Attachment & Human Development最新文献

We tested the generalizability of the sensitivity-security link in a sample of 35 preschooler-mother dyads from a low socioeconomic district in Lima, Peru. We first describe maternal sensitivity and attachment security at two timepoints during early childhood. Second, we investigated the stability of attachment security and maternal sensitivity over a time span of one year. Third, we tested the association between sensitivity and security at each timepoint. Finally, we investigated whether changes in maternal sensitivity predict changes in child security. The results indicated that sensitivity and security were lower than scores reported in the literature for middle-class samples. T2 maternal sensitivity scores were significantly higher than T1 sensitivity scores, and no significant differences were found between T1 and T2 security. Sensitivity and security were associated at both timepoints, after controlling for socio-demographic variables. One-tail test indicated that changes in maternal sensitivity were associated with changes in child security.

Acknowledged researchers have highlighted the potential pitfalls of using attachment theory to guide decision-making in child protection (CP) cases. This study explores how attachment theory is applied in expert assessments in Norwegian CP decision-making processes, analyzing 285 independent expert reports. Independent experts were mandated to assess the child's attachment quality to the caregiver in one third of the reports. In almost two thirds of the reports, experts weighted the child's attachment quality to the caregiver in their concluding evaluation. Few expert assessments included the employment of attachment measures. When descriptively comparing older and newer reports, there were more newer reports that mandated the experts to assess the child's attachment quality, but fewer newer reports where the experts weighted the child's attachment quality in the concluding evaluation. Our results illustrate that the criticism of an overconfindent use of attachment theory is also relevant for independet expert assessment in CP cases.

The VIPP-SD (Video-feedback Intervention to promote Positive Parenting and Sensitive Discipline) program has been shown to promote positive interactions between parents and children with behavior problems. This study evaluated an adapted version for teachers (VIPP-School) through a parallel-group randomized controlled trial involving 58 teacher-child dyads from kindergarten to second grade. Teacher-child dyads were randomly assigned to VIPP-School (n = 28) or an active control group (n = 30). Intention-to-treat analyses showed improvements in teacher sensitivity (d  = 0.87) and supportive teacher classroom interactions (d  = 0.53) in the VIPP-School condition compared to the control condition. VIPP-School had no significant effect on teachers' observed sensitive discipline (although changes were in the expected direction), nor on reported child externalizing behavior, overall relationship quality, school happiness or teacher self-efficacy. These findings show that the intervention, originally developed for families, could be effectively applied to early elementary education. The limited number of sessions increases the feasibility of VIPP-School.

Before the maturation of higher-order cognitive functions, infants primarily communicate via bodily expressions. Their behavior adjustments are also shaped by caregiver reactions, which differ in timing, intensity, and nature. Although mentalizing, or reflective functioning, is thought to influence caregiver interactions, the literature has largely focused on mentalizing as an explicit, cognitive process. Given the inherently embodied nature of early parent-infant exchanges, this emphasis left a clear gap in capturing the implicit facets of parental mentalizing. Addressing this, the concept of "parental embodied mentalizing" (PEM) was developed, which pertains to a caregiver's implicit capacity to discern and respond to an infant's emotional states, thoughts, and intents through bodily movements, gauged via real-time, shared, kinesthetic interplays. This systematic narrative review explores the PEM construct, scrutinizing its theoretical foundations and empirical basis. We aggregate insights from relevant studies, review the current research landscape's strengths and limitations, and pinpoint areas ripe for further investigation.

Concerns have been raised regarding misconceptions about attachment theory in child protection settings, but the application of attachment concepts in judicial child protection decisions has not been systematically explored. This study therefore examined the perception and application of attachment concepts in Swedish judicial decision protocols concerning involuntary removals of children (aged 0-2 years) where emotional neglect was a notable concern (n=28). Attachment concepts were frequently misunderstood, and imprecisely articulated. Unsystematic observations of child behavior were used to infer attachment insecurity and, by extrapolation, caregiving deficiencies. Attachment concepts were primarily used to support child removal, and insecure attachment seemed to be viewed as meeting the legally required level of risk to warrant involuntary child out-of-home placement. Our results indicate that misconceptions about attachment theory may be prevalent in judicial decision protocols. We emphasize the need to elaborate on risks in legally relevant ways without incorrect appeals to attachment theory.

Negative birth experiences are common. It is yet unclear which women may be most at risk already before pregnancy. Childhood trauma and non-autonoumous/unresolved attachment state of mind may affect how women experience giving birth. This study used longitudinal data to test childhood trauma and attachment state of mind as predictors of birth experience in at-risk sample of primipara women (N = 193). The Adverse Childhood Experiences questionnaire and the Adult Attachment interview were administered during pregnancy, and women reported about their birth experience three months postpartum. Partial Least Square Structural Equation Modelling was applied to answer the research questions. Childhood physical neglect and parental substance abuse were predictive of a more negative birth experience, while attachment state of mind was not associated with how women experienced giving birth. Cross-validation suggests that these findings may be considered externally valid. Further research using validated measures on birth experience are needed.

When children are placed into foster care, they experience separations from their primary attachment figures. Visitations are often arranged to provide ongoing birth parent-child contact. These visitations are complicated, though, because young children typically show a range of confusing behaviors when reunited. Fostering Relationships is a brief intervention designed to enhance visitation for the child, birth parent, and foster parent. We examined the effectiveness of the Fostering Relationships intervention through single subject analyses. We examined whether birth parents followed their child's lead during visitation sessions significantly more than they did not follow their child's lead. Six of seven birth parents who received the Fostering Relationships intervention followed their child's lead significantly more often than not, whereas only one of four of the control parents did so. Results are preliminary, but suggest that Fostering Relationships may be a promising intervention for enhancing visitation.

Mary Main's conceptualization and operationalization of attachment states of mind through the Adult Attachment Interview (AAI) represent seminal contributions to the attachment field. The AAI is a semi-structured clinical interview used to assess attachment states of mind that is widely used in research and clinical settings. Unresolved state of mind regarding loss or trauma has been linked to concurrent internalizing symptoms. The current study explored the associations between unresolved classification and later depression and anxiety, above and beyond trauma history and symptoms. Participants (n = 70) were parents (98.6% female, 67.1% Black/African-American) from a follow-up of a randomized clinical trial of a parenting program for families referred to child welfare services. Parents completed the AAI, Childhood Trauma Questionnaire, and the Psychiatric Diagnostic Screening Questionnaire at timepoint 1 (T1) and the Brief Symptom Inventory approximately 12 years later, at timepoint 2 (T2). Hierarchical regressions revealed that unresolved state of mind significantly predicted depression at T2, and marginally predicted anxiety at T2, above and beyond childhood trauma, post-traumatic stress symptoms, and early internalizing symptoms. These results suggest that unresolved states of mind are clinically significant and provide unique information about later internalizing symptoms in adults with a history of trauma or loss.

Forcibly displaced children often face separation from their parents, particularly fathers. These children endure the hardships of war, displacement, and the loss of a key attachment figure. Despite the critical role of attachment in children's well-being during periods of heightened stress, the impact of separation due to war and displacement has received little attention in empirical work. Findings from 1544 Syrian refugee children (M_age = 10.97, SD = 2.27) living in informal settlements in Lebanon with their mothers (M_age = 38.07, SD = 8.49), including 367 father-separated children, show that father-separated children experienced more war-related events and worse refugee environments. Structural equation modelling showed that beyond the direct relation of war exposure and quality of the refugee environment on well-being, father separation was uniquely related to more depressive symptoms and worse self-development, but not to anxiety, PTSD, or externalising problems in children. Maternal parenting did not explain these outcomes, though it had a protective function for children's well-being.

Bed-sharing is a controversial but common parenting practice with claimed benefits for emotional and behavioral development. Using data from the UK Millennium Cohort Study (N = 16,599), this prospective study investigated whether bed-sharing at 9 months is associated with childhood internalizing and externalizing symptom trajectories. Children were grouped by their patterns of co-developing internalizing and externalizing symptoms from 3 to 11 years of age using a parallel process latent class growth analysis. There were no associations between bed-sharing at 9 months of age and internalizing and externalizing symptom trajectories across childhood. This finding suggests that bed-sharing at 9 months has no positive or negative influence on the development of internalizing and externalizing symptoms across childhood. Clinicians should inform parents that bed-sharing during the second half of the first year is unlikely to have an impact on the later emotional and behavioral development of the children.