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Infant Attachment (infant + attachment)
Selected AbstractsAttachment style, affective loss and gray matter volume: A voxel-based morphometry studyHUMAN BRAIN MAPPING, Issue 10 2010Stefania Benetti Abstract Early patterns of infant attachment have been shown to be an important influence on adult social behavior. Animal studies suggest that patterns of early attachment influence brain development, contributing to permanent alterations in neural structure; however, there are no previous studies investigating whether differences in attachment style are associated with differences in brain structure in humans. In this study, we used Magnetic Resonance Imaging (MRI) and voxel-based morphometry (VBM) to examine for the first time the association between attachment style, affective loss (for example, death of a loved one) and gray matter volume in a healthy sample of adults (n = 32). Attachment style was assessed on two dimensions (anxious and avoidant) using the ECR-Revised questionnaire. High attachment-related anxiety was associated with decreased gray matter in the anterior temporal pole and increased gray matter in the left lateral orbital gyrus. A greater number of affective losses was associated with increased gray matter volume in the cerebellum; in this region, however, the impact of affective losses was significantly moderated by the level of attachment-related avoidance. These findings indicate that differences in attachment style are associated with differences in the neural structure of regions implicated in emotion regulation. It is hypothesized that early attachment experience may contribute to structural brain differences associated with attachment style in adulthood; furthermore, these findings point to a neuronal mechanism through which attachment style may mediate individual differences in responses to affective loss. Hum Brain Mapp, 2010. © 2010 Wiley-Liss, Inc. [source] The predictive value of different infant attachment measures for socioemotional development at age 5 years,INFANT MENTAL HEALTH JOURNAL, Issue 4 2009Sanny Smeekens The predictive value of different infant attachment measures was examined in a community-based sample of 111 healthy children (59 boys, 52 girls). Two procedures to assess infant attachment, the Attachment Q-Set (applied on a relatively short observation period) and a shortened version of the Strange Situation Procedure (SSSP), were applied to the children at age 15 months and related to a comprehensive set of indicators of the children's socioemotional development at age 5 years. Three attachment measures were used as predictors: AQS security, SSSP security, and SSSP attachment disorganization. AQS security and SSSP security jointly predicted the security of the children's attachment representation at age 5. Apart from that, SSSP attachment disorganization was a better predictor of the children's later socioemotional development than were the other two early attachment measures. First, attachment disorganization was the only attachment measure to predict the children's later ego-resiliency, school adjustment, and dissociation. Second, as for the socioemotional measures at age 5 that also were related to AQS or SSSP security (i.e., peer social competence and externalizing problems), the attachment security measures did not explain any extra variance beyond what was explained by attachment disorganization. [source] Preventing preschool externalizing behavior problems through video-feedback intervention in infancyINFANT MENTAL HEALTH JOURNAL, Issue 5 2006Mariska Klein Velderman In the present study (1) intervention effects on children's preschool behavior problems were evaluated in a high risk sample with an overrepresentation of insecure adult attachment representations in 77 first-time mothers, and (2) predictors and correlates of child problem behavior were examined. Early short-term video-feedback intervention to promote positive parenting (VIPP) focusing on maternal sensitivity and implemented in the baby's first year of life significantly protected children from developing clinical Total Problems at preschool age. Also, compared with the control group, fewer VIPP children scored in the clinical range for Externalizing Problems. No intervention effects on Internalizing clinical problem behavior were found. The VIPP effects on Externalizing and Total clinical Problems were not mediated by VIPP effects on sensitivity and infant attachment or moderated by mother or child variables. Maternal satisfaction with perceived support appeared to be associated with less children's Internalizing, Externalizing, and Total Problems. More research is needed to find the mechanisms triggered by VIPP, but the outcomes could be considered as promising first steps in the prevention of disturbing, externalizing behavior problems in young children. [source] Emotional availability: Differential predictions to infant attachment and kindergarten adjustment based on observation time and contextINFANT MENTAL HEALTH JOURNAL, Issue 4 2005Zeynep Biringen Two studies are used to illustrate the importance of context and length of time in the use of the Emotional Availability Scales (EAS) to predict aspects of child development. The purpose of the first study was to examine whether prediction of attachment by the EAS is better with increasing amounts of time. We scored emotional availability (EA) every 15 min for a total of 2 hr, with correlations showing an increasingly stronger relation with attachment with increasing time. In addition, difference scores were calculated between the first and the last 15 min for each EAS dimension. The difference score was significantly higher for the insecure group, suggesting that we need more observation time for the prediction of insecure attachments than is the case for the prediction of secure attachments. The second study investigated whether EA is differentially predictive based on context. We explored play contexts versus reunion contexts. We also explored the relations with other indices of child development. Results revealed that some dimensions of EA (e.g., maternal nonhostility) are difficult to detect outside of a stress context. Maternal nonhostility during the reunion (but not the play situation) was correlated with child aggression in the kindergarten classroom. In addition, most dimensions of EA assessed in the reunion context were better predictors of teacher reports of kindergarten adjustment than was EA assessed in the play situation. [source] Disorganized infant attachment and preventive interventions: A review and meta-analysisINFANT MENTAL HEALTH JOURNAL, Issue 3 2005Marian J. Bakermans-Kranenburg Infant disorganized attachment is a major risk factor for problematic stress management and later problem behavior. Can the emergence of attachment disorganization be prevented? The current narrative review and quantitative meta-analysis involves 15 preventive interventions (N = 842) that included infant disorganized attachment as an outcome measure. The effectiveness of the interventions ranged from negative to positive, with an overall effect size of d = 0.05 (ns). Effective interventions started after 6 months of the infant's age (d = 0.23). Interventions that focused on sensitivity only were significantly more effective in reducing attachment disorganization (d = 0.24) than interventions that (also) focused on support and parent's mental representations (d = ,0.04). Most sample characteristics were not associated with differences in effect sizes, but studies with children at risk were more successful (d = 0.29) than studies with at-risk parents (d = ,0.10), and studies on samples with higher percentages of disorganized attachment in the control groups were more effective (d = 0.31) than studies with lower percentages of disorganized children in the control group (d = ,0.18). The meta-analysis shows that disorganized attachments may change as a side effect of sensitivity-focused interventions, but it also illustrates the need for interventions specifically focusing on the prevention of disorganization. [source] Depression during pregnancy: detection, comorbidity and treatmentASIA-PACIFIC PSYCHIATRY, Issue 1 2010Maria Muzik Abstract Depression during pregnancy is common (,15%). Routine prenatal depression screening coupled with the use of physician collaborators to assist in connecting women with care is critical to facilitate treatment engagement with appropriate providers. Providers should be aware of risk factors for depression , including a previous history of depression, life events, and interpersonal conflict , and should appropriately screen for such conditions. Depression during pregnancy has been associated with poor pregnancy outcomes including preeclampsia, insufficient weight gain, decreased compliance with prenatal care, and premature labor. Current research has questioned the overall benefit of treating depression during pregnancy with antidepressants when compared to the risk of untreated depression for mother and child. Published guidelines favor psychotherapy above medication as the first line treatment for prenatal depression. Poor neonatal adaptation or withdrawal symptoms in the neonate may occur with fetal exposure in late pregnancy, but the symptoms are mild to moderate and transient. The majority of mothers who decide to stop taking their antidepressants during pregnancy suffer relapsing symptoms. If depression continues postpartum, there is an increased risk of poor mother,infant attachment, delayed cognitive and linguistic skills in the infant, impaired emotional development, and behavioral problems in later life. Bipolar depression, anxiety and substance use disorders, and/or presence of severe psychosocial stress can lead to treatment-resistance. Modified and more complex treatment algorithms are then warranted. Psychiatric medications, interpersonal or cognitive-behavioral therapy, and adjunctive parent,infant/family treatment, as well as social work support, are modalities often required to comprehensively address all issues surrounding the illness. [source] Emotion Dialogues Between Mothers and Children at 4.5 and 7.5 Years: Relations With Children's Attachment at 1 YearCHILD DEVELOPMENT, Issue 1 2007David Oppenheim It was examined whether secure infant,mother attachment contributes to emotionally congruent and organized mother,child dialogues about emotions in later years. The attachment of 99 children was assessed using the Strange Situation at the age of 1 year and their emotion dialogues with their mothers were assessed at the ages of 4.5 and 7.5 years. Dialogues were about past emotional events and separation of a child from parents, and were classified into an emotionally matched group or 1 of 3 non-emotionally matched groups. Security in infancy was associated with emotionally matched dialogues at the age of 4.5; there was moderate stability in dialogues between 4.5 and 7.5 years; and infant attachment predicted dialogues at 7.5 beyond the prediction offered by age 4.5 dialogues. [source] The emotional quality of childcare centers in Israel: The Haifa study of early childcareINFANT MENTAL HEALTH JOURNAL, Issue 2 2005Nina Koren-Karie Data from an Israeli project shows higher proportion of insecurely attached infants in center care as compared with noncenter care (Sagi, Koren-Karie, Gini, Ziv, & Joels, 2002). The present study was designed to assess structural and emotional aspects characterizing infants' experiences in center care, aiming to explain, in part, the high incidence of attachment insecurity among center-care infants. In the present study, we focus on 151 center-care infants who were observed in the Ainsworth Strange Situation (Ainsworth, Blehar, Waters, & Wall, 1978) with their mothers. Sixty-one percent of them were coded as securely attached to their mothers while 39% were coded as insecurely attached. In addition, 56 directors and 120 caregivers in 56 centers were videotaped throughout a full-day observation. The Assessment Profile of Early Childhood Program (Abbott-Shim & Sibley, 1987) was also employed. Results indicated that the centers in Israel are of low standards: Large group size, high caregiver,infants ratio, inadequate professional training, and minimal attention to individual emotional needs. No associations were found between infants' attachment and various aspects of the settings. The low quality of the Israeli settings may explain the higher rate of attachment insecurity in center-care infants. ©2005 Michigan Association for Infant Mental Health. [source] Nursing Diagnoses Identified During Parent Group Meetings in a Neonatal Intensive Care UnitINTERNATIONAL JOURNAL OF NURSING TERMINOLOGIES AND CLASSIFICATION, Issue 3-4 2005Ianê Nogueira Do Vale RN PURPOSE.,To identify nursing diagnoses in the reports of parents obtained during parent support group meetings in a neonatal intensive care unit. METHODS.,An explorative descriptive study using records obtained during 29 meetings over a period of 11 months with parents and family members. FINDINGS.,Six NANDA-approved nursing diagnoses were identified from parent group data: fear, risk for impaired parent/infant attachment, parental role conflict, risk for ineffective breastfeeding, impaired home maintenance, and risk for caregiver role strain. Diagnoses were not validated with parents. DISCUSSION.,Support groups helped the parents express their thoughts and feelings and provided nurses with opportunities to identify nursing diagnoses and interventions. The identification of nursing diagnoses showed that nursing interventions that are focused on improved parent outcomes should be implemented for parents and other family members. IMPLICATIONS.,Nursing care in neonatal units should focus on interventions for parents and other family members in addition to providing the necessary care of newborns. [source] | ||||||||||