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Published on: August 25, 2014
The effect of extremely preterm birth on attachment organization in late adolescence
A-L Hallin1, H Bengtsson, A S Frostell
1Department of Psychology, Lund University, Lund, Sweden. anne-li.hallin@psychology.se
Insights
Extremely preterm birth is linked to insecure attachment patterns in adolescents, persisting even after accounting for intelligence and socioeconomic factors. This highlights prematurity as a potential risk for psychopathology, requiring clinical attention.
Area of Science:
- Developmental Psychology
- Neonatal Studies
- Attachment Theory
Background:
- Previous research on preterm birth and infant attachment is limited.
- Few studies have investigated extremely preterm infants.
- Limited data exists on prematurity's long-term impact on childhood attachment.
Purpose of the Study:
- To examine the impact of extreme preterm birth on attachment organization in adolescents.
- To assess attachment security in individuals born extremely preterm compared to full-term controls.
Main Methods:
- Adult Attachment Interview (AAI) used for assessment.
- 39 adolescents born extremely preterm were compared to 39 full-term controls.
Main Results:
- Extremely preterm adolescents exhibited lower attachment security scores.
- A higher prevalence of insecure dismissive attachment patterns was observed in the preterm group.
- These differences remained significant after controlling for intelligence and socioeconomic status.
Conclusions:
- Insecure attachment and extreme prematurity are identified as risk factors for psychopathology.
- These findings underscore the need for careful monitoring in clinical follow-ups.
- Further research is warranted to understand the long-term implications of early prematurity on attachment.
Background:
Prior studies have examined the impact of preterm birth on the quality of the attachment relationship to the mother in infancy, but few have examined extremely preterm born infants and almost no data have been reported on prematurity and its impact on the attachment organization attained after childhood.
Methods:
Thirty-nine adolescents born extremely preterm and 39 full-term born control participants were assessed with the Adult Attachment Interview.
Results:
The prematurely born showed lower scores regarding measures of attachment security and, in particular, a higher proportion of insecure dismissive patterns. This difference seemed to be clear and persistent even when controlled for intelligence and socio-economic variables.
Conclusions:
Because insecure attachment as well as prematurity may be considered as significant risk factors for developing psychopathology, they deserve careful attention in future research and clinical follow-ups.
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