Does Infant Carrying Promote Attachment? An Experimental Study of the Effects of Increased Physical Contact on the Development of Attachment

This study was designed to test the hypothesis that increased physical contact, experimentally induced, would promote greater maternal responsiveness and more secure attachment between infant and mother. Low-SES mothers of newborn infants were randomly assigned to an experimental group (n = 23) that received soft baby carriers (more physical contact) or to a control group (n = 26) that received infants seats (less contact). Using a transitional probability analysis of a play session at 31/2 months, it was demonstrated that mothers in the experimental group were more contingently responsive than control mothers to their infants' vocalizations. When the infants were 13 months old, the Ainsworth Strange Situation was administered. Significantly more experimental than control infants were securely attached to their mothers. We infer from these results that for low-income, inner-city mothers, there may be a causal relation between increased physical contact, achieved through early carrying in a soft baby carrier, and subsequent security of attachment between infant and mother.     

Linking Employment to Attachment: The Mediating Effects of Maternal Separation Anxiety and Interactive Behavior

This study examined the effects of maternal employment and separation anxiety on maternal interactive behavior and infant attachment. 73 mother-infant pairs participated in a laboratory free-play session when infants were 5 and 10 months of age and in the Strange Situation when the infants were 18 months of age. Maternal feelings about being separated from her infant were assessed by questionnaire at 5 months. Employed mothers returned to work before the infants' fifth month, and nonemployed mothers did not work outside the home through their infants' tenth month. Employed mothers who reported high levels of separation anxiety were more likely to exhibit intrusive behaviors at 10 months. While employment was not directly related to attachment, we found infants of high-anxiety employed mothers to develop anxious-avoidant attachments. The results suggest that maternal separation anxiety and interactive style may be important mediators between employment and later infant outcome.     

Correlates of mastery-related behavior: a short-term longitudinal study of infants in their second year

The present study examined correlates of mastery-related behavior across the infant's second year of life. Maternal control style was quantified on a control to support-of-autonomy continuum, infant-mother attachment was assessed in the Strange Situation, and mastery-related behavior was observed in a toy play session at 12 and 20 months. Infants whose mothers were supportive of their autonomy displayed greater task-oriented persistence and competence during play than did infants of more controlling mothers; securely attached and avoidant infants tended to exhibit greater persistence at tasks than anxious-ambivalent babies, and ambivalent babies were the most negative in affect.     

Infants' affective responses in the strange situation: effects of prematurity and of quality of attachment

20 full-term and 20 preterm infants and their mothers were videotaped in the Strange Situation, and the security of their attachment relationships was later determined. Each episode was subsequently divided into consecutive 15-sec intervals, during each of which ratings of facial expressions were performed. From these ratings several summary dimensions of affect were derived (e.g., affective peak and range during all episodes, latency and rise time for onset of distress during separation episodes, and recovery time during reunions). Term and preterm infants did not differ from one another in either the security of attachment or their affective expression and regulation. When groups were combined, patterns of affective expression were significantly different for infants classified as insecure-avoidant, insecure-ambivalent, and securely attached, as well as for group B1 + B2 infants compared to group B3 + B4 babies. The findings indicated that attachment-related affect may reflect an affect continuum that underlies certain mother- and stranger-directed behaviors in the Strange Situation, but that not all aspects of reunion behavior can be predicted by prior separation reactions.     

Expressions of the Attachment Relationship Outside of the Strange Situation

41 preterm infants and 38 full-term infants and their mothers were observed at home at 8 and 12 months of age and in the Strange Situation at 18 months in order to compare expressions of attachment relationships in these 2 settings. There was 84% concordance in the distinctions between secure and nonsecure classifications of the mother-infant relationship made at home at 12 months and in the Strange Situation. Classifications of avoidant relationships also displayed high concordance, but only 6 of the 15 dyads classified at home as ambivalent were classified in the same way in the Strange Situation. Mothers in secure relationships as assessed in the Strange Situation were rated as more sensitive at both 8 and 12 months than mothers in either avoidant or ambivalent relationships, whereas the sensitivity of mothers in these two nonsecure relationships did not differ significantly. Infants in secure relationships in the Strange Situation were characterized by more effective secure base behavior and more affective sharing and enjoyment of physical contact, and they were less fussy or difficult during the 12-month home observations.     

Attachment classification from the perspective of infant-caregiver relationships and infant temperament

Recently a number of investigators have suggested that classification differences in the Ainsworth Strange Situation (anxious and secure patterns of attachment) may be due largely or in part to endogenous temperamental variation. In doing so, these investigators have suggested a dimensional-trait approach in place of a qualitatively different taxonomic approach. Moreover, much evidence is directly contrary to a strong temperament interpretation of attachment patterns (changing attachments, differing attachments with different caregivers, prospective data on the early characteristics of infants later classified as securely or anxiously attached). Other interactionist temperament models currently have not been tested sufficiently. At the same time, a host of research findings support the interpretation that Ainsworth assessments capture aspects of the relationship between infant and caregiver, as derived from the history of their interaction. This includes direct evidence from observations of infants and mothers over time, the influence of varying patterns of care within and between cultures, the impact of factors presumed to influence quality of care (e.g., social support, life stress, caregiver family history), and predictions of later parent behavior from strange situation assessments of infant behavior. The importance of understanding attachment as a relational concept is twofold: it represents a theoretical and paradigmatic shift of importance for many aspects of developmental psychology, and it opens the way for more productive research on temperament, the interaction between temperament and experience, and important process studies of the unfolding of the infant-caregiver relationship.     

The Effects of Infant Child Care on Infant-Mother Attachment Security: Results of the NICHD Study of Early Child Care NICHD Early Child Care Research Network

The aims of this investigation were to determine whether Strange Situation attachment classifications were equally valid for infants with and without extensive child-care experience in the first year of life and whether early Child Care experience, alone or in combination with mother/child factors, was associated with attachment security, and specifically with insecure-avoidant attachment. Participants were 1,153 infants and their mothers at the 10 sites of the NICHD Study of Early Child Care. Mother were interviewed, given questionnairies, and observed in play and in the home when their infants were from 1 to 15 months of age; infants were observed in child care at 6 and 15 months and in the Strange Situation at 15 months. Infants with extensive Child Care experience did not differ from infants without child-care in the distress they exhibited during separations from mother in the Strange situation or in the confidence with which trained coders assigned them attachment classifications. There were no significant main effects of Child Care experience (quality, amount, age of entry, stability, or type of care) on attachment security or avoidance. There were, however, significant man effects of maternal sensitivity and responsiveness. Significant interaction effects revealed that infants were less likely to be secure when low maternal sensitivity/responsiveness was combined with poor quality child care, more than minimal amounts of child care, or more than one care arrangement. In addition, boys experiencing many hours in care and girls in minimal amounts of care were somewhat less likely to be securely attachment.     

Nonmaternal care in the first year of life and the security of infant-parent attachment

Evidence from 2 longitudinal studies of infant and family development was combined and examined in order to determine if experience of extensive nonmaternal care in the first year is associated with heightened risk of insecure infant-mother attachment and, in the case of sons, insecure infant-father attachment. Analysis of data obtained during Strange Situation assessments conducted when infants were 12 and 13 months of age revealed that infants exposed to 20 or more hours of care per week displayed more avoidance of mother on reunion and were more likely to be classified as insecurely attached to her than infants with less than 20 hours of care per week. Sons whose mothers were employed on a full-time basis (greater than 35 hours per week) were more likely to be classified as insecure in their attachments to their fathers than all other boys, and, as a result, sons with 20 or more hours of nonmaternal care per week were more likely to be insecurely attached to both parents and less likely to be securely attached to both parents than other boys. A secondary analysis of infants with extensive care experience who did and did not develop insecure attachment relationships with their mothers highlights several conditions under which the risk of insecurity is elevated or reduced. Both sets of findings are considered in terms of other research and the context in which infant day-care is currently experienced in the United States.     

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.     

Quality of infants' attachments to professional caregivers: relation to infant-parent attachment and day-care characteristics

75 infants (mean age 15 months) were observed 3 times in the Strange Situation with their professional caregivers, mothers, and fathers. Sensitivity of these attachment figures to the infant's signals during free play, as well as a number of day-care characteristics, were assessed. Attachment classification distribution of infant-caregiver dyads did not differ significantly from infant-mother or infant-father attachment classification distributions. The quality of infant-caregiver attachment was independent of both infant-mother and infant-father attachments. About 10% of the infants had 3 insecure attachments. Professional caregivers observed with more than 1 infant did not have similar types of attachment classifications to all infants with whom they were observed. Infants who were securely attached to their professional caregivers spent more hours per week in day-care, and came from a middle-class background. Their caregivers appeared to be younger and more sensitive during free play than caregivers with whom the infants developed an insecure relationship.     

Attachment Quality in Very Low-Birthweight Premature Infants in Relation to Maternal Attachment Representations and Neurological Development

Objective. To study the development of attachment in very low-birthweight preterm infants with respect to neurological development and maternal attachment representations. Design. Emotional development in a high-risk sample (N = 79) of very low-birthweight preterm infants (≤ 1,500 g) is reported. The quality of attachment in preterm infants was classified using the Strange Situation Procedure at 14 postnatal months (corrected for prematurity) and was associated with maternal attachment representation assessed with the Adult Attachment Interview at 6 postnatal months. Neurological development at 14 months was taken into account. Results. The distribution of the quality of attachment in preterm infants (60.3% secure, 23.5% insecure - avoidant, 2.9% insecure - ambivalent, 10.3% insecure - disorganized, and 2.9% not classifiable) was comparable with results of studies of term infants. There was no correspondence between maternal representations of attachment and infant quality of attachment. However, neurologically impaired infants were more often insecurely than securely attached. Conclusions. Very low-birthweight preterm infants more often develop an insecure quality of attachment if their neurological outcome is impaired. Therefore, minimizing risk factors for the development of neurological deficits may have a preventive effect both on the somatic and on the emotional development of high-risk infants.     

Infant – Mother Attachment among the Dogon of Mali

This study of mothers and infants from the Dogon ethnic group of Mali, West Africa examined three attachment hypotheses: (1) that infant attachment security is linked to the quality of mother-infant communication, (2) that mothers of secure infants respond more sensitively to their infants than do mothers of insecure infants, and (3) that infant disorganization is linked to maternal frightened or frightening behaviors. Participants were 27 mother-infant pairs from a rural town and 15 mother-infant pairs from two agrarian villages; infants ranged in age from 10 to 12.5 months at the first assessment. The distribution of the Strange Situation classifications was 67% secure, 0% avoidant, 8% resistant, and 25% disorganized. Infant attachment security was significantly related to the quality of mother-infant communication as observed in a well-infant exam. The correlation between infant attachment security ratings and maternal sensitivity (assessed in the home) was modest and approached significance. Mothers of disorganized infants had significantly higher ratings of frightened or frightening behaviors. Maternal sensitivity predicted little of the variance in infant security; however, the addition of the frightened/frightening variable in the regression equation tripled the explained variance. The findings are discussed in light of Dogon childrearing practices and key tenets of attachment theory.     

Infants at Social Risk: Maternal Depression and Family Support Services as Mediators of Infant Development and Security of Attachment

31 infants at high social risk due to the combined effects of poverty, maternal depression, and caretaking inadequacy were assigned to weekly home-visiting services. At 18 months infant age, the home-visited infants were compared with 2 groups of socioeconomically similar unserved infants on measures of infant development, infant attachment, mother-infant interaction, maternal depression, and maternal social contacts. Home-visited infants of depressed mothers outperformed unserved infants of depressed mothers by an average of 10 points on the Bayley Mental Scale and were twice as likely to be classified as securely attached, with unserved high-risk infants showing a high rate of insecure-disorganized attachments. Duration of services was positively correlated with maternal involvement at 12 months. Results of the study point both to the negative developmental consequences associated with severe social risk conditions and to the buffering effects of developmentally oriented home-visiting services for infants at greatest social risk.     

Temperament and attachment security in the strange situation: an empirical rapprochement

In response to Frodi and Thompson's recent demonstration that infants classified A1-B2 in the Strange Situation differ significantly in emotional expression from infants classified B3-C2, several longitudinal data sets were examined to determine whether these group differences might be a function of infant temperament. Data from 3 separate samples revealed significant concordance between infant-mother and infant-father Strange Situation classifications when scored in terms of A1-B2 versus B3-C2, but not when scored in terms of the traditional A-B-C system. In addition, in 2 samples on which newborn behavioral data were available, A1-B2 infants displayed more autonomic stability than B3-C2 infants, and in one of the samples the former infants were more alert and positively responsive as newborns (with means in the same direction in Sample 2). Moreover, mothers of A1-B2 infants described their babies as less difficult to care for at 3 months of age. Considered together, these findings suggest that infant temperament affects the manner in which security or insecurity is expressed rather than whether or not the infant develops a secure or insecure attachment. These findings are discussed in terms of their implications for the study of the interactional antecedents and the developmental consequences of attachment security.     

Adrenocortical Responses to the Strange Situation in Infants with Disorganized/Disoriented Attachment Relationships

Salivary cortisol levels were assessed in 19-month-old infants following the Ainsworth Strange Situation procedure. 38 infants participating in Project Steep at the University of Minnesota served as subjects. Project Steep is a longitudinal intervention program designed to promote healthy parent-child relationships and to prevent emotional problems among children born to mothers who are at high risk for parenting problems. Following the Strange Situation, saliva samples were collected and assayed for cortisol, a steroid hormone frequently examined in studies of stress. Behavior during the Strange Situation was coded by trained coders, and attachment classifications were determined for each infant. Cortisol concentrations did not differ between the 6 Avoidant/Resistant (A/C) and 17 Securely Attached (B) toddlers. Toddlers ( n = 11) who were classified as having Disorganized/Disoriented (Type D) attachments exhibited higher cortisol concentrations than toddlers in the traditional (ABC) classifications. Results of this study were consistent with a model of stress reactivity that conceptualizes the organization of coping behaviors as a factor that mediates physiological stress responses.     

Maternal employment in a family context: effects on infant-mother and infant-father attachments

The relation between resumption of full-time employment by mothers of infants under 6 months of age, and subsequent infant-mother and infant-father attachments, was examined in this study. Attachment classifications and ratings of reunion behavior with mother and with father in Ainsworth's Strange Situation at 12 months were obtained for 57 nonemployed-mother families and 40 employed-mother families. No relation emerged between maternal work status and the quality of infants' attachments to their mothers, indicating that early resumption of employment may not impede the development of secure infant-mother attachment. A significantly higher proportion of insecure attachments to fathers in employed-mother families was found for sons but not for daughters. Joint examination of the infants' attachments to both parents revealed a trend suggesting that in employed-mother families, boys were more likely to be insecurely attached to both parents than were girls in employed-mother families or infants of either sex in nonemployed-mother families. These patterns are discussed in light of differences in maternal and paternal sex-typing behavior and of evidence suggesting boys' vulnerability to psychosocial stress.     

Mothers of anxious/ambivalent infants: maternal characteristics and child-care context

A general model of the determinants of parenting was employed to explore the antecedents of the ambivalent attachment pattern in Israel. Specifically, three classes of variables were identified: maternal, infant, and child-care context. Participants were 98 mothers and their infants. This research was part of a longitudinal study on sleep patterns. Mothers filled out questionnaires and were observed with their infants in the Ainsworth Strange Situation laboratory procedure. Mothers of ambivalent infants showed lower education level, higher separation anxiety, and higher parenting stress than mothers of secure infants. Infants' perceived difficult temperament did not discriminate between the two groups. Longer hours spent at work and placement in group day-care were both associated with ambivalent attachment. The findings are discussed in light of the importance of considering distal factors such as maternal attitudes and general caregiving strategy in clarifying the antecedents of attachment patterns.     

Maternal self-efficacy and infant attachment: integrating physiology, perceptions, and behavior

48 mothers of 5-month-old infants were asked to estimate their control over the termination of an infant cry in a laboratory-simulated child-care task. Mothers who greatly overestimated their control differed from low or moderate "illusion-of-control" mothers by exhibiting a depression-prone attributional style, a depressed mood state, perceiving the father as participating less in child care, and responding to impending infant cries with heart-rate acceleration characteristic of aversive conditioning. At age 16 months, 40 of the mother-infant pairs participated in the Ainsworth Strange Situation. Insecure infant attachment at 16 months was associated with maternal perception of overcontrol, depressed mood state, and aversive conditioning to the impending cry in the laboratory task at the 5-month period.     

The Prediction of Antisocial Behavior from Avoidant Attachment Classifications

109 Children were classified using the Ainsworth Strange Situation at 18 months. 81 children who were unequivocally classified as insecure/avoidant (A1, A2) or securely attached (B1, B2, B3) were used in this study. The children's parents reported on occurrences of problem behaviors at 24 months, 27 months, 30 months, and 48 months using several methods. The children were observed at 18 and 30 months in their homes with their families and in toddler playgroups during the same period. The only significant effect for attachment classification was that teachers and observers of the playgroups rated girls classified as insecure/avoidant as more difficult to deal with and as having more difficulty with peers than girls rated as securely attached.