The Relationship Between Prenatal Alcohol Exposure and Infant/Child-Caregiver Attachment: A Scoping Review

David J Gilbert1, Alan D Price1, Penny A Cook1

  • 1School of Health and Society, University of Salford, Manchester M5 4WT, UK.

PubMed

Insights

Prenatal alcohol exposure (PAE) may impact infant attachment, potentially through infant irritability and caregiver interactions. However, research is limited, with mixed findings on the PAE-attachment link. More studies are needed to clarify this relationship.

Area of Science:

  • Psychology
  • Neuroscience
  • Developmental Pediatrics

Background:

  • Secure infant/child-caregiver attachment is vital for social-emotional development and long-term outcomes.
  • Prenatal alcohol exposure (PAE) presents complex challenges for children, often compounded by early life adversity.
  • Existing evidence suggests a potential increased risk of insecure attachment in children with PAE, but findings are inconsistent.

Purpose of the Study:

  • To systematically review and synthesize the existing literature on the relationship between prenatal alcohol exposure (PAE) and infant/child attachment.
  • To identify gaps in the current research and highlight areas for future investigation.

Main Methods:

  • A systematic literature search was conducted across seven academic databases.
  • The review followed PRISMA Extension for Scoping Reviews (PRISMA-ScR) guidelines.
  • Eleven studies (published 1987-2021) met the inclusion criteria, with quality assessments performed.

Main Results:

  • Five of the eleven included studies found a significant relationship between PAE and insecure or disorganized attachment.
  • Two of these studies indicated that infant irritability and caregiver-infant interaction mediated the PAE-attachment link.
  • The remaining six studies found no significant association between PAE and attachment.

Conclusions:

  • There is a notable lack of published research specifically examining the link between PAE and attachment.
  • Preliminary evidence suggests potential mediating factors like infant irritability and caregiver-infant interaction, but findings are not definitive.
  • Further research is crucial, particularly studies incorporating the impact of early life adversity and recent neurodevelopmental insights.

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