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Biomedical subjects

B Egeland

Publications and source records attributed to B Egeland.

35 records · Page 2Linked to original sources

Infant-mother attachment: factors related to its development and changes over time.

As part of a large longitudinal study, assessments of attachment relationships in high-risk mother-infant pairs were conducted at 12 and 18 months. With data collected prenatally and during the infant's first 2 years of life, this study attempted to discriminate among 3 major attachment classifications and to account for qualitative changes in attachment relationships. The data included maternal and infant characteristics, mother-infant interactions, life-stress events, and family living arrangements. Several patterns seemed to emerge. Mothers of securely attached infants were consistently more cooperative and sensitive with their infants as observed in a feeding and play situation than mothers of anxiously attached infants. Anxious/resistant infants tended to lag behind their counterparts developmentally and were less likely to solicit responsive caretaking. Anxious/avoidant infants, although robust, tended to have mothers who had negative feelings about motherhood, were tense and irritable, and treated their infants in a perfunctory manner. Male babies were somewhat more vulnerable to qualitative differences in caretaking, while, for girls, maternal personality showed a stronger relationship to security of attachment. Changes from secure to anxious attachments were characterized by initially adequate caretaking skills but prolonged interaction with an aggressive and suspicious mother. Changes toward secure attachments tend to reflect growth and increasing competence among young mothers.

Adolescent↗

The developmental consequence of different patterns of maltreatment.

From a longitudinal study of 267 high risk families, four different patterns of maltreatment were identified. The mothers have been tested, interviewed and observed in a number of situations starting during the last trimester of pregnancy and continuing at regularly scheduled intervals through the preschool period. The four maltreatment groups were: physical abuse; hostile/verbally abusive; psychologically unavailable; and neglecting. A control group of mothers who provided adequate care was selected from the remaining high risk sample. In an earlier follow-up, among the maltreated children a disproportionately large number of infants were found to be anxiously attached to their mothers at 12 and 18 months, and their performance in a problem-solving situation at age two was poor. In the current follow-up, the children were videotaped at 42 months in a "barrier box" and teaching situation, and at 56 months they were observed in a preschool situation. The physically abused children were distractible, lacked persistence, ego control and enthusiasm, and experienced considerable negative emotion. The children whose mothers were psychologically unavailable showed marked increases in maladaptive patterns of functioning from infancy through preschool. As expected, they were avoidant of their mother, angry, noncompliant, and they were highly dependent. The neglected children had the most difficulty pulling themselves together to deal with various tasks. They lacked self-esteem and agency necessary to cope with their environment.

Adolescent↗

The relationship of prenatal maternal anxiety to infant behavior and mother-infant interaction during the first six months of life.

The IPAT Anxiety Scale was administered to a large sample of primiparous women from an economically disadvantaged population in their third trimester of pregnancy. At birth and at three and six months postpartum, the infants and mothers were assessed using a variety of behavioral and standardized procedures. Results indicate that anxiety was not a factor in the incidence of pregnancy and delivery complications or infant anomalies. Neonatal behavior and mother-infant interaction did differ among the high anxious and the low anxious groups. These differences, however, were only significant for female infants. Results are discussed in terms of practical implications and future research.

Adolescent↗

Attachment and early maltreatment.

Attachment outcomes of 31 maltreatment cases (extreme neglect or abuse) selected from a total poverty sample of 267 high-risk mothers were compared at 12 and 18 months to a subsample of 33 cases with a history of excellent care. In accordance with the Bowlby-Ainsworth hypothesis, the maltreatment group was characterized by a low proportion of secure attachment (Ainsworth's group B) at 12 months (38% compared to 75% in the excellent care group and 55% in the remaining total sample); however, differences at 18 months were not significant. Specifically, 50% of the cases with a history of neglect were in Ainsworth's group C (anxious/resistant attachment) at 12 months, compared to usual reports of approximately 10% and compared to 21% in the total poverty sample. Patterns of attachment between 12 and 18 months remained stable for the mother-infant pairs in the excellent care group, however, 52% of the mistreated infants changed classifications. For the neglect subgroup there was considerable movement toward Ainsworth's group A (anxious/avoidant attachment) at 18 months and some movement toward group B. An examination of the case histories of mother-infant pairs indicated that changes in attachment between 12 and 18 months were related to changing life events, support from family, and out-of-home care. These findings are highly tentative as were the findings which suggested that secure attachment within the maltreatment group was associated with the presence of a supportive family member, less chaotic life-style, and, in some instances, a more robust infant.

Child Abuse↗

Iron deficiency and behavioral deficits.

In an attempt to investigate the relationship of iron deficiency and mental status, cognitive development and attending behavior were assessed in nonanemic children aged 11 to 13 months who were severely or mildly iron deficient or were iron replete. Using two different approaches to the assessment of cognitive development and an habituation measure as an index of attending behavior, no statistically significant differences could be demonstrated in the overall level of performance between the iron-depleted and the iron-replete children. Isolated differences were demonstrated on a scale that measured fearfulness and on several of the scales that measured sensory areas of interest displayed.

Child Behavior↗

Measuring temperament in pediatric practice.

The present study reports data concerning the discriminant validity of the Carey Infant Temperament Questionnaire. Subjects were 187 primiparous women who completed a battery of psychologic tests prior to the births of their infants. They also filled out the ITQ at three and six months after the baby was born. Nine of the 20 variables derived from the prenatal test battery discriminated mothers whose babies were diagnosed as temperamentally "difficult" from those whose infants were diagnosed as temperamentally "easy" based on three-month ITQ scores. Seven of the prenatal variables similarly discriminated these two groups on the six-month ITQ. The implications of these findings for uses of the ITQ are discussed.

Anxiety↗

The relationship between out-of-home care and the quality of infant-mother attachment in an economically disadvantaged population.

The effects of routine daily separations occasioned by out-of-home care on the formation and maintenance of infant-mother attachment relationships were examined in a population of economically disadvantaged mothers. 3 groups were constituted on the basis of the time in the infant's life when out-of-home care began: (1) before 12 months; (2) between 12 and 18 months; (3) home-care controls. The infant-mother pairs were observed in the Ainsworth strange situation at both 12 and 18 months, and were classified as secure, anxious-avoidant, or anxious-resistant. Because previous research has implicated the psychological accessibility of the mother to the infant in the development of anxious-avoidant attachments during the first year of life, the hypothesis that physical inaccessibility due to out-of-home care would also be associated with anxious-avoidant attachments was tested. The data support this hypothesis. At 12 months 47% of the infants whose mothers had returned to work/school were classified in the anxious-avoidant group, while the other 2 groups did not differ significantly in the proportions of infants assigned to the 3 attachment classifications. At 18 months, differences among the 3 work status groups also showed a large portion of anxious-avoidant infants (41%) in this early working group. However, infants whose out-of-home care began after 12 months did not show an increase in the proportion of anxious attachments. Additional analyses of variables related to mother's return to work indicated that single mothers were more likely to return to work/school, that mothers who worked reported higher levels of life stress than mothers who stayed home with the infants, and that, by 18 months, both anxious-avoidant and anxious-resistant attachments were also associated with non-intact families.

Adult↗

Individual differences in infant-mother attachment at twelve and eighteen months: stability and change in families under stress.

100 economically disadvantaged mothers and their infants were observed in the Ainsworth and Wittig "strange situation" at 12 and 18 months. Infants were classified as secure, anxiously attached/avoidant, or anxiously attached/resistant. In addition, mothers reported occurrence of stressful events related to the stability of the caretaking environment during the 12--18 month period by completing a 44-item checklist concerning work, finances, family, neighbors, health, etc. 62 infants were assigned to the same attachment classification at both 12 and 18 months (p less than .01). Despite this stability, significantly more infants changes classification than in a recent study of stable middle-class families. With the present sample, anxious attachment was associated with less stable caretaking environments than secure attachment; change from secure to anxious attachment was associated with higher stressful-event scores than stable secure attachment.

Anxiety↗

Attachment from infancy to early adulthood in a high-risk sample: continuity, discontinuity, and their correlates.

This study explores the stability of attachment security and representations from infancy to early adulthood in a sample chosen originally for poverty and high risk for poor developmental outcomes. Participants for this study were 57 young adults who are part of an ongoing prospective study of development and adaptation in a high-risk sample. Attachment was assessed during infancy by using the Ainsworth Strange Situation (Ainsworth & Wittig) and at age 19 by using the Berkeley Adult Attachment Interview (George, Kaplan, & Main). Possible correlates of continuity and discontinuity in attachment were drawn from assessments of the participants and their mothers over the course of the study. Results provided no evidence for significant continuity between infant and adult attachment in this sample, with many participants transitioning to insecurity. The evidence, however, indicated that there might be lawful discontinuity. Analyses of correlates of continuity and discontinuity in attachment classification from infancy to adulthood indicated that the continuous and discontinuous groups were differentiated on the basis of child maltreatment, maternal depression, and family functioning in early adolescence. These results provide evidence that although attachment has been found to be stable over time in other samples, attachment representations are vulnerable to difficult and chaotic life experiences.

Adolescent↗