Caregiver and Young Child Biological Attunement In Distress Contexts: A Systematic Review and Narrative Synthesis

DiLorenzo, Miranda G.; Bucsea, Oana; Rumeo, Carla; Waxman, Jordana A.; Flora, David B.; Riddell, Rebecca Pillai

doi:10.1016/j.neubiorev.2021.10.045

Cited by 13 publications

(18 citation statements)

References 99 publications

(149 reference statements)

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“…Attunement is studied at various biobehavioral levels. Recently, there has been a greater focus on how caregivers and their children regulate their physiological responses in distress contexts as an underlying mechanism of caregiver-child attunement 11 . The regulation of physiological responses helps support one’s ability to engage in cognitive and behavioral emotion regulation and respond to one’s environment 12 .…”

Section: Patterns Of Physiological Attunement In a Distress Contextmentioning

confidence: 99%

“…Recently, there has been a greater focus on how caregivers and their children regulate their physiological responses in distress contexts as an underlying mechanism of caregiverchild attunement. 11 The regulation of physiological responses helps support one's ability to engage in cognitive and behavioral emotion regulation and respond to one's environment. 12 Several studies have shown that there are varying patterns of both physiological and behavioral regulation that infants and toddlers demonstrate during distressing events, [13][14][15] and that different patterns are associated with various adaptive (eg, secure attachment) or maladaptive (eg, avoidant or resistant attachment, internalizing, and externalizing behavioral problems) outcomes for children.…”

Section: Patterns Of Physiological Attunement In a Distress Contextmentioning

confidence: 99%

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Caregiver and Child Distress as Predictors of Dyadic Physiological Attunement During Vaccination

Waxman

Flora

Garfield

et al. 2023

The Clinical Journal of Pain

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Objective: Previous research discerned 3 groups of caregiver-toddler dyads that differed in their physiological coregulatory patterns, also known as physiological attunement, during routine vaccinations in the second year of life. One group of dyads (80% of sample) displayed an attuned regulatory pattern, and 2 groups of dyads (20% of sample) showed maladaptive attunement patterns (ie, a lack of attunement or misattunement). The objective of the current study was to examine how well the pain-related distress of children and caregivers during vaccination predicted these patterns.Methods: Caregiver-toddler dyads (N = 189) were part of a longitudinal cohort observed at either 12-, 18-, or 24-month vaccination appointments. The caregiver's self-report of worry was assessed before and after the needle, and the child behavioral painrelated distress was also measured during the vaccination appointment. Logistic regression was used to determine how well these variables predicted caregiver-child physiological attunement patterns, as indexed by high-frequency heart rate variability.Results: Higher behavioral pain-related distress at various timepoints after the needle were associated with membership in the dyad groups that showed misattunement or lack of attunement. Further, caregivers with higher preneedle worry and lower postneedle worry had a greater likelihood of belonging to groups that showed a maladaptive attunement pattern.Discussion: Findings suggest that caregivers who experience distress associated with their toddlers' vaccination experience more difficulty coregulating with their child during vaccination, and these children are at risk of experiencing higher levels of pain-related distress. This research highlights the need to help caregivers support their children's regulation during vaccination.

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Section: Patterns Of Physiological Attunement In a Distress Contextmentioning

confidence: 99%

Section: Patterns Of Physiological Attunement In a Distress Contextmentioning

confidence: 99%

Caregiver and Child Distress as Predictors of Dyadic Physiological Attunement During Vaccination

Waxman

Flora

Garfield

et al. 2023

The Clinical Journal of Pain

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“…Attachment literature indicates that from a very early developmental stage, infant-caregiver dyads show high heterogeneity in terms of compatibility ( 27 ). The validation and integration of the infant's personality traits, the overall sense of authenticity, and the modalities of transference that could manifest during psychodynamic psychotherapy are all heavily influenced by how areas of good and poor fit were emotionally handled in the context of the caregiver relationship ( 28 ).…”

Section: Compatibility In the Infant-caregiver Dyad And Personality D...mentioning

confidence: 99%

An attachment-based framework for disordered personality development: Implications for intersubjective psychodynamic psychotherapy

Brambilla

Bressi²,

Biagianti³

2022

Front. Psychiatry

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Infant-caregiver dyads show high heterogeneity in terms of compatibility. Several lines of evidence indicate that the modalities by which areas of good and poor fit were emotionally recognized and managed by caregivers influence the infant's personality development, the integration of their personality traits, the overall sense of authenticity, as well as the modalities of transference that typically manifest during psychodynamic psychotherapy. Within an intersubjective framework, the relationship between patient and psychotherapist will inevitably recreate compatibility issues, although the specific areas of incompatibility will likely differ from the scenarios present in the caregiver relationship. In other words, emotional friction may originate from personality traits that were not problematic in the first place. The author hypothesizes that disclosure of the challenges associated with the management of areas of incompatibility will not only promote emotional honesty within the dyad, but also offer an excellent opportunity for introjection. Such disclosures are not at risk of being interpreted as an attempt to build an intersubjective experience, but represent a window into authenticity, which in turn enables patients to develop awareness of their personality and relational traits, along with the challenges and vulnerabilities that occur when such traits interface with otherness.

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“…A novel way of assessing dyadic interaction quality is the alignment of mothers’ and infants’ physiological processes— a construct called bio‐behavioral synchrony (DiLorenzo et al., 2021; Feldman, 2012b; Reyna & Pickler, 2009). Synchronization of physiological rhythms emerges in late pregnancy and is suggested to be a critical component of human attachment, shaping later coordination of social behavior (Feldman, 2007; Feldman, 2017).…”

Section: Introductionmentioning

confidence: 99%

“…Synchronization of physiological rhythms emerges in late pregnancy and is suggested to be a critical component of human attachment, shaping later coordination of social behavior (Feldman, 2007; Feldman, 2017). Synchronization of biological processes can aid mother–infant dyads in the regulation of distress (DiLorenzo et al., 2021; Reyna & Pickler, 2009). In the first month after delivery, proximity between mother and infant is suggested to enhance physiological synchrony of the HPA axis.…”

Section: Introductionmentioning

confidence: 99%

Effects of skin‐to‐skin contact on full‐term infants’ stress reactivity and quality of mother–infant interactions

Rheinheimer

Beijers

Cooijmans

et al. 2022

Developmental Psychobiology

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Skin‐to‐skin contact (SSC) between mothers and their infants has beneficial effects in both preterm and full‐term infants. Underlying mechanisms are largely unknown. This randomized controlled trial assessed whether daily SSC in full‐term mother–infant dyads: (1) decreases infants’ cortisol and behavioral reactivity to a mild naturalistic stressor, and (2) facilitates interaction quality between infants and mothers (i.e., improved maternal caregiving behavior and mother–infant adrenocortical synchrony). Pregnant Dutch women (N = 116) were recruited and randomly allocated to an SSC or care‐as‐usual condition. The SSC condition performed 1 h of SSC daily, from birth until postnatal week 5. In week 5, mothers bathed the infant (known mild stressor). Infant and maternal cortisol was sampled at baseline, 25 and 40 min after bathing, and infant and maternal behavior was rated. Results did not indicate effects of SSC on infant behavioral and cortisol reactivity to the bathing session. Similarly, no effect of SSC was found on maternal caregiving behavior and mother–infant adrenocortical synchrony. In conclusion, the findings provide no evidence that daily mother–infant SSC is associated with full‐term infants’ behavioral and adrenocortical stress reactivity or mother–infant interaction quality. Future studies should replicate these findings and unveil other potential mechanisms underlying beneficial effects of SSC.

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Caregiver and Young Child Biological Attunement In Distress Contexts: A Systematic Review and Narrative Synthesis

Cited by 13 publications

References 99 publications

Caregiver and Child Distress as Predictors of Dyadic Physiological Attunement During Vaccination

Caregiver and Child Distress as Predictors of Dyadic Physiological Attunement During Vaccination

An attachment-based framework for disordered personality development: Implications for intersubjective psychodynamic psychotherapy

Effects of skin‐to‐skin contact on full‐term infants’ stress reactivity and quality of mother–infant interactions

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