ADHD and infant disorganized attachment: a prospective study of children next-born after stillbirth
Carmen Pinto1, Penelope Turton, Patricia Hughes
1St. George's University of London, UK. Carmen.Pinto@iop.kcl.ac.uk
Insights
Infant disorganized attachment is linked to later symptoms of Attention-Deficit/Hyperactivity Disorder (ADHD) in children. This association highlights potential early risk factors for ADHD development.
Area of Science:
- Developmental Psychology
- Child Psychiatry
- Attachment Theory
Background:
- Disorganized attachment in infancy is a significant predictor of later behavioral problems.
- Attention-Deficit/Hyperactivity Disorder (ADHD) is a common neurodevelopmental disorder with complex etiology.
- Understanding early risk factors for ADHD is crucial for timely intervention.
Purpose of the Study:
- To investigate the predictive relationship between infant disorganized attachment and the development of ADHD at school age.
- To explore potential maternal factors associated with ADHD in children with a history of disorganized attachment.
Main Methods:
- A cohort study compared 53 children with disorganized infant attachment to a control group.
- ADHD symptoms and signs were assessed at age 7.
- Maternal variables, including psychosocial functioning and unresolved mourning, were evaluated.
Main Results:
- A significant association was found between infant disorganized attachment scores and teacher-rated ADHD symptoms.
- Childhood ADHD caseness was linked to maternal retrospective ADHD scores and unresolved mourning.
- Mother-rated ADHD was associated with lower maternal psychosocial functioning.
Conclusions:
- The study suggests a potential link between early disorganized attachment and later ADHD symptoms.
- Further research is warranted to explore this relationship and its underlying mechanisms.
- Early identification of disorganized attachment may inform strategies for ADHD prevention and intervention.
Objective:
To examine whether infant disorganized attachment predicts ADHD at school age.
Method:
A cohort of 53 children who had been identified as having significant levels of disorganized attachment in infancy is compared to a control group. Symptoms and signs of ADHD at age 7 are evaluated together with a range of relevant maternal variables.
Results:
An association is found between infant disorganized attachment scores and teacher-rated symptoms of ADHD (but not ADHD caseness). Probable ADHD caseness in the child is associated with self-rated retrospective ADHD scores in mothers. Possible ADHD caseness is associated with a measure of unresolved mourning in mothers. Mother-rated ADHD in the child was associated with low overall maternal psychosocial functioning.
Conclusion:
The finding of a link between scores for disorganized attachment at 1 year and later teacher-rated symptoms of ADHD suggests the need for further studies.
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