Gender.

The aim of this study was to examine the relationship among aggressiveness, parenting practices, and attachment security in adolescents, assessing maternal and paternal effects separately. Two different subsamples of adolescents between 12 and 16 years old participated in the study (n = 157): 67 adopted adolescents (61.2% girls) and 90 non-adopted adolescents (56.7% girls). Partial and full mediation models were analyzed in multi-group structural equation models (using maximum likelihood estimates), allocating non-adoptive and adoptive adolescents into two different groups. Results showed that whereas acceptance/involvement of each parent predicted attachment security towards the corresponding parental figure, only the father’s coercion/imposition predicted aggressiveness, and only attachment security to the mother was a (negative) predictor of adolescent’s aggressiveness. The partial mediation model provided the most parsimonious explanation for the data, showing no differences between adopted and non-adopted subsamples and supporting a good model fit for both boys and girls in a multi-group invariance analysis. The implications of these results are discussed in light of the protective effects of care relationships in early adolescence (vs. late adolescence) as well as the differential role of parent figures.

Associations of maternal sensitivity and embodied mentalizing with infant-mother attachment security at one year in depressed and non-depressed dyads

ABSTRACT Parental Embodied Mentalizing (PEM) captures the parent’s capacity to extrapolate the child’s mental states from movement and respond on a nonverbal level. Little is known about PEM’s relation to other established measures of parent-child interactive behavior, such as maternal sensitivity and attachment. This is investigated in a sample of four months old infants and mothers with (n = 27) and without a diagnosis of postpartum depression (n = 44). Video-recorded infant-mother interactions were coded independently using PEM and Coding Interactive Behavior. Attachment was assessed at 13 months using the Strange Situation Procedure. Sensitivity and PEM was positively associated, but only sensitivity predicted attachment security and only the nonclinical group. This indicates that PEM and sensitivity are moderately related as well as capturing different aspects of infant-mother interactions. The study confirms previous findings of sensitivity predicting attachment in nonclinical groups. More research is required to further understand predictors of attachment in clinical samples.

Caregiver's Sensitivity and Attachment Security in Early Childhood Education Settings in the Kpandai District of the Republic of Ghana

Caregiver sensitivity in early childhood education settings is considered as a significant association moderating between the caregivers and children's learning outcome. The current study advance the very limited knowledge about Ghanaian early childhood education settings particularly in Kpandai District and use a wide range of prior literature based on sensitivity hypothesis of attachment theory that relates sensitive nurture with attachment security. The study is quantitative in nature design to analyze the relation between 16 caregivers’ sensitivity and attachment security of their preschool children. Two instruments were used for assessment: Caregiver Behaviour for Pre-schoolers Q-set and Attachment Behaviour Q-set Version 3.0. The study posits a level of sensitivity similar to the previously reported, and a slightly higher level of children security was found. Regarding the relation between both variables, sensitivity was found as a predictor of attachment security. The study, however, recommended a replication of this study in other cultural contexts in which the paternal figure be included and with other development conditions groups. Keywords: caregiver sensitivity, attachment relations, early childhood education DOI: 10.7176/RHSS/10-17-05 Publication date: October 31 st 2020

Pleasure in parenting and father-child attachment security

ABSTRACTThis study examined relations between father-child attachment security and both paternal sensitivity and fathers’ pleasure in parenting. At 12 months of age sensitivity was coded from father-infant interactions and pleasure in parenting was coded from fathers’ interviews assessing attitudes toward the parenting role. Father-child dyads participated in the Strange Situation Procedure assessing attachment relationship quality. Sensitivity was related to more pleasure in parenting, but neither variable alone predicted attachment security. However, pleasure in parenting moderated the association between sensitivity and attachment. Moreover, the concordance between sensitivity and pleasure in parenting differed markedly across attachment classifications. In secure relationships fathers showed strong concordance between sensitivity and pleasure in parenting. Fathers in avoidant relationships demonstrated high sensitivity coupled with low pleasure in parenting, whereas fathers in disorganized relationships showed low sensitivity coupled with high pleasure in parenting. Results speak to the importance of integrating cognitive, affective, and behavioral aspects of parenting in father-child attachment research.

A Role of Oxytocin Receptor Gene Brain Tissue Expression Quantitative Trait Locus rs237895 in the Intergenerational Transmission of the Effects of Maternal Childhood Maltreatment.

Women exposed to childhood maltreatment (CM) are more likely to exhibit insensitive parenting, which may have consequences for their offspring's development. Variation in the oxytocin-receptor gene (OXTR) moderates risk of CM-associated long-term sequelae associated with mother-child attachment, although functionality of previously investigated single nucleotide polymorphisms (SNPs) remained elusive. Here, we investigated the role of OXTR rs237895, a brain tissue expression quantitative trait locus (eQTL), as a moderator of the relationship between CM and maternal behavior (MB) and the association between MB and offspring attachment security. Of 110 women with information on rs237895 genotype (T-allele= 64, CC= 46), 107 had information on CM (CTQ) and 99 on standardized observer-based ratings of MB at 6 months postpartum (responsivity and detachment), which were used in principal component analysis to obtain a latent factor representing MB. Offspring (n= 86) attachment was evaluated at 12 months of age. Analyses predicting MB were adjusted for socioeconomic status, age, postpartum depression, and genotype-based ethnicity. Analyses predicting child attachment were adjusted for infant sex, socioeconomic status, and postpartum depression. rs237895 significantly moderated the relationship between CM and MB (F1;66= 7.99, p< .01), indicating that CM was associated with maternal insensitivity only in high-OXTR-expressing T-allele carriers but not in low-OXTR-expressing CC homozygotes. Moreover, maternal insensitivity predicted offspring insecure attachment (B= -0.551; p< .05). Women with a high OXTR expressing genotype are more susceptible to CM-related impairments in MB that, in turn, predict attachment security in their children, supporting the role of the OT system in the intergenerational transmission of risk associated with maternal CM.

Maternal sensitivity to distress, attachment and thedevelopment of callous-unemotional traits in young children.

BackgroundCallous‐unemotional (CU) traits are characterized by a lack of responsiveness to the emotions of others, particularly negative emotions. A parenting environment where the child's own distress emotions are sensitively responded to may help foster the child's ability to respond to the emotions of others. We tested whether maternal sensitivity to distress, and other parenting characteristics, were associated with CU traits over the preschool period, and examined whether this was mediated via infant attachment status.MethodIn an epidemiological cohort, CU traits were assessed at age 2.5, 3.5, and 5.0 years by mother report. Dimensions of parenting were assessed in free play at age 29 weeks in a stratified subsample of 272, and attachment status at 14 months (n = 265). Structural equation modelling with maximum likelihood estimation was used to examine predictions from parenting dimensions and attachment status.ResultsA parenting factor comprised of sensitivity to distress (n = 207), sensitivity to non‐distress, positive regard toward the infant (or warmth), and intrusiveness, predicted child CU traits (p = .023). This effect was accounted for mainly by sensitivity to distress (p = .008) and positive regard (p = .023) which showed a synergistic effect as evidenced by a significant interaction (p = .01). This arose because the combination of low sensitivity to distress and low positive regard created the risk for elevated CU traits. Although sensitivity and positive regard predicted attachment security and disorganization, there were no associations between attachment status and CU traits.ConclusionsThe finding of contributions from both sensitivity to distress and positive regard to reduced CU traits suggests that children's responsiveness to others’ emotions may be increased by their own mothers’ responsiveness to them and their mothers’ warmth. There was no evidence that this was mediated via attachment status. Implications for intervention and future directions are discussed.

Predictors of attachment security in children adopted from China by US families: implication for professional counsellors

ABSTRACTThis study investigated children’s age when adopted, time spent with adoptive families, institutionalization experience and parenting styles in predicting attachment security in children adopted from China by US families. Participants were 92 US parents with children adopted from China with a mean age of 19-month old at the time of adoption. Children in this study have spent an average of 5 years with their adoptive parents. Authoritative parenting was found to be a positive predictor, whilst permissive parenting was a negative predictor of attachment security. Results provided practical implications for professional counsellors who work with adoptive families and Chinese adoptees. Results also shed light on future research directions.

Trajectories of mothers’ emotional availability: relations with infant temperament in predicting attachment security

ABSTRACTThe present study examined observations of parenting quality (mothers’ emotional availability – EA) during infant bedtimes at 4 points across the infants’ first year, assessing relations between levels and trajectories of EA and infant attachment at 12 months and the role of infant temperament in moderating these associations. The sample (N = 128) was predominantly Euro-American (82.5%) and at low socioeconomic risk. Latent growth curve modeling with latent basis coefficients indicated substantial individual differences in initial levels and slopes in EA trajectories across the first year. Both levels of maternal EA and EA trajectories across the first year predicted 12-month infant attachment security. Although maternal EA tended to decrease across the first year in the full sample, EA trajectories that showed a “bounce-back” between 6 and 12 months, suggesting more successful maternal adaptation to an expanding infant developmental repertoire, predicted greater infant security at 12 months. In addition, linkages between latent EA trajectories and 12-month attachment were moderated by 3-month infant temperamental reactivity and regulation. These findings indicate that infant attachment security is sensitive to both static and dynamic aspects of parenting quality across the first year, and that infant temperament can interact with both in predicting infant attachment.

Defense Mechanisms of Pregnant Mothers Predict Attachment Security, Social-Emotional Competence, and Behavior Problems in Their Toddlers.

For at-risk (single parent, low income, low support) mothers, healthy adaptation and the ability to manage stress have clear implications for parenting and the social-emotional well-being of their young offspring. The purpose of this longitudinal study was to examine associations between defense mechanisms in pregnant women and their toddlers' attachment security, social-emotional, and behavioral adjustment. Participants were 84 pregnant women during their last trimester of pregnancy, recruited from community agencies primarily serving low-income families. Women were followed prospectively from pregnancy through 2 years after birth and completed several multimethod assessments during that period. Observations of mother-child interactions were also coded after the postnatal visits. Multiple regression analyses revealed that mothers' defense mechanisms were significantly associated with several toddler outcomes. Mature, healthy defenses were significantly associated with greater toddler attachment security and social-emotional competence and fewer behavior problems, and less mature defenses (disavowal in particular) were associated with lower levels of attachment security and social-emotional competence. Associations remained significant, or were only slightly attenuated, after controlling for demographic variables and partner abuse during pregnancy. The study findings suggest that defensive functioning in parents preparing for and parenting toddlers influences the parent-child attachment relationship and social-emotional adjustment in the earliest years of life. Possible mechanisms for these associations may include parental attunement and mentalization, as well as specific caregiving behavior toward the child. Defensive functioning during times of increased stress (such as the prenatal to postnatal period) may be especially important for understanding parental influences on the child.

Attention to Faces Expressing Negative Emotion at 7 Months Predicts Attachment Security at 14 Months.

To investigate potential infant‐related antecedents characterizing later attachment security, this study tested whether attention to facial expressions, assessed with an eye‐tracking paradigm at 7 months of age (N = 73), predicted infant–mother attachment in the Strange Situation Procedure at 14 months. Attention to fearful faces at 7 months predicted attachment security, with a smaller attentional bias to fearful expressions associated with insecure attachment. Attachment disorganization in particular was linked to an absence of the age‐typical attentional bias to fear. These data provide the first evidence linking infants' attentional bias to negative facial expressions with attachment formation and suggest reduced sensitivity to facial expressions of negative emotion as a testable trait that could link attachment disorganization with later behavioral outcomes.

Alexithymia and adult attachment representations: Associations with the five-factor model of personality and perceived relationship adjustment

Several studies have demonstrated associations between alexithymia, adult attachment styles, personality traits, and relationship adjustment. Only two studies, however, have explored associations between alexithymia and attachment representations. As part of a larger investigation of maternal and infant attachment, the current study explored this association in a sample of 97 pregnant women; in addition, measures of alexithymia and domains of the five-factor model (FFM) of personality were compared in predicting attachment security, assessed with the Adult Attachment Interview Coherence of Mind mind scale, and perceived relationship adjustment. Alexithymia negatively predicted coherence of mind; the domains of the FFM did not add significantly to the prediction. The Openness-to-Experience domain predicted relationship adjustment better than alexithymia. Contrary to findings from studies that assessed adult attachment styles, coherence of mind was unrelated to relationship adjustment and the FFM. The results suggest that alexithymia does not uniquely predict relationship adjustment beyond the domains of the FFM.

Individual dispositions as precursors of differences in attachment quality: why maternal sensitivity is nevertheless important

This paper explores the interplay of maternal sensitivity (or, more generally, the quality of the caregiving social environment) and infant individual dispositions in predicting infant–mother attachment. After a brief theoretical introduction, the focus turns to studies conducted during the 1980s that predicted attachment security vs. insecurity at 12 months from newborns’ ability to regulate orientation and arousal. A re-analysis of two longitudinal studies, formerly coded only with the ABC system, subsequently revealed that disorganized (vs. organized) attachment was predictable from newborns’ regulatory abilities, whereas secure (vs. insecure) attachment was predictable from the quality of maternal care. This suggested that the two dichotomies represented distinct dimensions and that – in low risk samples – disorganized SSP behavior may be associated with infant behavioral dispositions. More recent attempts to predict disorganized attachment from infant genetic (as opposed to newborn behavioral) dispositions yielded inconsistent results when only main effects models were examined. A set of subsequent studies examining the interplay of genetic and caregiving influences in the prediction of disorganized attachment suggested that maternal sensitivity is of particular importance in cases of genetic risk.

Attachment Security in Three-Year-Olds who Entered Substitute Care in Infancy.

This study assessed relations among number of out-of-home placement changes, time in caregivers' care, caregiver type (i.e., foster parent, adoptive parent, kinship relation, and biological parent), child gender, and caregiver-child Emotional Availability (EA) as predictive of child attachment security when children were 3 years old in a sample of 104 caregivers and children. Children entered court-ordered care by six months of age. On average, children at the age of three spent 30 months with their caregivers, and nearly half of them were adopted by that time. Child attachment was assessed using the Attachment Q-set (Waters & Deane, 1985), and caregiver-child EA was assessed using the EA Scales, 4th edition (Biringen, 2008). Sixty-six percent of children at age 3 showed secure attachments with caregivers, and EA subscale scores were also relatively high on average. The study predictor variables of EA Caregiver Sensitivity, Child Responsiveness, and Child Involvement predicted attachment security, with girls more likely to be securely attached to their substitute caregivers at age three than boys. Study limitations and directions for future research are discussed.

The Interaction of Maternal Personality Traits and Intimate Partner Violence as Influences on Maternal Representations

ABSTRACTMaternal representations of the infant and self‐as‐mother predict attachment security and may be differentially influenced by environmental stressors such as intimate partner violence (IPV), but no study has yet examined potential direct and interactive effects of maternal personality. Maternal representations (Working Model of the Child Interview; C.H. Zeanah, D. Benoit, L. Hirshberg, M.L. Barton, &amp; C. Regan, 1994), maternal personality (Revised NEO Personality Inventory; P.T. Costa &amp; R.R. McCrae, 1992), and experiences of domestic violence (Severity of Violence Against Women Scales; L. Marshall, 1992) were assessed in a community sample of 180 women during pregnancy and 1 year postpartum. Logistic regression analyses assessed main and interaction effects of personality traits and IPV exposure on maternal representations in pregnancy and stability and change over the first year of life. Maternal openness and agreeableness increased the odds of balanced prenatal representations while extraversion predicted change from nonbalanced to balanced representations when the child was age 1 year. The relationship with conscientiousness and openness was moderated by IPV exposure. The authors conclude that the interaction of IPV and maternal personality has significant implications for the earliest substrates of parenting. Future research may include maternal personality variables to further explicate their role as broad predictors of caregiving representations. Clarification of the role of neuroticism is needed. These findings may inform the development of family‐based interventions targeting caregiving and insecure attachment relationships.

Japanese children's family drawings and their link to attachment

This study explored the applicability of family drawings as a tool to estimate attachment security in a sample of Japanese six-year-olds (N = 47), applying Kaplan and Main's (1986) Family Drawing system. Maternal secure/insecure attachment status judged by the Adult Attachment Interview predicted family drawings' secure/insecure distinction produced by Japanese six-year-olds. However, insecure Japanese drawings took forms not seen in the original Berkeley drawings, such as a lineup of faces alone. Further examination of the Japanese children's drawings using global rating scales (Fury, Carlson, & Sroufe, 1997) yielded significant gender differences, rarely reported in the attachment literature, with girls scoring higher in scales that predict attachment security and boys scoring higher in scales that predict attachment insecurity. However, attachment security, as captured in the drawings, was not related to attachment security, observed behaviorally using Main and Cassidy's (1988) sixth-year reunion system. Implications of the findings are discussed in light of measurements, gender, and culture.

Multi-risk infants: predicting attachment security from sociodemographic, psychosocial, and health risk among African-American preterm infants

Ecological and transactional theories link child outcomes to accumulated risk. This study hypothesized that cumulative risk was negatively related to attachment, and that maternal sensitivity mediated linkages between risk and attachment. One hundred and twelve high-risk African-American premature infant-mother dyads participated. Psychosocial (maternal depression, stress and self-efficacy) and sociodemographic risk (poverty, maternal education, marital status) were maternal self-report (0-4 months). Infant health risk was obtained from hospital charts. Infant-mother attachment (12 months) and maternal sensitivity (4 months) were assessed with Q-sort measures. Psychosocial and sociodemographic risk, but not infant health risk, negatively related to attachment. Both were mediated by maternal sensitivity. The impact of risk domains on attachment security was mediated by maternal sensitivity. Results emphasize the need for early intervention programs targeting premature infants to identify and address environmental and personal factors that place parenting at risk.

Families Experiencing Divorce: Age at Onset of Overnight Stays, Conflict, and Emotional Availability as Predictors of Child Attachment

This study examined the qualities that contribute to postdivorce child attachment in a sample of 24 divorcing mothers and their children, ages 12 to 73 months, in the context of shared parenting time arrangements. Child attachment was assessed using Waters's Attachment Q-Set (AQS). Qualities such as age at onset of overnight stays, interparental conflict and communication, and emotional availability were examined for their importance in attachment security and dependency. Study hypotheses were partially supported. Although the study variables collectively did not predict attachment security and dependency outcomes, as hypothesized, the predictor variable of emotional availability (EA) child involvement proved significantly related with AQS security. Children who involved their mothers more in interaction were more secure with them. Further, EA child involvement contributed to attachment outcomes above and beyond age of onset of overnight stays and parent and partner contributions to interparental conflict.

Both maternal sensitivity and atypical maternal behavior independently predict attachment security and disorganization in adolescent mother–infant relationships

Extant theory holds that variation in attachment security is largely determined by caregiver sensitivity whereas disorganization has its roots in atypical interactions that frighten the infant. These hypotheses were confirmed in the current study of a high-risk sample but, contrary to current theory, both atypical maternal behavior and maternal sensitivity were also significant independent predictors of attachment disorganization and security.