Enhancing Attachment Organization Among Maltreated Children: Results of a Randomized Clinical Trial

Department of Psychology, University of Delaware, Newark, DE 19716, USA.
Child Development (Impact Factor: 4.92). 01/2012; 83(2):623-36. DOI: 10.1111/j.1467-8624.2011.01712.x
Source: PubMed


Young children who have experienced early adversity are at risk for developing disorganized attachments. The efficacy of Attachment and Biobehavioral Catch-up (ABC), an intervention targeting nurturing care among parents identified as being at risk for neglecting their young children, was evaluated through a randomized clinical trial. Attachment quality was assessed in the Strange Situation for 120 children between 11.7 and 31.9 months of age (M = 19.1, SD = 5.5). Children in the ABC intervention showed significantly lower rates of disorganized attachment (32%) and higher rates of secure attachment (52%) relative to the control intervention (57% and 33%, respectively). These results support the efficacy of the ABC intervention in enhancing attachment quality among parents at high risk for maltreatment.

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Available from: Erin Lewis-Morrarty, Jan 29, 2015
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    • "Interactions between the caregiver and the child are videotaped; the caregiver and assigned parent coach review the footage and discuss strengths and barriers, which allows the caregiver to learn how to interact in a sensitive manner with their foster child to increase their attachment security (Dozier, Dozier and Manni, 2002). Evaluation of this intervention found that foster and at-risk parents can be taught and coached on how to be sensitive parents and that this can, in turn, affect their children's regulatory and attachment systems in a positive way (Bernard, et al., 2012; Dozier, et al., 2006). "
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    03/2015; 39(1):38-50. DOI:10.1177/0308575914565069
    • "5 ) meta - analysis , researchers have increasingly highlighted the importance of targeting specific precursors of disorganized attachment , such as atypical caregiver behaviors ( Lyons - Ruth , Bronfman , & Parsons , 1999 ; Madigan , Bakermans - Kranenburg , et al . , 2006 ) in interven - tions aiming to reduce disorganized attachment ( e . g . , Bernard et al . , 2012 ; Madigan , Hawkins , Goldberg , & Benoit , 2006 ) . However we are aware of no studies that have considered targeting the caregiver ' s unresolved state of mind . Thus , the present rando - mized controlled trial assessed whether an empirically supported intervention for trauma and traumatic loss could modify adolescent mothers ' unres"
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    • "That is, sensitive and responsive care, in which the parent identifies and responds to the child's needs. Evidenced based interventions with maltreated children have been shown to enhance attachment and should be attempted with children with DSED (Bernard et al., 2012; Cicchetti, Rogosch, & Toth, 2006). Although adequate caregiving seems both to prevent and to ameliorate DSED, the persistence of signs of DSED in some children indicates that additional strategies and approaches beyond an enhancement of caregiving are needed. "
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