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Enhancing infant attachment security: An examination of treatment efficacy and differential susceptibility

  • Jude Cassidy (a1), Susan S. Woodhouse (a2), Laura J. Sherman (a1), Brandi Stupica (a1) and C. W. Lejuez (a1)...

Abstract

This randomized controlled trial examined (a) the efficacy of a brief intervention designed to increase the rate of secure infant attachment, (b) the differential susceptibility hypothesis, and (c) whether maternal attachment styles moderated the expected Treatment × Irritability interaction in predicting infant attachment outcomes. Although there was no main effect of treatment, a significant Treatment × Irritability interaction revealed intervention effects for the highly irritable infants only, thus supporting one of two predictions of the differential susceptibility hypothesis: highly irritable infants would have disproportionately better outcomes than moderately irritable infants in better conditions (i.e., with intervention). When separate analyses were conducted with maternal attachment styles, we found significant three-way interactions among treatment, irritability, and each of the examined maternal attachment style dimensions (i.e., secure–fearful and dismissing–preoccupied). Specifically, with more secure mothers, beneficial effects of intervention emerged for highly irritable infants. For more dismissing mothers, the results revealed support for both predictions of the differential susceptibility hypothesis: highly irritable infants, compared to moderately irritable infants, were both more likely to be secure with intervention and less likely to be secure when in the control group. It is interesting that, for more preoccupied mothers, a treatment effect emerged only for moderately irritable infants. We discuss the implications of these findings for the differential susceptibility hypothesis as well as for early intervention.

Copyright

Corresponding author

Address correspondence and reprint requests to: Jude Cassidy, Psychology Department, University of Maryland, College Park, MD 20742; E-mail: jcassidy@psyc.umd.edu.

References

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Aiken, L., & West, S. (1991). Multiple regression: Testing and interpreting interactions. Thousand Oaks, CA: Sage.
Ainsworth, M. D. S., Blehar, M. C., Waters, E., & Wall, S. (1978). Patterns of attachment: A psychological study of the strange situation. Hillsdale, NJ: Erlbaum.
Bakermans-Kranenburg, M., van IJzendoorn, M., & Juffer, F. (2003). Less is more: Meta-analyses of sensitivity and attachment interventions in early childhood. Psychological Bulletin, 129, 195215.
Bartholomew, K. (1990). Avoidance of intimacy: An attachment perspective. Journal of Social and Personal Relationships, 7, 147178.
Bartholomew, K., & Horowitz, L. (1991). Attachment styles among young adults: A test of a four-category model. Journal of Personality and Social Psychology, 61, 226244.
Belsky, J. (1997a). Variation in susceptibility to rearing influence: An evolutionary argument. Psychological Inquiry, 8, 182186.
Belsky, J. (1997b). Attachment, mating, and parenting: An evolutionary interpretation. Human Nature, 8, 361381.
Belsky, J. (2005). Differential susceptibility to rearing influence: An evolutionary hypothesis and some evidence. In Ellis, B. J. & Bjorklund, D. F. (Eds.), Origins of the social mind: Evolutionary psychology and child development (pp. 139163). New York: Guilford Press.
Belsky, J., Bakermans-Kranenburg, M. J., & van IJzendoorn, M. H. (2007). For better and for worse: Differential susceptibility to environmental influences. Current Directions in Psychological Science, 16, 300304.
Belsky, J., & Pluess, M. (2009). Beyond diathesis–stress: Differential susceptibility to environmental influences. Psychological Bulletin, 135, 885908.
Berlin, L. J., Zeanah, C. H., & Lieberman, A. F. (2008). Prevention and intervention programs for supporting early attachment security. In Cassidy, J. & Shaver, P. R. (Eds.), Handbook of attachment: Theory, research, and clinical applications (2nd ed., pp. 745761). New York: Guilford Press.
Blair, C. (2002). Early intervention for low birth weight, preterm infants: The role of negative emotionality in the specification of effects. Development and Psychopathology, 14, 311332.
Boyce, W. T., Chesney, M., Alkon-Leonard, A., Tschann, J., Adams, S., Chesterman, B., et al. (1995). Psychobiologic reactivity to stress and childhood respiratory illnesses: Results of two prospective studies. Psychosomatic Medicine, 57, 411422.
Boyce, W. T., & Ellis, B. J. (2005). Biological sensitivity to context: I. An evolutionary–developmental theory of the origins and functions of stress reactivity. Development and Psychopathology, 17, 271301.
Bradley, R., & Corwyn, R. (2008). Infant temperament, parenting, and externalizing behavior in first grade: A test of the differential susceptibility hypothesis. Journal of Child Psychology and Psychiatry, 49, 124131.
Brazelton, T. B., & Nugent, J. K. (1995). The Neonatal Behavioral Assessment Scale. London: McKeith.
Brennan, K., Clark, C., & Shaver, P. (1998). Self-report measurement of adult attachment: An integrative overview. Attachment theory and close relationships (pp. 4676). New York: Guilford Press.
Cassidy, J., Ziv, Y., Stupica, B., Sherman, L. J., Butler, H., Karfgin, A., et al. (2010). Enhancing attachment security in the infants of women in a jail-diversion program. Attachment & Human Development, 12, 333353.
Cooper, G., Hoffman, K. T., & Powell, B. (2000). Marycliff perinatal circle of security protocol. Unpublished manuscript, Spokane, WA.
Crowell, J., Fraley, R., & Shaver, P. (2008). Measurement of individual differences in adolescent and adult attachment. In Cassidy, J. & Shaver, P. R. (Eds.), Handbook of attachment: Theory, research, and clinical applications (2nd ed., pp. 599634). New York: Guilford Press.
Cyranowski, J., Bookwala, J., Feske, U., Pilkonis, P., Frank, E., Kostelnik, B., et al. (2002). Adult attachment profiles, interpersonal difficulties, and response to interpersonal psychotherapy in women with recurrent major depression. Journal of Social & Clinical Psychology, 21, 191217.
DeKlyen, M., & Greenberg, M. T. (2008). Attachment and psychopathology in childhood. In Cassidy, J. & Shaver, P. R. (Eds.), Handbook of attachment: Theory, research, and clinical applications (2nd ed., pp. 637665). New York: Guilford Press.
Dozier, M., Stovall-McClough, K. C., & Albus, K. E. (2008). Attachment and psychopathology in adulthood. In Cassidy, J. & Shaver, P. R. (Eds.), Handbook of attachment: Theory, research, and clinical applications (2nd ed., pp. 718744). New York: Guilford Press.
Eames, V., & Roth, A. (2000). Patient attachment orientation and the early working alliance: A study of patient and therapist reports of alliance quality and ruptures. Psychotherapy Research, 10, 421434.
Edelstein, R., Alexander, K., Shaver, P., Schaaf, J., Quas, J., Lovas, G., et al. (2004). Adult attachment style and parental responsiveness during a stressful event. Attachment & Human Development, 6, 3152.
Egeland, B., & Erickson, M. (2004). Lessons from STEEP: Linking theory, research, and practice for the well-being of infants and parents. In Sameroff, A. J., McDonough, S. C., & Rosenblum, K. L. (Eds.), Treating parent–infant relationship problems: Strategies for intervention (pp. 213242). New York: Guilford Press.
Ellis, B. J., Boyce, W. T., Belsky, J., Bakermans-Kranenburg, M. J., & van IJzendoorn, M. H. (2011). Differential susceptibility to the environment: An evolutionary–neurodevelopmental theory. Development and Psychopathology, 23, 728.
Ellis, B., Essex, M., & Boyce, W. (2005). Biological sensitivity to context: II. Empirical explorations of an evolutionary–developmental theory. Development and Psychopathology, 17, 303328.
Feeney, B. C., & Collins, N. L. (2001). Predictors of caregiving in adult intimate relationships: An attachment theoretical perspective. Journal of Personality and Social Psychology, 80, 972994.
Fraley, R., & Shaver, P. (1997). Adult attachment and the suppression of unwanted thoughts. Journal of Personality and Social Psychology, 73, 10801091.
Fraley, R., & Shaver, P. (2000). Adult romantic attachment: Theoretical developments, emerging controversies, and unanswered questions. Review of General Psychology, 4, 132154.
Fraley, R., Waller, N., & Brennan, K. (2000). An item response theory analysis of self-report measures of adult attachment. Journal of Personality and Social Psychology, 78, 350365.
Hoffman, K., Marvin, R., Cooper, G., & Powell, B. (2006). Changing toddlers' and preschoolers' attachment classifications: The Circle of Security intervention. Journal of Consulting and Clinical Psychology, 74, 10171026.
Hollingshead, A. B. (1975). Four-Factor Index of Social Status. Unpublished manuscript, Yale University.
Juffer, F., Bakermans-Kranenburg, M. J., & van IJzendoorn, M. H. (Eds.). (2008). Promoting positive parenting: An attachment-based intervention. New York: Taylor & Francis.
Kaye, K. (1978). Discriminating among normal infants by multivariate analysis of Brazelton scores: Lumping and smoothing. Monographs of the Society for Research in Child Development, 43, 6080.
Kivlighan, D. M. Jr., Patton, M. J., & Foote, D. (1998). Moderating effects of client attachment on the counselor experience–working alliance relationship. Journal of Counseling Psychology, 45, 274278.
Klein Velderman, M., Bakermans-Kranenburg, M., Juffer, F., & van IJzendoorn, M. (2006). Effects of attachment-based interventions on maternal sensitivity and infant attachment: Differential susceptibility of highly reactive infants. Journal of Family Psychology, 20, 266274.
Kochanska, G., Aksan, N., & Joy, M. E. (2007). Children's fearfulness as a moderator of parenting in early socialization. Developmental Psychology, 43, 222237.
Lieberman, A., Van Horn, P., & Ippen, C. (2005). Toward evidence-based treatment: Child–parent psychotherapy with preschoolers exposed to marital violence. Journal of the American Academy of Child & Adolescent Psychiatry, 44, 12411248.
Lyons-Ruth, K., & Jacobvitz, D. (2008). Attachment disorganization: Genetic factors, parenting contexts, and developmental transformation from infancy to adulthood. In Cassidy, J. & Shaver, P. R. (Eds.), Handbook of attachment: Theory, research, and clinical applications (pp. 666697). New York: Guilford Press.
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. 95124). Westport, CT: Ablex.
Mallinckrodt, B., Coble, H. M., & Gantt, D. L. (1995). Working alliance, attachment memories, and social competencies of women in brief therapy. Journal of Counseling Psychology, 42, 7984.
McDonough, S. (2004). Interaction guidance: Promoting and nurturing the caregiving relationship. In Sameroff, A. J., McDonough, S. C., & Rosenblum, K. L. (Eds.), Treating parent–infant relationship problems: Strategies for intervention (pp. 7996). New York: Guilford Press.
Mikulincer, M., Birnbaum, G., Woddis, D., & Nachmias, O. (2000). Stress and accessibility of proximity-related thoughts: Exploring the normative and intraindividual components of attachment theory. Journal of Personality and Social Psychology, 78, 509523.
Mikulincer, M., Gillath, O., & Shaver, P. (2002). Activation of the attachment system in adulthood: Threat-related primes increase the accessibility of mental representations of attachment figures. Journal of Personality and Social Psychology, 83, 881895.
Mikulincer, M., & Nachshon, O. (1991). Attachment styles and patterns of self-disclosure. Journal of Personality and Social Psychology, 61, 321331.
Mikulincer, M., & Shaver, P. (2007). Attachment in adulthood: Structure, dynamics, and change. New York: Guilford Press.
Mikulincer, M., & Shaver, P. (2008). Adult attachment and affect regulation. In Cassidy, J. & Shaver, P. R. (Eds.), Handbook of attachment: Theory, research, and clinical applications (2nd ed., pp. 503531). New York: Guilford Press.
Mohr, J., Gelso, C., & Hill, C. (2005). Client and counselor trainee attachment as predictors of session evaluation and countertransference behavior in first counseling sessions. Journal of Counseling Psychology, 52, 298309.
NICHD Early Child Care Research Network. (2006). Infant–mother attachment classification: Risk and protection in relation to changing maternal caregiving quality. Developmental Psychology, 42, 3858.
Obradović, J., & Boyce, W. T. (2009). Individual differences in behavioral, physiological, and genetic sensitivities to contexts: Implications for development and adaptation. Developmental Neuroscience, 31, 300308.
Parish, M., & Eagle, M. N. (2003). Attachment to the therapist. Psychoanalytic Psychology, 20, 271286.
Pluess, M., & Belsky, J. (2009). Differential susceptibility to rearing experience: The case of childcare. Journal of Child Psychology and Psychiatry, 50, 396404.
Robinson, J., & Emde, R. (2004). Mental health moderators of Early Head Start on parenting and child development: Maternal depression and relationship attitudes. Parenting: Science and Practice, 4, 7397.
Roth, A., & Fonagy, P. (2005). What works for whom: A critical review of psychotherapy research (2nd ed.).New York: Guilford Press.
Rothbart, M. K., & Bates, J. E. (2006). Temperament. In Eisenberg, N., Damon, W., & Lerner, R. M. (Eds.), Handbook of child psychology: Vol. 3. Social, emotional, and personality development (6th ed., pp. 99166). Hoboken, NJ: Wiley.
Satterfield, W. A., & Lyddon, W. J. (1995). Client attachment and perceptions of the working alliance with counselor trainees. Journal of Counseling Psychology, 42, 187189.
Shaw, D., Keenan, K., Vondra, J., Delliquadri, E., & Giovannelli, J. (1997). Antecedents of preschool children's internalizing problems: A longitudinal study of low-income families. Journal of the American Academy of Child & Adolescent Psychiatry, 36, 17601767.
Simpson, J. A., Rholes, W. S., & Nelligan, J. S. (1992). Support seeking and support giving within couples in an anxiety-provoking situation: The role of attachment styles. Journal of Personality and Social Psychology, 62, 434446.
Solomon, J., & George, C. (2008). The measurement of attachment security and related constructs in infancy and early childhood. In Cassidy, J. & Shaver, P. R. (Eds.), Handbook of attachment: Theory, research, and clinical applications (2nd ed., pp. 383416). New York: Guilford Press.
Sroufe, L., Egeland, B., Carlson, E., & Collins, W. (2005). The development of the person: The Minnesota study of risk and adaptation from birth to adulthood. New York: Guilford Press.
Stright, A., Gallagher, K., & Kelley, K. (2008). Infant temperament moderates relations between maternal parenting in early childhood and children's adjustment in first grade. Child Development, 79, 186200.
Thompson, R. A. (2008). Early attachment and later development: Familiar questions, new answers. In Cassidy, J. & Shaver, P. R. (Eds.), Handbook of attachment: Theory, research, and clinical applications (2nd ed., pp. 348365). New York: Guilford Press.
Toth, S., Rogosch, F., Manly, J., & Cicchetti, D. (2006). The efficacy of toddler–parent psychotherapy to reorganize attachment in the young offspring of mothers with major depressive disorder: A randomized preventive trial. Journal of Consulting and Clinical Psychology, 74, 10061016.
Valentine, J. C., & Cooper, H. (2003). Effect size substantive interpretation guidelines: Issues in the interpretation of effect sizes. Washington, DC: What Works Clearinghouse.
Van den Boom, D. C. (1991). The influence of infant irritability on the development of the mother–infant relationship in the first six months of life. In Nugent, J. K., Lester, B. M., & Brazelton, T. B. (Eds.), The cultural context of infancy (Vol. 2, pp. 6389). Norwood, NJ: Ablex.
Van den Boom, D. C. (1994). The influence of temperament and mothering on attachment and exploration: An experimental manipulation of sensitive responsiveness among lower-class mothers with irritable infants. Child Development, 65, 14571477.
Van IJzendoorn, M., Bakermans-Kranenburg, M., & Juffer, F. (2005). Why less is more: From the Dodo bird verdict to evidence-based interventions on sensitivity and early attachments. In Berlin, L. J., Amaya-Jackson, Y. L., & Greenberg, M. T. (Eds.), Enhancing early attachments: Theory, research, intervention, and policy (pp. 297312). New York: Guilford Press.
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, 225249.
Van Zeijl, J., Mesman, J., Stolk, M., Alink, L., van IJzendoorn, M., Bakermans-Kranenburg, M., et al. (2007). Differential susceptibility to discipline: The moderating effect of child temperament on the association between maternal discipline and early childhood externalizing problems. Journal of Family Psychology, 21, 626636.
Van Zeijl, J., Mesman, J., van IJzendoorn, M., Juffer, F., Koot, H., Alink, L., et al. (2006). Attachment-based intervention for enhancing sensitive discipline in mothers of 1- to 3-year-old children at risk for externalizing behavior problems: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 74, 9941005.
Vaughn, B., Bost, K., & van IJzendoorn, M. (2008). Attachment and temperament: Additive and interactive influences on behavior, affect, and cognition during infancy and childhood. In Cassidy, J. & Shaver, P. R. (Eds.), Handbook of attachment: Theory, research, and clinical applications (2nd ed., pp. 192216). New York: Guilford Press.

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