Enhancing attachment organization among maltreated children: results of a randomized clinical trial.
Enhancing attachment organization among maltreated children: results of a randomized clinical trial.
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DOI：
10.1111/j.1467-8624.2011.01712.x
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发表时间：
2012-03
影响因子：
4.6
通讯作者：
Carlson E
中科院分区：
文献类型：
--
作者：
Bernard K;Dozier M;Bick J;Lewis-Morrarty E;Lindhiem O;Carlson E
经历过早期逆境的幼儿有可能发展出混乱的依恋。开发了一种干预措施，依恋和生物行为追赶（ABC），非常具体地针对被确定为有忽视幼儿风险的父母的养育和敏感护理，目的是减少混乱的依恋。ABC干预包括在家庭中进行的10次亲子会议。本研究通过一项随机临床试验评估了这种干预措施的有效性，在该试验中，儿童保护服务机构参与的父母被分配到实验干预或对照干预（DEF）。对120名处于陌生情境中的幼儿的依恋质量进行了测评。ABC干预组的儿童表现出明显较低的混乱型依恋率（32%）和较高的安全型依恋率（52%），而对照组分别为57%和33%。这些结果支持ABC干预在提高虐待高风险父母依恋质量方面的有效性。
Young children who have experienced early adversity are at risk for developing disorganized attachments. An intervention, Attachment and Biobehavioral Catch-up (ABC), was developed that very specifically targets nurturing, sensitive care among the parents identified as being at risk for neglecting their young children, with the aim of decreasing disorganized attachment. The ABC intervention consists of 10 parent-child sessions conducted in families’ homes. The present study assessed the efficacy of this intervention through a randomized clinical trial in which parents with Child Protective Services involvement were assigned to the experimental intervention or to a control intervention (DEF). Attachment quality was assessed for 120 children in the Strange Situation. Children in the ABC intervention showed significantly lower rates of disorganized attachment (32%) and higher rates of secure attachment (52%) relative to the control intervention (57% and 33%, respectively). These results support the efficacy of the ABC intervention in enhancing attachment quality among parents at high risk for maltreatment.