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Infant attachment, adult attachment, and maternal sensitivity: revisiting the intergenerational transmission gap

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This study investigated the intergenerational transmission of attachment, utilizing the Adult Attachment Interview (AAI), the Strange Situation Procedure (SSP), and the Maternal Behavioral Q-Set (MBQS). We revisited fundamental questions in attachment theory and research by examining: (1) the level of intergenerational agreement between maternal attachment representations and infant attachment security, and (2) whether maternal sensitivity serves as an intergenerational mediator between adult and infant attachment security. Significant categorical matches between the AAI and the SSP as well as mean differences for MBQS scores between adult attachment secure-insecure groups were found. Consistent with earlier intergenerational research, maternal sensitivity only partially mediated the AAI-SSP link, indicating the transmission gap remains. Consistent with recent mediation studies, using more contemporary analytical techniques, it was confirmed that maternal sensitivity did mediate the direct pathway between AAI security and SSP security. Thus, the transmission gap appears somewhat different depending on the statistical method used to measure mediation. Post hoc analyses considered mothers' childhood experiences of separation/divorce and this helped make sense of intergenerational mismatches.
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Attachment & Human Development
ISSN: 1461-6734 (Print) 1469-2988 (Online) Journal homepage: http://www.tandfonline.com/loi/rahd20
Infant attachment, adult attachment,
and maternal sensitivity: revisiting the
intergenerational transmission gap
Kazuko Y. Behrens, John D. Haltigan & Naomi I. Gribneau Bahm
To cite this article: Kazuko Y. Behrens, John D. Haltigan & Naomi I. Gribneau Bahm (2016):
Infant attachment, adult attachment, and maternal sensitivity: revisiting the intergenerational
transmission gap, Attachment & Human Development
To link to this article: http://dx.doi.org/10.1080/14616734.2016.1167095
Published online: 08 Apr 2016.
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Infant attachment, adult attachment, and maternal
sensitivity: revisiting the intergenerational transmission gap
Kazuko Y. Behrens
a
, John D. Haltigan
b
and Naomi I. Gribneau Bahm
c
a
Department of Social & Behavioral Sciences, State University of New York Polytechnic Institute, Utica, NY,
USA;
b
Faculty of Education & Faculty of Social Sciences, University of Ottawa, Ottawa, ON, Canada;
c
Psychology Departments, American River College and Cosumnes River College, Sacramento, CA, USA
ABSTRACT
This study investigated the intergenerational transmission of
attachment, utilizing the Adult Attachment Interview (AAI), the
Strange Situation Procedure (SSP), and the Maternal Behavioral
Q-Set (MBQS). We revisited fundamental questions in attachment
theory and research by examining: (1) the level of intergenera-
tional agreement between maternal attachment representations
and infant attachment security, and (2) whether maternal sensitiv-
ity serves as an intergenerational mediator between adult and
infant attachment security. Signicant categorical matches
between the AAI and the SSP as well as mean dierences for
MBQS scores between adult attachment secure-insecure groups
were found. Consistent with earlier intergenerational research,
maternal sensitivity only partially mediated the AAI-SSP link, indi-
cating the transmission gap remains. Consistent with recent med-
iation studies, using more contemporary analytical techniques, it
was conrmed that maternal sensitivity did mediate the direct
pathway between AAI security and SSP security. Thus, the trans-
mission gap appears somewhat dierent depending on the statis-
tical method used to measure mediation. Post hoc analyses
considered motherschildhood experiences of separation/divorce
and this helped make sense of intergenerational mismatches.
ARTICLE HISTORY
Received 27 February 2015
Accepted 14 March 2016
KEYWORDS
Attachment; Adult
Attachment Interview;
Strange Situation; maternal
sensitivity; intergenerational
transmission
Intergenerational transmission of attachment security has been well-documented (van
IJzendoorn, 1995), primarily based on security status assessed by the Adult Attachment
Interview (AAI: protocol, George, Kaplan, & Main, 1996; scoring and classication system,
Main, Goldwyn, & Hesse, 2003), predicting infant attachment security assessed by the
Strange Situation Procedure (SSP: Ainsworth, Blehar, Waters, & Wall, 1978). Maternal
sensitive responsiveness to the childs attachment needs has been assumed to play a
central role in the process of transmitting attachment intergenerationally. Mothers with
secure states of mind are expected to respond to their childrens needs swiftly and
appropriately, because these mothers (as opposed to those with insecure states of mind)
are believed more likely to value attachment relationships and to be reective and
thoughtful (Main et al., 2003). However, despite the strong association found between
the SSP and AAI with a large eect size (d) of 1.06 (N= 854), the association between
CONTACT Kazuko Y. Behrens kazuko.behrens@sunyit.edu
ATTACHMENT & HUMAN DEVELOPMENT, 2016
http://dx.doi.org/10.1080/14616734.2016.1167095
© 2016 Informa UK Limited, trading as Taylor & Francis Group
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maternal attachment security status and maternal sensitive responsiveness (n= 389) was
found less robust (d= .72: van IJzendoorn, 1995). van IJzendoorn thus coined the term
the transmission gap,referring to that aspect of the attachment transmission process
from parent to ospring which cannot be fully explained by maternal sensitivity.
Pederson, Gleason, Moran, and Bento (1998) pointed out that the inconsistent sensi-
tivity measures chosen for the studies included in van IJzendoorns(1995) meta-analysis
might partly explain the relatively modest transmission eects for maternal sensitivity.
Indeed, van IJzendoorn (1995) also posited that existing sensitivity measures might not
reliably capture certain aspects of motherchild interactions which were responsible for
the transmission of attachment security. Pederson et al. (1998) employed the SSP, AAI,
and a Q-sort based sensitivity measure, namely, the Maternal Behavioral Q-Set (MBQS:
Pederson & Moran, 1995), conducting the rst study to test the full mediation model
among these three constructs AAI secure representation, MBQS sensitivity, and SSP
security concurrently. Pederson and Moran (1995) had previously reported a much
stronger association (r= .60) between attachment security and maternal sensitivity with
the MBQS than what had been reported (r= .24) in De Woland van IJzendoorns(1997)
meta-analysis. By using the MBQS, Pederson et al. (1998) sought to document a stronger
association between maternal attachment representation and sensitivity. However, the
link between the MBQS and the AAI was again found to be weaker than both the AAI-
SSP link and the MBQS-SSP link (Pederson et al., 1998). Somewhat surprisingly, however,
no study with a normative sample has replicated Pederson et al.s study to date despite
the clear need to directly examine the mediation eect to help better understand the
transmission gap.
It is rather refreshing that Pederson, Bailey, Tarabulsy, Bento, and Moran (2014)
recently conducted a study in an attempt to re-conceptualize sensitivity from a more
relationship-focused perspective, following Ainsworths tradition of extremely detailed
note-taking. Pederson et al. (2014) have indeed shown a more robust association
(r= .65) to infant attachment security, arming their appreciation of Ainsworths
insights as a tribute to her legacy. While a study such as this reminds us of the
importance of recognizing theoretical implications of associations among attachment
constructs, other recent studies have begun to investigate the largely unexplored or less
understood potential mechanisms that might aect the intergenerational transmission
of attachment security. For example, neural mechanisms underlying parental behaviors
have been examined and individual dierences in processing certain cues such as
emotions, threat, or reward were found (e.g., Lenzi et al., 2013; Riem, Bakermans-
Kranenburg, van IJzendoorn, Out, & Rombouts, 2012; Swain, 2011). Similarly, in their
pilot EEG study, Behrens, Li, Gribneau Bahm, and OBoyle (2011) found that a secure
mother responded to her own childs images similarly to the way she responded to
positive images (e.g., puppies, smiling baby, happy couple), whereas mothers with
insecure representations responded to their childs images similarly to the way they
responded to negative images (e.g., worms, emaciated child, corpse). These studies
appear to indicate that there are neurological correlates for parentssensitive/insensitive
behaviors or approach/withdrawal tendencies when interacting with their children.
These new ndings have provided valuable insights regarding factors that may aect
the transmission process but do not directly address the transmission gap, nor oer
conclusive evidence for its resolution. Therefore, in our view, continued research into the
2K. Y. BEHRENS ET AL.
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mediation processes involved in the intergenerational transmission of attachment secur-
ity remains necessary and justied.
New questions have been posed as to whether the eect size reported in 1995 is still
representative, such as whether the level of attachment transmission may be inuenced
by the type of sample, the methodology used, or the inclusion of unpublished data
(Verhage et al., 2016). To address these questions, a meta-analysis pooling all extant data
over three decades, both published and unpublished, was recently completed (Verhage
et al., 2016). Verhage et al.s meta-analysis included a substantially larger total sample
size (95 samples, N= 4819) than van IJzendoorns meta-analysis (18 samples, N= 854)
two decades earlier. In this meta-analysis, Verhage et al. conrmed the intergenerational
transmission of attachment found by van IJzendoorn but with overall smaller eect
sizes. Both publication bias and decline eect (Schooler, 2011) were identied, indicating
smaller eect sizes for unpublished studies as well as more recent studies. Despite the
extensiveness and thoroughness of this project, the transmission gap remained
although more recent studies did narrow the gap. Verhage et al. noted that one of
the potential reasons for the decline eect could be that replication studies tend to
include more diverse samples than the original studies. This led us to ask: if the sample
characteristics were to remain similar, would we nd an eect size comparable to that of
Pederson et al. (1998) original study? We believe we can best contribute to the eld by
returning to the primary fundamental questions inherent in the intergenerational trans-
mission process: (1) What is the actual level of intergenerational agreement between
maternal AAIs and infantmother SSPs? and (2) Does maternal sensitivity (as measured
by the MBQS) mediate this link? The current study re-visits these questions as concurrent
examinations of these three attachment constructs are still needed to better understand
the mediating mechanisms between adult representational attachment security and
infant behavioral attachment security.
The present study
The current study examined the intergenerational transmission of attachment security
utilizing the AAI and SSP. To investigate whether maternal sensitivity mediates the AAI-
SSP link, we employed the MBQS as had Pederson et al. (1998). We believe the present
report represents an important addition to the literature in the form of a much needed
replication of Pederson et al. (1998) study examining these three core attachment
constructs concurrently. We also investigated the same constructs by conducting an
additional mediation analysis to explore potential dierences in our results to inform
how we interpret these ndings. Further, we consider possible factors not previously
explored in the attachment literature and oer potential theoretical explanations that
may inform the gap, specically when a discrepancy exists between mothersattach-
ment representations and their interactive behaviors with the child. Finally, we pose
questions: What does closing the transmission gap truly mean? Is it in fact necessary to
close the gap? Do we stop our investigation once the gap is closed empirically? We
revisit these questions and discuss the implications from the current ndings.
We hypothesize that: (1) A strong AAI-SSP categorical match will be found, replicating
numerous studies; (2) MBQS scores will be signicantly higher in the AAI secure group
than in the AAI insecure group, as has been found with SSP categories (e.g., Behrens,
ATTACHMENT & HUMAN DEVELOPMENT 3
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Parker, & Haltigan, 2011); and (3) A mediation will be conrmed, but the transmission
gap will nonetheless remain, as Pederson et al. (1998) reported.
Methods
Participants
Seventy-four mothers and their 12-month-olds were recruited from the local community
through public announcements to participate in the SSP as part of a longitudinal social-
emotional development project (Hart & Behrens, 2013). Of these, eight mothers were
unable to participate in the AAI session, resulting in a total sample of 66 dyads. Infants
mean age was 53.8 weeks (SD = 3.1). Thirty-four (52%) infants were boys, and 36 (55%)
were rst-borns. Mothers age ranged from 20 to 40 years old (M= 29.2, SD = 4.8). The
majority of mothers (83%) were Caucasian with 12% Hispanic and 5% Other. The sample
was considered middle class using Hollingsheads Index of Social Position (Hollingshead,
1971) to create ve class categories, with 1 being the highest and 5 being the lowest
(M= 2.58, SD = .84).
Procedures
Mothers and their infants arrived at a university laboratory to undergo the standard SSP.
Before proceeding, adequacy of the childs general health was established and mothers
were briefed about the procedure. Mothers consented for the dyads to be video-taped
during the entire procedure. Mothers returned alone at a separate visit to participate in
the standard AAI, during which they consented to be both audio-taped and video-taped
for the entire duration of the interview. At each visit, participants received a gift card for
a major retail store.
Measures
Strange Situation Procedure
The SSP (Ainsworth et al., 1978) is a laboratory procedure consisting of eight epi-
sodes, each three minutes long (except for a brief introductory episode), which
include two separations from, and two reunions with, mother. Infants who actively
sought contact with the mother upon her return (thus receiving high scores on
Proximity Seeking (PS) and/or Contact Maintenance (CM) scales), but settled down
quickly and resumed exploration, were judged secure (B). Infants who largely avoided
the mother upon reunion and were more focused on toys (thus receiving high scores
on the Proximity Avoidance (PA) scale), were judged insecure-avoidant (A). Infants who
were focused on their mothers whereabouts throughout the procedure and, upon
reunion, failed to settle down and showed anger (thus receiving high scores on the
Contact Resistance (CR) scale), were judged insecure-ambivalent (C). Infants who
exhibited brief bouts of disorganized, often incomprehensible, behaviors in the pre-
sence of the mother (thus receiving high scores on the Disorganized/disoriented scale),
were judged disorganized (D). Those who were judged primarily D were also given a
secondary organized classication(B,A,C).
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Adult Attachment Interview
The AAI is a semi-structured, one-hour interview, asking interviewees to describe and
reect on childhood experiences with their parents. Verbatim transcripts were coded
according to the Main, Goldwyn, and Hesse method of classication (Main et al., 2003).
To achieve a nal classication, coders must rst rate a number of scales for speakers
experiences and states of mind. Mothers who coherently and openly discussed their
childhood experiences with their parents (whether positive or negative) while demon-
strating that they clearly valued attachment relationships, were judged secure (F).
Mothers who positively described childhood relationships with their parents but did
not present supportive evidence were judged insecure-dismissing (Ds). Mothers who
often rambled and angrily discussed their childhood experiences and/or current rela-
tionships with (a) parent(s), were judged insecure-preoccupied (E). Mothers who showed
signicant lapses in monitoring speech/reasoning during discussions regarding
deceased loved ones or traumatic experiences (thus receiving high scores on the
Unresolved scale) were judged unresolved (U). Those who were judged primarily U
were also given a secondary organized classication (F, Ds, E).
Maternal Behavioral Q-Set (Pederson & Moran 1995)
The MBQS consists of 90 cards, each with a descriptor of an interactive maternal
behavior with the child. Trained observers sort the cards, yielding a composite score,
ranging from 1 to +1, representing the similarity between a prototypically sensitive
mother and the mother being observed in the home. Shorter versions of the MBQS for
laboratory use are now available (e.g., Behrens, Parker, et al., 2011; Tarabulsy et al., 2009).
We used the 72-item version of the MBQS to code maternal behaviors during the SSP,
observing all episodes when mother was present (i.e., episodes 13, 5, and 8).
Validity
The SSP and the AAI are both widely-used and well-validated measures of attachment
with strong predictability of intergenerational transmission of attachment security (van
IJzendoorn, 1995). The AAI has been tested for a number of psychometric properties,
and found to be unrelated to memory, intelligence, social desirability, or discourse style
(e.g., Bakermans-Kranenburg & van IJzendoorn, 1993; Crowell et al., 1996).
The MBQS has been found to be associated with attachment security at levels (r= .60,
Pederson & Moran, 1996) which markedly exceed those reported in a meta-analysis of
other sensitivity measures (r= .24, De Wol& van IJzendoorn, 1997). Findings from
studies utilizing the MBQS have been consistent across samples (Atkinson et al., 2005).
When the 72-item version of the MBQS was employed, strong associations between
MBQS scores and infantsattachment classications, as well as interactive behavioral
scale scores, were reported (Behrens, Parker, et al., 2011). The 72-item version of the
MBQS was also tested for its comparability with a contingency-based measure used in
the same sample during another laboratory procedure two months prior to the MBQS
coding (Behrens, Hart, & Parker, 2012). A signicant link was found, showing evidence of
convergent validity for this version of the MBQS in this particular context (SSP). The 72-
item version of the MBQS was further validated when a sub-sample was re-examined at
home with the MBQS-preschooler version (Pederson, Moran, & Bento, 2004) 30 months
later (Behrens, Parker, & Kulkofsky, 2014) and found signicantly correlated.
ATTACHMENT & HUMAN DEVELOPMENT 5
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Reliability
All SSPs were classied by a certied coder (KB).
1
Out of the full sample (N= 74), 38
tapes (53%) were double coded by other certied coders (JH, EC). Inter-rater agreement
for a two-way analysis (secure vs. insecure) was 84%, kappa = .68. Disagreements were
conferenced and resolved. For agreement between the primary coder and a reliability
coder who coded 25 cases (34%) on the eight reunion scales (4 scales x 2 reunions), the
intraclass correlation coecients (ICC) ranged from .76 to .95 (M= .88).
All AAIs were coded by a certied coder (NB) who had attended multiple AAI
institutes and achieved over 80% agreement with Mary Main and Erik Hesse. Fifteen
(23%) AAI transcripts were double coded by other certied AAI coders (KM, KB) who
were also trained and certied reliable by Mary Main and Erik Hesse. Inter-rater agree-
ment for a two-way analysis (secure vs. insecure) was 93%, kappa = .86; three-way
analysis (F, Ds, E) was 93%, kappa = .89; four-way analysis (F, Ds, E, U) was 93%,
kappa = .90. All coders were blind to all other measures and participant information.
MBQS coders spent several months familiarizing themselves with the card descriptors
and the Q-sort measure, using several practice cases. Both coders, although familiar with
attachment theory, were untrained in the SSP or any other attachment measures and
blind to all information regarding the dyads (ICC = .93, based on 35% of the full sample
data).
Data analytic strategy
Following the preliminary analyses, attachment distributions for both the SSP and the
AAI are rst reported. We then investigate a categorical match between the AAI and SSP.
We utilize a traditional categorical approach by examining (a) two-way (Secure-Insecure)
when Unresolved/Secure AAI and Disorganized/Secure SSP are considered Insecure, (b)
forced two-way (F-nonF vs. B-nonB) when Unresolved/Secure AAI is F and Disorganized/
Secure SSP is B, (c) three-way (F, Ds, E vs. B, A, C), and (d) four-way (F, Ds, E, U vs. B, A, C,
D) analyses.
Next, we examine mean dierences of MBQS sensitivity scores between the AAI
secure and insecure groups. Mean dierences of MBQS sensitivity scores between SSP
secure/insecure groups were previously reported elsewhere (Behrens, Parker, et al.,
2011). Finally, we examine whether MBQS sensitivity mediates the transmission of AAI
security to SSP security.
Results
Descriptive analyses
Preliminary analyses
A series of independent t-tests and correlational analyses showed that mothers age, SES,
childs gender, and childs birth order had no eect on attachment group dierences for
any of the measures: SSP, AAI, or MBQS. However, when we examined these variables
against infantsinteractive behavior scores, childs birth-order yielded signicantly dif-
ferent CM scores, with later-born infants showing elevations in CM relative to rst-borns
during the second reunion (t= 2.55, df = 64, p= .017).
6K. Y. BEHRENS ET AL.
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Attachment distributions
The two-way distribution of the SSP classication for the current sample of 66 infants
was 42 (64%) secure and 24 (36%) insecure (avoidant, ambivalent, disorganized). The
forced two-way distribution of the SSP classication was 48 (72%) B and 18 (28%) non-B.
The three-way distribution of the SSP classication was 48 (72%) B, 9 (14%) A, and 9
(14%) C. The four-way distribution of the SSP classication was 42 (64%) B, 8 (12%) A, 8
(12%) C, and 8 (12%) D. The two-way distribution of the AAI classications for the current
sample of 66 was 46 (70%) secure and 20 (30%) insecure (Dismissing, Preoccupied,
Unresolved). The forced two-way distribution of the AAI classication was 47 (71%) F
and 19 (29%) non-F. The three-way distribution of the AAI classication was 47 (71%) F,
15 (23%) Ds, and 4 (6%) E. The four-way distribution of the AAI classication was 46
(70%) F, 12 (18%) Ds, 3 (4%), E, and 5 (8%) U.
Main analyses
Crosstabulation
To test hypothesis 1, crosstabulation analyses were run to investigate the categorical
match between the SSP and AAI. Table 1 shows that a signicant association was found
for the secure-insecure two-way match, kappa = .46, p< .001, and for the forced two-
way match, kappa = .44, p< .001. Table 2 shows signication associations for the three-
way match, kappa = .25, p= .001, and for the four-way match, kappa = .24, p= .002.
Independent-samples t-tests
To test hypothesis 2, independent-samples t-tests revealed that MBQS scores for the
secure group (secure: M= .74, SD = .13) were signicantly higher than the insecure
group (insecure: M= .61, SD = .29) for the two-way analysis of the AAI, t(64) = 2.56,
p= .013. However, MBQS scores did not signicantly dier between the F group
Table 1. The two-way categorical match between the AAI classications and the SSP
classications.
AAI
SSP Secure Insecure Total
Secure Count 36 6 42
(Expected) (29) (13)
% of total 55% 9% 64%
Insecure Count 10 14 24
(Expected) (17) (7)
% of total 15% 21% 36%
Total Count 46 20 66
% of total 70% 30% 100%
AAI
SSP F Non-F Total
B Count 40 8 48
(Expected) (34) (14)
% of total 61% 12% 73%
Non-B Count 7 11 18
Expected 13 5 18
% of total 11% 17% 27%
Total Count 47 19 66
% of total 71% 29% 100%
ATTACHMENT & HUMAN DEVELOPMENT 7
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(including Unresolved/Secure) and the non-F group (all organized insecure groups) for
the forced two-way analysis.
Mediational analyses
Hypothesis 3 was tested with mediational analyses. We rst performed the classic Baron
and Kenny (1986) procedure to show the causal steps approach, followed up with the
Structural Equation Modeling (SEM) to test whether maternal sensitivity mediated the
direct AAI-SSP link.
Baron and Kenny test
To examine the question of whether maternal sensitivity (MBQS) mediates the transmis-
sion of AAI security
2
to SSP security, we followed the four-step approach outlined by
Baron and Kenny (1986) in which a sequence of regression analyses is conducted.
Because the outcome variable, or dependent variable, is assumed to be continuous for
regression analyses, it was necessary to convert SSP security into a continuous variable.
Eight SSP 7-point interactive behavior scales (four scales from two reunions) were used
to create a Richterssecurity score (Richters, Waters, & Vaughn, 1988). Richters et al.
developed a series of discriminant functions to objectively quantify infantsattachment
security based on interactive scores and crying behaviors, which was cross-validated
based on data from 255 SSPs. van IJzendoorn and Kroonenberg (1990) further simplied
Table 2. The three-way and four-way categorical match between the AAI clasications and the SSP
classications.
AAI
SSP F Ds E Total
B Count 40 6 2 48
(Expected) (34) (11) (3)
% of total 61% 9% 3% 73%
A Count 5 3 1 9
(Expected) (6) (2) (1)
% of total 8% 5% 2% 14%
C Count 2 6 1 9
(Expected) (6) (2) (1)
% of total 3% 9% 2% 14%
Total Count 47 15 4 66
% of total 71% 23% 6% 100%
AAI
SSP F Ds E U Total
B Count 36 4 1 1 42
(Expected) (29) (8) (2) (3)
% of total 55% 6% 2% 2% 64%
A Count 4 2 1 1 8
(Expected) (6) (2) (0) (1)
% of total 6% 3% 2% 2% 12%
C Count 2 3 1 2 8
(Expected) (6) (2) (0) (1)
% of total 3% 5% 2% 3% 12%
D Count 4 3 0 1 8
(Expected) (6) (2) (0) (1)
% of total 6% 5% 0% 2% 12%
Total Count 46 12 3 5 66
% of total 70% 18% 5% 8% 100%
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the coecients by removing the crying scale, re-computing the discriminant functions,
and rounding the coecients to two decimals for easier use.
In the rst step, to test for the AAI-SSP path alone, a simple regression analysis was
conducted with AAI security predicting SSP security. In the second step, to test for the
AAI-MBQS path alone, a simple regression analysis was run with AAI security predicting
maternal sensitivity. In the third step, to test for the MBQS-SSP path alone, a simple
regression analysis was run with maternal sensitivity predicting SSP security. In the nal
step, a multiple regression analysis was conducted with AAI security and maternal
sensitivity predicting SSP security. If full mediation is present, once the mediator
maternal sensitivity is entered, the direct path between AAI security and SSP security
will no longer be signicant. Table 3 shows the signicance of the coecients for each
step. In the nal step when both AAI security and maternal sensitivity (mediator) were
entered, the eect of AAI security remained signicant, indicating that full mediation
was not supported. In this model, the eect of maternal sensitivity also remained
signicant after controlling for AAI security (thus both AAI security and maternal
sensitivity signicantly predicted SSP security), supporting partial mediation. The direct
eect between AAI security and SSP security β¼:41Þwas stronger than the mediated
path β¼:31Þ. Specically, the eect of AAI security on SSP security mediated by
maternal sensitivity was .10 (i.e., .31 × .33).
Structural equation modeling
Using Mplus statistical software version 7.11 (Muthen & Muthen, 19982016), we con-
ducted a mediational model in which AAI security was the categorical predictor, mater-
nal sensitivity was the continuous mediator, and SSP security was the categorical
outcome, which resulted in a probit scale. As shown in Figure 1, results demonstrated
signicant associations between AAI security and maternal sensitivity, between maternal
sensitivity and SSP security, and between AAI security and SSP security.
To examine the indirect eect from AAI security through maternal sensitivity to SSP
security, we used bootstrap estimations. Bootstrapping is a non-parametric method
based on repeated, random resampling with replacement (Preacher & Hayes, 2004).
Because the bootstrap method does not violate normality assumptions, it is
Table 3. Summary of linear multiple regression: four-step mediation analyses.
BSEβtP
Step 1 (SSP as DV)
(Constant) 1.625 .620 2.619 .011
AAI security 2.675 .743 .410** 3.601 .001
Step 2 (MBQS as DV)
(Constant) .608 .043 14.300 .000
AAI security .130 .051 .305* 2.558 .013
Step 3 (SSP as DV)
(Constant) 4.256 1.253 3.396 .001
Maternal sensitivity 6.431 1.726 .422** 3.726 .000
Step 4 (SSP as DV)
(Constant) 4.659 1.203 3.873 .000
AAI security 2.025 .739 .311** 2.741 .008
Maternal sensitivity 4.989 1.726 .328** 2.891 .005
** Model is signicant at the 0.01 level. * Model is signicant at the 0.05 level. AAI security = dichotomous, SSP
security = continuous, Maternal sensitivity = continuous.
ATTACHMENT & HUMAN DEVELOPMENT 9
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recommended for small sample sizes such as ours. Following Hayes (2009) recommen-
dation of at least 5000 repetitions, we conducted 20,000 bootstraps repetitions, in which
the 95% condence interval corresponds to the p< .05 alpha level. The unstandardized
indirect eect was .256, and the 95% condence interval of the indirect eect did not
contain zero (range from .002.720), thus providing evidence for the mediation role of
sensitivity. These ndings from two mediation models seem to indicate that the trans-
mission gap appears somewhat dierent depending on the statistical method used to
measure mediation.
Additional post hoc investigation
To better understand intergenerational mismatched cases between mothersAAIs and
their childrens SSPs (see Table 2), post hoc considerations of mothersexperiences of
divorce or separation in their home of origin led us to examine the relevant AAI
transcripts (i.e., Dismissing AAI cases). We specically focused on the rst AAI questions
in which the speakers early family constellation is asked about and separation experi-
ences or the absence of a parental gure become evident.
For Ds speakers whose children were judged B, ve out of six mothers experienced
their parentsdivorce in early years. For Ds mothers whose children were judged C, one
experienced parental divorce and two lost their fathers in early years. Taken together,
eight out of 12 (67%) Ds mothers with mismatched infants experienced permanent
separations from their fathers due to divorce or death. All of these mothers stayed with
their own mothers following the separation in childhood, and had been judged Ds due
to high idealization scores regarding descriptions of their relationship with their
mothers.
Discussion
The present study revisited the question of the intergenerational transmission of attach-
ment by examining the mediating role of maternal sensitivity as measured by the MBQS
in associations between adult attachment security as measured by the AAI and infant
b = .131(SE = .052)* b = 1.952 (SE = .819)*
r = .31 r = .42
r = .41
b = 1.049 (SE = .373)**
Maternal
Sensitivity
AAI Security SSP Security
Figure 1. Path diagram for the association between AAI security and SSP security mediated by
maternal sensitivity. The unstandardized indirect eect from AAI security through maternal sensi-
tivity to SSP security was .256, and the 95% condence interval of the indirect eect estimated by
the bootstrap method was from .002 to .720. b(SE) = unstandardized beta (standard error).
r= correlation coecient. *** p< .001; ** p< .01; * p< .05.
10 K. Y. BEHRENS ET AL.
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attachment security as measured with the SSP. The concept of a transmission gap
introduced by van IJzendoorn (1995) continues to remain in need of further empirical
scrutiny and testing, in part due to questions concerning the robustness of AAI-SSP
associations. Pederson et al. (1998) study was one of the rst studies to specically
investigate this question by concurrently examining AAI security, SSP security, and
maternal sensitivity. Following their prior success in showing stronger associations
between maternal sensitivity and SSP security using the Q-score method of sensitivity
measurement, Pederson et al. (1998) utilized the Q-sort based sensitivity measure
(MBQS) rather than a more traditional contingency-based sensitivity measure, reporting
that maternal sensitivity partially mediated the AAI-SSP link. Pederson et al. (1998) noted
that van IJzendoorn (1995) found, rather surprisingly, only three studies (with incon-
sistent results), examining these three attachment constructs to include in his meta-
analysis. Moreover, among the 95 samples Verhage et al. (2016) included in their recent
meta-analysis, again only three recent studies employed the same three measures (AAI,
SSP, MBQS) included in both Pederson et al. (1998) study and the current study.
Additionally, these three studies (Bailey, Moran, Pederson, & Bento, 2007; Chin, 2013;
Tarabulsy et al., 2005) all sampled populations that are considered at-risk (e.g., teenage
mothers, premature babies, adolescent mothers, respectively). As such, the current study
represents a much needed replication of Pederson et al. (1998) study.
Our results show that, as expected, signicant categorical matches between the AAI
and the SSP were found, thus supporting hypothesis 1. Consistent with Pederson et al.
(1998)ndings, mean dierences of MBQS scores between AAI categorical groups were
also statistically signicant, as expected: mothers with secure states of mind were
signicantly more sensitive than were mothers with insecure states of mind, supporting
hypothesis 2. Finally, mediation analyses revealed that maternal sensitivity did not fully
mediate the transmission of attachment security between the AAI and the SSP with an
indirect eect of .10 (i.e., .31 x .33) using the Baron and Kenny test, highly similar to what
Pederson et al. (1998) reported. The SEM analysis with bootstrapping further conrmed
that there is an undeniable indirect eect of maternal sensitivity mediating the transmis-
sion of maternal attachment to child attachment; hypothesis 3 was thus supported.
Hence, the present study largely replicated Pederson et al. (1998)ndings despite some
methodological dierences (e.g., DV as a continuous variable using the Attachment
Q-set (AQS: Waters, 1995) score vs. DV as a binary variable, using the SSP category,
original MBQS vs. 72-item MBQS for maternal sensitivity). The three core attachment
constructs studied were signicantly related to each other, but maternal sensitivity only
partially mediated the relationship between maternal attachment representations and
infant attachment security. This means AAI security still independently predicts SSP
security, and other factors besides sensitivity play a part in transmitting attachment
security.
In making sense of this partial mediation, it is useful to consider whether maternal
sensitivity is best operationalized as discrete maternal behaviors or is better empirically
construed as a relational construct. This question was recently posed by Pederson and
his colleagues (2014), in part to explain the lack of a stronger mediation eect of
maternal sensitivity. In our study, AAI Coherence (dimensional), rather than AAI security
(categorical), was not signicantly correlated with maternal sensitivity, (p= .08). AAI
Coherence, however, may not represent exactly the same thing as AAI security does in
ATTACHMENT & HUMAN DEVELOPMENT 11
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the transmission process. In particular, AAI Coherence does not uniquely discriminate U
status which may separately aect sensitivity, sometimes in otherwise secure parent. The
benet of reporting attachment data with a categorical approach versus a dimensional
approach has been rigorously debated (e.g., Fraley & Spieker, 2003; Roisman, 2014).
Bernier, Matte-Gagne, Belanger, and Whipple (2014) recently showed that MBQS sensi-
tivity, together with another mediator (maternal autonomy support), fully mediated the
transmission of AAI coherence to childs attachment security (assessed by AQS) when all
variables were entered as continuous. Perhaps systematically incorporating both
approaches in mediation analyses may yield additionally informative results, as was
also recommended by Verhage et al. (2016).
It is to be noted that the current sample may be somewhat unique, although it is
non-clinical and considered normative based on the attachment categorical distribution:
a majority of mothers (70%) and children (64%) were judged secure (Table 1). However,
the distribution within SSP insecure categories deviates from the global distribution (van
IJzendoorn & Kroonenberg, 1988) in that this sample had equal numbers of children in A
and C categories for the three-way distribution as well as A, C, and D categories for the
four-way distribution, whereas the global norm predicts more A than C children in most
cultural contexts.
Furthermore, Table 2 shows that Dismissing (Ds) mothers in this sample predicted
more babies in the B and C categories than in the expected A category. Post hoc
considerations of mothersdivorce or separation experiences as children led us to
examine each Ds transcript for evidence of such events. As presented earlier (see
Results), a majority of Ds mothers (67%) who had mismatched SSP cases indeed
experienced early separation from their fathers. It is possible that those who experi-
enced parental divorce (or loss of father) in early childhood and stayed with their mother
throughout that dicult time may understandably be grateful to their mothers, perhaps
a bit excessively, thus scoring high on idealization, without necessarily subsequently
engaging in the rejecting or rebung parenting behaviors that are believed to predict
avoidance in ospring. In fact, the mean MBQS score of these cross-over Ds cases was
.72, which is nearly the same as the mean MBQS score of .74 among the secure mothers
(see Results). Such discrepancies or counter-intuitive ndings could partly contribute to
explaining the transmission gap.
Murphy et al. (2014) investigated the association between AAI states of mind and
Adverse Childhood Experiences (ACEs), comparing clinical and community samples. As
expected, a majority of the clinical sample (84%) reported signicantly more exposures
to ACEs and had signicantly more U/CC classications (76%) than the community
sample (27%, 9%, respectively). Importantly, among the ACE categories of adversity,
Parental separation or divorce was experienced by nearly 90% of the clinical sample.
Steele et al. (2016) further demonstrated how ACEs signicantly aected parental
distress, indicating that adverse childhood experiences (including divorce and separa-
tion) are likely to inuence parenting practices, even though our particular sample
showed more of an impact on states of mind. Thus, future AAI studies may consider
employing the ACE questionnaire or simply creating a checklist to systematically record
early separation experiences due to parental divorce as a separate variable or covariate
to be considered for analyses.
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Of note, even though MBQS scores diered signicantly between the AAI secure and
insecure groups, the current sample no longer showed signicant dierences between
the groups when Unresolved/Secure (U/F) mothers were included in the secure group.
This is not surprising given that mothers with U status have been shown to be more
likely to display frightened/ frightening (FR: Hesse & Main, 2000,2006; Main & Hesse,
19922006) behaviors, possibly hindering them from engaging in sensitive interactions
with their children. Indeed, somewhat ironically in our view, the pathway from U to FR,
subsequently predicting D (see Hesse & Main, 2006) can perhaps be considered the best
demonstration of attachment transmission both empirically and theoretically. It is still
not clear, however, what exactly caregivers do, rather than what they do not do (FR
behaviors), that will likely promote secure attachment.
Tarabulsy et al. (2005) investigated ecological contributions such as maternal educa-
tion, depression, and family support, and found that maternal sensitivity was a signi-
cant mediator of infant security when ecological variables were controlled for, whereas
maternal attachment representation no longer predicted infant security. Given that we
have also discussed a potential eect of early parental divorce on the link between
maternal attachment representation and maternal sensitivity, various ecological factors
need systematic investigation as discussed above. Furthermore, continuing neurophy-
siological investigations of parental behaviors such as those presented earlier may shed
light on understanding how mothersindividual dierences in the way they perceive
their child or interpret their childs cues at the neurological level may guide their
interactive behaviors. Once we control all those factors with a large dataset such as
the one Verhage et al. (2016) synthesized for their meta-analysis, it may be possible to
begin to shed further light on transmission gap.Verhage et al. (2016) argue that it is
important to understand both the conditions of when transmission occurs and when it
does not, studying varied transmission levels. The present studysndings appear to
reect this sentiment the similarities of our sample characteristic with those of
Pederson et al. (1998) may have yielded the similar transmission eect sizes, while
additional mediation tests conrmed that maternal sensitivity mediates the AAP-SSP
link but nonetheless a transmission gap still remained.
This study has a number of limitations. First, the sample is small (N= 66) and is
largely homogenous, which compromises generalizability to diverse groups. The
current study utilized the MBQS during the SSP, observing maternal behaviors and
childrens behaviors concurrently. Although coding of each observation was done
independently by dierent coders who were not trained in any attachment assess-
ment measures, lack of independence in the context itself observing behavior of
both child and mother in the same context may present potential problems. The
range of maternal interactive behaviors was also quite limited based on approxi-
mately 13 minutes of observation compared to a much longer home observations.
However, successful employment of the MBQS in brief laboratory observations of
maternal behaviors (12-minutes Atkinson et al., 2005, 10-minutes; Tarabulsy et al.,
2009) has been reported. In particular, Tarabulsy et al. validated their shorter version
(25-item) MBQS with home observation. Likewise, Behrens, Parker, et al. (2011)
reported consistency between sensitivity measured with the 72-item version MBQS
during the SSP and another contingency-based sensitivity measure from a separate
laboratory context for the same sample. Behrens et al. (2012) also reported stability
ATTACHMENT & HUMAN DEVELOPMENT 13
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when the sample was followed up 30 months later during home observations. The
validity of the 72-item version of the MBQS would be stronger, however, with
additional concurrent home observations. The current study also focused exclusively
on infantmother attachment. Further investigation of fatherchild attachment, or
the eect of paternal sensitivity on the childs attachment, is urgently needed.
Despite these limitations, however, the current study contributes to the attachment
literature by reporting ndings that: (1) are consistent with previous reports utilizing a
traditional categorical approach to attachment classications, showing a strong match
between the AAI and the SSP; (2) replicate Pederson et al. (1998)ndings with respect to
maternal sensitivity scores being signicantly higher for the AAI secure group than the
AAI insecure group; and (3) replicate Pederson et al. (1998)nding regarding maternal
sensitivity partially mediating AAI security to SSP security.
Overall, then, the current studysndings were largely consistent with both earlier and
recent mediation studies that conrmed the role of maternal sensitivity in mediating the
pathway between adult attachment security and child attachment security. We now return
to our earlier questions. What does closing the gap truly mean? Is it in fact necessary to close
the gap? Do we stop our investigation once the gap is closed empirically? Bernier et al.
(2014) showed full mediation of maternal sensitivity when autonomy support was also
entered as a mediation variable and discussed the importance of a multidimensional
approach to better understand the transmission process, yet did not necessarily claim to
have closed the gap.We concur with their suggestion that it is more important to focus on
what constitutes the gap and simultaneously investigate multiple factors that may aect the
transmission process rather than focusing on how to close the gap. In fact, as our results
from two mediation analyses show, the transmission gap appears somewhat dierent
depending on the statistical method used to measure mediation. In conclusion, researchers
should continue to explore why parents engage in certain behaviors when interacting with
their children above and beyond how their states of mind aect them. Additionally, we
believe that small sample sizes should not automatically be dismissed as having less value.
Instead, studies such as the current one may enable contextual investigations that present
some benets towards enriching our understanding of the transmission process of security
from mother to infant.
Note
1. KB = Kazuko Y Behrens (all SSP cases and all AAI cases were randomized and re-numbered
prior to coding onset to maintain blindness). JH = John D. Haltigan. EC = Elizabeth Carlson.
NB = Naomi I. G. Bahm, KM = Kirsten B. Mathews.
2. For our sample, the AAI Coherence scales (both Coherence of Mind and Coherence of
Transcript) were not signicantly correlated with the MBQS scale. Thus, AAI security as a
continuous scale was not used in the analyses.
Acknowledgements
We thank the children and their mothers who participated in the study. We also thank Tomo
Umemura who provided statistical support in completing part of the statistical analyses. We are
grateful to Elizabeth Carlson who advised us on several dicult SSP cases and also coded part of
our SSP data.
14 K. Y. BEHRENS ET AL.
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Disclosure statement
No potential conict of interest was reported by the authors.
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... In different meta-analyses, maternal sensitivity was the primary predictor of child attachment security with a strong effect size (De Wolff & Van IJzendoorn, 1997;Van IJzendoorn et al., 2004). Research from different cultures also demonstrated that maternal sensitivity is the most critical contributor to the attachment security of children (Behrens et al., 2016;Pederson et al., 1998;Sümer et al., 2016;Yerlioğlu, 2010). The second dimension of EAS is structuring, involving consistent guidance, assistance, and supportive behaviours while creating a holding environment for a child (Biringen, 2008). ...
... Further, evidence underlines the potential role of maternal behaviours in a child's attachment security (Cassibba et al., 2011). It is not only the mother's sensitive behaviours (Behrens et al., 2016;Van IJzendoorn & Bakermans-Kranenburg, 1997;Van IJzendoorn, 1995) but also her structuring, non-intrusiveness, and non-hostility that can mediate the relationship between adult attachment and a child's attachment security (Cassibba et al., 2011). Hence, partner attachment can serve as a source of support for a mother, assisting her in providing adequate care for her child and contributing to the child's attachment security, even when the mother faces challenging life conditions such as low-SES and parenting stress (Cooper et al., 2009;Erkan & Toran, 2010). ...
... Our expectations were partially confirmed, indicating the potential positive role of mothers' sensitivity and structuring behaviours in toddlers' attachment security. Consistent with our results, different meta-analyses (De Wolff & Van IJzendoorn, 1997;Van IJzendoorn et al., 2004) and research conducted in various cultures, including Turkish culture, have demonstrated that mothers' sensitive behaviours are positively associated with a child's attachment security (Behrens et al., 2016;Pederson et al., 1998;Sümer et al., 2009). Moreover, research has indicated that a child's attachment security can be enhanced if mothers exhibit adequate structuring behaviours (Aviezer et al., 1999;Ziv et al., 2000). ...
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Maternal characteristics mainly shape attachment security in early childhood and can impact toddler’s emotional and social development. Although early determinants of attachment have been widely explored in the West, the studies in non-Western cultures are limited, especially in high-risk groups such as low-SES samples. Therefore, we examined the role of maternal parenting stress, attachment dimensions of anxiety and avoidance in romantic relationships and emotional availability in toddlers’ attachment security. The Turkish mothers (N = 63; Mage = 30.17; SD = 4.87) filled out a pack of questionnaires including the Parenting Stress Index-Short Form (PSI-SF; Abidin, 1995) and Experiences in Close Relationships-Revised (ECR-R; Fraley et al., 2000) before video recorded home visits. The toddlers’ (Mage = 22.96 months, SD = 7.09) attachment security was coded for Attachment Q-Sort (AQS; Waters, 1995) based on 2.5-h home-visit and 10-min free-play sessions were coded for Emotional Availability Scales (EAS; Biringen, 2008). The results showed that the mother’s attachment avoidance and parenting stress were negatively associated with the child’s attachment security, while the maternal sensitivity and structuring were positively associated with the child’s attachment security. The mothers’ behaviours on EAS did not mediate the relationship between maternal attachment dimensions and toddlers’ attachment security. We showed that maternal attachment avoidance, parenting stress, lack of sensitivity and structuring behaviours could contribute to insecure attachment in Turkish toddlers. These identified factors warrant attention in the design and implementation of early intervention programs, particularly for mothers from low socio-economic status (SES) backgrounds in Turkey and in non-Western cultures characterised by similar cultural characteristics.
... Likewise, Behrens et al., (2016), by conducting a meta-analysis, study the influence of intergenerational transmission of attachment security or transmission gap, as named by van IJzendoorn (1995) cited by Behrens et al., (2016). In addition, they determine that maternal sensitivity contributes to the mediation between adult attachment security and infant attachment security. ...
... Likewise, Behrens et al., (2016), by conducting a meta-analysis, study the influence of intergenerational transmission of attachment security or transmission gap, as named by van IJzendoorn (1995) cited by Behrens et al., (2016). In addition, they determine that maternal sensitivity contributes to the mediation between adult attachment security and infant attachment security. ...
... Likewise, another line of future research could be to investigate from a more multidimensional approach the factors involved in the transmission gap process, that is, the intergenerational transmission of attachment security (van IJzendoorn, 1995), especially because maternal sensitivity contributes in the mediation between adult and infant attachment security (Behrens et al., 2016). ...
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Resumen: La sensibilidad al rechazo, también llamada sensibilidad interpersonal, es conocida como una disposición cognitiva-afectiva, que predispone a un individuo a esperar ansiosamente, percibir fácilmente y reaccionar intensamente al rechazo. Además, la sensibilidad al rechazo es una gran precursora de la mala adaptación, pues se ha llegado a vincular con múltiples psicopatologías, como por ejemplo la ansiedad social o los trastornos de la personalidad entre otros. De igual manera, se encuentra estrechamente relacionada con los cuatro estilos de apego en los adultos (seguro, preocupado o ansioso, evitativo y temeroso o desorganizado). En este artículo se lleva a cabo un estudio empírico con un total de 321 sujetos, con una media de edad de 32.28 años, de los cuales 208 son mujeres, 112 son hombres y 1 es binario. Pero este último no se tendrá en cuenta, puesto que no es una muestra significativa, para analizar la relación entre los cuatro tipos de apego adulto y el nivel de sensibilidad al rechazo. Como resultado del estudio, se ha obtenido una significación en las correlaciones del apego seguro y la intensidad del rechazo; del apego preocupado con el evitativo y el temeroso; y del apego temeroso y las expectativas del rechazo. Respecto a ambos sexos se ha obtenido que las mujeres muestran mayor puntuación en el apego preocupado, en las expectativas de rechazo y en la intensidad del rechazo. Palabras clave: Relaciones, intensidad, expectativas.
... In addition, research shows that adults' secure state of mind with respect to attachment is related to sensitive caregiving behavior (e.g. Behrens et al., 2016). While these associations have been studied primarily in mothers (e.g. ...
... Studies have shown the categories of adult attachment representations are strongly related to an individual's parental sensitivity, which in turn influences their child's attachment pattern (e.g. Behrens et al., 2016;McFarland-Piazza et al., 2012;Verhage et al., 2016). Specifically, adults with a secureautonomous (F) state of mind typically engage in a coherent and collaborative discourse and are open to the interview topic, indicating a flexibility of attention that can oscillate between different events and people (Hesse, 2016). ...
... This link between parental attachment representations and sensitivity has been well studied in mothers (Adam et al., 2004;Behrens et al., 2016;Sette et al., 2015), yet questions regarding the influence of a fathers' state of mind with respect to attachment on the quality of father-child interactions have been rarely considered even though attachment theory considers both parents as attachment figures (Fearon & Belsky, 2018). Moreover, existing research findings tend to be inconclusive. ...
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Sensitivity in parent-child interaction is essential for child development. Since fathers are increasingly involved in childrearing, identifying factors leading to paternal sensitivity is crucial. We examined the relation between attachment representation and reflective functioning (RF) as factors influencing paternal sensitivity in a longitudinal study including N = 40 first-time fathers (Mage = 33) and their 6-month-old children. We used the Adult Attachment Interview during pregnancy to assess paternal attachment representation and general RF, the Parental Development Interview to assess fathers' parental RF, and the Emotional Availability Scale to measure sensitivity at child's age of 6 month. Data show that secure paternal attachment representation, high general and parental RF are associated with higher levels of paternal sensitivity. Further, parental RF mediates the association between attachment representation and paternal sensitivity. These findings contribute to the identification of a causal interplay in that they suggest an explanatory effect of RF on the association between fathers' attachment representation, and sensitivity.
... 77,78 Yalnızca Batı kültüründe değil, diğer kültürlerde de anne duyarlılığının çocuğun bağlanma güvenliği için en önemli faktör olduğu görülmektedir. 39,[79][80][81] Annenin duyarlı davranışları, çocuğun kendi davranışı ile anneden gelen tutarlı tepkinin art arda geldiğini algılamasına ve benlik farkındalığının oluşmasına katkı sağlamaktadır. 39,82 Çocuğun ihtiyaçlarına duyarlı tepkiler vermiş annenin bakımı sayesinde, çocuk dışarıdan olumlu tepki almak için ne yapması gerektiğini anlayabilmektedir. ...
... Araştırmalar çocuğun ihtiyaçlarına karşı annenin duyarlı davranışlarının çocuğun bağlanma güvenliği üzerinde en etkili faktör olduğunu göstermiştir. 39,79,80 DEÖ'deki ebeveyn duyarlılığı ile çocuğun güvenli bağlanması arasında pozitif ilişki de araştırmalarda ortaya konulmuştur. 93,94 Benzer şekilde, Türkiye'de düşük SED'den alınmış örneklemlerde erken çocukluk dönemini inceleyen bir tez çalışmasında, DEÖ ile annenin duyarlılığı değerlendirilmiş ve çocuğun bağlanma güvenliği ile pozitif ilişki saptanmıştır. ...
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... Although similar kappas were found in other studies (e.g. Behrens et al., 2016;Vondra et al., 2001), many researchers obtain higher interrater reliability. Because of insufficient data, a meta-analysis was unable to test if the interrater reliability of coders is related to the distribution of the attachment categories (Deneault et al., 2021). ...
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This study examines the stability of child attachment to mothers and fathers separately, and to both parents as a network between the infancy and preschool periods using a sample of 143 biparental families and their children (73 boys) recruited from the general population. Attachment was assessed at 15 months with the Strange Situation Procedure (SSP) and at 45 months with the Preschool Attachment Classification Coding System (PACS). First, results show no stability in attachment to mothers, to fathers, or to both parents as a network. Second, parents' mental health, life satisfaction, marital satisfaction, and child externalizing behavior are associated with attachment stability. Taken altogether, group comparisons reveal that children with a stable secure attachment to both parents as a network have parents with higher levels of well-being and exhibit less problem behaviors than children with 1) a stable secure attachment to one parent and an unstable attachment to the other parent (from secure to insecure or from insecure to secure), or 2) who never had a stable secure attachment to either parent. This study highlights the significance of attachment to both parents as a network over time as it is associated with developmental outcomes.
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Evidence has shown that parenting intervention programmes improve parental knowledge, attitudes, and practices, which helps in promoting child development. This study aims to examine the effectiveness of parenting intervention in improving child behaviours. This is a secondary analysis of data from a cluster-randomised controlled trial with depressed mothers aged 18–44 years with a child aged 0 to 36 months. This paper reports findings from the dataset of participants with a child aged between 24 and 36 months. Villages (n = 120) were randomised into either of two arms: learning through play plus (LTP Plus) or treatment as usual (TAU). LTP Plus is a 10-session, group parenting intervention integrated with cognitive behaviour therapy, delivered over 3 months. This secondary analysis reports findings on the Eyberg Child Behaviour Inventory (ECBI) and the Home Observation for Measurement of the Environment (HOME). Findings show a significant improvement in child behaviour (ECBI) scores (p < 0.011) and HOME scores (p < 0.001) in the intervention group compared to TAU at 3-month follow-up. In a low-resource setting, low-cost group parenting intervention delivered by community health workers has the potential to improve child behaviours and quality of the home environment. Parenting interventions aimed at improving child behavioural problems can have significant implications for the child, family, and broader societal outcomes. Addressing behavioural problems in early years, parenting interventions can potentially reduce long-term consequences and costs associated with untreated child behavioural issues.
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Few scholars have examined early adolescent attachment in child welfare, where placement is a necessary but forced attachment disruption. The purpose of this nonexperimental quantitative study was to examine the responses of 18‐ to 24‐year‐olds ( n = 83) who had been in out‐of‐home care, comparing early adolescent versus non‐early adolescent placement, placement setting, and sibling accessibility on attachment. Results showed early adolescents were almost half as likely to be securely attached postplacement than other age ranges and the importance of family‐like placements and maintaining peer relationships.
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Background The current COVID‐19‐pandemic confronted a large number of young families with stressors. For mothers with a history of childhood maltreatment (CM), the distress during the current pandemic added to their already increased risk for a less sensitive, maltreating parenting behavior. Objective This study aims to investigate whether maternal attachment representation mediates the relationship between maternal CM experiences and changes in parenting behavior during the pandemic. Method As a part of a longitudinal study, mothers' experiences of CM and their attachment status were assessed. For the present study, 92 mothers (mean age: 38.14 years, SD = 4.08; attachment representation: 36% secure, 64% insecure and unresolved) completed an online SARS‐CoV‐2‐pandemic survey assessing their parenting behavior since the beginning of the pandemic. Results The odds of an insecure maternal attachment representation in adulthood increased with higher levels of CM load. Mediation analyses revealed that maternal attachment representation fully explained the relationship between maternal CM load to changes in sensitive, endangering, and overall parenting quality. Conclusions CM has lasting effects on maternal adult attachment representations. Mothers' attachment representations contribute to a further understanding of intergenerational transmission mechanisms of CM later in adulthood through a more endangered parenting approach in challenging times. Implications The results of this study should be considered in the development of programs offered to families facing stressful circumstances. In particular, we recommend increased implementation of telephone‐ or web‐based programs.
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Adverse childhood experiences (ACEs) are associated with physical and mental health problems in adulthood, as well as unresolved or discordant states of mind regarding attachments that have implications for problematic parenting. Currently, there are no studies on the association between ACEs and adults' subjective experiences of stress in the parenting role, where socioeconomic status (SES) - related poverty effects have been controlled for-the central question behind the current study. We examined exposure to ACEs among 118 mothers (n = 33 low SES/impoverished and n = 85 middle/high SES) and parenting distress. Participants completed an ACE questionnaire that assessed exposure to 10 adverse experiences from childhood (e.g., abuse, neglect, household dysfunction), and the Parenting Stress Index-Short Form. Parenting distress and ACEs were significantly higher in the low SES group; yet, even after controlling for SES, higher ACE scores added significant explained variance in parental distress in a linear regression model. Discussion focuses on the need to administer ACE screening in prenatal and pediatric settings to identify and to offer trauma-and attachment-informed treatment, so to reduce the intergenerational transmission of risk associated with problematic parenting.
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Twenty years ago, meta-analytic results (k = 19) confirmed the association between caregiver attachment representations and child-caregiver attachment (Van IJzendoorn, 1995). A test of caregiver sensitivity as the mechanism behind this intergenerational transmission showed an intriguing "transmission gap." Since then, the intergenerational transmission of attachment and the transmission gap have been studied extensively, and now extend to diverse populations from all over the globe. Two decades later, the current review revisited the effect sizes of intergenerational transmission, the heterogeneity of the transmission effects, and the size of the transmission gap. Analyses were carried out with a total of 95 samples (total N = 4,819). All analyses confirmed intergenerational transmission of attachment, with larger effect sizes for secure-autonomous transmission (r = .31) than for unresolved transmission (r = .21), albeit with significantly smaller effect sizes than 2 decades earlier (r = .47 and r = .31, respectively). Effect sizes were moderated by risk status of the sample, biological relatedness of child-caregiver dyads, and age of the children. Multivariate moderator analyses showed that unpublished and more recent studies had smaller effect sizes than published and older studies. Path analyses showed that the transmission could not be fully explained by caregiver sensitivity, with more recent studies narrowing but not bridging the "transmission gap." Implications for attachment theory as well as future directions for research are discussed. (PsycINFO Database Record
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In this article, we attempt to distinguish between the properties of moderator and mediator variables at a number of levels. First, we seek to make theorists and researchers aware of the importance of not using the terms moderator and mediator interchangeably by carefully elaborating, both conceptually and strategically, the many ways in which moderators and mediators differ. We then go beyond this largely pedagogical function and delineate the conceptual and strategic implications of making use of such distinctions with regard to a wide range of phenomena, including control and stress, attitudes, and personality traits. We also provide a specific compendium of analytic procedures appropriate for making the most effective use of the moderator and mediator distinction, both separately and in terms of a broader causal system that includes both moderators and mediators. (46 ref) (PsycINFO Database Record (c) 2012 APA, all rights reserved)
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The Adult Attachment Interview (AAI) stimulates Ss to retrieve and evaluate attachment-related autobiographical memories and has increasingly been used to predict the quality of parent–child interactions and infant–parent attachment relationships. Its reliability and discriminate validity, however, have not yet been examined. In this study, 83 mothers were interviewed twice, 2 mo apart, by different interviewers so that the instrument's test–retest reliability and potential interviewer effects can be evaluated. To examine the AAI's discriminate validity, tests were administered for autobiographical memory, intelligence, and social desirability. The reliability of the AAI classifications was quite high over time (78% on the level of the 3 main categories κ = .63) and across interviewers. The unresolved category was less stable. The AAI classifications turned out to be independent on non-attachement-related memory, verbal and performance intelligence, and social desirability. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
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On the basis of extensive home observations, Ainsworth proposed that a mother's sensitivity to her infant's signals is the primary determinant of attachment security. Although subsequent research has found a relationship between sensitivity and attachment security, the effect sizes are much smaller than those reported by Ainsworth. In addition to the amount of observation time that might account for the effect size difference, we consider Ainsworth's focus on understanding the organizational structure of relationships. We coded 30 minute video records of interactions between 64 mother-infant dyads from semi-structured home observations conducted at 10 months of age. Coding consisted of writing a narrative summary of the interactions, annotating a completion of Ainsworth's rating scales of acceptance, accessibility, cooperation and sensitivity and then describing the mother's behavior using the Maternal Behaviour Q-set. Sensitivity scores derived from the Q-sort descriptions were robustly related (r = .65) to secure-insecure classifications in the Strange Situation conducted at 13 months. We reflect on the process of assessing Ainsworth's construct of sensitivity.
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Although Adverse Childhood Experiences (ACEs) are linked to increased health problems and risk behaviors in adulthood, there are no studies on the association between ACEs and adults' states of mind regarding their early childhood attachments, loss, and trauma experiences. To validate the ACEs questions, we analyzed the association between ACEs and emotional support indicators and Adult Attachment Interview (AAI) classifications in terms of unresolved mourning regarding past loss or trauma and discordant states of mind in cannot classify (U/CC) interviews. Seventy-five urban women (41 clinical and 34 community) completed a questionnaire on ACEs, which included 10 categories of abuse, neglect, and household dysfunction, in addition to emotional support. Internal psychological processes or states of mind concerning attachment were assessed using the AAI. ACE responses were internally consistent (Cronbach's α=.88). In the clinical sample, 84% reported≥4 ACEs compared to 27% among the community sample. AAIs judged U/CC occurred in 76% of the clinical sample compared to 9% in the community sample. When ACEs were≥4, 65% of AAIs were classified U/CC. Absence of emotional support in the ACEs questionnaire was associated with 72% of AAIs being classified U/CC. As the number of ACEs and the lack of emotional support increases so too does the probability of AAIs being classified as U/CC. Findings provide rationale for including ACEs questions in pediatric screening protocols to identify and offer treatment reducing the intergenerational transmission of risk associated with problematic parenting.
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This study explored variation in affective and behavioral components of infants’ jealousy protests during an eliciting condition in which mother and an experimenter directed differential attention exclusively toward a rival. Variation was examined in relation to child temperamental emotionality, maternal interaction style, and attachment security. At 45 weeks, intensity of infants’distress and durations of mother- and stranger-directed behavioral responses, including gaze, touch, and proximity-seeking, were observed in the eliciting condition. We also assessed infants’positive emotionality (PE) and negative emotionality (NE) and maternal interaction styles of sensitivity and engagement. At 54 weeks, attachment security was measured in the Strange Situation Procedure. Findings revealed that distress differed with temperamental emotionality and maternal interaction style. Specifically, distress was greater in infants with lower PE and having mothers who displayed less sensitivity and engagement. Analyses on behavioral responses toward the experimenter revealed linkages with maternal interaction style. Specifically, experimenter-directed gaze and touch were greater among infants of mothers who demonstrated less sensitivity and engagement. Behavioral responses toward mother were found associated with quality of attachment. Specifically, mother-directed proximity and touch were highest among infants later judged insecure resistant and lowest among those later judged insecure/avoidant; with infants later judged secure displaying moderate durations of mother-directed proximal contact.