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Cimino S, Tambelli R, Genova F, Agostini F, Trombini E, Cerniglia L. Psychopathological risk stability and change in a sample of mothers and preschool children before, during and after the peak of COVID-19 pandemic. Stress Health 2023. [PMID: 38059671 DOI: 10.1002/smi.3355] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/15/2022] [Revised: 10/17/2023] [Accepted: 01/21/2023] [Indexed: 12/08/2023]
Abstract
Numerous studies have found that the COVID-19 epidemic and the measures to stop it have had a substantial impact on the mental health of the general population. Nevertheless, the majority of this research only looked at the variations in the degree of psychopathological symptoms in individuals before and after the first wave of the pandemic. In a sample of N = 380 preschoolers and their mothers assessed through the Symptom Check-List/90-R and of the Child Behaviour Check-List, the present study aimed at exploring psychopathological risk in mothers and their offspring's dysregulation levels before (T1), during (T2) and after (T3) the peak of COVID-19 pandemic. Our main results showed that mothers' relational distress increased from T1 to T2 and then increased again from T2 to T3. Moreover, maternal aggressiveness, hostility, and anxiety scores significantly decreased from T1 to T2 but slightly increased from T2 to T3. In children, dysregulation levels increased from T1 to T2 but decreased from T2 to T3. Children of mothers with clinical scores at the SCL-90/R showed significantly higher dysregulation problems at T1, T2 and T3 than children of mothers with scores below the clinical threshold. This study adds to previous literature in that it evaluates stability or change in maternal and offspring scores not only in the pre-pandemic period and during the first wave of the pandemic, but it also considers the subsequent months, focusing on a broad range of maternal symptoms, rather than assessing depressive and anxiety symptoms as most of previous research did.
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Affiliation(s)
- S Cimino
- Department of Dynamic, Clinical Psychology and Health Studies, Sapienza, University of Rome, Rome, Italy
| | - R Tambelli
- Department of Dynamic, Clinical Psychology and Health Studies, Sapienza, University of Rome, Rome, Italy
| | - F Genova
- Department of Human Sciences, European University of Rome, Rome, Italy
| | | | | | - L Cerniglia
- Faculty of Psychology, International Telematic University Uninettuno, Rome, Italy
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Ballarotto G, Murray L, Bozicevic L, Marzilli E, Cerniglia L, Cimino S, Tambelli R. Parental sensitivity to toddler's need for autonomy: An empirical study on mother-toddler and father-toddler interactions during feeding and play. Infant Behav Dev 2023; 73:101892. [PMID: 37839158 DOI: 10.1016/j.infbeh.2023.101892] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2022] [Revised: 08/11/2023] [Accepted: 10/03/2023] [Indexed: 10/17/2023]
Abstract
During the second year of life, children's need for autonomy grows, and their behaviors become increasingly complex. Parental sensitivity to children's different cues is important in supporting adaptive psycho-emotional development. The present study assumes that mothers and fathers may respond with varying levels of sensitivity to the child's different cues, with particular attention to requests for greater autonomy. The study also examines the possible role played by interactive contexts (ie., play and feeding) and children's and parents' individual factors. The sample comprised N = 91 families with children aged between 12 and 24 months. Mother-toddler and father-toddler interactions were assessed during feeding and play. Parents completed questionnaires assessing children's temperament, psychopathological risk, and parenting stress. RESULTS: showed that toddlers' demands for autonomy were the most frequent cues in both play and feeding contexts, both with mothers and fathers. Furthermore, parents were more sensitive to toddlers' requests for cooperation than their requests for autonomy, in both interactive contexts. Moreover, mothers and fathers showed higher sensitivity to toddlers' demands for greater autonomy in the play context rather than in the feeding context. Mothers were more sensitive than fathers to toddlers' cues of resistance to parents' actions and to toddlers' requests for cooperation. Results showed differences and specificities in mother-toddler and father-toddler interactions in the two interactive contexts, showing associations between child negative emotionality, parental psychopathological risk and parenting stress, and maternal and paternal sensitivity to toddlers' demands for greater autonomy during play and feeding, respectively. These results confirm the initial hypotheses regarding parental sensitivity and its differential expression according to child cues. Implications are discussed.
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Affiliation(s)
- G Ballarotto
- Department of Dynamic and Clinical Psychology, Sapienza - University of Rome, Rome, Italy.
| | - L Murray
- School of Psychology and Clinical Language Sciences, Earley Gate, University of Reading, United Kingdom
| | - L Bozicevic
- Institute of Population Health, Department of Primary Care & Mental Health, Faculty of Health and Life Sciences, University of Liverpool, United Kingdom
| | - E Marzilli
- Department of Dynamic and Clinical Psychology, Sapienza - University of Rome, Rome, Italy
| | - L Cerniglia
- Department of Psychology, International Telematic University Uninettuno, Rome, Italy
| | - S Cimino
- Department of Dynamic and Clinical Psychology, Sapienza - University of Rome, Rome, Italy
| | - R Tambelli
- Department of Dynamic and Clinical Psychology, Sapienza - University of Rome, Rome, Italy
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Nimbi FM, Magno S, Agostini L, Di Micco A, Maggiore C, De Cesaris BM, Rossi R, Galizia R, Simonelli C, Tambelli R. Sexuality in breast cancer survivors: sexual experiences, emotions, and cognitions in a group of women under hormonal therapy. Breast Cancer 2022; 29:419-428. [PMID: 34988885 DOI: 10.1007/s12282-021-01320-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2021] [Accepted: 12/01/2021] [Indexed: 12/17/2022]
Abstract
BACKGROUND Earlier diagnosis and improved treatments have led to better outcomes in breast cancer, making quality of life a key issue. Sexuality represents a pillar of quality of life, although it is often neglected by both healthcare providers and patients when it comes to cancer. This study aims to explore the differences in sexual functioning, distress, psychopathology, emotions, and cognitions between breast cancer patients under hormonal treatment and controls. METHODS Seventy-nine women (age range between 24 and 69 years) in hormonal therapy for breast cancer completed a self-reported protocol. A matched control group of 103 women was randomly extracted from an Italian general population database. Eight self-report questionnaires exploring biopsychosocial factors were administered. RESULTS The current study showed an impaired sexuality in breast cancer patients compared to controls. Breast cancer women under hormonal treatment were characterized by diminished or absent sexual activity (chi2 = 36.16; p < 0.001), lower level of sexual functioning in all areas except for pain (F(1,180) = 8.1; p < 0.01), higher sexual (F(1,180) = 10.08; p < 0.001) and psychological distress (F(1,180) = 6.23; p < 0.05), higher scores in Difficulties in Identifying Feelings (F(1,180) = 7.31; p < 0.01) and Externally Oriented Thinking (F(1,180) = 6.64; p < 0.05), higher level of negative emotions related to sexuality (F(1,180) = 11.13; p < 0.001), and more rigid cognition towards peculiar aspects of sexuality, such as Failure Disengagement Thoughts (F(1,180) = 22.01; p < 0.001) and Age related Beliefs (F(1,180) = 5.7; p < 0.05). CONCLUSIONS Health care providers do not usually assess those issues in their routine practice, so that sexuality remains an unmet need with remarkable effects on general health and quality of life.
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Affiliation(s)
- F M Nimbi
- Department of Dynamic, Clinical and Health Psychology (Ex Department of Dynamic and Clinical Psychology), Sapienza University of Rome, Rome, Italy.
| | - S Magno
- University Hospital Foundation A Gemelli IRCCS, Rome, Italy
| | - L Agostini
- University Hospital Foundation A Gemelli IRCCS, Rome, Italy
| | - A Di Micco
- University Hospital Foundation A Gemelli IRCCS, Rome, Italy
| | - C Maggiore
- University Hospital Foundation A Gemelli IRCCS, Rome, Italy
| | - B M De Cesaris
- University Hospital Foundation A Gemelli IRCCS, Rome, Italy
| | - R Rossi
- Institute of Clinical Sexology, Rome, Italy
| | - R Galizia
- Department of Dynamic, Clinical and Health Psychology (Ex Department of Dynamic and Clinical Psychology), Sapienza University of Rome, Rome, Italy
| | - C Simonelli
- Department of Dynamic, Clinical and Health Psychology (Ex Department of Dynamic and Clinical Psychology), Sapienza University of Rome, Rome, Italy
| | - R Tambelli
- Department of Dynamic, Clinical and Health Psychology (Ex Department of Dynamic and Clinical Psychology), Sapienza University of Rome, Rome, Italy
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Rogier G, Zobel SB, Tambelli R. Preliminary results of the validation study of the italian version of the nature relatedness scale 6 items. Eur Psychiatry 2021. [PMCID: PMC9475770 DOI: 10.1192/j.eurpsy.2021.1363] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Introduction The construct of nature relatedness (NR) has received a growing attention in the last decades. Past research suggest that NR may be involved in both positive (e.g. well-being) and negative (e.g. technological addictions) psychological outcome. Objectives In addition, some evidences suggest that the construct may be tightly related to emotion regulation capacities. Despite Nisbet et al. (2009) recently developed a short measure to investigate the construct, this has not been still validated in the Italian context. Methods We performed three studies to validate the Italian version of the NRS-6 and to extend the nomological network of the construct. In the first study, we tested, throughout Structural Equation Modelling, the factorial structure of the instrument and gender invariance. In the second study, construct validity of the instrument was tested examining correlation pattern between NRS-6 scores and scores obtained on the Connection to Nature Scale, the Difficulties in Emotion Regulation Scale and the Ways of Savoring Checklist. Finally, a longitudinal study tested the temporal stability of the measure and the predictive role of NR on technological addiction. Results Data documented a good factorial structure of the instrument, satisfying invariance proprieties and a good test-retest reliability. Also, analyses supported the good convergent and predictive validity of the instrument. Conclusions The Italian version of the NRS-6 appears a reliable and useful tool that can be used in future research. Our studies extend the nomological network of the construct shedding light on the tight relationship of NR with the capacity to regulate positive emotions.
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Cerniglia L, Dentale F, Tambelli R, Murray L, Cooper P, Cimino S. The stable component of maternal depressive symptoms predicts offspring emotional and behavioral symptoms: a 9-years longitudinal study. BMC Psychol 2020; 8:126. [PMID: 33261655 PMCID: PMC7709270 DOI: 10.1186/s40359-020-00496-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2020] [Accepted: 11/27/2020] [Indexed: 11/19/2022] Open
Abstract
Background Maternal sub-threshold and non-clinical depression and its possible outcomes on offspring internalizing/externalizing symptoms has received growing attention in recent years because of its significant worldwide prevalence. Methods Through a Latent State-Trait Analysis approach (LST), this longitudinal study aimed to identify a stable component of non-clinical maternal depression across a temporal interval of 6 years (measured through the Symptom Check-List-90/R) and to determine the effect of this component on children’s emotional and behavioral functioning (measured through the Child Behaviour Check-List) at age 12 years. Results LST analysis showed that maternal depressive symptoms tended to remain stable within individuals across 6 years of observation strongly contributing to children’s internalizing/externalizing and dysregulation symptoms. Conclusions The current longitudinal analysis of maternal and child data revealed that a stable component of maternal depressive symptoms reliably predicted a wide range of child emotional and behavioral symptoms at 12 years of age.
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Affiliation(s)
- L Cerniglia
- Faculty of Psychology, International Telematic University Uninettuno, Rome, Italy
| | - F Dentale
- Department of Clinical and Dynamic Psychology, Sapienza, University of Rome, Via dei Marsi, 78, 00186, Rome, Italy
| | - R Tambelli
- Department of Clinical and Dynamic Psychology, Sapienza, University of Rome, Via dei Marsi, 78, 00186, Rome, Italy
| | - L Murray
- School of Psychology and Clinical Language Sciences, University of Reading, Reading, UK
| | - P Cooper
- School of Psychology and Clinical Language Sciences, University of Reading, Reading, UK
| | - S Cimino
- Department of Clinical and Dynamic Psychology, Sapienza, University of Rome, Via dei Marsi, 78, 00186, Rome, Italy.
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Mariani R, Di Trani M, Negri A, Tambelli R. Linguistic analysis of autobiographical narratives in unipolar and bipolar mood disorders in light of multiple code theory. J Affect Disord 2020; 273:24-31. [PMID: 32421609 DOI: 10.1016/j.jad.2020.03.170] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/01/2019] [Revised: 02/21/2020] [Accepted: 03/29/2020] [Indexed: 11/16/2022]
Abstract
BACKGROUND Discriminating bipolar disorder (BD) from unipolar disorder (UD) is crucial in diagnosing mood disorders. Neurophysiological studies have identified different correlates of emotional regulation in BD and UD. According to the Multiple Code Theory, bodily modifications relate to linguistic styles, as highlighted by studies on the language of depression. Our purpose is to verify the existence in the Italian language of linguistic features of depression differentiating BD from UD to provide tools for clinicians to use beyond self-report measures. METHODS The sample included 20 BD, 20 UD (all diagnosed using DSM-5), and 20 Control Group (CG) participants. Participants completed the Profile of Mood States (POMS) and an audio-recorded Relationship Anecdotes Paradigm Interview, transcribed and analyzed by the Discourse Attributes Analysis Program for Referential Process Linguistic Measures. RESULTS One-way ANOVAs confirmed that specific linguistic features characterized BD, UD and CG. The use of Sensory-Somatic words was significantly different in the groups: higher in BD, intermediate in UD, and lower in CG. Individuals with BD produced higher scores on the Referential Activity Intensity Index and the use of singular pronoun "I". Negative Affect, as well as several POMS subscales, distinguished UD and BD from CG. LIMITATIONS Narrow sample size, use of a single self-report instrument and treatment effects on measures in the clinical groups are limitations of the study. CONCLUSION Individuals with UD and BD appear to use sensory-somatic language in predictably different patterns from each other and from the non-clinical population. Observation and assessment of linguistic features could improve diagnostic accuracy.
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Affiliation(s)
- R Mariani
- Department of Dynamic and Clinical Psychology, Sapienza University, Rome, Italy.
| | - M Di Trani
- Department of Dynamic and Clinical Psychology, Sapienza University, Rome, Italy
| | - A Negri
- Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy
| | - R Tambelli
- Department of Dynamic and Clinical Psychology, Sapienza University, Rome, Italy
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Nimbi F, Simonelli C, Tambelli R, Stuart D. P-02-75 EFFECTS ON SEXUAL RESPONSE AND MOTIVATIONS IN ENGAGING IN CHEMSEX ACTIVITIES IN A GROUP OF MEN WHO HAVE SEX WITH MEN (MSM). J Sex Med 2020. [DOI: 10.1016/j.jsxm.2020.04.392] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Nimbi F, Simonelli C, Tambelli R, Stuart D. P-02-73 Chemsex in Italy: Peculiarities and Experiences of Men Who Have Sex With Men (MSM) Consuming Illicit Drugs to Enhance and Prolong Their Sexual Activity. J Sex Med 2020. [DOI: 10.1016/j.jsxm.2020.04.222] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Marconi P, Tambelli R, Penna M, Trentini C, Volpi B. Cross Frequency Modulation and Cognitive Performance. Eur Psychiatry 2015. [DOI: 10.1016/s0924-9338(15)30967-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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De Campora G, Guerriero V, Magliano M, Meldolesi C, Delogu A, Tambelli R. Emotions During Pregnancy: Do They Protect From the Risk of Dysregulated Eating Behaviors? Eur Psychiatry 2015. [DOI: 10.1016/s0924-9338(15)32025-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Angeletti G, D'onofrio M, Lai C, Tambelli R, Aceto P, Girardi P. Behavioural, psychological, and temperamental predictors of risk suicide trend after brief psychodynamic psychotherapy. Eur Rev Med Pharmacol Sci 2014; 18:1001-1009. [PMID: 24763880] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
BACKGROUND Evidence has shown that psychotherapy is effective for depression, whereas the outcome for suicide risk is unclear. AIM It was to investigate whether possible pre-treatment predictors of suicide risk (SR) decrease after a brief psychodynamic psychotherapy treatment and at follow-up. PATIENTS AND METHODS Forty-one patients were assessed at: baseline (T0) for clinical history, clinical family history, physical diseases, type of suffered abuse; after the treatment (T1); and, at six-month follow-up (T2) for mood ratings, temperamental features, and SR levels. RESULTS The levels of depression and cyclothymia decreased at T1 and T2 compared to T0; however, the distribution of the patients with high SR level was similar between T0 and T1, and at T2 it increased. T1-T0 SR (Δ1SR) was correlated with suicidality in the last month and with depression levels at T0; T2-T0 SR (Δ2SR) was correlated with many historical, clinical, and temperamental variables; T2-T1 SR (Δ3SR) was correlated with the presence of previous psychotherapy, abuse, and anxiety. Linear regression models revealed that Δ1SR was predicted by the suicidality in the last month; Δ2SR was not significantly predicted by any variable; and, Δ3SR was predicted by anxiety. CONCLUSIONS The treatment was able to decrease the depression but not the SR. Findings confirm the difficulty of affecting SR and the importance of carefully considering the anxiety and the previous experiences of abuse in order to manage the interruption of the psychotherapy.
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Affiliation(s)
- G Angeletti
- NESMOS Department (Neuroscience, Mental Health and Sensory Organs), School of Medicine and Psychology, Saint Andrea Hospital of Rome, Sapienza University of Rome, Rome, Italy.
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Marconi P, Trentini C, Tambelli R. EPA-1383 – Neurophysiological markers of sound thinking: A single-case study. Eur Psychiatry 2014. [DOI: 10.1016/s0924-9338(14)78591-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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De Campora G, Meldolesi C, Giromini L, Imperio V, Tambelli R, Zavattini G. EPA-0788 – Maternal depressive symptoms and early dyadic interactions. Eur Psychiatry 2014. [DOI: 10.1016/s0924-9338(14)78133-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Vismara L, Tambelli R, Odorisio F, Marconi P. EPA-1274 – Maternal representations and mother-child interaction in the perinatal period: effects of depression and anxiety comorbidity. Eur Psychiatry 2014. [DOI: 10.1016/s0924-9338(14)78505-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Visalli N, Leotta S, Gentili P, Mancone A, Abbruzzese S, Lastretti M, Giovannini M, Tambelli R, Grossi G, Lei D. W267 PROPOSAL FOR A MODEL OF OUTPATIENT MEDICAL AND PSYCHOLOGICAL ASSESSMENT FOR WOMEN WITH GDM. Int J Gynaecol Obstet 2012. [DOI: 10.1016/s0020-7292(12)61991-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Ammaniti M, van IJzendoorn MH, Speranza AM, Tambelli R. Internal working models of attachment during late childhood and early adolescence: an exploration of stability and change. Attach Hum Dev 2000; 2:328-46. [PMID: 11708222 DOI: 10.1080/14616730010001587] [Citation(s) in RCA: 94] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
This article addresses the question of how the transition from late childhood to early adolescence influences the organization of attachment. The applicability of a measure for attachment representations in early adolescence, the Attachment Interview for Childhood and Adolescence (AICA), was explored. The AICA is based on the Adult Attachment Interview, which was adapted in minor ways to the early adolescent age-group. It was hypothesized that attachment shows considerable stability from late childhood to early adolescence, although some changes might become manifest especially because distancing mechanisms toward the parents may be activated in this period. Also, stability may be different for the various secure and insecure attachment classifications. Lastly, because gender differences become larger during the transition from childhood to adolescence, attachment differences between boys and girls were explored. The same 31 Italian participants (14 girls, 17 boys) completed the AICA at 10 years and at 14 years of age. The AICA attachment classification distributions did not differ from Adult Attachment Interview (AAI) distributions in comparable but older adolescent or young adult samples. The stability of attachment security was considerable: 74% (k = .48). The stability of the dismissing and secure categories was somewhat higher than the stability of the (small) preoccupied and unresolved categories. The participants tended to show more dismissing strategies across the four years, and to report more rejection from their parents. It was suggested that the activation of dismissing defense mechanisms might be necessary to keep parental figures at some distance in order to achieve a more definite personal identity. Finally, no significant gender differences in attachment emerged during the transition from late childhood to early adolescence.
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Affiliation(s)
- M Ammaniti
- Dipartimento di Psicologia dei Processi di Sviluppo e Socializzazione, Università di Roma La Sapienza, Via dei Marsi, 78-00185 Rome, Italy
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