Configurations of mother-child and father-child attachment as predictors of internalizing and externalizing behavioral problems: An individual participant data (IPD) meta-analysis

Psychometric properties of the Chinese version of the attachment insecurity screening inventory 2-5 years: a preliminary study

BACKGROUND

Secure attachment bonds between children and their parents are crucial for their positive developmental outcomes. In attachment-based treatment, there are few instruments available for identifying insecure child-caregivers attachment connection, particularly in terms of primary caregiver's perceptions. This perspective is an important clinical component to consider in parenting therapies for preschool children. This main goal of this study was to analyze the psychometric properties of the Chinese version of the Attachment Insecurity Screening Inventory 2-5 Years (hereafter referred to as AISI 2-5 years), a parent-report questionnaire designed for assessing attachment insecurity in children aged 2 to 5 years.

METHODS

The AISI 2-5 years underwent rigorous translation and back-translation processes. The sample comprised 486 preschoolers (Mage = 47.83 months, SD = 8.58; 49.79% girls) and their mothers (Mage = 36.30 years, SD = 3.82) from Shanghai, China. Confirmatory factor analysis (CFA) was used to explore internal structure, while Cronbach's alphas were utilized to evaluate score reliability.

RESULTS

The findings revealed a three-factor model, encompassing avoidant attachment, disorganized attachment, and ambivalent/resistant attachment, which demonstrated a good fit for the 18-item AISI 2-5 years. Additionally, these findings demonstrated sufficient internal consistency, reliability, and convergent validity. Consequently, the AISI 2-5 years proves suitable for assessing attachment insecurity among Chinese preschoolers.

CONCLUSION

The results contribute to the advancement of research on children's insecure attachment within the Chinese context. Furthermore, future research is needed to replicate the present findings and enhance the proof supporting the appropriateness of the AISI 2-5 years for preschoolers in China. This will demonstrate its utility in evaluating parents' perception of their children's attachment insecurity.

Predictions of adolescents' responses to the Youth Self-Report from parental attachment interviews collected during pregnancy: a 17-year longitudinal study

This study investigated the influence of parents' Adult Attachment Interview (AAI) responses prior to the birth of a first child, on self-reported mental health symptoms of the first-born child in mid-adolescence. The sample comprised 51 first-born children aged 16 years, their mothers and fathers from a low-risk community urban sample, White, British and 70% middle class. Mothers' responses to the AAI were the strongest predictor of their adolescent children's self-reported mental health symptoms. Children's infant-mother or infant-father attachment patterns were not predictive of these 16-year outcomes, but mothers' insecure (primarily dismissing) attachment representations predicted children's externalizing, aggressive, and delinquent difficulties (though not internalizing difficulties) at 16 years. If one or both parents were autonomous-secure in their response to the AAI then their adolescent children reported significantly fewer mental health problems. Discussion focuses on thepredictive validity of the Adult Attachment Interview, Mary Main's legacy, and possible meanings (and limitations) of the results.

The Chain Mediating Effects of Parent-Child Conflict and Screen Time on the Relationship Between Parental Phubbing and Problem Behaviors in Preschoolers

This study aims to investigate the key factors contributing to parental phubbing behaviors (the combination of "phone" and "snubbing"), ultimately reducing behavioral problems and promoting healthy development among preschool children. Parental phubbing refers to the phenomenon where parents neglect their children due to excessive mobile device use during parent-child interactions. A questionnaire was administered to 751 parents of preschool children during 2023 using a convenience sampling methodology. Structural equation modeling was used to investigate the underlying mechanisms among parental phubbing behavior, parent-child conflict, children's screen exposure duration, and preschool children's problematic behaviors. The phenomenon of parental phubbing exhibits a medium-high level of prevalence, paralleled by medium-high levels of problematic behaviors in preschool children; Parental phubbing not only directly predicts problematic behaviors in preschool children, but also indirectly influences these behaviors through a mediating chain comprising parent-child conflict and children's screen exposure duration. However, parental phubbing behavior does not directly predict preschool children's screen exposure duration; rather, parental phubbing behavior influences children's screen time through parent-child conflict as a significant mediating factor. The phenomenon of parental phubbing behavior is concerning, suggesting that parents should pay attention to the potential hazards of media use on preschool children, improve their own media literacy, and provide appropriate media guidance to their children while accompanying them at home, so as to jointly promote the comprehensive development of preschool children.

The legacy of Mary Main in attachment and developmental research in Israel

This article examines Mary Main's impact on attachment research in Israel and vice versa, focusing on her contributions: the disorganized attachment classification (D) and the Adult Attachment Interview (AAI). Israeli research spans Jewish and Arab populations, individuals with special needs, and trauma-affected groups, testing the Normativity, Sensitivity, and Competence hypotheses. While confirming traditional findings, some studies revealed deviations, possibly influenced by Israel's unique sociocultural/historical context. Some studies found an overrepresentation of disorganized and ambivalent attachment classifications, possibly linked to regional conflicts. The absence of a distinction between these two classifications in certain outcomes, especially disrupted maternal communication-a precursor to D-challenges the clear-cut classifications found in Western studies. Finally, a Holocaust Project provides unique insights, identifying the absence of intergenerational transmission of an unresolved state of mind from Holocaust survivors to descendants and revealing distinctive AAI classifications, namely, Absence of Attachment Representations and Failed Mourning, all inviting further study.

More Than Just Treats? Effects of Grandparental Support for Children Growing up in Adversity

This study examined whether grandparental support is a protective factor for children's socio-emotional development in the context of adversity. Using longitudinal data from the Millennium Cohort Study, we investigated the effects of grandparental support across development in children with and without adverse childhood experiences (ACEs). Socio-emotional development was assessed with the Strengths and Difficulties Questionnaire when children were aged 3 years (N = 10,186), 5 years (N = 10,412) and 7 years (N = 10,551). Parent-reported grandparental childcare, coresidence and financial help were assessed and parents reported on the occurrence of five ACEs: physical and emotional abuse assessed with the Straus' Conflict Tactics Scale, parental mental illness assessed with the Kessler scale, domestic violence and parental separation. We found that children with relatively higher levels of ACEs showed more prosocial behaviour and less externalizing problems when they received grandparental care compared to non-grandparental (in)formal care, but only at age 3. By age 7, children with higher levels of ACEs receiving grandparental care showed less prosocial behaviour and more externalizing problems. In addition, grandparental financial support at age 3 was related to more externalizing problems. Post-hoc analyses showed that internalizing and externalizing behaviours at age 5 were related to an increased probability of grandparental childcare at age 7, indicating that children's socio-emotional problems trigger grandparental support. Our findings point to a protective effect of grandparental care on children's socio-emotional development at age 3. Our results highlight the importance of going beyond the nuclear family towards the impact of the wider family network when examining children's socio-emotional development. RESEARCH HIGHLIGHTS: Three-year-old children with high levels of adverse childhood experiences (ACEs) show more prosocial behaviour and less externalizing behaviour when they receive grandparental care. Grandparental care has therefore protective effects on young children's socio-emotional development in the context of family adversity. Grandparents respond to children's socio-emotional problems and family adversity by increasing financial support and involvement in care. These findings underscore the importance of going beyond the nuclear family towards the impact of the wider family network when examining children's socio-emotional development.

A call to represent the current diversity of family forms in attachment research

As family forms become increasingly diverse, their underrepresentation in attachment research is glaring. Although attachment theory aims to explain the influence of early relationships, studies have disproportionately focused on mothers. Even when other attachment figures are considered, the research is typically limited to fathers in biparental mother-father families. In this piece, we report on the wide variety of family configurations worldwide, and how children experience care from multiple attachment figures. Drawing from the Child Attachment Studies Catalogue and Data Exchange (CASCADE), we assess the current state of attachment research with regard to diverse family configurations. Out of the available records in CASCADE, only four of 2,320 studies (0.2% of available studies) involved samples of diverse families. We conclude by issuing an explicit call for research that acknowledges and explores diverse family forms and propose strategies to improve reporting and research practices to promote more inclusivity of diverse family forms.

The importance of perinatal non-birthing parents' mental health and involvement for family health

Perinatal mental health research typically focuses on the birthing parent's experiences and their influence on birth/child outcomes, while not considering non-birthing parents in similar depth. Non-birthing parents are also at increased risk for mental illness during the perinatal period, and non-birthing parents' health and involvement affect the health of birthing people, fetuses, and newborns, necessitating greater understanding of non-birthing parents' contributions to family functioning. This review examines perinatal mental health disorders in non-birthing parents, their relationship quality with the birthing parent, and how the non-birthing parent's mental health and involvement affects the health outcomes of the birthing parent and the child. Recommendations are provided for healthcare professionals who work with perinatal patients and their families to engage non-birthing parents, learn about non-birthing parent health, and facilitate connections to care. By doing so, professionals working with perinatal patients can optimize health outcomes for their patients and the family as a whole.

Fathers' contributions to attachment in adolescence and adulthood: the moderating role of race, gender, income, and residential status

Fathers play a critical yet underappreciated role in adolescent development. To examine contributions of fathers' parenting to attachment in adolescence and adulthood, this longitudinal study followed 184 adolescents from ages 13-24. At age 13, adolescents reported on their fathers' parenting behavior and were observed in a father-teen conflict task; at ages 14 and 24, they completed the Adult Attachment Interview. Adolescents who lived with their father showed higher attachment security at age 14 (Cohen's d = .72), compared to those with non-residential fathers. Fathers' positive relatedness and support for teens' psychological autonomy predicted attachment security at age 14. Fathers' physical aggression predicted attachment insecurity in adolescence, whereas fathers' verbal aggression predicted insecurity in adulthood, illuminating developmental shifts. Pathways to security were moderated by father residential status, adolescent gender, and race. Findings underscore the importance of fathers' presence, autonomy support, and non-aggression in predicting adolescents' state of mind in close relationships.

Mothers' recollections of parenting by their own mothers and fathers and maternal and infant outcomes

Objective

Using a family network approach, we examined patterns of remembered parental rearing by both parents and associations with maternal and infant outcomes.

Background

Women's memories of how they were cared for by their own mothers in childhood are associated with important outcomes in the perinatal period. However, few studies assess women's recollections of caregiving by their fathers, despite fathers' influence on the larger family context and child adjustment.

Method

We combined data from two prospective longitudinal studies of mothers and their infants (N = 468) in the perinatal period to identify profiles of remembered parental rearing by both parents using latent profile analysis and examined how these profiles were associated with maternal depressive symptoms, mothers' perceived romantic relationship satisfaction, parenting, and infant socioemotional problems.

Results

Four distinct profiles of remembered parental rearing emerged: two supportive parents, two unsupportive parents, a supportive mother but unsupportive father, and a supportive father but unsupportive mother. Results document the differential effects of these profiles on parenting and other maternal and infant outcomes.

Conclusion

Remembering two supportive parents confers the most benefit for mothers and their infants.

Implications

For mothers with nonsupportive childhood experiences, processing that legacy within a therapeutic relationship may bolster multiple perinatal domains.

ADHD Symptoms in Middle Childhood: The Role of Child Attachment and Maternal Emotional Availability in an Inpatient Clinical Sample

BACKGROUND

Child ADHD symptoms are highly prevalent in middle childhood, alongside impairment in social functioning. The parent-child relationship has been shown to play an important role; however, studies investigating specific facets of the parent-child relationship in ADHD symptomatology in middle childhood have been neglected. We assumed that higher ADHD symptoms were associated with both (1) lower maternal emotional availability (EA) and (2) lower child attachment security. Moreover, (3) we aimed to explore which specific EA dimensions were associated with ADHD symptoms.

METHODS

In a socio-pediatric clinic in Germany, 71 inpatient mother-child dyads (child age: M = 7.70, SD = 1.06; n = 54 boys) were assessed. Clinical data about child ADHD symptoms (Child Behavior Checklist 6-18 subscale "attention deficit/hyperactivity problems"), maternal EA (free play), and child attachment representation (Attachment Story Completion Task, GEV-B) were analyzed cross-sectionally.

RESULTS

Controlling for child oppositional behavior and sex, child ADHD symptoms were associated with overall maternal EA, and more specifically non-hostility, but not with child attachment representation.

CONCLUSIONS

Our results imply that the role of parent-child interaction quality should be considered in the treatment of ADHD. Bidirectional effects cannot be ruled out.

Caregiving Antecedents of Secure Base Script Knowledge Inferred from the Adult Attachment Interview: A Comparative, Pre-Registered Analysis

Attachment theorists claim that the quality of parental support is internalized as a mental representation of early relationship experiences. Increasingly, the content of attachment representations is evaluated by studying the extent to which adults demonstrate knowledge of the secure base script, either in the context of the Attachment Script Assessment (ASA) or during the Adult Attachment Interview (AAIsbs). Preliminary evidence from a high-risk sample showed that AAIsbs was more strongly associated with the quality of antecedent caregiving than was the more traditional approach to the measurement of adult attachment focused on the coherence of adults' AAI discourse (Waters, et al., 2017). Drawing on new coding of data from the NICHD Study of Early Child Care and Youth Development (SECCYD), we found that AAIsbs around age 18 years was significantly predicted by observations of maternal (r = .21) and paternal (r = .12) sensitivity assessed prospectively through age 15 years, and with attachment security in the first three years of life (r =.08). AAIsbs was also associated with existing measures of adult attachment (rs = .31-.42). Pre-registered analyses revealed that AAIsbs performed in a manner roughly comparable to traditional, though more labor intensive approaches to coding the AAI. Based on all available evidence from the SECCYD and the pragmatic challenges and advantages of different narrative methods for assessing adult attachment representations (Booth-LaForce & Roisman, 2014; Steele et al., 2014), researchers seeking to measure attachment representations should strongly consider the strengths of the ASA in term of practicality, performance, and adaptability to various age groups across development (Waters & Waters, 2021).

Screening for post-traumatic stress disorder following childbirth using the Peritraumatic Distress Inventory

BACKGROUND

Post-traumatic stress disorder (PTSD) following traumatic childbirth may undermine maternal and infant health, but screening for maternal childbirth-related PTSD (CB-PTSD) remains lacking. Acute emotional distress in response to a traumatic experience strongly associates with PTSD. The Peritraumatic Distress Inventory (PDI) assesses acute distress in non-postpartum individuals, but its use to classify women likely to endorse CB-PTSD is unknown.

METHODS

3039 women provided information about their mental health and childbirth experience. They completed the PDI regarding their recent childbirth event, and a PTSD symptom screen to determine CB-PTSD. We employed Exploratory Graph Analysis and bootstrapping to reveal the PDI's factorial structure and optimal cutoff value for CB-PTSD classification.

RESULTS

Factor analysis revealed two strongly correlated stable factors based on a modified version of the PDI: (1) negative emotions and (2) bodily arousal and threat appraisal. A score of 15+ on the modified PDI produced high sensitivity and specificity: 88 % with a positive CB-PTSD screen in the first postpartum months and 93 % with a negative screen.

LIMITATIONS

In this cross-sectional study, the PDI was administered at different timepoints postpartum. Future work should examine the PDI's predictive utility for screening women as closely as possible to the time of childbirth, and establish clinical cutoffs in populations after complicated deliveries.

CONCLUSIONS

Brief self-report screening concerning a woman's emotional reactions to childbirth using our modified PDI tool can detect those likely to endorse CB-PTSD in the early postpartum. This may serve as the initial step of managing symptoms to ultimately prevent chronic manifestations.

Early childhood attachment stability to mothers, fathers, and both parents as a network: associations with parents' well-being, marital relationship, and child behavior problems

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.

Configurations of mother-child and father-child attachment relationships as predictors of child language competence: An individual participant data meta-analysis

An individual participant data meta-analysis was conducted to test pre-registered hypotheses about how the configuration of attachment relationships to mothers and fathers predicts children's language competence. Data from seven studies (published between 1985 and 2014) including 719 children (Mage : 19.84 months; 51% female; 87% White) were included in the linear mixed effects analyses. Mean language competence scores exceeded the population average across children with different attachment configurations. Children with two secure attachment relationships had higher language competence scores compared to those with one or no secure attachment relationships (d = .26). Children with two organized attachment relationships had higher language competence scores compared to those with one organized attachment relationship (d = .23), and this difference was observed in older versus younger children in exploratory analyses. Mother-child and father-child attachment quality did not differentially predict language competence, supporting the comparable importance of attachment to both parents in predicting developmental outcomes.

The PPSQ: assessing parental, child, and partner's playfulness in the preschool and early school years

Introduction

Developmental research has traditionally focused on parenting behaviors such as nurturance and care, due to a focus on mothers' behaviors. Other parenting dimensions such as parental playfulness (i.e., use of creativity, imagination, and humor during parent-child interactions) have comparatively received little attention. Although some measures tap into parents' and children's playfulness, these measures are limited. Indeed, they do not assess multiple domains of playfulness (i.e., both parents' and the child's playfulness) or focus on one specific setting such as children's play with peers. Additionally, existing measures do not consider parents' reactions to their partners' playfulness. To address this gap, we created the Playful Parenting Style Questionnaire (PPSQ), which assesses three domains of playfulness: (a) parental domain, (b) child domain, and (c) partner domain. The current study is part of a validation effort of the PPSQ using a quantitative design. We aimed to explore the structure of the PPSQ by conducting an exploratory factor analysis (EFA) for each domain of playfulness; and assess the construct validity of the PPSQ factors by examining the association between factors and existing measures of playful parenting, child playfulness, and co-parenting.

Method

The sample includes 347 parents (294 mothers and 53 fathers) of preschool/school-age children (M = 5.10 years; 182 girls, 127 boys). Parents were mostly White (76%) and from a low socioeconomic risk background. Parents completed a series of online questionnaires including the PPSQ, 3 existing measures of parent playfulness (Parental Playfulness Questionnaire; Adult Playfulness Scale; Challenging Parenting Behavior Scale), 2 existing measures of child playfulness (Child Behavior Inventory; Children's Playfulness Scale), a coparenting instrument (Co-parenting Relationship Scale), and sociodemographic information.

Results

The EFA revealed 4 factors for parental playfulness, 1 factor for child playfulness, and 3 factors for partner's playfulness. The construct validity analyses identified multiple associations indicating convergence with existing measures for the parent and partners domain but not the child factor.

Discussion

This study allowed for a better understanding of the playful dynamics that occur within a family.

Do parental attachment and prosocial behavior moderate the impairment from depression symptoms in adolescents who seek mental health care?

We investigated parental attachment and prosocial behavior as social protective indicators in adolescents (age 11-17) with symptoms of depression in a clinical setting. Specifically, we tested the moderating effect of these factors on the relation between symptoms of depression and their impairment on daily life. The Development and Well-Being Assessment, as completed by children, mothers, and fathers, was used, and hierarchical multiple regression analyses were conducted for these three perspectives. From the adolescents' reports we only found a significant effect of symptoms on impairment indicating that a higher number of symptoms were related to higher impairment. For the mothers and fathers, a higher score on the adolescents' prosocial behavior was related to a lower impairment from depression symptoms on the daily life of the adolescent and the family. Only for the mothers did a higher score on prosocial behavior buffered the effect of symptoms on impairment, while a higher parental attachment score was associated with a lower impairment. Further, when examining maternal and paternal attachment separately, we found that, only the mothers, reported less impairment from the symptoms when they perceived that the adolescent was attached to the father, and paternal attachment even buffered the effect of symptoms on impairment. To conclude, our results indicate that social protective factors, from the parent's perspective, are likely to have a beneficial effect in clinical practice and should be taken into account when examining impairment scores. Future studies should investigate whether additional protective indicators from the adolescents' perspective, such as quality of parental attachment or family climate, may have a positive impact on their daily functioning.

Triadic family interactions at 2 years: The role of prenatal marital quality and infants' attachment configuration with mother and father

This longitudinal study uncovered prenatal marital antecedents of infants' attachment configurations with both mother and father at 12-15 months (n = 125). We also examined the contribution of both marital quality and infants' attachment configurations (secure with both parents, insecure with both parents, secure with mother-insecure with father, and insecure with mother-secure with father) to the quality of triadic (mother-father-toddler) interactions observed two years post-birth. Couples who displayed less negative affectivity and were more emotionally attuned were more likely to have infants securely attached with father and insecurely attached with mother (vs. insecure with both parents) and they engaged in more adaptive family interactions at two years. Also, a secure infant-father attachment relationship forecast more balanced triadic family interactions, regardless of whether the infant-mother attachment was secure or insecure. In contrast, a secure infant-mother attachment relationship was related to less controlling behavior during triadic interactions, regardless of infant-father attachment security.

The Child-Mother-Father-Teacher Relationship Network in Kindergarten and Its Association with Children's Social and Academic Development: An Ecological Perspective

This study examines how a set of the child's proximal relationships (mother-child, father-child, and teacher-child) and parent-teacher relationships relate to the child's prosocial and learning behaviors in kindergarten. The sample included 95 mother-father-child triads (child mean age 5.9 years) and 42 kindergarten teachers. All adults reported on their relationship with the child and on their perceptions of parent-teacher relationships. Teachers reported on the child's behaviors. Main findings: (1) All proximal relationships and the teachers' relationships with mothers and fathers were related to children's outcomes; and (2) different patterns of associations were found between father-child and mother-child relationships, and teacher-child relationship, parent-teacher relationships, and children's outcomes. These findings hint to the different roles of fathers and mothers in their children's development and to distinguished patterns of relationships of mothers and fathers with kindergarten teachers.

The Mediating Role of Callous-Unemotional Traits in the Relationship between Parental Aggression and Behavioral Problems among Chinese Preschoolers

It is well known that aggressive parenting is associated with behavioral problems among Western children in their early childhood, but this has rarely been examined among Chinese preschoolers. The purpose of this study is to explore the relationship between aggressive parenting, callous-unemotional traits (CU traits), and behavioral problems among a large Chinese preschool sample. Data were collected in Wuhu city, China, from 1879 preschoolers (54% of whom were male) with a mean age of 65.66 months (standard deviation = 9.41). Parents provided information about the frequency of aggressive parenting, children's behaviors, and demographic characteristics via an online questionnaire. Mediation models were applied to analyze the associations between aggressive parenting, CU traits, and behavioral problems. Preschoolers' age, gender, and family socioeconomic status were considered as covariates. The findings of our study revealed that higher frequencies of parental psychological and physical aggression were associated with high levels of CU traits, which were related to increased levels of preschoolers' behavioral problems. This study extends previous studies by revealing a positive relationship between aggressive parenting and behavioral problems among Chinese preschoolers via CU traits and highlights the risks of aggressive parenting. Interventions for improving parenting strategies and lessening callous-unemotional traits should be developed to help reduce behavioral problems.

Attachment, Mentalizing and Trauma: Then (1992) and Now (2022)

This article reviews the current status of research on the relationship between attachment and trauma in developmental psychopathology. Beginning with a review of the major issues and the state-of-the-art in relation to current thinking in the field of attachment about the impact of trauma and the inter-generational transmission of trauma, the review then considers recent neurobiological work on mentalizing and trauma and suggests areas of new development and implications for clinical practice.

A Family Systems Perspective on Attachment Security and Dependency to Mother and Father in Preschool: Differential and Reciprocal Effects on Children's Emotional and Behavioral Problems

Attachment security and dependency play a decisive role for children's mental health. From a family systems perspective, reciprocal effects of dyadic attachment to each parent within the same family on child symptomatology may well offer additional insights in developmental processes as parents and children influence each other consistently. This study examined the influence of child-mother as well as child-father attachment security and dependency on maternal, paternal, and observed ratings of children's emotional and behavioral problems. A total of 124 families with preschool children participated in this study. Attachment security, dependency, and symptomatology of the children were independently observed during home visits. Furthermore, mothers and fathers rated child symptoms. Results revealed promotive effects of attachment security to both parents on observed child symptoms. Furthermore, we found a significant actor effect of child-mother attachment security, as well as a significant partner effect of child-father dependency on maternal ratings of child symptomatology. Attachment security to both parents is promotive for child mental health. The family systems perspective clarifies the meaning of child-father relationships for maternal perception of the own child.

Reflective functioning in mothers with addictions: Differential relationships involving family history of mental illness and substance use

Parental reflective functioning (RF) is often cited as an important domain in which mothers with addictions struggle in their roles as parents, though the links between addiction and RF remain unclear. Exposure to attachment trauma associated with parental mental illness and substance use is commonly associated with both addiction and lower RF. We thus examined how family history of parental mental illness and substance use may relate to the RF of mothers with addictions. One hundred ninety-four mothers in outpatient substance use treatment completed the Parent Development Interview and provided information about whether their mothers and fathers experienced mental illness or problems with substance use. Univariate ANOVAs revealed an interaction between family history of maternal mental illness and maternal substance use. Among mothers with a history of maternal substance use, those with a history of maternal mental illness had higher RF than those who had no history of maternal mental illness. Among mothers who did not report a family history of maternal mental illness, mothers who had a family history of maternal substance use exhibited significantly lower RF than mothers with no family history of maternal substance use. Exposure to paternal mental illness or substance use was not associated with mothers' RF. These findings highlight the importance of disentangling the contributions of attachment trauma to mothers' RF and utilizing interventions that support mothers' capacity to reflect about how their early experiences of being cared for by a mother with a mental illness or addiction may impact their current caregiving behaviors.

Attachment Representation Moderates the Effectiveness of Behavioral Parent Training Techniques for Children with ADHD: Evidence from a Randomized Controlled Microtrial

Behavioral parent training is an evidence-based intervention for children with attention-deficit/hyperactivity disorder (ADHD), but knowledge on the differential effects of behavioral techniques for specific subgroups of children is very limited. Attachment representations of children with ADHD may affect how receptive children are to changes in parenting. In this study, we investigated whether specific behavioral techniques were more or less effective for children with ADHD in relation to their attachment representations. We included parents of 74 children with ADHD (4-11 years, M = 8.15) who took part in a larger randomized controlled microtrial in which they were randomized to a two session training in antecedent-based techniques (i.e., stimulus control techniques: rules, instructions; n = 26), a two session training in consequent-based techniques (i.e., contingency management techniques: praise, rewards, ignoring; n = 25) or a waitlist control condition (n = 23). We examined whether attachment representation moderated the effectiveness of a) training versus waitlist, and b) antecedent- versus consequent-based techniques. Attachment representations were measured with a story stem task, the intervention outcome was daily parent-rated problem behaviors of the children. Attachment representation did not moderate the effects of the training compared to the waitlist. However, compared to antecedent-based techniques, consequent-based techniques were less effective for more securely and less disorganized attached children, and particularly effective for more disorganized attached children. This was the first study examining attachment as a moderator of behavioral techniques for ADHD. If replicated, the findings of this study can be used for treatment development and tailoring.

Attachment networks and the future of attachment theory

Attachment theorists have long recognized that multiple attachments characterize the typical experience of most children. But an appreciation of attachment networks is new, and this commentary draws on some of the most theoretically provocative themes of the contributions to this special issue. These include: how the quality of attachment relationships and the contexts of their development colors the security derived from them and the developmental outcomes they influence; the impact of relationships on other relationships in the attachment network; and the multiple ways attachment theory can influence public policy for children and families.

Family alliance as a developmental antecedent of depressive and anxiety symptoms in early adolescence: Friendship quality as a mediating factor

Family interactions constitute a critical context in which children can learn the basic relational skills that they need to make friends. In turn, friendship quality is a robust predictor of child socioemotional functioning. Therefore, friendship is likely to act as a bridge in a socioemotional developmental cascade linking early family interactions to child subsequent socioemotional adjustment. This study aimed to examine a mediation model linking family alliance (the degree of mother-father-child engagement and coordination in joint activities) in kindergarten to anxiety and depressive symptoms in early adolescence through the mediating role of friendship quality in middle childhood. The family alliance of 87 mother-father-child triads was assessed when children were aged 6 years based on a 15-min videotaped interaction. Children reported on the quality of their relationship with their best friend at age 10 and on their anxiety and depressive symptoms at both 12 and 13 years (averaged). Results showed that children who experienced better family alliance at 6 years had higher relationship quality with their best friend at 10 years which in turn, predicted less anxiety (but not depressive) symptoms in early adolescence. There was a significant indirect effect of family alliance on anxiety through friendship quality. Findings suggest that family alliance may play a central role in shaping children's capacity to develop high-quality friendships, with implications for their subsequent socioemotional functioning. Further longitudinal studies are needed to examine the reciprocal influences unfolding over time that are likely to characterize developmental cascades among family systems, children's developing friendships, and their socioemotional functioning.

Admissibility of attachment theory, research and assessments in child custody decision-making? Yes and No!

Attachment theory, research, and assessments have become increasingly applied to settle child custody cases. We discuss such applications in relation to admissibility criteria for scientific evidence and testimony proposed by Faigman et al. (2014). We argue that attachment theory and research can provide valid "framework evidence"; group-based attachment research has yielded general principles suitable as a frame of reference for pertinent court decisions. In particular, child custody decision-making should generally be guided by research indicating that children benefit from attachment networks. In contrast, assessments of attachment quality fall short of providing valid "diagnostic evidence"; information that a specific individual/dyad is a "true" instance of a general group-level principle. In particular, such assessments do not yield valid information about whether a particular caregiver has better caregiving skills than another caregiver and will better support child development. We conclude that attachment theory and research should be admissible for framework but not for diagnostic testimony.