Attachment and Biobehavioral Catch-Up: An Intervention for Parents at Risk of Maltreating Their Infants and Toddlers

Dozier, Mary; Meade, Elizabeth; Bernard, Kristin

doi:10.1007/978-94-007-7404-9_4

Cited by 84 publications

(66 citation statements)

References 36 publications

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“…A number of attachment-based interventions designed for children exposed to adversity have demonstrated promising effects on neurobiological outcomes. For example, both Multidimensional Treatment Foster Care for Preschoolers (Fisher & Chamberlain, 2000) and the Attachment and Biobehavioral Catch-up (Dozier, Meade, & Bernard, 2014) have integrated hypothalamus-pituitary-adrenal axis regulation into their theories of therapeutic change, and have specifically targeted cortisol as a marker of treatment efficacy. Given that cortisol is understood to play a major part in cellular aging (Epel et al, 2006;Kroenke et al, 2011;Shalev, Entringer, et al, 2013), attachment-based intervention studies might also examine changes in telomere length as a potential outcome.…”

Section: Discussionmentioning

confidence: 99%

Attachment security moderates the link between adverse childhood experiences and cellular aging

et al. 2017

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Exposure to childhood adversity has been linked to accelerated telomere shortening, a marker of cellular aging and an indicator of physical health risk. In the current study, we examined whether adult attachment representation moderated the association between childhood adversity and telomere length. Participants included 78 young adults (M age = 20.46, SD = 1.57), who reported on their exposure to adverse childhood experiences (ACE) and were administered the Adult Attachment Interview, which was coded for attachment state of mind. Relative telomere length was assayed from buccal cells. Multiple regression analyses revealed a significant interaction between attachment state of mind and ACE in predicting telomere length. Whereas the association between number of ACE and telomere length was nonsignificant for secure-autonomous, r (50) = -.15, p = .31, and insecure-preoccupied young adults, r (9) = -.15, p = .71, there was a strong negative association between number of ACE and telomere length for insecure-dismissing young adults, r (19) = -.59, p = .007. This study is novel in demonstrating that attachment may affect biological resilience following childhood adversity, contributing to the growing literature about the role of the quality of early caregiving experiences and their representations in shaping biological processes and physical health.

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Section: Discussionmentioning

confidence: 99%

Attachment security moderates the link between adverse childhood experiences and cellular aging

et al. 2017

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“…These three targets were intended to enhance children’s ability to develop secure and organized attachments, to develop normative cortisol production, and to develop the ability to regulate emotions effectively (Dozier, Bernard, & Meade, in press)…”

Section: Methodsmentioning

confidence: 99%

Intervention effects on negative affect of CPS-referred children: Results of a randomized clinical trial

Lind

Bernard

Ross

et al. 2014

Child Abuse & Neglect

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Exposure to early adversity places young children at risk for behavioral, physiological, and emotional dysregulation, predisposing them to a range of long-term problematic outcomes. Attachment and Biobehavioral Catch-up (ABC) is a 10-session intervention designed to enhance children’s self-regulatory capabilities by helping parents to behave in nurturing, synchronous, and non-frightening ways. The effectiveness of the intervention was assessed in a randomized clinical trial, with parents who had been referred to Child Protective Services (CPS) for allegations of maltreatment. Parent-child dyads received either the ABC intervention or a control intervention. Following the intervention, children from the ABC intervention (n = 56) expressed lower levels of negative affect during a challenging task compared to children from the control intervention (n = 61).

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“…Unfortunately, such programs have not typically demonstrated long‐term improvements in child development or the quality of the mother–child relationship, suggesting the importance of implementing an alternative treatment approach with this population (Suchman, Pajulo, DeCoste, & Mayes, ). Instead, parenting interventions that focus on the emotional quality of the parent–child relationship itself rather than on teaching specific parenting behaviors (e.g., limit‐setting, problem‐solving, communication, and coping skills) have shown promise in improving attachment security, mother–child interactional quality, and child development in general high‐risk populations (e.g., “Attachment and Biobehavioral Catch‐up”; Dozier, Meade, & Bernard, ; “Circle of Security”; Powell, Cooper, Hoffman, & Marvin, ). Given substance‐using mothers’ unique behavioral presentation (Eiden, Stevens, Schuetze, & Dombkowski, ; Molitor, Mayes, & Ward, ), neural profiles (Kim et al., ; Landi et al., ), and typically high trauma load (Covington, ; Gil‐Rivas, Fiorentine, & Anglin, ; Marcenko, Kemp, & Larson, ), researchers and clinicians alike have noted the need for specialized parenting interventions designed with this population in mind.…”

Section: Discussionmentioning

confidence: 99%

Substance use and mothers’ neural responses to infant cues

Lowell

Maupin

Landi

et al. 2020

Infant Mental Health Journal

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Substance use may influence mothers' responsiveness to their infants and negatively impact the parent-infant relationship. Maternal substance use may co-opt neural circuitry involved in caregiving, thus reducing the salience of infant cues and diminishing the sense of reward experienced by caring for infants. Gaps in understanding exist with regard to the mechanisms by which substance use operates to influence mothers' processing of infant cues and how this translates to caregiving. Therefore, we examined how substance use might relate to maternal neural responses to infant cues using event-related potentials (ERPs). Substance-using (n = 29) and nonsubstanceusing (n = 29) mothers viewed photographs of infant faces and heard recordings of infant vocalizations while electroencephalography was recorded simultaneously.

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Attachment and Biobehavioral Catch-Up: An Intervention for Parents at Risk of Maltreating Their Infants and Toddlers

Cited by 84 publications

References 36 publications

Attachment security moderates the link between adverse childhood experiences and cellular aging

Attachment security moderates the link between adverse childhood experiences and cellular aging

Intervention effects on negative affect of CPS-referred children: Results of a randomized clinical trial

Substance use and mothers’ neural responses to infant cues

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