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Intervening with Attachment and Biobehavioral Catch-Up to decrease disrupted parenting behavior and attachment disorganization: The role of parental withdrawal

Published online by Cambridge University Press:  01 August 2019

Heather A. Yarger Open the ORCID record for Heather A. Yarger [Opens in a new window] ,
Elisa Bronfman ,
Elizabeth Carlson  and
Mary Dozier
Heather A. Yarger*
Affiliation:
Department of Psychology, University of Maryland, College Park, MD, USA
Elisa Bronfman
Affiliation:
Boston Children's Hospital, Boston, MA, USA
Elizabeth Carlson
Affiliation:
Department of Psychiatry, University of Minnesota, Minneapolis, MN, USA
Mary Dozier
Affiliation:
Department of Psychological and Brain Sciences, University of Delaware, Newark, DE, USA
*
Author for Correspondence: Heather Yarger, Department of Psychology, 0112 Biology-Psychology Building, College Park, MD20742; E-mail: Hyarger@umd.edu.
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Abstract

This randomized controlled trial investigated the efficacy of Attachment and Biobehavioral Catch-up (ABC; Dozier, Bick, & Bernard, 2011) in reducing disrupted parenting behavior (affective communication errors, role/boundary confusion, fearful/disoriented, intrusive/negativity, and withdrawal) and its association with disorganized attachment. Participants were 105 mother–child dyads randomized to receive either ABC or a control intervention (a 10-session home-visiting intervention focused on improving children's cognitive abilities, gross and fine motor abilities, and language development). At the time of study enrollment, mothers were approximately 26.7 years old (SD = 7.8) and predominantly Black or African American (73.9%). At the first follow-up visit, children were approximately 20.7 months old (SD = 6.3) and most were identified as Black or African American (61.9%). Fifty-two percent of children were male (n = 55). Assessments of disrupted parenting behavior and child attachment quality were assessed approximately 7 months postintervention (SD = 5.8). A one-way analysis of variance revealed that parents who received ABC demonstrated lower levels of parental withdrawal than parents who received the control condition. A structural equation model revealed a significant indirect effect of intervention group on attachment quality through lower levels of parental withdrawal. Results add to the efficacy of the ABC intervention and identified parental withdrawal as a mediator of change.

Keywords

attachmentdisrupted parenting behaviorinterventionparentingwithdrawal

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Type
Regular Articles
Information
Development and Psychopathology , Volume 32 , Issue 3 , August 2020 , pp. 1139 - 1148
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Copyright © Cambridge University Press 2019

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References

Abrams, K. Y., Rifkin, A., & Hesse, E. (2006). Examining the role of parental frightened/frightening subtypes in predicting disorganized attachment within a brief observational procedure. Development and Psychopathology, 18, 345–361. doi:10.1017/S0954579406060184CrossRefGoogle ScholarPubMed
Ainsworth, M. D. S., Blehar, M. C., Waters, E., & Wall, S. (1978). Patterns of attachment: A psychological study of the strange situation. Oxford: Erlbaum.Google Scholar
Bernard, K., Butzin-Dozier, Z., Rittenhouse, J., & Dozier, M. (2010). Cortisol production patterns in young children living with birth parents vs children placed in foster care following involvement of Child Protective Services. Archives of Pediatrics and Adolescent Medicine, 164, 438–443. doi:10.1001/archpediatrics.2010.54CrossRefGoogle ScholarPubMed
Bernard, K., Dozier, M., Bick, J., & Gordon, M. K. (2015). Intervening to enhance cortisol regulation among children at risk for neglect: Results of a randomized clinical trial. Development and Psychopathology, 27, 829–841. doi:10.1017/S095457941400073XCrossRefGoogle ScholarPubMed
Bernard, K., Dozier, M., Bick, J., Lewis-Morrarty, E., Lindhiem, O., & Carlson, E. (2012). Enhancing attachment organization among maltreated children: Results of a randomized clinical trial. Child Development, 83, 623–636.CrossRefGoogle ScholarPubMed
Bernard, K., Hostinar, C., & Dozier, M. (2015). Intervention effects on diurnal cortisol rhythms of CPS-referred infants persist into early childhood: Preschool follow-up results of a randomized clinical trial. JAMA Pediatrics, 169, 112–119. doi:10.1001/jamapediatrics.2014.2369CrossRefGoogle Scholar
Bick, J., & Dozier, M. (2013). The effectiveness of an attachment-based intervention in promoting foster mothers’ sensitivity toward foster infants. Infant Mental Health Journal, 34, 95–103. doi:10.1002/imhj.21373CrossRefGoogle ScholarPubMed
Bronfman, E., Madigan, S., & Lyons-Ruth, K. (2009–2014). Disrupted Maternal Behavior Instrument for Assessment and Classification (AMBIANCE): Manual for coding disrupted affective communication (2nd ed.). Unpublished manuscript, Harvard University Medical School.Google Scholar
Bruce, J., Fisher, P. A., Pears, K. C., & Levine, S. (2009). Morning cortisol levels in preschool-aged foster children: Differential effects of maltreatment type. Developmental Psychobiology, 51, 14–23. doi:10.1002/dev.20333CrossRefGoogle ScholarPubMed
Calkins, S. D., & Johnson, M. C. (1998). Toddler regulation of distress to frustrating events: Temperamental and maternal correlates. Infant Behavior & Development, 21, 379–395. doi:10.1016/S0163-6383(98)90015-7CrossRefGoogle Scholar
Carlson, E. A. (1998). A prospective longitudinal study of attachment disorganization/disorientation. Child Development, 69, 1107–1128. doi:10.2307/1132365CrossRefGoogle ScholarPubMed
Caron, E., Bernard, K., & Dozier, M. (2018). In vivo feedback predicts parent behavior change in the attachment and biobehavioral catch-up intervention. Journal of Clinical Child and Adolescent Psychology, 47(Suppl. 1), S35–S46. doi:10.1080/15374416.2016.1141359CrossRefGoogle ScholarPubMed
Denham, S., Bassett, H., Way, E., Mincic, M., Zinsser, K., & Graling, K. (2012). Preschoolers’ emotion knowledge: Self-regulatory foundations, and predictions of early school success. Cognition and Emotion, 26, 667–679. doi:10.1080/02699931.2011.602049CrossRefGoogle ScholarPubMed
De Wolff, M., & van Ijzendoorn, M. H. (1997). Sensitivity and attachment: A meta-analysis on parental antecedents of infant attachment. Child Development, 68, 571–591. doi:10.2307/1132107CrossRefGoogle ScholarPubMed
Dozier, M., Bick, J., & Bernard, K. (2011). Attachment-based treatment for young, vulnerable children. In Osofsky, J. D. (Ed.), Clinical work with traumatized young children (pp. 75–95). New York: Guilford Press.Google Scholar
Fearon, R. P., Bakermans-Kranenburg, M. J., van Ijzendoorn, M. H., Lapsley, A.-M., & Roisman, G. I. (2010). The significance of insecure attachment and disorganization in the development of children's externalizing behavior: A meta-analytic study. Child Development, 81, 435–456. doi:10.1111/j.1467-8624.2009.01405.xCrossRefGoogle ScholarPubMed
Goldberg, S., Benoit, D., Blokland, K., & Madigan, S. (2003). Atypical maternal behavior, maternal representations, and infant disorganized attachment. Development and Psychopathology, 15, 239–257. doi:10.1017/S0954579403000130CrossRefGoogle ScholarPubMed
Gonzalez, C., Morawska, A., & Haslam, D. (2018). Enhancing initial parental engagement in interventions for parents of young children: A systematic review of experimental studies. Clinical Child and Family Psychology Review, 21, 415–432. doi:10.1007/s10567-018-0259-4CrossRefGoogle ScholarPubMed
Gunnar, M. R., & Vazquez, D. M. (2001). Low cortisol and a flattening of expected daytime rhythm: Potential indices of risk in human development. Development and Psychopathology, 13, 515–538. doi:10.1017/S0954579401003066CrossRefGoogle Scholar
Halligan, S. L., Cooper, P. J., Fearon, P., Wheeler, S. L., Crosby, M., & Murray, L. (2013). The longitudinal development of emotion regulation capacities in children at risk for externalizing disorders. Development and Psychopathology, 25, 391–406. doi:10.1017/S0954579412001137CrossRefGoogle ScholarPubMed
Haltigan, J. D., Madigan, S., Bronfman, E., Bailey, H. N., Borland-Kerr, C., Mills-Koonce, R., & Lyons-Ruth, K. (2019). Refining the assessment of disrupted maternal communication: Using item response models to identify central indicators of disrupted behavior. Development and Psychopathology, 31, 251–277. doi:10.1017/S0954579417001778CrossRefGoogle ScholarPubMed
Hesse, E., & Main, M. (1999). Second-generation effects of unresolved trauma in nonmaltreating parents: Dissociated, frightened, and threatening parental behavior. Psychoanalytic Inquiry, 19, 481–540. doi:10.1080/07351699909534265CrossRefGoogle Scholar
Hesse, E., & Main, M. (2006). Frightened, threatening, and dissociative parental behavior in low-risk samples: Description, discussion, and interpretations. Development and Psychopathology, 18, 309–343. doi:10.1017/S0954579406060172CrossRefGoogle ScholarPubMed
Juffer, F., Struis, E., Werner, C., & Bakermans-Kranenburg, M. J. (2017). Effective preventive interventions to support parents of young children: Illustrations from the Video-feedback Intervention to promote Positive Parenting and Sensitive Discipline (VIPP-SD). Journal of Prevention & Intervention in the Community, 45, 202–214. doi:10.1080/10852352.2016.1198128CrossRefGoogle Scholar
Kopp, C. B. (1989). Regulation of distress and negative emotions: A developmental view. Developmental Psychology, 25, 343–354. doi:10.1037/0012-1649.25.3.343CrossRefGoogle Scholar
Lewis-Morrarty, E., Dozier, M., Bernard, K., Terracciano, S. M., & Moore, S. V. (2012). Cognitive flexibility and theory of mind outcomes among foster children: Preschool follow-up results of a randomized clinical trial. Journal of Adolescent Health, 51(2, Suppl.), S17–S22. doi:10.1016/j.jadohealth.2012.05.005CrossRefGoogle ScholarPubMed
Lieberman, A. F., Ippen, C. G., & Van Horn, P. (2015). “Don't hit my mommy!”: A manual for child-parent psychotherapy with young children exposed to violence and other trauma (2nd ed.). Washington, DC: Zero to Three.Google Scholar
Lind, T., Bernard, K., Ross, E., & Dozier, M. (2014). Intervention effects on negative affect of CPS-referred children: Results of a randomized clinical trial. Child Abuse & Neglect, 38, 1459–1467. doi:10.1016/j.chiabu.2014.04.004CrossRefGoogle ScholarPubMed
Lind, T., Raby, K. L., Caron, E., Roben, C. K. P., & Dozier, M. (2017). Enhancing executive functioning among toddlers in foster care with an attachment-based intervention. Development and Psychopathology, 29, 575–586. doi:10.1017/S0954579417000190CrossRefGoogle ScholarPubMed
Lionetti, F., Pastore, M., & Barone, L. (2015). Attachment in institutionalized children: A review and meta-analysis. Child Abuse & Neglect, 42, 135–145. doi:10.1016/j.chiabu.2015.02.013CrossRefGoogle ScholarPubMed
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. doi:10.2307/1131270CrossRefGoogle ScholarPubMed
Lyons-Ruth, K., Bronfman, E., & Parsons, E. (1999). Maternal frightened, frightening, or atypical behavior and disorganized infant attachment patterns. Monographs of the Society for Research in Child Development, 64, 67–96. doi:10.1111/1540-5834.00034CrossRefGoogle ScholarPubMed
Lyons-Ruth, K., Bureau, J.-F., Easterbrooks, M. A., Obsuth, I., Hennighausen, K., & Vulliez-Coady, L. (2013). Parsing the construct of maternal insensitivity: Distinct longitudinal pathways associated with early maternal withdrawal. Attachment & Human Development, 15, 562–582. doi:10.1080/14616734.2013.841051CrossRefGoogle ScholarPubMed
Lyons-Ruth, K., & Jacobvitz, D. (2008). Attachment disorganization: Genetic factors, parenting contexts, and developmental transformation from infancy to adulthood. New York: Guilford Press.Google Scholar
Madigan, S., Bakermans-Kranenburg, M. J., van Ijzendoorn, M. H., Moran, G., Pederson, D. R., & Benoit, D. (2006). Unresolved states of mind, anomalous parental behavior, and disorganized attachment: A review and meta-analysis of a transmission gap. Attachment & Human Development, 8, 89–111. doi:10.1080/14616730600774458CrossRefGoogle ScholarPubMed
Madigan, S., Moran, G., & Pederson, D. R. (2006). Unresolved states of mind, disorganized attachment relationships, and disrupted interactions of adolescent mothers and their infants. Developmental Psychology, 42, 293–304. doi:10.1037/0012-1649.42.2.293CrossRefGoogle ScholarPubMed
Main, M., & Hesse, E. (1990). Parents' unresolved traumatic experiences are related to infant disorganized attachment status: Is frightened and/or frightening parental behavior the linking mechanism? In Greenberg, M. T., Cicchetti, D., & Cummings, E. M. (Eds.), Attachment in the preschool years: Theory, research, and intervention (pp. 161–182). Chicago: University of Chicago Press.Google Scholar
Main, M., & Solomon, J. (1990). Procedures for identifying infants as disorganized/disoriented during the Ainsworth Strange Situation. In Attachment in the preschool years: Theory, research, and intervention (pp. 121–160). Chicago: University of Chicago Press.Google Scholar
Milan, S., Zona, K., & Snow, S. (2013). Pathways to adolescent internalizing: Early attachment insecurity as a lasting source of vulnerability. Journal of Clinical Child and Adolescent Psychology, 42, 371–383.CrossRefGoogle Scholar
Muthén, B., & Asparouhov, T. (2015). Causal effects in mediation modeling: An introduction with applications to latent variables. Structural Equation Modeling, 22, 12–23. doi:10.1080/10705511.2014.935843CrossRefGoogle Scholar
Muthén, B. O., Muthén, L. K., & Asparouhov, T. (2016). Regression and mediation analysis using Mplus. Los Angeles: Author.Google Scholar
Muthén, L. K., & Muthén, B. O. (2017). Mplus Version 8 user's guide. Los Angles: Author.Google Scholar
NICHD Early Child Care Research Network (1996). Characteristics of infant child care: Factors contributing to positive caregiving. Early Childhood Research Quarterly, 11, 269–306. doi:10.1016/S0885-2006(96)90009-5CrossRefGoogle Scholar
Powell, B., Cooper, G., Hoffman, K., & Marvin, B. (2014). The circle of security intervention: Enhancing attachment in early parent–child relationships. New York: Guilford Press.Google Scholar
Ramey, C. T., Yeates, K. O., & Short, E. J. (1984). The plasticity of intellectual development: Insights from preventive intervention. Child Development, 55, 1913–1925. doi:10.2307/1129938CrossRefGoogle ScholarPubMed
Schuengel, C., Bakermans-Kranenburg, M. J., & van Ijzendoorn, M. H. (1999). Frightening maternal behavior linking unresolved loss and disorganized infant attachment. Journal of Consulting and Clinical Psychology, 67, 54–63. doi:10.1037/0022-006X.67.1.54CrossRefGoogle ScholarPubMed
Sulik, M. J., Blair, C., Mills-Koonce, R., Berry, D., & Greenberg, M. (2015). Early parenting and the development of externalizing behavior problems: Longitudinal mediation through children's executive function. Child Development, 86, 1588–1603. doi:10.1111/cdev.12386CrossRefGoogle ScholarPubMed
Tate, C. U. (2015). On the overuse and misuse of mediation analysis: It may be a matter of timing. Basic and Applied Social Psychology, 37, 235–246. doi:10.1080/01973533.2015.1062380CrossRefGoogle Scholar
Tereno, S., Madigan, S., Lyons-Ruth, K., Plamondon, A., Atkinson, L., Guedeney, N., … Guedeney, A. (2017). Assessing a change mechanism in a randomized home-visiting trial: Reducing disrupted maternal communication decreases infant disorganization. Development and Psychopathology, 29, 637–649. doi:10.1017/S0954579417000232CrossRefGoogle Scholar
Tubach, F., Greacen, T., Saïas, T., Dugravier, R., Guedeney, N., Ravaud, P., … Guedeney, A. (2012). A home-visiting intervention targeting determinants of infant mental health: The study protocol for the CAPEDP randomized controlled trial in France. BMC Public Health, 12, 648. doi:10.1186/1471-2458-12-648CrossRefGoogle Scholar
US Department of Health & Human Services, Administration for Children and Families, Administration on Children, Youth and Families, Children's Bureau. (2018). Child maltreatment 2016. Retrieved from https://www.acf.hhs.gov/sites/default/files/cb/cm2016.pdfGoogle Scholar
van Ijzendoorn, M. H., Schuengel, C., & Bakermans-Kranenburg, M. J. (1999). Disorganized attachment in early childhood: Meta-analysis of precursors, concomitants, and sequelae. Development and Psychopathology, 11, 225–249. doi:10.1017/S0954579499002035CrossRefGoogle ScholarPubMed
Verhage, M. L., Schuengel, C., Madigan, S., Fearon, R. M. P., Oosterman, M., Cassibba, R., … van Ijzendoorn, M. H. (2016). Narrowing the transmission gap: A synthesis of three decades of research on intergenerational transmission of attachment. Psychological Bulletin, 142, 337–366. doi:10.1037/bul0000038CrossRefGoogle ScholarPubMed
Vischer, A.-F. W. K., Knorth, E. J., Grietens, H., & Post, W. J. (2019). To preserve or not to preserve: That is the question. Decision-making about family preservation among families in multi-problem situations. Children and Youth Services Review. Advance online publication. doi:10.1016/j.childyouth.2019.01.040CrossRefGoogle Scholar
Yarger, H. A., Bernard, K., Caron, E., Wallin, A., & Dozier, M. (2019). Enhancing parenting quality for young children adopted internationally: Results of a randomized controlled trial. Journal of Clinical Child and Adolescent Psychology. Advance online publication. doi:10.1080/15374416.2018.1547972Google ScholarPubMed
Yarger, H. A., Hoye, J. R., & Dozier, M. (2016). Trajectories of change in attachment and biobehavioral catch-up among high-risk mothers: A randomized clinical trial. Infant Mental Health Journal, 37 525–536. doi:10.1002/imhj.21585CrossRefGoogle ScholarPubMed