Supporting Infant Emotion Regulation Through Attachment-Based Intervention: a Randomized Controlled Trial

Hepworth, Allison D.; Berlin, Lisa J.; Martoccio, Tiffany L.; Cannon, Erin N.; Berger, Rebecca H.; Harden, Brenda Jones

doi:10.1007/s11121-020-01127-1

Cited by 17 publications

(8 citation statements)

References 27 publications

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“…Seven studies were included in the meta-analysis of parent-focused strategies in the second year of life [ 25 , 42 , 43 , 44 , 45 , 55 , 56 ], providing 1573 participants. The weighted mean effect size was r = 0.20, 95% CI [−0.12, 0.49], indicating a weak positive association between parent-focused behaviors and distress expression.…”

Section: Resultsmentioning

confidence: 99%

Child Distress Expression and Regulation Behaviors: A Systematic Review and Meta-Analysis

et al. 2022

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The goal of the current study was to review and meta-analyze the literature on relationships between child distress expression behaviors (e.g., cry) and three clusters of child distress regulation behaviors (disengagement of attention, parent-focused behaviors, and self-soothing) in the first three years of life. This review was registered with PROSPERO (CRD42020157505). Unique abstracts were identified through Medline, Embase, and PsycINFO (n = 13,239), and 295 studies were selected for full-text review. Studies were included if they provided data from infants or toddlers in a distress task, had distinct behavioral measures of distress expression and one of the three distress regulation clusters, and assessed the concurrent association between them. Thirty-one studies were included in the meta-analysis and rated on quality. Nine separate meta-analyses were conducted, stratified by child age (first, second, and third year) and regulation behavior clusters (disengagement of attention, parent-focused, and self-soothing). The weighted mean correlations for disengagement of attention behaviors were −0.28 (year 1), −0.44 (year 2), and −0.30 (year 3). For parent-focused behaviors, the weighted mean effects were 0.00 (year 1), 0.20 (year 2), and 0.11 (year 3). Finally, the weighted mean effects for self-soothing behaviors were −0.23 (year 1), 0.25 (year 2), and −0.10 (year 3). The second year of life showed the strongest relationships, although heterogeneity of effects was substantial across the analyses. Limitations include only analyzing concurrent relationships and lack of naturalistic distress paradigms in the literature.

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Section: Resultsmentioning

confidence: 99%

Child Distress Expression and Regulation Behaviors: A Systematic Review and Meta-Analysis

et al. 2022

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“…Because emotional difficulties can have negative effects on a child’s academic ability and quality of life, as well as on their families [ 19 , 66 , 60 ], the earlier ER difficulties can be identified, the earlier interventions can be implemented. For example, the Attachment and Biobehavioral Catch-Up intervention has been shown to improve emotional dysregulation through mother-oriented strategies in emotionally dysregulated infants as young 12 months [ 28 ], although long-term effects will be important to demonstrate.…”

Section: Discussionmentioning

confidence: 99%

Affect and gaze responses during an Emotion-Evoking Task in infants at an increased likelihood for autism spectrum disorder

et al. 2021

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Background The majority of research examining emotional difficulties in autism spectrum disorder (ASD) prior to age 2 relies on parent report. Methods We examined behavioral responses (affect and gaze) during emotionally salient tasks designed to elicit mildly positive and negative emotional states in infants. At 12 and 18 months, infants at an increased likelihood for an ASD diagnosis (IL; have an older sibling with ASD; n = 60) and low likelihood (LL; no family history of ASD; n = 21) completed the Emotion-Evoking (EE) Task and parents completed the Infant Behavior Questionnaire-Revised (IBQ-R). All children received an Autism Diagnostic Observation Scale—second Edition assessment for ASD symptomatology at 24 months. Results The main findings were (1) the IL group displayed higher rates of negative affect and spent less time looking at the task objects compared to the LL group, and (2) affect and gaze scores at 12 and 18 months, but not scores on the IBQ-R, predicted ASD symptoms at 24 months. Limitations The data were drawn from an IL sample and may not be generalizable to the general ASD population, and the children were not followed to determine a diagnosis of ASD. Conclusion These results suggest that behavioral responses can provide important information that complements parent reports of emotional regulation in IL infants as early as 12 months of age.

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“…Thus, the development of effective independent emotion regulation strategies is thought to be largely dependent on successful dyadic regulation by caregivers in early life. Empirical studies examining this association have largely conceptualized successful dyadic regulation as maternal sensitivity (Thomas et al, 2017) or attachment security (Hepworth et al, 2020); to our knowledge, no studies to date have explicitly examined the association between dyadic regulation and the emergence of independent behaviors. Some primitive forms of emotion regulation appear to be innate.…”

Section: Development Of Emotion Regulationmentioning

confidence: 99%

Emotion regulation from infancy to toddlerhood: Individual and group trajectories of full‐term and very‐low‐birthweight preterm infants

Atkinson

Jean

Stack

2021

Infancy

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Adaptive emotion regulation begins with infants operating jointly with their parents to regulate their emotions, which fosters the development of independent regulation. Little is known about when or how this transition occurs, or the impact of factors such as parental availability or premature birth status. The current study examined the use of selfsoothing, attentional distraction, and dyadic regulation in full-term and healthy very-low-birthweight (VLBW) preterm infant-mother dyads at 5 ½, 12, and 18 months of age. At 5 ½ months, dyads participated in the Still-Face procedure. At 12 and 18 months, dyads participated in two free-play interactions, a puzzle task, and an interference task. Emotion regulation behaviors were coded using two systematic, observational systems. Results indicated that infants used less self-soothing and attentional distraction and more dyadic regulation as they aged. Increased use of self-soothing at earlier ages predicted increased use of dyadic regulation at subsequent ages. Toddlers used more independent, attention-seeking, and escape behavior during periods of maternal unavailability. There were no significant differences between full-term and VLBW/preterm toddlers' emotion regulation behaviors. Results from the current study contribute to the understanding of normative development of emotion regulation and the risk associated with prematurity.

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Supporting Infant Emotion Regulation Through Attachment-Based Intervention: a Randomized Controlled Trial

Cited by 17 publications

References 27 publications

Child Distress Expression and Regulation Behaviors: A Systematic Review and Meta-Analysis

Child Distress Expression and Regulation Behaviors: A Systematic Review and Meta-Analysis

Affect and gaze responses during an Emotion-Evoking Task in infants at an increased likelihood for autism spectrum disorder

Emotion regulation from infancy to toddlerhood: Individual and group trajectories of full‐term and very‐low‐birthweight preterm infants

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