Sustained effects on attachment security in middle childhood: results from a randomized clinical trial of the Attachment and Biobehavioral Catch-up (ABC) intervention.
Sustained effects on attachment security in middle childhood: results from a randomized clinical trial of the Attachment and Biobehavioral Catch-up (ABC) intervention.
复制标题
对童年中期依恋安全性的持续影响：依恋和生物行为追赶（ABC）干预的随机临床试验的结果。
DOI：
10.1111/jcpp.13146
复制
发表时间：
2020
期刊：
影响因子：
--
通讯作者：
Dozier,Mary
中科院分区：
文献类型：
--
作者：
Zajac,Lindsay;Raby,KLee;Dozier,Mary
在经历过早期逆境的儿童中，已经开发出了一些干预措施来促进幼儿期安全和有组织的依恋的发展，然而，这些早期干预措施的效果是否能持续到干预后12个月以上，我们知之甚少。目前的研究调查了100名儿童保护服务中心（CPS）转介的儿童在婴儿期接受依恋和生物行为追赶（ABC）干预是否会改善儿童中期的依恋安全感。方法儿童和家长在婴儿期随机接受ABC或对照干预。儿童在9岁时完成Kerns安全量表（Mage= 9.46，SD= 0.36）。（试验注册中心名称：早期干预被忽视儿童；注册中心ID: NCT02093052；注册中心URL: https://clinicaltrials.gov/ct2/show/NCT02093052?term=dozier&rank=1）.ResultsChildren父母接受ABC的儿童在9岁时的Kerns安全量表上的依恋安全水平高于父母接受对照干预的儿童，t(98) = 2.31,p= 0.023,d= 0.49。结论：研究结果强调了早期干预对提高风险家庭护理质量的长期益处，并证明了在一组CPS转介儿童样本中，为期8年的10次简短干预对提高依恋安全性的有效性。
BackgroundInterventions have been developed to promote the development of secure and organized attachments during early childhood among children who have experienced early adversity, yet little is known about whether the effects of these early interventions are sustained beyond 12 months postintervention. The current study examined whether receiving the Attachment and Biobehavioral Catch‐Up (ABC) intervention during infancy led to improvements in perceived attachment security in middle childhood among 100 Child Protective Services (CPS)‐referred children.MethodsChildren and parents were randomized to receive ABC or a control intervention during infancy. Children completed the Kerns Security Scale at age nine (Mage= 9.46,SD= 0.36). (Trial Registry Name: Intervening Early with Neglected Children; Registry ID: NCT02093052; URL for registry: https://clinicaltrials.gov/ct2/show/NCT02093052?term=dozier&rank=1).ResultsChildren whose parents received ABC reported higher levels of attachment security on the Kerns Security Scale at age nine than children whose parents had received the control intervention,t(98) = 2.31,p= .023,d= 0.49.ConclusionsFindings underscore the long‐term benefits of intervening early to promote caregiving quality among at‐risk families and demonstrate the efficacy of a brief 10‐session intervention in promoting attachment security over the span of eight years in a sample of CPS‐referred children.