Validity of the Emotional Attachment Zones Evaluation (EA-Z): Assessing Attachment Style Across a Developmental Spectrum

Sensitive, consistent caregiving and a secure attachment style are important to healthy child development. However, the lack of continuity in measures from infancy into adulthood limits conclusions regarding the stability of attachment styles across the lifespan. A new measure, the Emotional Attachment Zones Evaluation (EA-Z), derived from the Emotional Availability Scales (Biringen, 2008; Biringen, Robinson, & Emde, 1998), offers a tool to assess attachment style across a broad developmental spectrum. In order to validate this measure as an attachment style measure, we used three studies to compare the EA-Z to empirically validated attachment tools. In study 1, we compared the EA-Z to the Strange Situation Procedure. There was moderate concordance between these two measures for both mother and infant. In study 2, we compared the EA-Z to the Attachment Q-Sort in an infant/toddler childcare setting. Child EA-Z scores related to child attachment security, whereas teacher EA-Z scores did not relate to child attachment security. Finally, in study 3, we compared the EA-Z to the mother’s Adult Attachment Interview. Results indicated moderate concordance between these measures, both for the adult mother and the preschool child. All three of these studies offer promising evidence for the validity of the EA-Z as an attachment tool, as well as future directions for research and practice using the EA System

Evaluation of Possums Sleep Intervention: A Pilot Feasibility Study : A Pilot Feasibility Study

The first year with a child is one of the most challenging times for mothers due to repeated awakenings typical for young infants. Research has shown that persistent fragmented sleep increases a mother’s risk for low overall well-being, which can challenge the mother-infant relationship. In an effort to improve sleep for both mother and infant, healthcare providers often recommend infant behavioral sleep interventions. The primary focus of this pilot study was to assess the feasibility of the Possums Sleep Intervention, a psychoeducational group workshop for women with infants between the ages of 0-6 months. A second goal of the study was to evaluate the potential of the Possums curriculum in improving maternal and infant sleep and self-reported mother-infant emotional availability. Participants were 24 mothers with their 0-6 month old infants assessed at the start of the study and again at the completion of the 4-week workshop. Results showed improvements in the perceived emotional availability in the mother-infant relationship; however, positive effects related to maternal or infant sleep were only on a trend level.Peer reviewe

Emotional availability, neuropsychological functioning, and psychopathology. The context of parental substance use disorder

Parental Substance Use Disorder (SUD) constitutes a high-risk condition for parent-child interactions and child development. Empirical evidence indicates high rates of psychopathology and neuropsychological impairments in individuals with SUD. Despite research indicating that parenting skills are related to psychological well-being and cognitive/neuropsychological functioning, prior studies have not examined the associations between these areas of parental functioning and the quality of parent-child interactions in the context of SUD. Aim(s). The present study adopts an integrated perspective to investigate the way in which maternal neuropsychological functioning and psychopathology are associated with mother-child emotional availability (EA), in the context of parental Substance Use Disorder. Methods. Twenty-nine mothers with SUD were assessed in interaction with their children, as well as with respect to their neuropsychological functioning and psychopathology. Results. In this group, high rates of maternal neuropsychological impairments and psychopathology, as well as generally low levels of EA, were uncovered. Regression analyses showed that maternal neuropsychological functioning was significantly associated with mother-child EA, specifically sensitivity; the role of maternal psychopathology, however, was only marginally significant. Conclusion. In the context of SUD, maternal neuropsychological impairments are significantly associated with mother-child EA. Clinical implications of the findings are discussed

Maternal sensitivity and intrusiveness in early childhood as predictors of children's weight at school age

Background While previous research indicates that low maternal sensitivity in mother-child interactions puts children at risk of overweight and obesity, maternal intrusiveness has rarely been investigated in association with children's weight. We investigated whether maternal sensitivity and intrusiveness in early childhood predict children's increased body mass index standard deviation scores (BMI-SDS) at school age. BMI-SDS are standardized for age and gender with respect to a reference standard. Methods At baseline (t1), we assessed maternal sensitivity and (non-)intrusiveness of 116 mothers with their children (48.3% female) aged 5–47 months (M = 24.00, SD = 11.36) using the emotional availability scales. We obtained anthropometric data for mothers at t1 by measuring height and weight in the laboratory and for children at birth assessed by medical staff. Six years later (t2) we obtained anthropometric data for children in the laboratory or based on parental report. Linear regression analyses were run with child BMI-SDS at t2 as outcome and sensitivity and (non-)intrusiveness as predictors, adjusting for confounders and exploring child age and gender as moderators. Results Maternal sensitivity only negatively predicted children's BMI-SDS in girls, while maternal intrusiveness predicted higher child BMI-SDS at school age regardless of child gender. The effect of maternal non-intrusiveness remained significant when controlling for confounders. Conclusion Maternal intrusiveness in early childhood seems to represent a risk factor for increased BMI-SDS in children, while lower maternal sensitivity tends to be a risk factor for increased BMI-SDS in girls. This may have implications for prevention or intervention programmes

Validating an Observational Measure of Prenatal Emotional Availability among Mothers with Depressive Symptoms

This study describes a new observational measure for assessing a mother’s prenatal emotional availability in relationship towards her unborn baby (Pre-EA). Concurrent associations between a mother’s Pre-EA, her adult attachment style (AAI), and prenatal maternal reflective functioning (RF) (Pregnancy Interview) were assessed among 45 pregnant women (gw 22-31) screened positive for depressive symptoms in a community-based sample. Pre-EA was measured from a videotaped, semi-structured maternal-fetal interaction assessment procedure (MIM). The two Pre-EA dimensions, sensitivity and non-hostility, were related to adult secure-autonomous attachment style and higher prenatal maternal RF. The results show that this observed emotional availability may be assessed during pregnancy.Peer reviewe

Adolescent attachment to parents and peers in singletons and twins born with assisted and natural conception

Study question: Does adolescent attachment to parents and peers differ between singletons and twins born with ART or natural conception (NC)?Summary answer: Adolescent attachment anxiety with the father was higher among NC singletons than among ART and NC twins, whereas attachment avoidance with the father was higher in ART singletons than in NC singletons and NC twins. No differences were found in attachment to the mother, best friend or romantic partner.What is known already: Most studies have not found differences between ART and NC singletons in parent-adolescent relationships, but twin relationships may be more at risk. No previous study has examined all four groups in the same study, or specifically looked at attachment relationships.Study design size duration: This was an 18-year, prospective and controlled longitudinal study with families of 496 ART singletons, 101 ART twin pairs, 476 NC singletons and 22 NC twin pairs. Families were recruited during the second trimester of pregnancy; the ART group was recruited from five infertility clinics in Finland and the control group was recruited from a hospital outpatient clinic during a routine visit.Participants/materials setting methods: Mothers and fathers gave background information for this study during pregnancy, and during the child's first year and early school age (7-8 years). For the ART group, infertility characteristics and prenatal medical information was also obtained from the patient registry of the infertility clinics. Children (originally 50% girls) filled in electronic questionnaires related to their attachment to mother, father, best friend and romantic partner (Experiences in Close Relationships-Relationship Structures) at 17-19 years of age.Main results and the role of chance: Adolescent attachment anxiety to father was higher in NC singletons than in ART twins, P = 0.004 and marginally higher than in NC twins, P = 0.06. Adolescent attachment avoidance to father was higher in ART singletons than in NC singletons, P = 0.006 and marginally higher than in NC twins, P = 0.055.Limitations reasons for caution: The sample size was small especially in the NC twin group and there was drop-out over the 18-year time period, especially among boys and families with lower parental education level. The study only included native Finnish-speaking families. The results could differ in a more diverse population. ART singletons were younger and had fewer siblings than ART twins and NC children, and ART and NC twins had more newborn health risks than ART and NC singletons.Wider implications of the findings: The study adds to a growing body of evidence that neither ART treatments nor being a twin places mother-child relationships or peer relationships at long-term risk. However, in our study, which was the first to examine both ART and twinhood simultaneously, we found that there may be more problems in father-adolescent relationships, but only in ART singletons and only related to attachment avoidance. Our findings suggest that men, as well as women, should receive enough support in pre- and peri-natal health care during and after infertility treatments.Study funding/competing interests: This study was funded by Academy of Finland (grant number 2501308988), the Juho Vainio Foundation and the Finnish Cultural Foundation. The authors report no conflict of interest.</p

La disponibilità emotiva: tra valutazione e intervento

Il capitolo tratta tìdel costrutto della disponibilità emotiva e ne illustra il potenziale teorico e applicativo ngli interventi di valuatzione e di sostegno alla genitorialit

Emotional availability: theory, research, and intervention

Attachment theory (Bowlby, 1969) and its limitations are first described. Next, emotional availability (EA; Biringen et al., 1998; Biringen, 2008) is introduced as an expansion upon the original conceptualization of the parent–child attachment relationship. As a construct and as a measure, EA considers the dyadic and emotional qualities of adult–child relationships. EA is predictive of a variety of child outcomes, such as attachment security, emotion regulation, and school readiness. Recently developed programs to enhance adult–child EA are describe

Emotional availability (EA): Theoretical background, empirical research using the EA scales, and clinical implications

Emotional availability (EA), as a construct, refers to the capacity of a dyad to share an emotionally healthy relationship. The Emotional Availability (EA) Scales assess this construct using a multi-dimensional framework, with scales measuring the affect and behavior of both the child and adult partner (caregiver). The four caregiver components are sensitivity, structuring, non-intrusiveness, and non-hostility. The two child components are the child’s responsiveness to the caregiver and the child’s involvement of the caregiver. We first describe this relationship construct, look at psychometric properties in basic and prevention/intervention efforts, then review the extant empirical literature in order to examine the scope of studies assessing EA by using the EA Scales. We also explore its use in clinical practice. Throughout, we critically evaluate the knowledge base in this area as well as identify areas for further growth.status: publishe