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Updated: Jun 11, 2026

Functional Near-Infrared Spectroscopy Hyperscanning Study in Psychological Counseling
Published on: January 17, 2025
Attachment, depression, and cortisol: Deviant patterns in insecure-resistant and disorganized infants
Maartje P C M Luijk1, Nathalie Saridjan, Anne Tharner
1Center for Child and Family Studies, Leiden University, Leiden, the Netherlands.
Insights
Infant attachment insecurity and maternal depression impact infant stress responses. Insecure-resistant infants with depressed mothers showed heightened cortisol reactivity, while disorganized infants had flatter cortisol patterns.
Area of Science:
- Developmental Psychology
- Maternal Mental Health
- Infant Neuroendocrinology
Background:
- Attachment insecurity and maternal depression are linked to infant regulatory issues.
- Cortisol stress reactivity and diurnal rhythm are key physiological markers of infant regulation.
- Understanding these factors is crucial for early intervention strategies.
Purpose of the Study:
- To investigate the combined effects of infant attachment insecurity and maternal depression on infant cortisol stress reactivity and diurnal rhythm.
- To examine attachment classifications using the Strange Situation Procedure (SSP) and maternal depression via the Composite International Diagnostic Interview (CIDI).
- To explore findings within a cumulative risk model framework.
Main Methods:
- Prospective cohort study of 369 mother-infant dyads.
- Assessment of infant attachment at 14 months using the Strange Situation Procedure (SSP).
- Measurement of infant cortisol stress reactivity (pre- to post-SSP) and diurnal rhythm.
- Prenatal diagnosis of maternal lifetime depression using the Composite International Diagnostic Interview (CIDI).
Main Results:
- Insecure-resistant infants exhibited the greatest cortisol increase post-SSP, particularly when mothers were depressed.
- Disorganized infant attachment was associated with a more flattened diurnal cortisol pattern compared to non-disorganized infants.
- These findings suggest a cumulative impact of maternal depression and insecure attachment on infant physiological regulation.
Conclusions:
- Infant attachment security and maternal mental health significantly influence infant stress regulation.
- A cumulative risk model effectively explains the combined impact of these factors on infant cortisol patterns.
- Early identification and support for at-risk dyads are essential for promoting healthy infant development.
Abstract:
Both attachment insecurity and maternal depression are thought to affect infants' emotional and physiological regulation. In the current study, Strange Situation Procedure (SSP) attachment classifications, and cortisol stress reactivity and diurnal rhythm were assessed at 14 months in a prospective cohort study of 369 mother-infant dyads. Maternal lifetime depression was diagnosed prenatally using the Composite International Diagnostic Interview (CIDI). Insecure-resistant infants showed the largest increase in cortisol levels from pre- to post-SSP; the effect was even stronger when they had depressive mothers. Disorganized children showed a more flattened diurnal cortisol pattern compared to nondisorganized children. Findings are discussed from the perspective of a cumulative risk model.
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