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Attachment Characteristics and Behavioral Problems in Children and Adolescents with Congenital Blindness
Türkay Demir1, Nurullah Bolat2, Mesut Yavuz1
1İstanbul University Cerrahpaşa Faculty of Medicine, Department of Child and Adolescent Psychiatry, İstanbul, Turkey.
Insights
Children and adolescents with congenital blindness (CB) show fewer behavioral problems and similar attachment styles compared to sighted peers. Family support and school services may offer protective benefits.
Area of Science:
- Developmental Psychology
- Ophthalmology
- Clinical Psychology
Background:
- Congenital blindness (CB) can impact psychosocial development.
- Previous research suggests potential risks for insecure attachment in children with CB.
- Understanding behavioral and attachment patterns is crucial for support.
Purpose of the Study:
- To evaluate behavioral problems in children and adolescents with CB.
- To assess attachment characteristics in this population.
- To compare these aspects with a healthy, matched control group.
Main Methods:
- A case-control study involving 40 children/adolescents with CB (ages 11-14) and 40 controls.
- Behavioral problems assessed using the Child Behavior Checklist (CBCL 4/18).
- Attachment assessed via the Short Form of Inventory of Parent and Peer Attachment (s-IPPA).
Main Results:
- Children with CB exhibited lower overall behavioral problem scores on the CBCL.
- Specific reductions in anxiety/depression, withdrawal/depression, and attention problems were noted in the CB group.
- No significant differences in parent and peer attachment (s-IPPA) were found between groups.
Conclusions:
- Children and adolescents with CB do not show differences in attachment compared to controls.
- They present with fewer behavioral problems than their sighted peers.
- Family adaptive mechanisms and school-based support may play a compensatory role in mitigating risks associated with CB.
Introduction:
This study aimed to assess the behavioral problems and the attachment characteristics of children and adolescents with congenital blindness (CB).
Method:
Forty children and adolescents aged 11-14 years with CB were included as the case group. Forty healthy children and adolescents who were matched for age, gender, and socioeconomic status with the case group served as the comparison group. Behavioral problems were assessed by the Child Behavior Checklist for ages 4-18 (CBCL 4/18). Attachment characteristics were assessed via the Short Form of Inventory of Parent and Peer Attachment (s-IPPA).
Results:
The case group had lower CBCL total problems scores as well as anxiety/depression, withdrawal/depression, and attention problems subscales scores with respect to the comparison group. There were no significant differences between the two groups in s-IPPA scores.
Conclusion:
Children and adolescents with CB did not differ from the comparison group in terms of attachment, whereas, they had lower scores on behavioral problems than the comparison group. Although previous studies indicate that children and adolescents with CB may be at the risk of insecure attachment, our study suggested that adaptive mechanisms of their families together with professional help from specialized teachers and services provided by schools for children and adolescents with CB may play compensatory roles.
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