Quality of attachment in infants less than 1500g or less than 32weeks. Related factors
Abstract
Background Prematurity carries a high risk of mortality and sequelae, altering the bonding process and leading to repercussions in terms of attachment. Objective 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. Method Children Results A total of 59% (117/199) of the children 26weeks GA (p 0.003). Conclusions 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.
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When 117 children born very preterm or with very low birthweight were tested with the Strange situation test at two years of age, a lower frequency of secure attachment was found compared with full-term samples.
“When 117 children born very preterm or with very low birthweight (<1500 g) were tested with the Strange situation test [46] at two years of age, a lower frequency of secure attachment was found compared with full-term samples [47].”
Previous research clearly shows that leaving the womb three to four months prior to the expected due date has an effect upon both the child and the parent, as well as the relationship between the two.
“Previous research clearly shows that leaving the womb three to four months prior to the expected due date has an effect upon both the child [67] and the parent [18,19,20,21,27,28], as well as the relationship between the two [47].”
Cites
Cognitive and Behavioral Outcomes of School-Aged Children Who Were Born Preterm: A Meta-analysis
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Feldman, R. (2007) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2006.01701.x · Cited by 1,317 · see citing works
Groh, A. M., Fearon, R. P., Bakermans-Kranenburg, M. J., van IJzendoorn, M. H., Steele, R. D., & Roisman, G. I. (2014) · Attachment & Human Development · doi:10.1080/14616734.2014.883636 · Cited by 495 · see citing works
KORJA, R., LATVA, R., & LEHTONEN, L. (2012) · Acta Obstetricia et Gynecologica Scandinavica · doi:10.1111/j.1600-0412.2011.01304.x · Cited by 326 · see citing works
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Baraldi, E., Allodi, M. W., Smedler, A.-C., Westrup, B., Löwing, K., & Ådén, U. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17249326 · Cited by 52 · see citing works
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- Authors
- López-Maestro, M., Sierra-Garcia, P., Diaz-Gonzalez, C., Torres-Valdivieso, M. J., Lora-Pablos, D., Ares-Segura, S., & Pallás-Alonso, C. R.
- Affiliations
- Hospital Universitario 12 De Octubre (ES)
- ORCID
- Ares-Segura, Susana
- Venue
- Early Human Development
- Publisher
- Elsevier BV
- Published
- 2017-01
- Volume
- 104
- Pages
- 1-6
- ISSN
- 0378-3782 (ISSN-L)
- OpenAlex
- W2557756349
- Cited by
- 43
- References
- 4
- Citations by year
- 2026: 4 · 2025: 2 · 2024: 9 · 2023: 5 · 2022: 3 · 2021: 3 · 2020: 11 · 2019: 3 · 2018: 1 · 2017: 2
- FWCI
- 2.33
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Early Human Development (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Koplowitz Foundation (2013/0057)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- infant attachment, preterm infants, extremely low birth weight infants, secure attachment, attachment avoidance, insecure attachment, cognitive development, family factors, gestational age, neonatal characteristics
- MeSH terms
- Child Development, Cognition, Female, Humans, Infant, Newborn, Infant, Premature, Male, Object Attachment, Infant, Very Low Birth Weight
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