The impact of the “Attachment and Biobehavioural Catch‐Up” program on attachment related parent behavior—A systematic review
Abstract
“Attachment and Biobehavioural Catch‐Up” (ABC) is a 10 session home visiting program, grounded in attachment theory. It aims to improve child emotion regulation, attachment and behavioral outcomes through changing caregivers’ attachment related behaviors. There is increasing evidence with respect to the effectiveness of ABC in producing positive child outcomes, but the intervention's direct effect on parent outcomes remains unclear. This review examined the association of ABC with attachment related parent outcomes. The PubMed, EMBASE, PyschINFO and SCOPUS databases were searched for relevant studies in August 2021, and again in April 2022. The eligibility criteria for included studies were (1) infants aged 0–27 months at time of the ABC intervention, (2) “at risk” parents, (3) controlled trials published in peer‐reviewed journals and (4) utilized a measure of attachment related parent outcomes. Eleven eligible studies were included. The findings showed ABC had a significant small to medium effect on a variety of attachment related parent outcomes among parents presenting with multiple psychosocial risk factors. “Sensitivity” was measured most frequently, with small to medium main effect sizes recorded at follow‐up, compared to controls. Implications for the clinical effectiveness of the ABC program in community settings are discussed. Future research should clarify who ABC is most effective for and how it compares to similar interventions.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
ABC has had reported ds ranging from 0.08 to 0.7.
“For example, ABC, which has had reported ds ranging from 0.08 to 0.7 [68]”
From Optimizing parenting and child outcomes following parent–child interaction therapy – toddler: a randomized controlled trial (2024) · cites this paper as [68]
Cites
The Cochrane Collaboration's tool for assessing risk of bias in randomised trials
Higgins, J. P. T., Altman, D. G., Gotzsche, P. C., Juni, P., Moher, D., Oxman, A. D., Savovic, J., Schulz, K. F., Weeks, L., Sterne, J. A. C., et al. (2011) · BMJ · doi:10.1136/bmj.d5928 · Cited by 33,817 · see citing works
PRISMA-P Group, Moher, D., Shamseer, L., Clarke, M., Ghersi, D., Liberati, A., Petticrew, M., Shekelle, P., & Stewart, L. A. (2015) · Systematic Reviews · doi:10.1186/2046-4053-4-1 · Cited by 26,223 · see citing works
(1978) · Medical Entomology and Zoology · Cited by 12,570 · see citing works
Handbook of infant mental health
Zeanah, C. H. (2009) · Cited by 1,269 · see citing works
Handbook of Infant Mental Health
Sprunger, L. W. (1995) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199504000-00020 · Cited by 787 · see citing works
Identifying Risk for Obesity in Early Childhood
Nader, P. R., O’Brien, M., Houts, R., Bradley, R., Belsky, J., Crosnoe, R. L., Friedman, S. L., Mei, Z., & Susman, E. J. (2006) · PEDIATRICS · doi:10.1542/peds.2005-2801 · Cited by 780 · see citing works
Crockenberg, S. B. (1981) · Child Development · doi:10.2307/1129087 · Cited by 777 · see citing works
The Circle of Security project: Attachment-based intervention with caregiver-pre-school child dyads
Marvin, R. S., Cooper, G., Hoffman, K. T., & Powell, B. (2002) · Attachment & Human Development · doi:10.1080/14616730252982491 · Cited by 638 · see citing works
Crockenberg, S. B. (1981) · Child Development · doi:10.1111/j.1467-8624.1981.tb03124.x · Cited by 634 · see citing works
Face-to-face interactions of postpartum depressed and nondepressed mother-infant pairs at 2 months.
Cohn, J. F., Campbell, S. B., Matias, R., & Hopkins, J. (1990) · Developmental Psychology · doi:10.1037/0012-1649.26.1.15 · Cited by 561 · see citing works
Characteristics of infant child care: Factors contributing to positive caregiving
Vandell, D. L. (1996) · Early Childhood Research Quarterly · doi:10.1016/s0885-2006(96)90009-5 · Cited by 553 · see citing works
Groh, A. M., Fearon, R. M. P., van IJzendoorn, M. H., Bakermans-Kranenburg, M. J., & Roisman, G. I. (2017) · Child Development Perspectives · doi:10.1111/cdep.12213 · Cited by 512 · see citing works
Child-Parent Psychotherapy: 6-Month Follow-up of a Randomized Controlled Trial
LIEBERMAN, A. F., GHOSH IPPEN, C., & VAN HORN, P. (2006) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/01.chi.0000222784.03735.92 · Cited by 452 · see citing works
Enhancing Attachment Organization Among Maltreated Children: Results of a Randomized Clinical Trial
Bernard, K., Dozier, M., Bick, J., Lewis-Morrarty, E., Lindhiem, O., & Carlson, E. (2012) · Child Development · doi:10.1111/j.1467-8624.2011.01712.x · Cited by 430 · see citing works
Dozier, M., Peloso, E., Lindhiem, O., Gordon, M. K., Manni, M., Sepulveda, S., Ackerman, J., Bernier, A., & Levine, S. (2006) · Journal of Social Issues · doi:10.1111/j.1540-4560.2006.00486.x · Cited by 376 · see citing works
Maternal Sensitivity and the Security of Infant-Mother Attachment: A Q-Sort Study
Pederson, D. R., Moran, G., Sitko, C., Campbell, K., Ghesquire, K., & Acton, H. (1990) · Child Development · doi:10.1111/j.1467-8624.1990.tb03579.x · Cited by 350 · see citing works
Sadler, L. S., Slade, A., Close, N., Webb, D. L., Simpson, T., Fennie, K., & Mayes, L. C. (2013) · Infant Mental Health Journal · doi:10.1002/imhj.21406 · Cited by 313 · see citing works
Correlates of prenatal and postnatal mother-to-infant bonding quality: A systematic review
Tichelman, E., Westerneng, M., Witteveen, A. B., van Baar, A. L., van der Horst, H. E., de Jonge, A., Berger, M. Y., Schellevis, F. G., Burger, H., & Peters, L. L. (2019) · PLOS ONE · doi:10.1371/journal.pone.0222998 · Cited by 224 · see citing works
Bernard, K., Dozier, M., Bick, J., & Gordon, M. K. (2015) · Development and Psychopathology · doi:10.1017/s095457941400073x · Cited by 189 · see citing works
Wakschlag, L. S., Briggs‐Gowan, M. J., Hill, C., Danis, B., LEVENTHAL, B. L., Keenan, K. E., EGGER, H. L., Cicchetti, D. V., Burns, J. L., & Carter, A. S. (2008) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/chi.0b013e31816c5c10 · Cited by 183 · see citing works
Erickson, N. L., Julian, M. M., & Muzik, M. (2019) · International Review of Psychiatry · doi:10.1080/09540261.2018.1563529 · Cited by 182 · see citing works
Bick, J., & Dozier, M. (2013) · Infant Mental Health Journal · doi:10.1002/imhj.21373 · Cited by 175 · see citing works
Lewis‐Morrarty, E., Dozier, M., Bernard, K., Terracciano, S., & Moore, S. V. (2012) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2012.05.005 · Cited by 147 · see citing works
Maternal antenatal depression and infant disorganized attachment at 12 months
Hayes, L. J., Goodman, S. H., & Carlson, E. A. (2012) · Attachment & Human Development · doi:10.1080/14616734.2013.743256 · Cited by 127 · see citing works
Enhancing executive functioning among toddlers in foster care with an attachment-based intervention
Lind, T., Raby, K. L., Caron, E., Roben, C. K. P., & Dozier, M. (2017) · Development and Psychopathology · doi:10.1017/s0954579417000190 · Cited by 125 · see citing works
Sensitivity and attachment interventions in early childhood: A systematic review and meta-analysis
Mountain, G., Cahill, J., & Thorpe, H. (2016) · Infant Behavior and Development · doi:10.1016/j.infbeh.2016.10.006 · Cited by 105 · see citing works
Bernard, K., Simons, R. F., & Dozier, M. (2015) · Child Development · doi:10.1111/cdev.12418 · Cited by 102 · see citing works
Rosenblum, K. L., Muzik, M., Morelen, D. M., Alfafara, E. A., Miller, N., Waddell, R. M., Schuster, M., & Ribaudo, J. (2017) · Archives of Women s Mental Health · doi:10.1007/s00737-017-0734-9 · Cited by 101 · see citing works
Coaching Parents of Vulnerable Infants: The Attachment and Biobehavioral Catch-up Approach
Paul, H. A. (2019) · Child & Family Behavior Therapy · doi:10.1080/07317107.2019.1650158 · Cited by 100 · see citing works
Efficacy of the Circle of Security Intervention: A Meta-Analysis
Yaholkoski, A., Hurl, K. E., & Theule, J. (2016) · Journal of Infant Child and Adolescent Psychotherapy · doi:10.1080/15289168.2016.1163161 · Cited by 87 · see citing works
ATTACHMENT AND BIOBEHAVIORAL CATCH‐UP: A SYSTEMATIC REVIEW
Grube, W. A., & Liming, K. W. (2018) · Infant Mental Health Journal · doi:10.1002/imhj.21745 · Cited by 69 · see citing works
Berlin, L. J., Shanahan, M., & Appleyard Carmody, K. (2014) · Infant Mental Health Journal · doi:10.1002/imhj.21427 · Cited by 67 · see citing works
Bernard, K., Lee, A. H., & Dozier, M. (2017) · Child Maltreatment · doi:10.1177/1077559517691126 · Cited by 65 · see citing works
Community implementation outcomes of Attachment and Biobehavioral Catch-up
Caron, E., Weston-Lee, P., Haggerty, D., & Dozier, M. (2015) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2015.11.010 · Cited by 61 · see citing works
The Infant Crying Questionnaire: Initial factor structure and validation
Haltigan, J. D., Leerkes, E. M., Burney, R. V., O’Brien, M., Supple, A. J., & Calkins, S. D. (2012) · Infant Behavior and Development · doi:10.1016/j.infbeh.2012.06.001 · Cited by 60 · see citing works
Coaching Parents of Vulnerable Infants: The Attachment and Biobehavioral Catch-Up Approach
Dozier, M. G., & Bernard, K. (2019) · Cited by 59 · see citing works
Yarger, H. A., Hoye, J. R., & Dozier, M. (2016) · Infant Mental Health Journal · doi:10.1002/imhj.21585 · Cited by 56 · see citing works
Berlin, L. J., Martoccio, T. L., & Harden, B. J. (2018) · Developmental Psychology · doi:10.1037/dev0000592 · Cited by 53 · see citing works
Yarger, H. A., Bernard, K., Caron, E., Wallin, A. R., & Dozier, M. (2019) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2018.1547972 · Cited by 45 · see citing works
Yarger, H. A., Bronfman, E. T., Carlson, E. A., & Dozier, M. (2019) · Development and Psychopathology · doi:10.1017/s0954579419000786 · Cited by 39 · see citing works
Promoting Compliance in Children Referred to Child Protective Services: A Randomized Clinical Trial
Lind, T., Bernard, K., Yarger, H. A., & Dozier, M. (2019) · Child Development · doi:10.1111/cdev.13207 · Cited by 35 · see citing works
Hepworth, A. D., Berlin, L. J., Martoccio, T. L., Cannon, E. N., Berger, R. H., & Harden, B. J. (2020) · Prevention Science · doi:10.1007/s11121-020-01127-1 · Cited by 30 · see citing works
Perrone, L., Imrisek, S. D., Dash, A., Rodríguez, M. M. D., Beras-Monticciolo, E., & Bernard, K. (2020) · Development and Psychopathology · doi:10.1017/s0954579420000310 · Cited by 29 · see citing works
Schein, S. S., Roben, C. K. P., Costello, A. H., & Dozier, M. (2022) · Child Maltreatment · doi:10.1177/10775595211072516 · Cited by 27 · see citing works
Increasing secure base script knowledge among parents with Attachment and Biobehavioral Catch-up
Raby, K. L., Waters, T. E. A., Tabachnick, A. R., Zajac, L. A., & Dozier, M. (2021) · Development and Psychopathology · doi:10.1017/s0954579420001765 · Cited by 25 · see citing works
Lind, T., Raby, K. L., Goldstein, A., Bernard, K., Caron, E., Yarger, H. A., Wallin, A. R., & Dozier, M. (2020) · Development and Psychopathology · doi:10.1017/s0954579420000255 · Cited by 22 · see citing works
Intervening With Foster Parents to Enhance Biobehavioral Outcomes Among Infants and Toddlers.
Dozier, M., Bick, J. R., & Bernard, K. (2011) · PubMed · Cited by 14 · see citing works
Pederson, D. R., Moran, G., & Bento, S. (1999) · Scholarship@Western (Western University) · Cited by 11 · see citing works
Zeanah, C. H., & Zeanah, P. D. (2010) · Wiley eBooks · doi:10.1002/9781444324617.ch20 · Cited by 10 · see citing works
Ecological Predictors of Parental Beliefs about Infant Crying in a Randomized Clinical Trial of ABC
Thorpe, D., Silver, J., Perrone, L., DeSantis, N., Dash, A., Rodriguez, M., Beras-Monticciolo, E., & Bernard, K. (2021) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2021.1916939 · Cited by 5 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Kohlhoff, J., Wallace, N., Cibralic, S., Morgan, S., Briggs, N. E., McMahon, C., Hawkins, E., Druskin, L., Owen, C., Lieneman, C., et al. (2024) · BMC Psychology · doi:10.1186/s40359-024-02171-0 · Cited by 11 · see citing works
“For example, ABC, which has had reported d s ranging from 0.08 to 0.7 [68], and VIPP-SD, which in Van Ijzendoorn et al. [88]’s recent systematic review had a combined effect size of r = 0.18, which the authors state was comparable to d = 0.37.”
InfluentialMitteregger, E., Dirks, T., Theiler, M., Kretschmar, O., & Latal, B. (2024) · Pilot and Feasibility Studies · doi:10.1186/s40814-024-01532-1 · Cited by 1 · see citing works
Trauma-Informed Mental Health Interventions for Young Children
Osofsky, J. D., Gurwitch, R. H., Dozier, M., & Isosävi, S. (2024) · Springer eBooks · doi:10.1007/978-3-031-48631-9_21 · Cited by 1 · see citing works
Family Engagement in Mental Health Interventions for Infants and Toddlers
Molina, A. P. (2023) · Springer series on child and family studies · doi:10.1007/978-3-031-47917-5_1
Phases of Research into Risk Factors for Children
Tustin, D. (2024) · Springer eBooks · doi:10.1007/978-981-97-6144-9_5
Liel, C., & Liel, K. (2025) · Praxis der Kinderpsychologie und Kinderpsychiatrie · doi:10.13109/prkk.2025.74.5.414
Trauma in Young Children and Their Families
Cragin, C. A., Adams, A., & Gleason, M. M. (2026) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2025.11.006
Qiao, P., Lan, X., Li, T., Lu, M., Du, Z., Qie, Y., & Chen, S. (2026) · Children and Youth Services Review · doi:10.1016/j.childyouth.2026.109152
Mohamed, A. R., Sterkenburg, P. S., van Rensburg, E., & Schuengel, C. (2026) · Child & Youth Care Forum · doi:10.1007/s10566-026-09964-x
Pryor, J., Sawyer, A. C. P., Due, C., Watson, S., & Williams, A. S. (2026) · Infant Mental Health Journal · doi:10.1002/imhj.70119
Postpartale Depression und aversive Kindheitserfahrungen
Heinisch, C., Simen, S., Käser, T.-M., Galeris, M.-G., Spangler, G., & Gabler, S. (2026) · Kindheit und Entwicklung · doi:10.1026/0942-5403/a000529
- Authors
- O'Byrne, E., McCusker, C., & McSweeney, S.
- Affiliations
- University College Cork (IE)
- School of Applied Psychology University College Cork Cork Ireland
- Corresponding author
- O'Byrne, Emma
- ORCID
- O'Byrne, Emma
- Venue
- Infant Mental Health Journal
- Publisher
- Wiley
- Published
- 2022-12-24
- Volume
- 44
- Issue
- 1
- Pages
- 76-91
- ISSN
- 0163-9641 (ISSN-L)
- 1097-0355
- OpenAlex
- W4312140264
- Cited by
- 11
- References
- 50
- Citations by year
- 2026: 5 · 2025: 1 · 2024: 4 · 2023: 1
- FWCI
- 0.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Infant Mental Health Journal (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- home visits, attachment theory, parental sensitivity, at-risk parents, infant development, child emotion regulation, behavioral effects, early intervention
- MeSH terms
- Emotional Regulation, Child, Humans, Infant, Object Attachment, Parents, Parenting, Caregivers
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review