Maternal employment and infant-mother attachment security at 12 months postpartum.

This study assessed the association between aspects of mother's employment and security of infant-mother attachment, in combination with proximal (maternal sensitivity) and distal (demographic, maternal, child, child-care) factors. Participants were 145 Australian mothers and their firstborn children. Attachment security was assessed with the Strange Situation at 12 months. Results showed that mothers' prenatal attitudes to work and timing of the return to work made significant, independent contributions to attachment outcomes over and above the effects of proximal and distal predictors. Mothers who expressed more commitment to work and less anxiety about using nonfamily child care, and who returned to work earlier, were more likely to have secure infants. These findings are considered in relation to contemporary expectations about mothers' participation in paid work and other predictors of secure attachment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Mother's insightfulness regarding their infants' internal experience: Relations with maternal sensitivity and infant attachment.

This study examined the associations among mothers' insightfulness into their infants' internal experience, mothers' sensitivity to their infants' signals, and infants' security of attachment to their mothers. The insightfulness of 129 mothers of 12-month-old infants was assessed by showing mothers 3 videotaped segments of observations of their infants and themselves and interviewing them regarding their infants' and their own thoughts and feelings. Interviews were classified into 1 insightful and 3 noninsightful categories. Mothers' sensitivity was assessed during play sessions at home and at the laboratory, and infant-mother attachment was assessed with the Strange Situation. Mothers classified as positively insightful were rated as more sensitive and were more likely to have securely attached children than were mothers not classified as positively insightful. Insightfulness also accounted for variance in attachment beyond the variance explained by maternal sensitivity. These findings add an important dimension to research on caregiving, suggesting that mothers' seeking of explanations for the motives underlying their infants' behavior is related to both maternal sensitivity and infant attachment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

In search of shared and nonshared environmental factors in security of attachment: A behavior-genetic study of the association between sensitivity and attachment security.

The current article presents results from a twin study of genetic and environmental components of maternal sensitivity and infant attachment and their association. The sample consisted of 136 twin pairs from 2 sites: Leiden, the Netherlands, and London, UK. Maternal sensitivity was assessed in the home at 9-10 months, and infant attachment security was observed in the laboratory at 12 months. The study yielded little evidence that genetic factors are involved in variations between twins in maternal sensitivity ratings but did find that shared variance in maternal sensitivity was able to account for some of the similarity between twins in attachment security. Weak nonshared associations between sensitivity and attachment appeared to suppress the magnitude of the correlation between attachment and sensitivity in twin children. The results could indicate that the attachment security of one twin may depend on the relationship the parent has with the other twin. The results are brought to bear on the validity of attachment theory as a theory of primarily shared environmental effects in children's development and the continuing challenge posed to attachment theory by within-family differences in socioemotional processes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effects of attachment-based interventions on maternal sensitivity and infant attachment: Differential susceptibility of highly reactive infants.

The current intervention study aimed at breaking the potential intergenerational cycle of insecure attachment. The authors randomly assigned 81 first-time mothers to one of two intervention groups or a control group. The interventions involved four home visits when the infants were between 7 and 10 months old. The first intervention, VIPP, consisted of video-feedback and brochures to enhance sensitive parenting. The second intervention, VIPP-R, involved additional discussions of mothers' childhood attachment experiences in relation to their current caregiving. After the intervention, intervention mothers were more sensitive than control mothers. The interventions were most effective for highly reactive children and their mothers, providing experimental support for Belsky's (1997) hypothesis of highly reactive versus less reactive children's evolutionary based differential susceptibility to rearing influences. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Maternal sensitivity, infant attachment, and temperament in early childhood predict adjustment in middle childhood: The case of adopted children and their biologically unrelated parents.

In a longitudinal study, internationally adopted children (N=146) placed before 6 months of age were followed from infancy to age 7. Results showed that girls were better adjusted than boys, except in cognitive development, and that easy temperament was associated with higher levels of social, cognitive, and personality development and fewer behavior problems. Higher quality of child-mother relationships, in terms of attachment security and maternal sensitivity, uniquely predicted better social and cognitive development. The combination of attachment disorganization and difficult temperament predicted less optimal ego-control and lower levels of cognitive development. It is concluded that even in adopted children, who are not biologically related to their adoptive parents, early mother-infant interactions and attachment relationships predict later socioemotional and cognitive development, beyond infant temperament and gender. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A dimensional approach to maternal attachment state of mind: Relations to maternal sensitivity and maternal autonomy support.

The aim of this study was to examine the developmental significance of the newly developed dimensional approach to attachment state of mind by investigating its capacity to predict individual differences in the quality of two caregiving behaviors—maternal sensitivity and maternal autonomy support—that are linked to numerous important child outcomes. Seventy-one upper-middle-class, predominantly French-speaking and Caucasian dyads participated in 3 home visits (34 girls). The Adult Attachment Interview (AAI) was administered when the infants were 8 months old, maternal sensitivity was assessed when they were 12 months old, and maternal autonomy support was assessed at 15 months. The results revealed that, above and beyond SES, maternal sensitivity was negatively related to the dismissing dimension of the AAI, whereas maternal autonomy support was negatively linked to the preoccupied/unresolved dimension. In contrast, the traditional AAI categories were not significantly linked to parenting. These results speak to the relevance of using a continuous approach to attachment state of mind when predicting individual differences in specific caregiving behaviors. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

The overlapping contributions of attachment orientation and social support in predicting life-events distress.

Attachment anxiety, attachment avoidance, and perceived social support are examined as predictors of life-events distress. Clients at initial intake to an addiction treatment centre and university students in their graduating year were administered measures of attachment orientation, social support, and the experience of distressing life events. Hypotheses were tested across different categories of distressing life events (overall distress, bereavement, relationship dissolution, crime victimization, and severe accidents). We found that attachment anxiety and attachment avoidance have varying predictive utility for distress, depending on the type of event. Social support did not account for variance beyond attachment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Quality of object relations and security of attachment as predictors of early therapeutic alliance.

Security of attachment and quality of object relations were measured as predictors of initial impressions of the therapeutic alliance as well as dropout. Fifty-five individual psychotherapy clients were administered the Revised Adult Attachment Scale and the Bell Object Relations and Reality Testing Inventory prior to their initial therapy session. Thirty of these participants completed the Working Alliance Inventory following their 1st, 2nd, and 3rd sessions. Security of attachment and quality of object relations were strongly related. Security of attachment and quality of object relations showed relations to early alliance that decreased over time. Attachment and object relations were not related to dropout. Limitations include small sample size and low research compliance rate. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Perceived coping as a mediator between attachment and psychological distress: A structural equation modeling approach.

This study examined perceived coping (perceived problem-solving ability and progress in coping with problems) as a mediator between adult attachment (anxiety and avoidance) and psychological distress (depression, hopelessness, anxiety, anger, and interpersonal problems). Survey data from 515 undergraduate students were analyzed using structural equation modeling. Results indicated that perceived coping fully mediated the relationship between attachment anxiety and psychological distress and partially mediated the relationship between attachment avoidance and psychological distress. These findings suggest not only that it is important to consider attachment anxiety or avoidance in understanding distress but also that perceived coping plays an important role in these relationships. Implications for these more complex relations are discussed for both counseling interventions and further research. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Infant-mother attachment classification: Risk and protection in relation to changing maternal caregiving quality.

The relations between early infant-mother attachment and children's social competence and behavior problems during the preschool and early school-age period were examined in more than 1,000 children under conditions of decreasing, stable, and increasing maternal parenting quality. Infants' Strange Situation attachment classifications predicted mothers' reports of children's social competence and teachers' reports of externalizing and internalizing behaviors from preschool age through 1st grade. These relations appeared to be mediated by parenting quality; main effects of attachment classification disappeared when effects of parenting quality were controlled. Interactions were also observed. For example, when parenting quality improved over time, teachers rated children with insecure infant-mother attachments lower on externalizing behaviors; when parenting quality decreased, teachers rated insecure children higher on externalizing behaviors. In contrast, children classified as securely attached in infancy did not appear to be affected by declining or improving parenting quality. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Mothers' emotional reactions to crying pose risk for subsequent attachment insecurity.

Links between maternal emotional reactions to crying (anger and anxiety) and infant attachment security were examined in 119 mother-infant dyads. Mothers rated the intensity of their emotional responses to videotapes of crying infants prenatally. Maternal sensitivity was observed during infant exposure to emotion eliciting tasks at six and 16 months postpartum and mothers' self-reported on their responses to their infant's negative emotions at 16 months. Infant attachment security was assessed using the Strange Situation at 16 months postpartum. Results indicated that observed sensitivity was associated with fewer avoidant and resistant behaviors and prenatal maternal anger and anxiety in response to infant crying predicted the developing attachment system independent of observed sensitivity, but in different ways. Maternal anxiety in response to crying was positively associated with resistant behaviors as a direct effect. Maternal anger in response to crying was associated with avoidant behaviors indirectly through mothers' self-reported punitive and minimizing responses to infant distress at 16 months. Theoretical, applied, and methodological implications are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Maternal self-efficacy, knowledge of infant development, sensory sensitivity, and maternal response during interaction.

When their infants were 6 months of age, mothers were assessed for self-efficacy (low, moderate, and high illusory control) and knowledge of infant development to determine their impact on mothers' behavioral sensitivity and affect during a feeding task at 9 months (N=70). Mothers' sensory sensitivity to digital images of infants' negative and positive expressions assessed in a signal detection task at 6 months was hypothesized to mediate this relation. Mothers with moderate illusory control exhibited greatest behavioral sensitivity and positive affect. Low knowledge was associated with reduced sensitivity for mothers with low illusory control only. When viewing the negative expression, mothers with moderate illusory control and high knowledge exhibited greatest sensory sensitivity, and mothers with high illusory control and moderate/high knowledge were least sensitive. Although sensory sensitivity was not a mediating variable, its relation to both illusory control and subsequent maternal measures during feeding was informative. Although greater sensory sensitivity predicted more sensitive behavior and more positive affect, only for maternal affect was the relation independent of illusion of control effects. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Attending to the exploration side of infant attachment: Contributions from self-determination theory.

Understanding the intergenerational transmission of attachment patterns has been a main focus of attachment research for many years. Most of the empirical work conducted on this question has addressed maternal sensitivity to infants’ attachment needs. Given that security of attachment is defined as an attachment/exploration balance, some researchers have stressed the need to explore maternal behaviours in the context of infant exploration. The authors propose that self-determination theory (SDT) could contribute to attachment work in this respect given that it has clearly operationalized parental exploration-related behaviours and has related them to numerous child outcomes. This article highlights conceptual, empirical, and methodological parallels that can be drawn between SDT and attachment theory, thus suggesting that they could be complementary on many levels. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Maternal and infant temperamental predictors of attachment: A meta-analytic review.

Because of the possible implications of infant–mother attachment for later adjustment, we examined the extent to which it could be predicted by mother interactional variables and infant proneness to distress. The meta-analysis demonstrated that sensitive, responsive maternal interaction predicted the security of attachment in Ainsworth and Wittig's (1969) "strange situation." However, the strength of the relation was less than many narrative reviews have suggested. Proneness to distress, which is conceptualized as a temperamental variable, predicted resistance, which is a behavioral pattern in the strange situation that is thought to indicate one variety of insecure attachment. The strength of this association was low but was roughly comparable to that in the maternal domain. In both the maternal and infant domains, we attempted to predict the effect sizes by study characteristics such as method of assessment, sample composition, and age of subjects at the time of study. The pattern of results highlights several continuing methodological problems in the field and suggests that additional explanatory concepts are needed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Maternal attachment representations, maternal sensitivity, and the infant–mother attachment relationship.

The role of maternal sensitivity as a mediator accounting for the robust association between maternal attachment representations and the quality of the infant-mother attachment relationship was examined. Sixty mother-infant dyads were observed at home and in the Strange Situation at 13 months, and mothers participated in the Adult Attachment Interview (AAI) within the next 6 months. A strong association was found between AAI and Strange Situation classifications. and autonomous mothers were more sensitive at home than were nonautonomous mothers. Mothers in secure relationships were more sensitive at home than mothers in nonsecure relationships. Likewise, infants in secure relationships were more secure as assessed by the Waters' Attachment Q sort than infants in nonsecure relationships. A test of the mediational model revealed that maternal sensitivity accounted for 17% of the relation between AAI and Strange Situation classifications. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Maternal representations of past and current attachment relationships, and emotional experience across the transition to motherhood: A longitudinal study.

Sad and anxious feelings are known to increase in the immediate postpartum period, whereas studies on new mothers' other emotional qualities such as anger are scarce. In laboratory studies, attachment security was found to be associated with effective emotion regulation in challenging situations. This study investigated attachment representations of experiences with parents and of current experiences with the partner as predictors of sad, anxious, and angry feelings across the transition to motherhood. Seventy-seven pregnant women in their third trimester were administered the Adult Attachment Interview and the Current Relationship Interview. The Differential Emotions Scale was given in pregnancy and at the infant's ages of 2 weeks, 2, 4, and 6 months, asking both mothers and fathers about maternal emotional experience. Sadness and anxiety increased 2 weeks postpartum and returned to below baseline over the following months, while anger did not change. Contrary to mothers with an insecure representation of their couple relationship, those with a secure representation reported and displayed increased sadness and anxiety 2 weeks after giving birth, from which they quickly recovered. For mothers secure in their representation of past attachment relationships with parents, an increase of low-level anger emerged 4 months postpartum, which did not occur in insecure participants and receded quickly. It can be concluded that secure representations of current and past attachment relationships help new mothers express and recover from negative emotions. These findings further elucidate the associations between attachment status and emotion regulation while adding a couple perspective. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Less is more: Meta-analyses of sensitivity and attachment interventions in early childhood.

Is early preventive intervention effective in enhancing parental sensitivity and infant attachment security, and if so, what type of intervention is most successful? Seventy studies were traced, producing 88 intervention effects on sensitivity (n=7,636) and/or attachment (n=1,503). Randomized interventions appeared rather effective in changing insensitive parenting (d=0.33) and infant attachment insecurity (d=0.20). The most effective interventions used a moderate number of sessions and a clear-cut behavioral focus in families with, as well as without, multiple problems. Interventions that were more effective in enhancing parental sensitivity were also more effective in enhancing attachment security, which supports the notion of a causal role of sensitivity in shaping attachment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Spousal support and cardiac patients' distress: The moderating role of attachment orientation.

Based on the Person–Environment Fit Model, the current prospective study explored the contribution of the interaction between spouses' ways of providing support and patients' attachment orientations to the patients' levels of psychological distress 6 months after experiencing a first Acute Coronary Syndrome (ACS). One hundred and eleven patients completed a measure of attachment orientations during hospitalization, while their spouses completed a measure of ways of providing support 1 month later. The outcome measures were patients' depressive and anxiety symptoms 6 months after their ACS. Whereas active engagement was associated with lower levels of anxiety symptoms among patients high in attachment anxiety, it was also associated with higher levels of anxiety symptoms among patients low on this orientation. In addition, none of the ways of providing support moderated the association between avoidance and distress. These results shed light on the possible interplay between providers' support and recipients' personalities. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Relations between anxiety sensitivity, distress tolerance, and fear reactivity to bodily sensations to coping and conformity marijuana use motives among young adult marijuana users.

The present investigation examines anxiety sensitivity, distress tolerance, and fear reactivity to bodily sensations in relation to Coping and Conformity marijuana use motives among a sample of young adult marijuana users (n = 135; 46.7% women; Mage = 20.45, SD = 5.0). After controlling for current marijuana use frequency (past 30 days), daily cigarette smoking rate, average volume of alcohol used over the past year, negative affectivity, and other marijuana use motives, anxiety sensitivity was significantly and uniquely associated with Coping and Conformity motives for marijuana use. Distress tolerance evidenced significant and unique incremental relations to Coping motives, whereas fear reactivity to bodily sensations was unrelated to any marijuana use motive. These results provide novel information related to the role of emotional sensitivity and tolerance factors as they pertain to specific types of motives for marijuana use among young adults. (PsycINFO Database Record (c) 2010 APA, all rights reserved)