Reactive attachment disorder in maltreated toddlers

Zeanah, Charles H.; Scheeringa, Michael S.; Boris, Neil W.; Heller, Sherryl Scott; Smyke, Anna T.; Trapani, Jennifer Nichole

doi:10.1016/j.chiabu.2004.01.010

Cited by 196 publications

(176 citation statements)

References 17 publications

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“…Although child characteristics, such as temperament, might be implicated in the development of IADB (Zeanah & Fox, 2004), most investigations of attachment disorders have focused primarily on proximal processes related to parental deprivation and neglect (Boris et al, 2004;Rutter, Kreppner, & Sonuga-Barke, 2009;Smyke, Dumitrescu, & Zeanah, 2002;Zeanah & Gleason, 2010, 2015. Findings from such work are in line with the view that parental deprivation and child maltreatment adversely affect multiple aspects of development (Cicchetti & Toth, 2005;Cicchetti & Valentino, 2006), including increased risk of insecure and disorganized attachments (Barnett, Ganiban, & Cicchetti, 1999).…”

Section: Quality Of Care and Iadbsupporting

confidence: 67%

“…IADB is often associated with disturbed and persistent socioemotional functioning, including limited capacity to participate in reciprocal exchanges and difficulty in regulating emotion. Constructing a comprehensive picture of IADB has been difficult because it is rare (Zeanah & Gleason, 2010) and has not been extensively researched (Gleason et al, 2011;O'Connor & Zeanah, 2003;Zeanah & Gleason, 2015).…”

Section: Attachment Disordersmentioning

confidence: 99%

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Inhibited attachment disordered behavior in institutionalized preschool children: links with early and current relational experiences

Corval

Belsky

Baptista

et al. 2017

Attachment & Human Development

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Inhibited attachment disordered behavior (IADB) is characterized by difficulty in establishing an attachment relationship with a primary caregiver; is associated with persistent social and emotional problems; and is observed most frequently in contexts of pathological care such as institutional rearing. Here, we seek to enhance understanding of the conditions that give rise to IADB among institutionalized children by examining prior family experiences of neglect and deprivation and concurrent relational experiences at the institution. The sample is comprised of 146 children, between 36 and 78 months. IADB was assessed using a semistructured interview administered to the child's primary caregiver. Results revealed that both pre-institutionalization experiences (e.g. parental abandonment) and current relational ones (e.g. low quality of child-caregiver relationship) predicted IADB. Findings are discussed in light of the need to promote conditions which foster the establishment and maintenance of the child's selective attachment to a caregiving figure.ARTICLE HISTORY

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Section: Quality Of Care and Iadbsupporting

confidence: 67%

Section: Attachment Disordersmentioning

confidence: 99%

Inhibited attachment disordered behavior in institutionalized preschool children: links with early and current relational experiences

Corval

Belsky

Baptista

et al. 2017

Attachment & Human Development

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“…Finally, converging with the clinical anecdote reported earlier, a variety of researchers have reported indiscriminate attachment behavior to relative strangers among young children reared in institutional care as well as among maltreated, home-reared children O'Connor et al, 2003;Zeanah et al, 2004;Zeanah, Smyke, Koga, & Carlson, 2005). To further explore how such indiscriminate attachment behavior might present among high-risk, homereared infants, a behavioral rating scale was developed for coding indiscriminate or nonselective attachment behavior towards the stranger in the Strange Situation procedure (Ainsworth, Blehar, Waters, & Wall, 1978; Lyons-Ruth, Bureau, Riley-Kokonezis, & Atlas-Corbett, in press).…”

Section: Eighteen Months: Sharing Experiences Of Self-with-other Parmentioning

confidence: 99%

Contributions of the mother–infant relationship to dissociative, borderline, and conduct symptoms in young adulthood

Lyons‐Ruth

2008

Infant Mental Health Journal

129

108

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Recent high-risk longitudinal studies have documented a unique contribution of the quality of the early mother-child relationship to diverse forms of psychopathology in young adulthood, even with family economic status, later traumatic experiences, and some genetic factors controlled. In addition, measures of attachment-related deviations in caregiver-infant interaction predict more than measures of infant attachment behavior alone. This article reviews those findings in the context of cross-disciplinary thinking on the importance of shared subjectivities in human evolution and development and in the context of recent studies beginning to map the intersection between processes of interaction and the development of the child's propensities to share mental states with others.RESUMEN: Recientes estudios longitudinales de alto riesgo están documentando una contribución muy particular de la calidad de la temprana relación entre la madre y el infante a las diversas formas de sicopatología en la primera parte de la vida del adulto, aún cuando se controlen la condición económica familiar, las posteriores experiencias traumáticas y algunos factores genéticos. Adicionalmente, las medidas de las desviaciones relacionadas con la afectividad en las interacciones entre el infante y quien le cuida, predicen más que las medidas de la conducta afectiva del infante solas. Este ensayo revisa esos resultados dentro del contexto del pensamiento multidisciplinario sobre la importancia que las subjetividades compartidas tienen en la evolución y el desarrollo humano y dentro del contexto de recientes estudios que han comenzado a trazar la intersección entre los procesos de interacción y el desarrollo de las inclinaciones del niño a compartir sus estados mentales con otros.RÉSUMÉ: De récentesétudes longitudinales sur les hauts risques montrent qu'il existe une contribution unique de la qualité de la relation précoce mère-enfant aux formes variées de la psychopathologie au jeunê age adulte, même avec un statutéconomique familial, des expériences traumatiques ultérieures et des facteurs génétiques contrôlés. De plus, les mesures de déviations liéesà l'attachement dans l'interaction mode de soin-bébé prédisent plus que les seules mesures du comportement de l'attachement du bébé. Cet article passe en revue ces résultats dans le contexte de la réflexion interdisciplinaire sur l'importance de

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“…In particular neglect, physical abuse and sexual abuse are common reasons for placement in foster care (Oswald et al 2010). Mental health problems that frequently arise in maltreated children include behavioral and emotional disorders (Burns et al 2004), posttraumatic stress disorder (PTSD; Dubner and Motta 1999) and attachment disorder (Zeanah et al 2004), which may lead to problems in daily functioning in the foster family, at school and in relationships.…”

Section: Introductionmentioning

confidence: 99%

Increasing Resource Parents’ Sensitivity towards Child Posttraumatic Stress Symptoms: a Descriptive Study on a Trauma-Informed Resource Parent Training

Gigengack

Hein

Lindeboom

et al. 2017

Journ Child Adol Trauma

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Resource parents are often insufficiently prepared for recognizing and managing posttraumatic stress symptoms (PTSS) in their traumatized foster children, which can put a successful foster placement at risk. The Resource Parent Curriculum (RPC) developed by the National Child Traumatic Stress Network is designed to increase resource parents' sensitivity towards child PTSS. This study explores the effect of the RPC on resource parents' recognition of child PTSS, resource parents' perceived upbringing stress in caring for their foster child, and child PTSS before entering the RPC (T0), after completing the RPC (T1) and at six-month followup (T2). Results (n = 108) show an increase in recognition of child PTSS and a decrease in resource parents' experienced upbringing stress and child PTSS over time. Findings suggest that the RPC increases resource parents' trauma sensitivity. However, child PTSS severity remains high. To address foster children's PTSS, child trauma-focused treatment appears needed in addition to the RPC.

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Reactive attachment disorder in maltreated toddlers

Cited by 196 publications

References 17 publications

Inhibited attachment disordered behavior in institutionalized preschool children: links with early and current relational experiences

Inhibited attachment disordered behavior in institutionalized preschool children: links with early and current relational experiences

Contributions of the mother–infant relationship to dissociative, borderline, and conduct symptoms in young adulthood

Increasing Resource Parents’ Sensitivity towards Child Posttraumatic Stress Symptoms: a Descriptive Study on a Trauma-Informed Resource Parent Training

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