Hostname: page-component-586b7cd67f-t7fkt Total loading time: 0 Render date: 2024-11-24T10:33:41.979Z Has data issue: false hasContentIssue false

Romantic attachment in young adults with very low birth weight – The Helsinki Study of Very Low Birth Weight Adults

Published online by Cambridge University Press:  19 July 2010

R. Pyhälä
Affiliation:
Institute of Behavioural Sciences, University of Helsinki, Helsinki, Finland
K. Räikkönen*
Affiliation:
Institute of Behavioural Sciences, University of Helsinki, Helsinki, Finland
A.-K. Pesonen
Affiliation:
Institute of Behavioural Sciences, University of Helsinki, Helsinki, Finland Institute of Clinical Medicine, Hospital for Children and Adolescents, Helsinki University Central Hospital and University of Helsinki, Helsinki, Finland
K. Heinonen
Affiliation:
Institute of Behavioural Sciences, University of Helsinki, Helsinki, Finland
P. Hovi
Affiliation:
Institute of Clinical Medicine, Hospital for Children and Adolescents, Helsinki University Central Hospital and University of Helsinki, Helsinki, Finland National Institute for Health and Welfare, Helsinki, Finland
A.-L. Järvenpää
Affiliation:
Institute of Clinical Medicine, Hospital for Children and Adolescents, Helsinki University Central Hospital and University of Helsinki, Helsinki, Finland
J. G. Eriksson
Affiliation:
National Institute for Health and Welfare, Helsinki, Finland Institute of Clinical Medicine, Department of General Practice and Primary Health Care, University of Helsinki, Helsinki, Finland Vasa Central Hospital, Vasa, Finland Unit of General Practice, Helsinki University Central Hospital, Helsinki, Finland Folkhälsan Research Centre, Helsinki, Finland
S. Andersson
Affiliation:
Institute of Clinical Medicine, Hospital for Children and Adolescents, Helsinki University Central Hospital and University of Helsinki, Helsinki, Finland
E. Kajantie
Affiliation:
Institute of Clinical Medicine, Hospital for Children and Adolescents, Helsinki University Central Hospital and University of Helsinki, Helsinki, Finland National Institute for Health and Welfare, Helsinki, Finland
*
Address for correspondence: K. Räikkönen, Institute of Behavioural Sciences, University of Helsinki, Helsinki, Finland. (Email [email protected])

Abstract

Early attachment relationships from infancy onward contribute to attachment patterns later in life, to the ability to build up close relationships and to well-being in general. Severely preterm birth may challenge the development of these attachment relationships. We studied whether there are differences in attachment patterns related to romantic relationships between young adults (mean age 22.4 years, s.d. 2.2 years) with very low birth weight (VLBW, <1500 g; n = 162) and their peers born at term (n = 172), who completed the Experiences in Close Relationships Questionnaire – Revised. Young adults born at VLBW showed lower attachment-related anxiety than their peers born at term (mean difference −9.5%, 95% CI −16.0 to −2.6) when adjusted for sex, age, parental education and being in a romantic relationship currently. The groups did not differ in attachment-related avoidance. In subgroup analyses, the VLBW women born small for gestational age (SGA, birth weight <−2 s.d.) scored on average 14.8% (95% CI 3.1–26.6) higher than the control women on attachment avoidance. The effects remained after the exclusion of 18 participants with neurosensory deficits. We found no evidence for a compromised attachment pattern in young adults born at VLBW, with a possible exception of women born SGA at VLBW. VLBW adults were rather characterized by a lower level of attachment-related anxiety.

Type
Original Articles
Copyright
Copyright © Cambridge University Press and the International Society for Developmental Origins of Health and Disease 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Bowlby, J. Attachment and Loss: Vol 1. Attachment, 2nd edn, 1982. Basic Books, New York. (Original work published 1969).Google Scholar
2.Fraley, RC, Waller, NG, Brennan, KA. An item response theory analysis of self-report measures of adult attachment. J Pers Soc Psychol. 2000; 78, 350365.CrossRefGoogle ScholarPubMed
3.Roisman, GI, Madsen, SD, Hennighausen, KH, Sroufe, LA, Collins, WA. The coherence of dyadic behavior across parent-child and romantic relationships as mediated by the internalized representation of experience. Attach Hum Dev. 2001; 3, 156172.CrossRefGoogle ScholarPubMed
4.Waters, E, Merrick, S. Attachment security in infancy and early adulthood: a twenty-year longitudinal study. Child Dev. 2000; 71, 684689.CrossRefGoogle ScholarPubMed
5.Maunder, RG, Hunter, JJ. Attachment and psychosomatic medicine: developmental contributions to stress and disease. Psychosom Med. 2001; 63, 556567.CrossRefGoogle ScholarPubMed
6.Marazziti, D, Dell’osso, B, Catena Dell’Osso, M, et al. Romantic attachment in patients with mood and anxiety disorders. CNS Spectr. 2007; 12, 751756.CrossRefGoogle ScholarPubMed
7.Picardi, A, Caroppo, E, Toni, A, Bitetti, D, Di Maria, G. Stability of attachment-related anxiety and avoidance and their relationships with the five-factor model and the psychobiological model of personality. Psychol Psychother. 2005; 78, 327345.CrossRefGoogle ScholarPubMed
8.Dykas, MJ, Ziv, Y, Cassidy, J. Attachment and peer relations in adolescence. Attach Hum Dev. 2008; 10, 123141.CrossRefGoogle ScholarPubMed
9.Raikes, HA, Thompson, RA. Attachment security and parenting quality predict children’s problem-solving, attributions, and loneliness with peers. Attach Hum Dev. 2008; 10, 319344.CrossRefGoogle ScholarPubMed
10.Ward, RM, Beachy, JC. Neonatal complications following preterm birth. BJOG. 2003; 110, 816.CrossRefGoogle ScholarPubMed
11.Singer, LT, Salvator, A, Guo, S, et al. Maternal psychological distress and parenting stress after the birth of a very low-birth-weight infant. JAMA. 1999; 281, 799805.CrossRefGoogle ScholarPubMed
12.Miles, MS, Holditch-Davis, D. Parenting the prematurely born child: pathways of influence. Semin Perinatol. 1997; 21, 254266.CrossRefGoogle ScholarPubMed
13.Zelkowitz, P, Papageorgiou, A, Bardin, C, Wang, T. Persistent maternal anxiety affects the interaction between mothers and their very low birthweight children at 24 months. Early Hum Dev. 2009; 85, 5158.CrossRefGoogle ScholarPubMed
14.Feldman, R. Maternal versus child risk and the development of parent-child and family relationships in five high-risk populations. Dev Psychopathol. 2007; 19, 293312.CrossRefGoogle ScholarPubMed
15.Weiss, SJ, Jonn-Seed, MS, Wilson, P. The temperament of pre-term, low birth weight infants and its potential biological substrates. Res Nurs Health. 2004; 27, 392402.CrossRefGoogle ScholarPubMed
16.Medoff-Cooper, B. Temperament in very low birth weight infants. Nurs Res. 1986; 35, 139143.CrossRefGoogle ScholarPubMed
17.Langkamp, DL, Pascoe, JM. Temperament of pre-term infants at 9 months of age. Ambul Child Health. 2001; 7, 203212.CrossRefGoogle Scholar
18.Kajantie, E, Dunkel, L, Turpeinen, U, et al. Placental 11 beta-hydroxysteroid dehydrogenase-2 and fetal cortisol/cortisone shuttle in small preterm infants. J Clin Endocrinol Metab. 2003; 88, 493500.CrossRefGoogle ScholarPubMed
19.Kajantie, E, Räikkönen, K. Early life predictors of the physiological stress response later in life. Neurosci Biobehav Rev. 2009; doi: 10.1016/j.neubiorev.2009.11.013.Google ScholarPubMed
20.de Boo, HA, Harding, JE. The developmental origins of adult disease (Barker) hypothesis. Aust N Z J Obstet Gynaecol. 2006; 46, 414.CrossRefGoogle ScholarPubMed
21.Fernandez, EF, Watterberg, KL. Relative adrenal insufficiency in the preterm and term infant. J Perinatol. 2009; 29(Suppl. 2), S44S49.CrossRefGoogle ScholarPubMed
22.Hay, WW Jr. Strategies for feeding the preterm infant. Neonatology. 2008; 94, 245254.Google ScholarPubMed
23.Mangelsdorf, SC, Plunkett, JW, Dedrick, CF, et al. Attachment security in very low birth weight infants. Dev Psychol. 1996; 32, 914920.CrossRefGoogle Scholar
24.Sajaniemi, N, Mäkelä, J, Salokorpi, T, et al. Cognitive performance and attachment patterns at four years of age in extremely low birth weight infants after early intervention. Eur Child Adolesc Psychiatry. 2001; 10, 122129.CrossRefGoogle ScholarPubMed
25.Goldberg, S, Perrotta, M, Minde, K, Corter, C. Maternal behavior and attachment in low-birth-weight twins and singletons. Child Dev. 1986; 57, 3446.CrossRefGoogle ScholarPubMed
26.Frodi, A, Thompson, R. Infants’ affective responses in the strange situation: effects of prematurity and of quality of attachment. Child Dev. 1985; 56, 12801290.CrossRefGoogle ScholarPubMed
27.Brisch, KH, Bechinger, D, Betzler, S, Heinemann, H. Early preventive attachment-oriented psychotherapeutic intervention program with parents of a very low birthweight premature infant: results of attachment and neurological development. Attach Hum Dev. 2003; 5, 120135.CrossRefGoogle ScholarPubMed
28.Rode, SS, Chang, P, Fisch, RO, Sroufe, LA. Attachment patterns of infants separated at birth. Dev Psychol. 1981; 17, 188191.CrossRefGoogle Scholar
29.Lubetzky, O, Gilat, I. The impact of premature birth on fear of personal death and attachment of styles in adolescence. Death Stud. 2002; 26, 523543.CrossRefGoogle ScholarPubMed
30.Hack, M, Flannery, DJ, Schluchter, M, et al. Outcomes in young adulthood for very-low-birth-weight infants. N Engl J Med. 2002; 346, 149157.CrossRefGoogle ScholarPubMed
31.Kajantie, E, Hovi, P, Räikkönen, K, et al. Young adults with very low birth weight: leaving the parental home and sexual relationships – Helsinki study of very low birth weight adults. Pediatrics. 2008; 122, e62e72.CrossRefGoogle ScholarPubMed
32.Cooke, RWI. Health, lifestyle, and quality of life for young adults born very preterm. Arch Dis Child. 2004; 89, 201206.CrossRefGoogle ScholarPubMed
33.Moster, D, Lie, RT, Markestad, T. Long-term medical and social consequences of preterm birth. N Engl J Med. 2008; 359, 262273.CrossRefGoogle ScholarPubMed
34.Swamy, GK, Ostbye, T, Skjaerven, R. Association of preterm birth with long-term survival, reproduction, and next-generation preterm birth. JAMA. 2008; 299, 14291436.CrossRefGoogle ScholarPubMed
35.Pihkala, J, Hakala, T, Voutilainen, P, Raivio, K. Characteristic of recent fetal growth curves in Finland. Duodecim. 1989; 105, 15401546. [in Finnish].Google ScholarPubMed
36.Hovi, P, Andersson, S, Eriksson, JG, et al. Glucose regulation in young adults with very low birth weight. N Engl J Med. 2007; 356, 20532063.CrossRefGoogle ScholarPubMed
37.Räikkönen, K, Pesonen, AK, Heinonen, K, et al. Depression in young adults with very low birth weight: the Helsinki study of very low-birth-weight adults. Arch Gen Psychiatry. 2008; 65, 290296.CrossRefGoogle ScholarPubMed
38.Brennan, KA, Clark, CL, Shaver, PR. Self-report measurement of adult attachment: an integrative overview. In Attachment Theory and Close Relationships (eds. Simpson JA, Rholes WS), 1998; pp. 4676. Guilford Press, New York.Google Scholar
39.Bartholomew, K. Avoidance of intimacy: an attachment perspective. J Soc Pers Relat. 1990; 7, 147178.CrossRefGoogle Scholar
40.Sibley, CG, Fischer, R, Liu, JH. Reliability and validity of the revised Experiences in Close Relationships (ECR-R) self-report measure of adult romantic attachment. Pers Soc Psychol Bull. 2005; 31, 15241536.CrossRefGoogle ScholarPubMed
41.Saigal, S, Stoskopf, B, Streiner, D, et al. Transition of extremely low-birth-weight infants from adolescence to young adulthood: comparison with normal birth-weight controls. JAMA. 2006; 295, 667675.CrossRefGoogle ScholarPubMed
42.Hack, M, Youngstrom, EA, Cartar, L, et al. Behavioral outcomes and evidence of psychopathology among very low birth weight infants at age 20 years. Pediatrics. 2004; 114, 932940.CrossRefGoogle ScholarPubMed
43.Gittleman, MG, Klein, MH, Smider, NA, Essex, MJ. Recollections of parental behaviour, adult attachment and mental health: mediating and moderating effects. Psychol Med. 1998; 28, 14431455.CrossRefGoogle ScholarPubMed
44.Strang-Karlsson, S, Räikkönen, K, Pesonen, AK, et al. Very low birth weight and behavioral symptoms of attention deficit hyperactivity disorder in young adulthood: the Helsinki study of very-low-birth-weight adults. Am J Psychiatry. 2008; 165, 13451353.CrossRefGoogle ScholarPubMed
45.Gennaro, S, Medoff-Cooper, B, Lotas, M. Perinatal factors and infant temperament: a collaborative approach. Nurs Res. 1992; 41, 375377.CrossRefGoogle ScholarPubMed
46.Eisengart, SP, Singer, LT, Fulton, S, Baley, JE. Coping and psychological distress in mothers of very low birth weight young children. Parent: Sci Pract. 2003; 3, 4972.CrossRefGoogle ScholarPubMed
47.Allen, EC, Manuel, JC, Legault, C, et al. Perception of child vulnerability among mothers of former premature infants. Pediatrics. 2004; 113, 267273.CrossRefGoogle ScholarPubMed
48.Perrin, EC, West, PD, Culley, BS. Is my child normal yet? Correlates of vulnerability. Pediatrics. 1989; 83, 355363.Google ScholarPubMed
49.Stern, M, Karraker, K, McIntosh, B, Moritzen, S, Olexa, M. Prematurity stereotyping and mothers’ interactions with their premature and full-term infants during the first year. J Pediatr Psychol. 2006; 31, 597607.CrossRefGoogle ScholarPubMed
50.Forcada-Guex, M, Pierrehumbert, B, Borghini, A, Moessinger, A, Muller-Nix, C. Early dyadic patterns of mother-infant interactions and outcomes of prematurity at 18 months. Pediatrics. 2006; 118, e107e114.CrossRefGoogle ScholarPubMed
51.Treyvaud, K, Anderson, VA, Howard, K, et al. Parenting behavior is associated with the early neurobehavioral development of very preterm children. Pediatrics. 2009; 123, 555561.CrossRefGoogle ScholarPubMed
52.Magill-Evans, J, Harrison, MJ, Burke, SO. Parent-child interactions and development of toddlers born preterm. West J Nurs Res. 1999; 21, 292312.CrossRefGoogle ScholarPubMed
53.Muller-Nix, C, Forcada-Guex, M, Pierrehumbert, B, et al. Prematurity, maternal stress and mother–child interactions. Early Hum Dev. 2004; 79, 145158.CrossRefGoogle ScholarPubMed
54.Egeland, B, Farber, EA. Infant-mother attachment: factors related to its development and changes over time. Child Dev. 1984; 55, 753771.CrossRefGoogle ScholarPubMed
55.Hoff, B, Munck, H, Greisen, G. Assessment of parental sensitivity towards pre-school children born with very low birth weight. Scand J Psychol. 2004; 45, 8589.CrossRefGoogle ScholarPubMed
56.Deater-Deckard, K, Bulkley, J. Parent concerns in long-term follow-up. Semin Neonatol. 2000; 5, 171178.CrossRefGoogle ScholarPubMed
57.Feldman, R, Weller, A, Sirota, L, Eidelman, AI. Testing a family intervention hypothesis: the contribution of mother-infant skin-to-skin contact (Kangaroo Care) to family interaction, proximity, and touch. J Fam Psychol. 2003; 17, 94107.CrossRefGoogle ScholarPubMed
58.Newnham, CA, Milgrom, J, Skouteris, H. Effectiveness of a modified mother–infant transaction program on outcomes for preterm infants from 3 to 24 months of age. Infant Behav Dev. 2009; 32, 1726.CrossRefGoogle Scholar
59.Pyhälä, R, Räikkönen, K, Pesonen, AK , et al. Parental bonding after preterm birth – child and parent perspectives in the Helsinki study of very low birth weight adults. (Submitted).Google Scholar
60.Wightman, A, Schluchter, M, Drotar, D, et al. Parental protection of extremely low birth weight children at age 8 years. J Dev Behav Pediatr. 2007; 28, 317326.CrossRefGoogle ScholarPubMed
61.Overbeek, G, ten Have, M, Vollebergh, W, de Graaf, R. Parental lack of care and overprotection. Longitudinal associations with DSM-III-R disorders. Soc Psychiatry Psychiatr Epidemiol. 2007; 42, 8793.CrossRefGoogle ScholarPubMed
62.Lizardi, H, Klein, DN. Evidence of increased sensitivity using a three-factor version of the Parental Bonding Instrument. J Nerv Ment Dis. 2002; 190, 619623.CrossRefGoogle ScholarPubMed