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Fuertes M, Faria A, Gonçalves JL, Antunes S, Dionisio F. Antibiotic Consumption, Illness, and Maternal Sensitivity in Infants with a Disorganized Attachment. CHILDREN (BASEL, SWITZERLAND) 2023; 10:1232. [PMID: 37508729 PMCID: PMC10378158 DOI: 10.3390/children10071232] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/10/2023] [Revised: 07/05/2023] [Accepted: 07/16/2023] [Indexed: 07/30/2023]
Abstract
Prior research found an association between mother-infant attachment and antibiotic use. Ambivalent-attached infants are more likely to take antibiotics than other infants, and their mothers tend to be less sensitive to their needs than most. This finding is important because it shows the association between psychological processes, early relationships, and health outcomes. We aim to learn about children with high-risk attachment relationships, such as disorganized-attached infants. This study compares antibiotic use, infant-mother interactive behavior, and health indicators according to infant attachment patterns (including disorganized attachment). For this purpose, we observed mothers-infants' interactive behavior in free play at nine months and infants' attachment in the Ainsworth Strange Situation at twelve months. Participants included 77 girls and 104 boys (full-term and preterm) and their mothers. Paradoxically, mothers of disorganized-attached infants reported that their children were ill only 1.56 times on average, but 61% of their children used antibiotics in the first nine months. The other mothers reported that their children were sick 5.73 times on average, but only 54% of their children used antibiotics in the same period. Infants with disorganized attachment had mothers who were more literate and less sensitive. These results add to a body of research that shows that early high-risk relationships affect children's lives at multiple levels.
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Affiliation(s)
- Marina Fuertes
- Centro de Psicologia, University of Porto, 4200-135 Porto, Portugal
- Escola Superior de Educação de Lisboa, Instituto Politécnico de Lisboa, 1549-020 Lisboa, Portugal
| | - Anabela Faria
- Hospital de Santo Espírito da Ilha Terceira, 9700-049 Angra do Heroísmo, Portugal
| | - Joana L Gonçalves
- Instituto de Psicologia e Ciências da Educação, Universidade Lusíada de Lisboa, 1349-001 Lisboa, Portugal
- inED-Centro de Investigação e Inovação em Educação, Escola Superior de Educação, Instituto Politécnico do Porto, 4200-465 Porto, Portugal
- Department of Social and Behavior Sciences, University of Maia-ISMAI, 4475-690 Maia, Portugal
| | - Sandra Antunes
- Faculdade de Psicologia, Universidade de Lisboa, 1649-013 Lisboa, Portugal
| | - Francisco Dionisio
- cE3c-Centre for Ecology, Evolution and Environmental Changes & CHANGE-Global Change and Sustainability Institute, Faculdade de Ciências, Universidade de Lisboa, 1749-016 Lisboa, Portugal
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The Association between Prematurity, Antibiotic Consumption, and Mother-Infant Attachment in the First Year of Life. Antibiotics (Basel) 2023; 12:antibiotics12020309. [PMID: 36830220 PMCID: PMC9952082 DOI: 10.3390/antibiotics12020309] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2022] [Revised: 01/24/2023] [Accepted: 01/30/2023] [Indexed: 02/05/2023] Open
Abstract
Antibiotics have individual and public-health drawbacks. Nevertheless, mother-infant attachment quality and maternal sensitivity are associated with antibiotic use. Ambivalent-attached infants are more likely to consume antibiotics than other infants. Conceivably, the emotional over-externalization of ambivalent-attached infants and maternal anxiety when infants are ill raise concerns in healthcare professionals, leading to antibiotic over-prescriptions. However, because infants prematurely born, particularly those with less than 32 weeks of gestation, are under more accurate health vigilance, the impact of infant and maternal behavior on antibiotic prescription may vanish in this sample. To test this hypothesis, we performed a longitudinal study to compare antibiotic use and the quality of mother-infant attachment in three groups: 86 infants born at full-term, 44 moderate-to-late preterm infants (32-36 gestation weeks), and 58 very-to-extreme preterm infants (<32 gestation weeks). Infants' attachment was observed with the Ainsworth Strange Situation's experimental paradigm at 12 months of corrected age. Findings indicate that infant attachment strategy is associated with antibiotics uptake, but results vary across samples. The proportion of infants that used antibiotics is highest among ambivalent-attached infants in the full-term sample but highest among avoidant-attached infants in the very-to-extreme premature sample. Moreover, higher infant gestational age and lower maternal sensitivity determine higher antibiotic use.
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Lim J, Miller BD, Wood BL. An application of the Biobehavioral Family Model: Examining the impact of maternal depression on child asthma mediated by insecure attachment and child depression. FAMILY PROCESS 2022; 61:1610-1628. [PMID: 35075639 PMCID: PMC10078754 DOI: 10.1111/famp.12755] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/18/2021] [Revised: 12/08/2021] [Accepted: 12/11/2021] [Indexed: 06/14/2023]
Abstract
OBJECTIVE Child asthma disparities are prevalent in socio-economically stressed single-parent families. Stress impacts childhood asthma mediated by immune and autonomic pathways, but specific family stress pathways are not well established. This study tests the hypothesis, derived from a version of the Biobehavioral Family Model, that single parent maternal depression impacts child asthma mediated by insecure attachment and child depression. METHODS In a cross-sectional study, children with asthma (age 7-17 years old) from a socio-economically disadvantaged population and their single parent mothers (N = 202) were assessed for depression and attachment security. Child asthma disease activity was assessed by symptom report and lung function tests. Structural equation modeling (SEM) was used to test a model in which caregiver depression impacts child asthma disease activity mediated by insecure attachment and child depression. RESULTS SEM results indicated that maternal depression statistically predicted child depression (β = 0.21, p < 0.01) and insecure mother-child attachment (β = 0.17, p < 0.05). In addition, insecure attachment statistically predicted child depression (β = 0.50, p < 0.001). Child depression mediated the adverse effects of maternal depression and insecure attachment on child asthma disease activity (β = 0.43, p < 0.01). There was no direct effect of insecure attachment on child asthma. CONCLUSION In single-parent families, maternal depression may impact child asthma disease activity, mediated serially by insecure attachment and child depression. Longitudinal and/or intervention studies are needed to establish a causal effect. These findings suggest that caregiver depression and parent-child relationships may be important targets for family intervention. These interventions may help improve child asthma outcomes and reduce health disparities.
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Affiliation(s)
- JungHa Lim
- Department of Home Economics EducationKorea UniversitySeoulSouth Korea
| | - Bruce D. Miller
- Department of PsychiatryUniversity at BuffaloBuffaloNew YorkUSA
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Fuertes M, Gonçalves JL, Faria A, Lopes-Dos-Santos P, Conceição IC, Dionisio F. Maternal sensitivity and mother-infant attachment are associated with antibiotic uptake in infancy. J Health Psychol 2020; 27:2197-2210. [PMID: 32660278 DOI: 10.1177/1359105320941245] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023] Open
Abstract
Attachment security has been associated with health status and symptom reporting. In this longitudinal study, we investigated the association between antibiotics uptake by infants at 9-months and mother-infant attachment at 12-months. Logistic regression analyses indicated that lower maternal sensitivity was associated with increased odds of antibiotic uptake. Furthermore, 89.7% of insecure-ambivalent infants consumed antibiotics, which contrasted with 32.5% of avoidant infants and 21.5% of secure infants. This study suggests that maternal behavior and mother-infant attachment impact on antibiotic consumption, which is worrying because antibiotics may lead to several health problems later in life and antibiotic-resistance.
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Affiliation(s)
- Marina Fuertes
- Centro de Psicologia, University of Porto, Portugal.,Escola Superior de Educação de Lisboa, Portugal
| | | | - Anabela Faria
- Hospital de Santo Espírito, Terceira, Azores, Portugal
| | | | - Inês C Conceição
- Serviço de Patologia Clínica, Hospital Nossa Senhora do Rosário, Barreiro, Setúbal, Portugal
| | - Francisco Dionisio
- cE3c -Centre for Ecology, Evolution and Environmental Changes, and Departamento de Biologia Vegetal, Faculdade de Ciências, Universidade de Lisboa, Portugal
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Ehrlich KB, Miller GE, Shalowitz M, Story R, Levine C, Williams D, Le V, Chen E. Secure Base Representations in Children With Asthma: Links With Symptoms, Family Asthma Management, and Cytokine Regulation. Child Dev 2018; 90:e718-e728. [PMID: 29873065 DOI: 10.1111/cdev.13098] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Children's perceptions of caregivers as a secure base have been linked with socioemotional outcomes, but little is known about connections to physical health. We examined whether secure base representations are associated with children's symptoms, family management strategies, and inflammatory processes in children with asthma. Participants included 308 children (ages 8-17) and one parent. Children completed a blood draw to measure asthma-related immune functions and reported on perceptions of their mothers as a secure base and their asthma symptoms. Dyads completed interviews about asthma management. Analyses revealed that children's secure base perceptions were associated with better family asthma management and lower Type 2 T-helper cell cytokine production. These findings suggest that secure base representations may be protective for children with asthma.
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Letourneau NL, Kozyrskyj AL, Cosic N, Ntanda HN, Anis L, Hart MJ, Campbell TS, Giesbrecht GF. Maternal sensitivity and social support protect against childhood atopic dermatitis. ALLERGY, ASTHMA, AND CLINICAL IMMUNOLOGY : OFFICIAL JOURNAL OF THE CANADIAN SOCIETY OF ALLERGY AND CLINICAL IMMUNOLOGY 2017; 13:26. [PMID: 28559916 PMCID: PMC5446757 DOI: 10.1186/s13223-017-0199-4] [Citation(s) in RCA: 79] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/08/2016] [Accepted: 05/17/2017] [Indexed: 12/30/2022]
Abstract
BACKGROUND Many studies have identified associations between qualities of maternal-child relationships and childhood asthma, but few have examined associations with childhood atopic dermatitis (AD), a common precursor to asthma. Moreover, maternal psychological distress, including prenatal and postnatal depression, anxiety and stress, may increase risk, while social support from partners may reduce risk for childhood AD. We sought to uncover the association between maternal-infant relationship qualities (maternal sensitivity towards infant behavioral signals, controlling behavior, and unresponsiveness) and child AD after accounting for risk (i.e., prenatal and postnatal maternal depression, anxiety and stress) and protective (i.e., social support) factors. METHODS We conducted a secondary analysis of data collected on a subsample of 242 women and their infants enrolled during pregnancy in the ongoing Alberta Pregnancy Outcomes and Nutrition cohort study. Inclusion criteria required mothers to be >16 years of age, English speaking and <22 weeks gestational age at enrollment. Data on depression, anxiety and stress in the prenatal and postnatal periods and physician diagnosis of childhood AD at 18 months were gathered via maternal report. Maternal sensitivity, unresponsiveness and controlling behaviours were assessed via videotaped observations using the Child-Adult Relationship Experimental (CARE)-Index at 6 months of infant age. RESULTS Higher maternal sensitivity, or the inability of the mother to appropriately understand and respond to infant needs based on behavioral signals, predicted reduced odds of AD independent of and in combination with low prenatal and postnatal anxiety and high paternal support. After adjustment, higher maternal controlling behaviours and unresponsiveness also predicted greater odds of AD. CONCLUSIONS Low maternal sensitivity is a risk factor for childhood AD, independently and in combination with perinatal anxiety and low social support. Thus, interventions that improve maternal-infant relationship quality, especially sensitivity, reduce anxiety and improve social support from partners could reduce odds of childhood AD.
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Affiliation(s)
- Nicole L. Letourneau
- Faculty of Nursing, University of Calgary, Calgary, AB T2N 1N4 Canada
- Cumming School of Medicine, Departments of Pediatrics & Psychiatry, University of Calgary, Calgary, AB T2N 4N1 Canada
- Child Development Centre, ACHRI Owerko Centre, 3rd Floor, 2888 Shaganappi Trail, Calgary, AB T3B 6A8 Canada
| | - Anita L. Kozyrskyj
- Departments of Pediatrics, Obstetrics & Gynecology, Faculty of Medicine and Dentistry, and School of Public Health, University of Alberta, Edmonton, AB T6G 2R3 Canada
| | - Nela Cosic
- Faculty of Nursing, University of Calgary, Calgary, AB T2N 1N4 Canada
- Cumming School of Medicine, Departments of Pediatrics & Psychiatry, University of Calgary, Calgary, AB T2N 4N1 Canada
- Child Development Centre, ACHRI Owerko Centre, 3rd Floor, 2888 Shaganappi Trail, Calgary, AB T3B 6A8 Canada
| | - Henry N. Ntanda
- Faculty of Nursing, University of Calgary, Calgary, AB T2N 1N4 Canada
- Cumming School of Medicine, Departments of Pediatrics & Psychiatry, University of Calgary, Calgary, AB T2N 4N1 Canada
- Child Development Centre, ACHRI Owerko Centre, 3rd Floor, 2888 Shaganappi Trail, Calgary, AB T3B 6A8 Canada
| | - Lubna Anis
- Faculty of Nursing, University of Calgary, Calgary, AB T2N 1N4 Canada
- Cumming School of Medicine, Departments of Pediatrics & Psychiatry, University of Calgary, Calgary, AB T2N 4N1 Canada
- Child Development Centre, ACHRI Owerko Centre, 3rd Floor, 2888 Shaganappi Trail, Calgary, AB T3B 6A8 Canada
| | - Martha J. Hart
- Faculty of Nursing, University of Calgary, Calgary, AB T2N 1N4 Canada
- Cumming School of Medicine, Departments of Pediatrics & Psychiatry, University of Calgary, Calgary, AB T2N 4N1 Canada
- Child Development Centre, ACHRI Owerko Centre, 3rd Floor, 2888 Shaganappi Trail, Calgary, AB T3B 6A8 Canada
| | - Tavis S. Campbell
- Department of Psychology, University of Calgary, Calgary, AB T2N 1N4 Canada
| | - Gerald F. Giesbrecht
- Cumming School of Medicine, Department of Pediatrics & Community Health Sciences, University of Calgary, Calgary, AB T2N 4N1 Canada
- Child Development Centre, ACHRI Owerko Centre, 3rd Floor, 2888 Shaganappi Trail, Calgary, AB T3B 6A8 Canada
| | - The APrON Team
- Faculty of Nursing, University of Calgary, Calgary, AB T2N 1N4 Canada
- Cumming School of Medicine, Departments of Pediatrics & Psychiatry, University of Calgary, Calgary, AB T2N 4N1 Canada
- Departments of Pediatrics, Obstetrics & Gynecology, Faculty of Medicine and Dentistry, and School of Public Health, University of Alberta, Edmonton, AB T6G 2R3 Canada
- Department of Psychology, University of Calgary, Calgary, AB T2N 1N4 Canada
- Cumming School of Medicine, Department of Pediatrics & Community Health Sciences, University of Calgary, Calgary, AB T2N 4N1 Canada
- Child Development Centre, ACHRI Owerko Centre, 3rd Floor, 2888 Shaganappi Trail, Calgary, AB T3B 6A8 Canada
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Cadman T, Diamond PR, Fearon P. Reassessing the validity of the attachment Q-sort: An updated meta-analysis. INFANT AND CHILD DEVELOPMENT 2017. [DOI: 10.1002/icd.2034] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Affiliation(s)
| | - Peter R. Diamond
- Neuroepidemiology and Ageing Research Unit, School of Public Health; Imperial College London; London UK
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Yatsenko O, Pizano J, Nikolaidis A. Revisiting maternal–infant bonding’s effects on asthma: A brief history. COGENT PSYCHOLOGY 2016. [DOI: 10.1080/23311908.2016.1161267] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
Affiliation(s)
- Olga Yatsenko
- Department of Neurodevelopmental Research, Porter Pediatric and Adolescent Associates, Porter, TX, USA
| | - Joseph Pizano
- Department of Neurodevelopmental Research, Porter Pediatric and Adolescent Associates, Porter, TX, USA
| | - Andreas Nikolaidis
- Department of Neurodevelopmental Research, Porter Pediatric and Adolescent Associates, Porter, TX, USA
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Sette G, Coppola G, Cassibba R. The transmission of attachment across generations: The state of art and new theoretical perspectives. Scand J Psychol 2015; 56:315-26. [DOI: 10.1111/sjop.12212] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2014] [Accepted: 01/22/2015] [Indexed: 11/28/2022]
Affiliation(s)
- Giovanna Sette
- Department of Education; Psychology and Communication; University of Bari; Italy
| | - Gabrielle Coppola
- Department of Neuroscience; Imaging, and Clinical Sciences; University “G. D'Annunzio”; Chieti-Pescara Italy
| | - Rosalinda Cassibba
- Department of Education; Psychology and Communication; University of Bari; Italy
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Im YJ, Park ES, Oh WO, Suk MH. Parenting and relationship characteristics in mothers with their children having atopic disease. J Child Health Care 2014; 18:215-29. [PMID: 23818147 DOI: 10.1177/1367493513485824] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
This study compared parental cognitions and relationship characteristics of mothers of children with atopic disease with those of mothers of children without atopic disease. These factors include child-rearing attitudes, parental locus of control, parental sense of competence, attachment security, and maternal sensitivity. Preplanned subanalyses were carried out according to specific disease, mothers' perception of disease severity, and presence of concurrent atopic diseases. The descriptive comparative study of 233 Korean mothers included 102 mothers of children aged six years or younger with atopic dermatitis, asthma, and/or allergic rhinitis. Data were collected from 2007 to 2008 from local clinics and day care centers. Parental cognitions and relationship characteristics did not differ significantly between groups of mothers, except that mothers of children with atopic dermatitis showed less affection. However, subanalyses showed that mothers who perceived their child's disease to be severe were less likely to encourage autonomy and had a lower sense of competence, more rejecting attitudes, and an external locus of control. Although we should be cautious in generalizing these results, special care plans are strongly recommended for mothers of children with severe atopic disease to provide support and education, help mothers develop an internal locus of control, and increase parental sense of competence.
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Affiliation(s)
- Yeo-Jin Im
- College of Nursing Science, Kyung Hee University, Republic of South Korea
| | - Eun-Sook Park
- College of Nursing, Korea University, Seoul, Republic of South Korea
| | - Won-Oak Oh
- Department of Nursing, Dongguk University, Republic of South Korea
| | - Min-Hyun Suk
- Department of Nursing, CHA University, Republic of South Korea
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Cassibba R, Sette G, Bakermans-Kranenburg MJ, van IJzendoorn MH. Attachment the Italian Way. EUROPEAN PSYCHOLOGIST 2013. [DOI: 10.1027/1016-9040/a000128] [Citation(s) in RCA: 41] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
In the present meta-analysis 627 Strange Situation Procedures (SSP; Ainsworth, Blehar, Waters, & Wall, 1978 ) from 17 Italian infant attachment studies and 2,258 Adult Attachment Interviews (AAI; Main, Kaplan, & Cassidy, 1985 ) from 50 Italian adult attachment studies were included. All studies were published between 1990 and 2009. Our aim was to test the universality hypothesis of attachment theory in this Italian database. Results indicated that the majority of nonclinical Italian infants were classified as securely attached (53%); similarly, the majority of nonclinical Italian adults were secure (60%). Although cross-cultural similarities provide evidence for the universality hypothesis of attachment theory, our meta-analysis revealed also interesting cultural specificities. First, nonclinical Italian infants’ distribution showed an overrepresentation of avoidant attachments compared to the normative distribution. Second, the underrepresentation of unresolved loss among Italian nonclinical adults was noteworthy.
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Affiliation(s)
- Rosalinda Cassibba
- Department of Psychological and Educational Sciences, University of Bari, Italy
| | - Giovanna Sette
- Department of Psychological and Educational Sciences, University of Bari, Italy
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12
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Korkeila J, Lietzen R, Sillanmäki LH, Rautava P, Korkeila K, Kivimäki M, Koskenvuo M, Vahtera J. Childhood adversities and adult-onset asthma: a cohort study. BMJ Open 2012; 2:e001625. [PMID: 23069774 PMCID: PMC3488721 DOI: 10.1136/bmjopen-2012-001625] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/18/2012] [Accepted: 09/07/2012] [Indexed: 11/30/2022] Open
Abstract
OBJECTIVES Childhood adversities may be important determinants of later illnesses and poor health behaviour. However, large-scale prospective studies on the associations between childhood adversities and the onset of asthma in adulthood are lacking. DESIGN Prospective cohort study with 7-year follow-up. SETTING Nationally representative study. Data were collected from the Health and Social Support (HeSSup) survey and national registers. PARTICIPANTS The participants represent the Finnish population from the following age groups: 20-24, 30-34, 40-44, and 50-54 years at baseline in 1998 (24 057 survey participants formed the final cohort of this study). The occurrence of childhood adversities was assessed at baseline with a six-item survey scale. The analyses were adjusted for sociodemographic characteristics, behavioural health risks and common mental disorders. PRIMARY AND SECONDARY OUTCOMES The survey data were linked to data from national health registers on incident asthma during a 7-year follow-up to define new-onset asthma cases with verified diagnoses. RESULTS A total of 12 126 (59%) participants reported that they encountered a childhood adversity. Of them 3677 (18% of all) endured three to six adversities. During a follow-up of 7 years, 593 (2.9%) participants were diagnosed with incident asthma. Those who reported three or more childhood adversities had a 1.6-fold (95% CI 1.31 to 2.01) greater risk of asthma compared to those without childhood adversities. This hazard attenuated but remained statistically significant after adjustment for conventional risk factors (HR 1.33; 95% CI 1.06 to 1.67). CONCLUSIONS Adults who report having encountered adversities in childhood may have an increased risk of developing asthma.
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Affiliation(s)
- Jyrki Korkeila
- Department of Psychiatry, University of Turku, and Harjavalta Hospital, Satakunta Hospital District, Finland
| | - Raija Lietzen
- Department of Public Health, University of Turku, Turku, Finland
| | | | - Päivi Rautava
- Department of Public Health, Clinical Research Centre, Turku University Hospital, University of Turku, Turku, Finland
| | - Katariina Korkeila
- Department of Health Centre of Raisio, Raisio Municipal Health Care and Social Services, Raisio, Finland
| | - Mika Kivimäki
- Department of Epidemiology and Public Health, University College London, London, UK
| | - Markku Koskenvuo
- Department of Public Health, University of Helsinki, Helsinki, Finland
| | - Jussi Vahtera
- Department of Public Health, University of Turku and Turku University Hospital and Finnish Institute of Occupational Health, Helsinki, Finland
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Coppola G, Vaughn BE, Cassibba R, Costantini A. The attachment script representation procedure in an Italian sample: Associations with adult attachment Interview scales and with maternal sensitivity. Attach Hum Dev 2006; 8:209-19. [PMID: 16938704 DOI: 10.1080/14616730600856065] [Citation(s) in RCA: 55] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
This study provides data supporting the reliability and validity of an Italian version of the adult attachment script representation task, designed by Waters & Rodrigues-Doolabh (2004). Specifically, we tested hypotheses concerning positive relations between attachment scriptedness scores and two other representational measures, derived from the Adult Attachment Interview (AAI). In addition, we tested the hypothesis that secure base script scores should predict maternal sensitivity in the context of mother - infant interaction. Thirty-one mothers completed narrative protocols and received scriptedness scores using the Waters & Rodrigues-Doolabh (2004) criteria. Prior to the attachment script assessment, mothers had been assessed using the AAI and had been observed in the context of infant - mother interactions to assess maternal sensitivity. Assessment of instrument reliability was satisfactory (Cronbach's alpha >.70) and both hypotheses were supported; the attachment scriptedness score (based on 4 attachment narratives) was positively and significantly associated with the AAI coherence score, the continuous security score derived from the AAI State of Mind scales, and with maternal sensitivity. These data extend to another socio-cultural milieu, previous findings supporting reliability, convergent, and predictive validity of the attachment script representation task as a measure of adult attachment.
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Affiliation(s)
- Gabrielle Coppola
- Dipartimento di Scienze Biomediche, University G D'Annunzio of Chieti, Chieti Scalo, Italy.
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