Infant Coping and Maternal Interactive Behavior Predict Attachment in a Portuguese Sample of Healthy Preterm Infants
Abstract
In this longitudinal study of a Portuguese sample of healthy preterm infants, the aim was to identify specific, independent predictors of infant-mother attachment status from a set of variables including maternal education, maternal representations’ of infant temperament, infant regulatory behavior (coping), and mothers’ interactive behavior in free play. The sample consisted of 48 medically low-risk preterm infants and their mothers who varied in education. When infants were 1 and 3 months (corrected age), mothers described their infants’ temperament using a Portuguese temperament scale (Escala de Temperamento do Bebé). At 3 months (corrected age), infants’ capacity to regulate stress (coping) was evaluated during Tronick’s Face-to-Face Still-Face paradigm (FFSF). At 9 months (corrected age), mothers’ interactive behaviors were evaluated during free play using the Crittenden’s Child-Adult Relationship Experimental Index (CARE-Index). At 12 months (corrected age), infants’ attachment security was assessed during Ainsworth’s strange situation. Sixteen (33.3%) infants were classified as securely attached, 17 (35.4%) as insecure-avoidant, and 15 (31.3%) as insecure-resistant. In bivariate analyses, multiple factors were significantly associated with attachment status. However, in hierarchical regression analyses, only infant coping and maternal responsiveness were significant predictors of attachment status. These findings suggest that both infant characteristics identifiable early in the first year, such as coping, and maternal characteristics such as sensitivity influence the process of attachment formation.
References
1974). Infant/mother attachment and social development: “Socialization” as a product of reciprocal responsiveness to signals. In , Integration of a child into a social world (pp. 99–135). Cambridge, UK: Cambridge University Press.
(1978). Patterns of attachment: A psychological study of the strange situation. Hillsdale, NJ: Erlbaum.
(1990). Assessment of parent-child interaction. In , Handbook of early childhood intervention (pp. 278–302). New York: Cambridge University.
(2005). Attachment theory and research in ecological perspective. In , Attachment from infancy to adulthood: The major longitudinal studies (pp. 71–97). New York: Guilford.
(1997). Mothers’ representations of their infants assessed prenatally: Stability and association with infants’ attachment classifications. Journal of Child Psychology and Psychiatry, 38, 307–313.
(1969). Attachment and loss (Vol. I). London: Penguin.
(2001). Parental sensitivity, infant affect, and affect regulation: Predictors of later attachment. Child Development, 72(1), 252–270.
(1989). Attachment – The parental perspective. Infant Mental Health Journal, 10, 203–221.
(2004). Predicting infant maltreatment in low-income families: The interactive effects of maternal attributions and child status at birth. Developmental Psychology, 40, 234–243.
(1999). Handbook of attachment: Theory, research, and clinical applications. New York: Guilford.
(1991). Attachment organization in maltreated preschoolers. Development and Psychopathology, 3, 397–411.
(1991). Infant responses in the still-face paradigm at 6 months predicts avoidant and secure attachment at 12 months. Development and Psychopathology, 3, 367–376.
(2000). Qualidade da integração sensorial e organização dos comportamentos de vinculação [
(Quality of sensory integration and attachment behavior ]. Porto: University of Porto.2000). Attachment in preterm infants and their mothers: Neonatal risk status and maternal representations. Infant Mental Health Journal, 21, 464–480.
(1988). Relationships at risk. In , The clinical implications of attachment. Hillsdale, NJ: Erlbaum.
(2000). A dynamic-maturational exploration of the meaning of security and adaptation: Empirical, cultural, and theoretical considerations. In , The organization of attachment relationships: Maturation, culture, and context (pp. 358–384). New York: Cambridge University Press.
(2003). CARE-Index manual. Unpublished manuscript, Family Relations Institute, Miami.
(1984). The relationship between maternal risk status and maternal sensitivity. American Journal of Orthopsychiatry, 54, 250–262.
(1983). Social interaction and development competence of preterm and full-term during the first year of life. Child Development, 54, 1199–1210.
(1997). Sensitivity and attachment: A meta-analysis on parental antecedents of infant attachment. Child Development, 68, 571–591.
(1989). Quality of attachment to mother and to father – Effects of perinatal risk status. Child Development, 60, 825–830.
(1985). Infants’ affective responses in the strange situation: Effects of prematurity and of quality of attachment. Child Development, 56, 1280–1290.
(1995). Parenting children born preterm. In , Handbook of parenting (Vol. 1: Children and parenting, pp. 209–231). Mahwah, NJ: Erlbaum
(1987). Maternal and infant temperamental predictors of attachment – A meta-analytic review. Journal of Consulting and Clinical Psychology, 55, 805–816.
(1985). Maternal sensitivity and newborns’ orientation responses as related to quality of attachment in northern Germany. Monographs of the Society for Research in Child Development, 50(1–2), 233–256.
(2000). Applied logistic regression. New York: Wiley.
(2004). Estatísticas Demográficas [
. (Demographic statistics ]. Lisbon: Instituto Nacional de Estatistica.1993). Origins of attachment: Maternal interactive behavior across the first year. Child Development, 64, 605–621.
(1991). Emotional determinants of infant-mother attachment. Child Development, 62, 906–917.
(1984). The nature of the child. Cambridge, MA: Harvard University Press.
(1998). Mother-child relationship, child fearfulness, and emerging attachment: A short-term longitudinal study. Developmental Psychology, 34, 480–490.
(2002). Child emotionality and maternal responsiveness as predictors of reunion behaviors in the strange situation: Links mediated and unmediated by separation distress. Child Development, 73, 228–240.
(2002). Infant gaze, head, face, and self-touch at 4 months differentiate secure vs. avoidant attachment at 1 year: A microanalytic approach. Attachment and Human Development, 4(1), 3–24.
(2005). A percepção materna dos atributos temperamentais do bebé: Características psicométricas de um questionário e seu valor prognóstico relativamente à qualidade da vinculação [
(Maternal perception of babies’ temperaments: Scale validation and attachment prediction ]. In , Desenvolvimento: Contextos familiares e educativos [Development: Family and educational contexts ] (pp. 142–170). Porto: Livpsic.2004). Prematurity, maternal stress, and mother-child interactions. Early human Development, 79, 145–158.
(1996). Expressions of the attachment relationship outside of the strange situation. Child Development, 67, 915–927.
(1986). Patterns of attachment among preterm infants of varying biological risk. Journal of the American Academy of Child and Adolescent Psychiatry, 25, 794–800.
(2001). The interaction of maternal and infant vulnerabilities on developing attachment relationships. Development and Psychopathology, 13(1), 1–11.
(2005). Links between risk and attachment security: Models of influence. Journal of Applied Developmental Psychology, 26, 440–455.
(1991). Protective factors – Independent or interactive. Journal of the American Academy of Child and Adolescent Psychiatry, 30(1), 151–152.
(2007). Apego y psicotalogía en jóvenes y adultos: Contribuciones recientes de la investigacion [
(Attachment and psychopathology in adults: Recent contributions from research ]. Internacional Journal of Clinical and Health Psychology, 7(1), 177–195.1995). Organização comportamental da vinculação na Situação Estranha: Avaliação da estabilidade através do método de teste-reteste [
(Attachment organization in strange situations: Stability study . In , Avaliação psicológica: Formas e contextos, 3, 247–258.1998). Attachment organization and heart-rate variability in the strange situation, Aquém e Além do Cérebro [
(Behind and beyond the brain ] (pp. 285–291). Porto: Fundação Bial.1996). Emotional development: The organization of emotional life in the early years. Cambridge: Cambridge Studies in Social and Emotional World.
(2006). The stress of normal development and interaction leads to the development of resilience and variation. Annals New York Academy of Sciences, 1094, 83–104.
(1978). Infants response to entrapment between contradictory messages in face-to-face interaction. Journal of the American Academy of Child and Adolescent Psychiatry, 17(1), 1–13.
(1990). The Infant Regulatory Scoring System (IRSS). Unpublished manuscript, Boston, Childrens Hospital & Harvard Medical School.
(1994). The influence of temperament and mothering on attachment and exploration: An experimental manipulation of sensitive responsiveness among lower-class mothers with irritable infants. Child Development, 65, 1457–1477.
(1992). The relative effects of maternal and child problems on the quality of attachment: A meta-analysis of attachment in clinical samples. Child Development, 63, 840–858.
(1988). Cross-cultural patterns of attachment: A meta-analysis of the strange situation. Child Development, 59, 147–156.
(1999). Cross-cultural patterns of attachment: Universal and contextual dimensions. In , The handbook of attachment: Theory, research, and clinical applications (pp. 713–734). New York: Guilford.
(1999). Disorganized attachment in early childhood: Meta-analysis of precursors, concomitants, and sequelae. Development and Psychopathology, 11, 225–249.
(1999). Attachment and temperament: Redundant, independent, or interacting influences on interpersonal adaptation and personality development? In , Handbook of attachment: Theory, research, and clinical applications (pp. 198–225). New York: Guilford.
(2007). The quality of maternal secure-base scripts predicts children’s secure-base behavior at home in three sociocultural groups. International Journal of Behavioral Development, 31(1), 65–76.
(1991). Relation of preterm birth with quality of mother-infant attachment at one year. Infant Behavior and Development, 14, 227–240.
(1994). Mothers’ representations of their infants are concordant with infant attachment classifications. Developmental Issues in Psychiatry and Psychology, 1, 1–14.
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