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Attachment representations in children with disruptive behavior disorders: A special focus on insecurity in middle
Fabiola Bizzi1, Cecilia Serena Pace1
1Department of Education Sciences, University of Genoa, Italy.
Insights
Children with disruptive behaviour disorder (DBD) show high rates of insecure and disorganized attachment to caregivers. Understanding these attachment patterns is crucial for improving interventions for DBD in middle childhood.
Area of Science:
- Child Psychology
- Developmental Psychology
- Clinical Psychology
Background:
- Disruptive Behaviour Disorder (DBD) presents significant emotional and social challenges.
- Limited research exists on attachment processes in middle childhood for children with DBD.
- Attachment security is fundamental to emotional development and social functioning.
Purpose of the Study:
- To investigate attachment representations to caregivers in children aged 8-12 with and without DBD.
- To identify specific attachment patterns associated with DBD.
- To explore the role of attachment in the emotional functioning of children with DBD.
Main Methods:
- Utilized the Child Attachment Interview (CAI) for narrative and behavioral assessments.
- Assessed attachment representations using dimensional, categorical, and disorganization approaches.
- Compared attachment in 42 children with DBD to 42 age-matched controls.
Main Results:
- Over 80% of children with DBD exhibited insecure attachment.
- More than 50% of the DBD group displayed disorganized attachment.
- Children with DBD showed higher levels of dismissing attachment and lower security compared to controls.
Conclusions:
- Insecure and disorganized attachment patterns are prevalent in children with DBD.
- Attachment representations appear consistent across both parents in this population.
- Findings highlight the importance of assessing attachment in DBD for enhanced evaluation and treatment strategies.
Abstract:
According to the emotional and social problems encountered in disruptive behaviour disorder (DBD), there is little available information regarding the attachment processes during middle childhood. Therefore, this study aims to investigate the attachment representations to both caregivers in a sample of 84 children, aged 8-12 years (N = 42 with a diagnosis of DBD; N = 42 as a comparison group). Attachment is assessed through the Child Attachment Interview, a semi-structured interview that incorporates both narrative and behavioural assessments of attachment, permits the assessment of attachment representations using dimensional and categorical approaches, and allows for the detection of disorganisation to both parents individually. Our results point to the presence of high frequencies of insecure attachment (more than 80%) in the DBD group, with a higher percentage of dismissing attachment, and an over-representation of disorganised attachment (more than 50%). Higher levels of dismissal and lower levels of security are found in DBD than in the comparison group. No attachment differences with respect to both parents are found. Understanding how different aspects of attachment during a specific developmental phase plays a role within the broader emotional functioning of DBD has great potential to lead to innovations in evaluations and treatment processes.
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