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Updated: Jun 16, 2026

Measuring Cardiac Autonomic Nervous System (ANS) Activity in Toddlers - Resting and Developmental Challenges
Published on: February 25, 2016
Autonomic reactivity in relation to attachment and early adversity among foster children
Mirjam Oosterman1, J Clasien De Schipper, Philip Fisher
1Department of Clinical Child and Family Studies, VU University Amsterdam, Amsterdam, The Netherlands. m.oosterman@psy.vu.nl
Insights
Foster care quality impacts children's emotional regulation. Secure relationships support better autonomic nervous system (ANS) regulation, while early adversity and disordered attachment are linked to heightened sympathetic reactivity.
Area of Science:
- Child Psychology
- Developmental Neuroscience
- Attachment Theory
Background:
- Foster care children often experience early adversity, impacting emotional and physiological regulation.
- Attachment quality is crucial for developing coping mechanisms in stressful situations.
- Autonomic nervous system (ANS) reactivity reflects a child's physiological response to stress.
Purpose of the Study:
- To investigate the association between foster caregiver relationship quality and children's ANS reactivity.
- To examine the influence of early adversity on attachment and ANS reactivity in foster children.
Main Methods:
- Sixty children (26-88 months) and their foster caregivers participated in the Strange Situation procedure.
- Respiratory sinus arrhythmia (parasympathetic) and preejection period (sympathetic) measured ANS reactivity.
- Attachment quality (ordered/disordered, secure/insecure) coded using Cassidy and Marvin system.
Main Results:
- Children with neglect history and disordered attachment exhibited heightened sympathetic reactivity.
- Disordered attachment was associated with reduced vagal regulation during separation and reunion.
- Relationship quality and neglect experiences influenced children's emotional regulation under stress.
Conclusions:
- Quality of foster care relationships significantly impacts children's emotional regulation abilities.
- Early adversity and disordered attachment patterns are linked to physiological dysregulation.
- Interventions supporting secure attachment in foster care may improve children's stress response.
Abstract:
This study examined whether the quality of relationships with foster caregivers was associated with autonomic nervous system reactivity of children during separation and reunion with their foster caregiver. Moreover, effects of early adversity were examined in relation to attachment and autonomic nervous system reactivity. The sample included 60 children between 26 and 88 months of age, who participated with their primary foster caregivers in the Strange Situation. Respiratory sinus arrhythmia and preejection period were measured as indicators of parasympathetic and sympathetic nervous system reactivity, respectively. Attachment quality (ordered/disordered and secure/insecure attachment), was coded on the basis of children's behavior in the Strange Situation using the Cassidy and Marvin coding system. Children with a background of neglect and those with disordered (disorganized-controlling or insecure-other) attachment showed most sympathetic reactivity during the procedure. Moreover, children with disordered attachment showed less vagal regulation (respiratory sinus arrhythmia decreases on separation and increases on reunion) than children with ordered attachment. The findings show that the quality of relationships with current caregivers, and to a lesser extent specific experiences of neglect, may have an impact on children's abilities to regulate emotions in the context of environmental stress and challenges.
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