George M. Tarabulsy

Efficacy of a home-visiting intervention aimed at improving maternal sensitivity, child attachment, and behavioral outcomes for maltreated children: A randomized control trial

The efficacy of a short-term attachment-based intervention for changing risk outcomes for children of maltreating families was examined using a randomized control trial. Sixty-seven primary caregivers reported for maltreatment and their children (1-5 years) were randomly assigned to an intervention or control group. The intervention group received 8 weekly home visits directed at the caregiver-child dyad and focused on improving caregiver sensitivity. Intervention sessions included brief discussions of attachment-emotion regulation-related themes and video feedback of parent-child interaction. Comparison of pre- and posttest scores revealed significant improvements for the intervention group in parental sensitivity and child attachment security, and a reduction in child disorganization. Older children in the intervention group also showed lower levels of internalizing and externalizing problems following intervention. This is the first study to demonstrate the efficacy of short-term attachment-based intervention in enhancing parental sensitivity, improving child security, and reducing disorganization for children in the early childhood period.

Stability of attachment during the preschool period.

Childrens attachment patterns at early preschool age and 2 years later as well as factors related to stability-instability were examined in a diverse socioeconomic status French Canadian sample of 120 children. Attachment was assessed during 2 laboratory visits using separation-reunion procedures when the children were approximately 3.5 (J. Cassidy & R. S. Marvin, 1992) and 5.5 (M. Main & J. Cassidy, 1988) years old. Overall, stability of attachment, based on 4-way classification, was moderate (68%, k = .47, p = .01). Change from security to disorganization was associated with the most dramatic decline in interactive quality with mother, lowest marital satisfaction, and greatest likelihood of severe attachment-related family events, namely, loss and parental hospitalization. Families of children who changed from security to organized insecurity presented levels of caregiving and marital dissatisfaction that fell between those of stable secure children and secure children who changed toward disorganization.

CONTINGENCY DETECTION AND THE CONTINGENT ORGANIZATION OF BEHAVIOR IN INTERACTIONS : IMPLICATIONS FOR SOCIOEMOTIONAL DEVELOPMENT IN INFANCY

In this report, the authors review studies addressing the issue of contingencies in social and nonsocial contexts during infancy. The review is divided into 4 groups of studies that suggest that (a) young infants detect contingencies unrelated to their behavior; (b) infants detect contingencies involving their behavior; (c) the study of contingency is pertinent for addressing behavioral organization within parent-infant interaction; and (d) there is a link between behavioral contingency in early infancy and global measures of socioemotional development that are predictive of social functioning at later points during childhood. Throughout the report, the pertinence of infant emotional responses during contingency-related tasks is emphasized. Finally, the authors delineate certain enduring questions regarding contingency experience in infancy and suggest ways of organizing research to address some of them.

Another look inside the gap: Ecological contributions to the transmission of attachment in a sample of adolescent mother-infant dyads

Ecological contributions to attachment transmission were studied in a sample of 64 adolescent mother-infant dyads. Maternal sensitivity was assessed when infants were 6 and 10 months old, and infant security was assessed at 15 and 18 months. Maternal attachment state of mind was measured with the Adult Attachment Interview (AAI) after the 1st assessment. Ecological variables considered were maternal education and depression, paternal support, and infant maternal grandmother support. Results indicated that when the contribution of ecological variables was statistically controlled for, sensitivity was a significant mediator and state of mind no longer contributed to infant security. Sensitivity also mediated an association between maternal education and infant attachment, suggesting that attachment transmission is embedded in a more global process of infant attachment development.

Attachment state of mind, learning dispositions, and academic performance during the college transition.

The purpose of this study was to examine the relation among attachment state of mind, students learning dispositions, and academic performance during the college transition. Sixty-two students were involved in a short-term longitudinal study and were interviewed with the Adult Attachment Interview. Students learning dispositions were assessed at the end of high school (Time 1) and halfway through their 1st semester in college (Time 2). Academic records were collected at Time 1 as well as at the end of the 1st, 2nd, and 3rd college semesters. Autonomous students showed better learning dispositions throughout the transition and were less likely than dismissing and preoccupied students to experience a decrease in these dispositions between Time 1 and Time 2. In addition, dismissing students obtained the lowest average of grades in college, and this association was mediated by changes in quality of attention during the transition.

Predicting Preschool Cognitive Development from Infant Temperament, Maternal Sensitivity, and Psychosocial Risk

This longitudinal study investigated the relative contributions of infant temperament, maternal sensitivity, and psychosocial risk to individual differences in preschool childrens cognitive development. It also examined specific moderating effects between predictors as well as the specific mediating role of maternal sensitivity in the relation between psychosocial risk and childrens cognitive development. A mixed sample comprising 27 low-risk (i.e., adult mothers) and 62 high-risk (i.e., adolescent mothers) mother-child dyads was evaluated at home on five occasions. At 6 and 10 months, infants cognitive development was assessed using the Bayley Scales of Infant Development (BSID) (Bayley, 1993). At 15 and 18 months, mothers completed Goldsmiths (1996) Toddler Behavior Assessment Questionnaire (TBAQ), and observers completed Pederson and Morans (1995) Maternal Behavior Q-Sort. At 36 months, preschoolers cognitive development was reassessed using the BSID. Results showed that controlling for infant mental development scores, all three classes of variables contributed to differences in cognitive functioning. Psychosocial risk moderated the relations between interest persistence and preschooler cognitive development, and the interaction between risk and infant anger proneness tended toward significance (p = .07). Maternal sensitivity significantly, but partially, mediated the relation between psychosocial risk and cognitive development. Implications of these results for current understanding of the processes underlying socioemotional influences on cognitive development are discussed.

Both maternal sensitivity and atypical maternal behavior independently predict attachment security and disorganization in adolescent mother-infant relationships.

Extant theory holds that variation in attachment security is largely determined by caregiver sensitivity whereas disorganization has its roots in atypical interactions that frighten the infant. These hypotheses were confirmed in the current study of a high-risk sample but, contrary to current theory, both atypical maternal behavior and maternal sensitivity were also significant independent predictors of attachment disorganization and security.

Maternal and child characteristics as antecedents of maternal mind‐mindedness

This article compares an expanded descriptive measure of maternal mind-mindedness to the original measure. We included assessments of the valence and richness of descriptions given by 106 mothers when asked to talk about their 18-month-old child (55 boys), in addition to assessing the proportion of mind-related descriptors. Contrary to previous findings, the proportion of mental descriptors was not associated with maternal sensitivity. However, the expanded measure revealed a significant positive link between positive mind-mindedness and maternal sensitivity, and between richness of the description and maternal sensitivity. We then investigated predictors of positive maternal mind-mindedness. Maternal state of mind regarding past attachment experiences, psychological adjustment, and perception of the childs temperament were considered. The findings revealed that attachment state of mind and parenting stress constitute independent predictors of positive mind-mindedness. These findings suggest that mind-mindedness is associated not only with parental state of mind but also to current factors related to parenthood.

Mind-mindedness in adult and adolescent mothers: Relations to maternal sensitivity and infant attachment

This article examines the quality of maternal mind-mindedness among adult and adolescent mothers, using an assessment of the appropriateness and emotional valence of maternal mind-related comments while interacting with their infants. Twenty-nine adult mothers and 69 adolescent mothers participated in two assessments with their 18-month-old infants. Results showed that adult mothers used more mind-related comments when interacting with their child, especially comments referring to infant mental states. Adult mothers also used more appropriate and positive mind-related comments. Home observations and strange situation assessments revealed that two dimensions of mind-mindedness were associated with maternal sensitivity and three with infant attachment in adult mothers, whereas only one dimension was associated with maternal sensitivity in adolescent mothers.

Validation of a short version of the maternal behavior Q-set applied to a brief video record of mother-infant interaction.

A 25 item version of the maternal behavior Q-set (MBQS) was validated with 40 adolescent mother-infant dyads. Observations were made from 10 min play interactions when infants were 10 months old. Results show that the short MBQS is reliable (r(i)=.94), is related to assessments using the full MBQS at 6 months (r=.35), to cognitive development at 10 and 15 months (r=.48), and attachment security at 15 months (r=.34), indicating appropriate psychometric characteristics.