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Infant-mother attachment and behavior problems in healthy and chronically ill preschoolers

Published online by Cambridge University Press:  04 March 2009

Susan Goldberg ,
Andrew Gotowiec  and
Robert J. Simmons
Susan Goldberg*
Affiliation:
Hospital for Sick Children
Andrew Gotowiec
Affiliation:
Clarke Institute of Psychiatry
Robert J. Simmons
Affiliation:
Hospital for Sick Children
*
Susan Goldberg, Psychiatric Research Unit, The Hospital for Sick Children, 555 University Ave, Toronto, Ontario M5G 1X8.
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Abstract

Analysis of longitudinal data for 145 children [51 healthy, 40 with cystic fibrosis (CF), and 54 with congenital heart disease (CHD)] was conducted: (a) to ascertain whether behavioral problems evident in older medically compromised children would be reported as early as 2–3 years-of-age; and (b) to test theoretical predictions concerning the role of infant-mother attachment in the etiology of behavior problems. As predicted, children with a medical diagnosis received higher scores from parents on the Child Behavior Checklist (CBCL), primarily on the Internalizing scale. Reports of somatic symptoms did not account for this effect. Contrary to predictions, children with CHD were reported to have more behavior problems than those with CF. Secure attachment was associated with lower CBCL scores for internalizing problems regardless of medical status. The increase in behavior problem reports associated with insecure attachment was shown to reflect an effect of avoidance rather than insecurity per se. The importance of distinguishing effects of different types of insecurity and the need for meta-analytic strategies to do so is emphasized.

Type
Articles
Information
Development and Psychopathology , Volume 7 , Issue 2 , Spring 1995 , pp. 267 - 282
Copyright
Copyright © Cambridge University Press 1995

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References

Achenbach, T. M. (1992). Manual for the child behavior checklist/2–3 and 1992 profile. Burlington, VT. University of Vermont, Department of Psychiatry.Google Scholar
Achenbach, T. M., Edelbrock, C., & Howell, C. T. (1987). Empirically based assessment of the behavioral/emotional problems of 2- and 3-year-old children. Journal of Abnormal Child Psychology, 629–650.Google Scholar
Ainsworth, M. D. S., Blehar, M., Waters, E., & Wall, S. (1978). Patterns of attachment: A psychological study of the strange situation. Hillsdale, NJ: Erlbaum.Google Scholar
Arend, R., Gove, F., & Sroufe, L. A. (1979). Continuity of individual adaptation from infancy to kindergarten: A predictive study of ego-resilience and curiosity in preschoolers. Child Development, 950–959.CrossRefGoogle Scholar
Bates, J. E., Maslin, G. A., & Frankel, K. A. (1985). Attachment security, mother-child interaction and temperament as predictors of behavior problem ratings at age three years. In I. Bretherton & E. Waters (Eds.), Growing points of attachment theory and research. Monographs of the Society for Research Child Development, 50(1–2), Serial No. 209.Google Scholar
Bowlby, J. (1969). Attachment and loss: Volume 1 Attachment. New York: Basic Books.Google Scholar
Bowlby, J. (1973). Attachment and loss: Volume 2 Separation, anxiety and anger. New York: Basic Books.Google Scholar
Bowlby, J. (1980). Attachment and loss: Volume 2 Loss. New York: Basic Books.Google Scholar
Cadman, D., Boyle, M., Szatmari, P., & Offord, D. R. (1987). Chronic illness disability and mental and social well-being: Findings of the Ontario Child Health Study. Pediatrics, 79, 805–813.CrossRefGoogle ScholarPubMed
Carlson, V., Cicchetti, D., Barnett, D., & Braunwald, K. (1989). Disorganized/disoriented attachment relationships in maltreated infants. Developmental Psychology, 25, 525–531.Google Scholar
Cassidy, J., & Kobak, R. R. (1988). Avoidance and relevance to other defensive processes. In Belsky, J. & Nezworski, T. (Eds.), Clinical implications of attachment (pp. 300–326). Hillsdale, NJ: Erlbaum.Google Scholar
Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155–159.Google Scholar
Erickson, M. F., Sroufe, L. A., & Egeland, B. (1985). The relationship between quality of attachment and behavior problems in a preschool high-risk sample. In I. Bretherton & E. Waters (Eds.), Growing points of attachment theory and research. Monographs of the Society for Research in Child Development, 50(1–2), Serial No. 209.CrossRefGoogle Scholar
Fagot, B. T., & Kavanagh, K. (1990). The prediction of antisocial behavior from avoidant attachment classifications. Child Development, 61, 864–873.Google Scholar
Goldberg, S. (1992, 03). Attachment and physical health in medically compromised infants. In Goldson (Chair), Non-organic failure to thrive. Invited symposium conducted at the International Conference on Infant Studies, Miami, FL.Google Scholar
Goldberg, S., Corter, C., Lojkasek, M., & Minde, K. (1990). Prediction of behavior problems in fouryear olds born prematurely. Development and Psychopathology, 2, 15–30.CrossRefGoogle Scholar
Goldberg, S., Simmons, R. J., Neuman, J., Campbell, K., & Fowler, R. S. (1991). Congenital heart disease, parent stress, and infant-mother attachment. Journal of Pediatrics, 119, 661–666.Google Scholar
Goldberg, S., Washington, J., Morris, P., Fischer-Fay, A., & Simmons, R. J. (1990). Early diagnosed chronic illness and mother-child relationships in the first two years. Canadian Journal of Psychiatry, 35, 726–733.Google Scholar
Greenberg, M. T., Speltz, M. L., DeKlyen, M. C., & Endriga, M. C. (1991). Attachment security in pre-schoolers with and without externalizing problems: A replication. Development and Psychopathology, 3, 413–430.Google Scholar
Lavigne, J., & Faier-Routman, J. (1992). Psychological adjustment to pediatric physical disorders. Journal of Pediatric Psychology, 17, 133–158.Google Scholar
Lewis, M. (1991). Psychiatric assessment of infants, children, and adolescents. In Lewis, M. (Ed.), Child and adolescent psychiatry (pp. 447–463). Baltimore, MD: Williams & Wilkins.Google Scholar
Lewis, M., Feiring, C., McGuffog, C., & Jaskir, J. (1984). Predicting psychopathology in six-yearolds from early social relations. Child Development, 55, 123–136.Google Scholar
Lyons-Ruth, K., Alpern, L., & Repacholi, B. (1993). Disorganized infant attachment classification and maternal psychosocial-problems as predictors of hostile aggressive behavior in the preschool classroom. Child Development, 64, 572–585.Google Scholar
Lyons-Ruth, K., Connell, D., Grunebaum, H., & Botein, S. (1990). Infants at social risk: Maternal depression and family support services as mediators of infants' development and security of attachment. Child Development, 61, 85–98.Google Scholar
Main, M., & Hesse, E. (1990). Parents' unresolved traumatic experiences are related to infant disorganized/disoriented attachment status: Is frightened or frightening parental behavior the linking mechanism? In Greenberg, M. T., Cicchetti, D., & Cummings, E. M. (Eds.), Attachment in the preschool years (pp. 161–184). Chicago: University of Chicago.Google Scholar
Main, M., Kaplan, N., & Cassidy, J. (1985). Security in infancy, childhood, and adulthood: A move to the level of representation. In I. Bretherton & E. Waters (Eds.), Growing points of attachment theory and research. Monographs of the Society for Research in Child Development, 50(1–2), Serial No. 209.CrossRefGoogle Scholar
Main, M., & Solomon, J. (1986). Discovery of an insecure-disorganized/disoriented attachment pattern. In Brazelton, T. B. & Yogman, M. W. (Eds.), Affective development in infancy (pp. 95–124). Norwood, NJ: Ablex.Google Scholar
Neuman, J., & Goldberg, S. (1990, 04). Temperament and attachment: health and illness. Poster presented at the International Conference on Infant Studies, Montreal, PQ.Google Scholar
Offord, D. R., Boyle, M. H., Fleming, J. E., Munroe Blum, H., & Rae-Grant, N. I. (1989). Ontario Child Health Study: Summary of selected results. Canadian Journal of Psychiatry, 34, 483–491.Google Scholar
Radke-Yarrow, M., Cummings, E. M., Kuczynski, L., & Chapman, M. (1985). Patterns of attachment in two- and three-year-olds in normal families and families with parental depression. Child Development, 56, 591–615.CrossRefGoogle ScholarPubMed
Renken, B., Egeland, B., Marvinney, D., Mangelsdorf, S., & Sroufe, L. A. (1989). Early childhood antecedents of aggression and passive-withdrawal in early elementary school. Journal of Personality, 57, 257–279.CrossRefGoogle ScholarPubMed
Speltz, M. L., Greenberg, M. T., & DeKlyen, M. C. (1990). Attachment in preschoolers with disruptive behavior: A comparison of clinic referred and non-problem children. Development and Psychopathology, 2, 31–46.Google Scholar
van Ijzendoorn, M. H., Goldberg, S., Kroonenberg, P. M., & Frankel, O. (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.Google ScholarPubMed
van Ijzendoorn, M. H., & Kroonenberg, P. M. (1988). Cross-cultural patterns of attachment, a meta-analysis of the strange situation. Child Development, 59, 147–156.Google Scholar
Weiland, S. K., Pless, I. B., & Roghmann, K. J. (1992). Chronic illness and mental health problems in pediatric practice: Results from a survey of primary care providers. Pediatrics, 89, 445–449.Google ScholarPubMed