Quality of attachment in infants less than 1500g or less than 32weeks. Related factors

Prematurity carries a high risk of mortality and sequelae, altering the bonding process and leading to repercussions in terms of attachment. To assess the type of attachment in children under 32weeks' gestational age (GA) or below 1500g, in hospitals where development-centred care has been impl...

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Veröffentlicht in:Early human development 2017-01, Vol.104, p.1-6
Hauptverfasser: López-Maestro, María, Sierra-Garcia, Purificación, Diaz-Gonzalez, Celia, Torres-Valdivieso, Ma Jose, Lora-Pablos, David, Ares-Segura, Susana, Pallás-Alonso, Carmen R.
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container_start_page 1
container_title Early human development
container_volume 104
creator López-Maestro, María
Sierra-Garcia, Purificación
Diaz-Gonzalez, Celia
Torres-Valdivieso, Ma Jose
Lora-Pablos, David
Ares-Segura, Susana
Pallás-Alonso, Carmen R.
description Prematurity carries a high risk of mortality and sequelae, altering the bonding process and leading to repercussions in terms of attachment. To assess the type of attachment in children under 32weeks' gestational age (GA) or below 1500g, in hospitals where development-centred care has been implemented and to study the association between various types of attachment and certain neonatal and family characteristics. Children
doi_str_mv 10.1016/j.earlhumdev.2016.11.003
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Related factors</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>López-Maestro, María ; Sierra-Garcia, Purificación ; Diaz-Gonzalez, Celia ; Torres-Valdivieso, Ma Jose ; Lora-Pablos, David ; Ares-Segura, Susana ; Pallás-Alonso, Carmen R.</creator><creatorcontrib>López-Maestro, María ; Sierra-Garcia, Purificación ; Diaz-Gonzalez, Celia ; Torres-Valdivieso, Ma Jose ; Lora-Pablos, David ; Ares-Segura, Susana ; Pallás-Alonso, Carmen R.</creatorcontrib><description>Prematurity carries a high risk of mortality and sequelae, altering the bonding process and leading to repercussions in terms of attachment. To assess the type of attachment in children under 32weeks' gestational age (GA) or below 1500g, in hospitals where development-centred care has been implemented and to study the association between various types of attachment and certain neonatal and family characteristics. Children &lt;1500g or &lt;32weeks GA who were born or admitted before 48h of life to one of two hospitals in Madrid between January and December 2012 were candidates for the study. The type of attachment was assessed through the strange situation procedure (SSP). Attachment was classified according to three types: secure (B), avoidant (A), or resistant/ambivalent (C). Insecure attachment was considered to be A+C. Children were assessed at a corrected age of 2years using the Bayley III Scales and SSP. Data on the characteristics of the parents and children were collected. A total of 59% (117/199) of the children &lt;1500g or &lt;32weeks GA born in 2012 in the two study hospitals were able to be evaluated. Secure attachment was found in 64% (75/117), avoidant attachment in 12.8% (15/117), and resistant/ambivalent in 23.1% (27/117). The children with secure attachment had a score of 107.6±16 in the cognitive area of the Bayley's Scale versus 98.8±18.8 in those with insecure attachment (p 0.007). Frequency of secure attachment at ≤26weeks GA was 23% (3/13) versus 69% (72/104) in children &gt;26weeks GA (p 0.003). Nearly two-thirds of the children studied presented secure attachment, which was associated with better cognitive development. The frequency of secure attachment is lower in the children born more preterm. •Prematurity implies high risk of mortality and sequelae, alters the bonding process, leading to repercussions on attachment.•We don’t have enough information about the attachment in the premature infants•This study provides new information about the quality of attachment in premature infants.•Nearly two thirds of the children studied presented secure attachment, this was correlated to better cognitive development.•Instead, among the more immature children the frequency of secure attachment was lower.</description><identifier>ISSN: 0378-3782</identifier><identifier>EISSN: 1872-6232</identifier><identifier>DOI: 10.1016/j.earlhumdev.2016.11.003</identifier><identifier>PMID: 27914273</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Attachment ; Child Development ; Cognition ; Female ; Humans ; Infant, Newborn ; Infant, Premature - growth &amp; development ; Infant, Premature - psychology ; Infant, Very Low Birth Weight - growth &amp; development ; Infant, Very Low Birth Weight - psychology ; Male ; Neurodevelopment ; NICU ; Object Attachment ; Premature infants</subject><ispartof>Early human development, 2017-01, Vol.104, p.1-6</ispartof><rights>2016 Elsevier Ireland Ltd</rights><rights>Copyright © 2016 Elsevier Ireland Ltd. 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Children were assessed at a corrected age of 2years using the Bayley III Scales and SSP. Data on the characteristics of the parents and children were collected. A total of 59% (117/199) of the children &lt;1500g or &lt;32weeks GA born in 2012 in the two study hospitals were able to be evaluated. Secure attachment was found in 64% (75/117), avoidant attachment in 12.8% (15/117), and resistant/ambivalent in 23.1% (27/117). The children with secure attachment had a score of 107.6±16 in the cognitive area of the Bayley's Scale versus 98.8±18.8 in those with insecure attachment (p 0.007). Frequency of secure attachment at ≤26weeks GA was 23% (3/13) versus 69% (72/104) in children &gt;26weeks GA (p 0.003). Nearly two-thirds of the children studied presented secure attachment, which was associated with better cognitive development. The frequency of secure attachment is lower in the children born more preterm. •Prematurity implies high risk of mortality and sequelae, alters the bonding process, leading to repercussions on attachment.•We don’t have enough information about the attachment in the premature infants•This study provides new information about the quality of attachment in premature infants.•Nearly two thirds of the children studied presented secure attachment, this was correlated to better cognitive development.•Instead, among the more immature children the frequency of secure attachment was lower.</description><subject>Attachment</subject><subject>Child Development</subject><subject>Cognition</subject><subject>Female</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infant, Premature - growth &amp; development</subject><subject>Infant, Premature - psychology</subject><subject>Infant, Very Low Birth Weight - growth &amp; development</subject><subject>Infant, Very Low Birth Weight - psychology</subject><subject>Male</subject><subject>Neurodevelopment</subject><subject>NICU</subject><subject>Object Attachment</subject><subject>Premature infants</subject><issn>0378-3782</issn><issn>1872-6232</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkFtLxDAQhYMo7rr6FySPvrRmkrZJH1W8wYIo6mtI06nbtZc1SRX_vV12vbwJMwwczsxhPkIosBgYZKfLGI1rFkNb4nvMRyUGiBkTO2QKSvIo44LvkikTUkVj8wk58H7JGEtVzvbJhMscEi7FlDzfD6apwyftK2pCMHbRYhdo3Y1VmS542qD3NCxMRyFl7IX27o8k-Afiq4_pAzYmYEkrY0Pv_CHZq0zj8Wg7Z-Tp6vLx4iaa313fXpzNI8shF5FBW3JWVSnjUok8VYBJYpIi44WsVCYLmUuVFgDSFFZmNk-LBHiJaLKsBA5iRk42d1eufxvQB93W3mLTmA77wWtQSca4UoKNVrWxWtd777DSK1e3xn1qYHpNVS_1L1W9pqoB9Eh1XD3epgxFi-XP4jfG0XC-MeD463uNTntbY2exrB3aoMu-_j_lCw26jGs</recordid><startdate>201701</startdate><enddate>201701</enddate><creator>López-Maestro, María</creator><creator>Sierra-Garcia, Purificación</creator><creator>Diaz-Gonzalez, Celia</creator><creator>Torres-Valdivieso, Ma Jose</creator><creator>Lora-Pablos, David</creator><creator>Ares-Segura, Susana</creator><creator>Pallás-Alonso, Carmen R.</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3801-9391</orcidid></search><sort><creationdate>201701</creationdate><title>Quality of attachment in infants less than 1500g or less than 32weeks. Related factors</title><author>López-Maestro, María ; Sierra-Garcia, Purificación ; Diaz-Gonzalez, Celia ; Torres-Valdivieso, Ma Jose ; Lora-Pablos, David ; Ares-Segura, Susana ; Pallás-Alonso, Carmen R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2193-aecd20ff5027839581e44a4b62b7f867b79785b117abc76c95b412deea66d1213</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Attachment</topic><topic>Child Development</topic><topic>Cognition</topic><topic>Female</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Infant, Premature - growth &amp; development</topic><topic>Infant, Premature - psychology</topic><topic>Infant, Very Low Birth Weight - growth &amp; development</topic><topic>Infant, Very Low Birth Weight - psychology</topic><topic>Male</topic><topic>Neurodevelopment</topic><topic>NICU</topic><topic>Object Attachment</topic><topic>Premature infants</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>López-Maestro, María</creatorcontrib><creatorcontrib>Sierra-Garcia, Purificación</creatorcontrib><creatorcontrib>Diaz-Gonzalez, Celia</creatorcontrib><creatorcontrib>Torres-Valdivieso, Ma Jose</creatorcontrib><creatorcontrib>Lora-Pablos, David</creatorcontrib><creatorcontrib>Ares-Segura, Susana</creatorcontrib><creatorcontrib>Pallás-Alonso, Carmen R.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Early human development</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>López-Maestro, María</au><au>Sierra-Garcia, Purificación</au><au>Diaz-Gonzalez, Celia</au><au>Torres-Valdivieso, Ma Jose</au><au>Lora-Pablos, David</au><au>Ares-Segura, Susana</au><au>Pallás-Alonso, Carmen R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Quality of attachment in infants less than 1500g or less than 32weeks. Related factors</atitle><jtitle>Early human development</jtitle><addtitle>Early Hum Dev</addtitle><date>2017-01</date><risdate>2017</risdate><volume>104</volume><spage>1</spage><epage>6</epage><pages>1-6</pages><issn>0378-3782</issn><eissn>1872-6232</eissn><abstract>Prematurity carries a high risk of mortality and sequelae, altering the bonding process and leading to repercussions in terms of attachment. To assess the type of attachment in children under 32weeks' gestational age (GA) or below 1500g, in hospitals where development-centred care has been implemented and to study the association between various types of attachment and certain neonatal and family characteristics. Children &lt;1500g or &lt;32weeks GA who were born or admitted before 48h of life to one of two hospitals in Madrid between January and December 2012 were candidates for the study. The type of attachment was assessed through the strange situation procedure (SSP). Attachment was classified according to three types: secure (B), avoidant (A), or resistant/ambivalent (C). Insecure attachment was considered to be A+C. Children were assessed at a corrected age of 2years using the Bayley III Scales and SSP. Data on the characteristics of the parents and children were collected. A total of 59% (117/199) of the children &lt;1500g or &lt;32weeks GA born in 2012 in the two study hospitals were able to be evaluated. Secure attachment was found in 64% (75/117), avoidant attachment in 12.8% (15/117), and resistant/ambivalent in 23.1% (27/117). The children with secure attachment had a score of 107.6±16 in the cognitive area of the Bayley's Scale versus 98.8±18.8 in those with insecure attachment (p 0.007). Frequency of secure attachment at ≤26weeks GA was 23% (3/13) versus 69% (72/104) in children &gt;26weeks GA (p 0.003). Nearly two-thirds of the children studied presented secure attachment, which was associated with better cognitive development. 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source MEDLINE; Elsevier ScienceDirect Journals
subjects Attachment
Child Development
Cognition
Female
Humans
Infant, Newborn
Infant, Premature - growth & development
Infant, Premature - psychology
Infant, Very Low Birth Weight - growth & development
Infant, Very Low Birth Weight - psychology
Male
Neurodevelopment
NICU
Object Attachment
Premature infants
title Quality of attachment in infants less than 1500g or less than 32weeks. Related factors
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