Effects of an attachment-based intervention on the cortisol production of infants and toddlers in foster care
Open accessAbstract
Studies with nonhuman primates and rodents, as well as with human children, have suggested that early separations from caregivers are often associated with changes in the functioning of the hypothalamus–pituitary–adrenal (HPA) axis. On the basis of these findings, we designed a relational intervention that was intended to normalize HPA functioning among children in foster care. This paper presents findings from a randomized clinical trial that assessed the effectiveness of a relational intervention (Attachment and Biobehavioral Catch-up [ABC]) with regard to HPA functioning. The ABC intervention was intended to enhance children's ability to regulate physiology and behavior. The control intervention (Developmental Education for Families) was intended to enhance children's cognitive skills. A comparison group of children who had never been in foster care was also included. Children's cortisol production was assessed upon arrival at the lab, and 15 and 30 min following the Strange Situation. Random effects analyses of variance were performed to assess differences in initial values and change between children in the two intervention groups. Children in the ABC intervention and comparison group children showed lower initial values of cortisol than children in the treatment control group, considering arrival at lab as initial values (p < .05). Groups did not differ significantly in change over time. These results suggest that the ABC intervention is effective in helping children regulate biology in ways more characteristic of children who have not experienced early adversity.
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An attachment-focused intervention for foster parents was effective in enhancing attachment and normalizing cortisol patterns in maltreated children.
“an attachment-focused intervention for foster parents was effective in enhancing attachment and normalizing cortisol patterns in maltreated children.46, 47”
From Recovering from early deprivation: attachment mediates effects of caregiving on psychopathology (2012) · cites this paper as [46]
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Black, P. J., Woodworth, M., Tremblay, M., & Carpenter, T. (2012) · Canadian Psychology / Psychologie canadienne · doi:10.1037/a0028441 · Cited by 120 · see citing works
Champagne, F. A. (2010) · Perspectives on Psychological Science · doi:10.1177/1745691610383494 · Cited by 110 · see citing works
Drury, S. S., Sánchez, M. M., & Gonzalez, A. (2016) · Hormones and Behavior · doi:10.1016/j.yhbeh.2015.10.007 · Cited by 72 · 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
Byun, S., Brumariu, L. E., & Lyons-Ruth, K. (2016) · Journal of Trauma & Dissociation · doi:10.1080/15299732.2016.1141149 · Cited by 65 · see citing works
Emotional attachment and emotional availability tele-intervention for adoptive families
Baker, M., Biringen, Z., Meyer-Parsons, B., & Schneider, A. (2015) · Infant Mental Health Journal · doi:10.1002/imhj.21498 · Cited by 47 · see citing works
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- Authors
- Dozier, M., Peloso, E., Lewis, E., Laurenceau, J.-P., & Levine, S.
- Affiliations
- University of Delaware (US)
- University of California, Riverside (US)
- Corresponding author
- Dozier, Mary
- Venue
- Development and Psychopathology
- Publisher
- Cambridge University Press (CUP)
- Published
- 2008
- Volume
- 20
- Issue
- 3
- Pages
- 845-859
- ISSN
- 0954-5794 (ISSN-L)
- 1469-2198
- PMC
- PMC3258505
- OpenAlex
- W2139291556
- Cited by
- 377
- References
- 90
- Citations by year
- 2026: 5 · 2025: 11 · 2024: 7 · 2023: 12 · 2022: 11 · 2021: 30 · 2020: 20 · 2019: 21 · 2018: 30 · 2017: 23 · 2016: 38 · 2015: 39 · 2014: 20 · 2013: 33 · 2012: 29
- FWCI
- 44.65
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Development and Psychopathology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (MH65046, R01MH052135, MH R01 52135, MH K02 74374, R21MH065046)
- Topics
- Social Sciences › Safety Research › Child Welfare and Adoption
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
- Keywords
- Attachment and Biobehavioral Catch-up, foster care, cortisol, hypothalamic-pituitary-adrenal axis, relationship interventions, infant and toddler development, Strange Situation, childhood adversity, biological regulation
- MeSH terms
- Arousal, Behavior Therapy, Child, Preschool, Education, Female, Foster Home Care, Humans, Hydrocortisone, Hypothalamo-Hypophyseal System, Infant, Internal-External Control, Male, Object Attachment, Pituitary-Adrenal System, Social Environment, Treatment Outcome, Early Intervention, Educational
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