scholarly journals The Effect of Maternal Depression on Infant Attachment: A Systematic Review

2020 ◽  
Vol 17 (8) ◽  
pp. 2675 ◽  
Author(s):  
Andrzej Śliwerski ◽  
Karolina Kossakowska ◽  
Karolina Jarecka ◽  
Julita Świtalska ◽  
Eleonora Bielawska-Batorowicz
Keyword(s):  
Systematic Review ◽  
Maternal Depression ◽  
Attachment Style ◽  
Attachment Security ◽  
Empirical Studies ◽  
Structured Interview ◽  
Negative Effects ◽  
Infant Attachment ◽  
Child Attachment ◽  
Meta Analyses

Aims and objectives: The aim of this systematic review was to summarize the key findings of empirical studies assessing the influence of maternal depression on child attachment security measured before 24 months after birth. Method: The study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement guidelines. A literature search was conducted on the EBSCO (Academic Search Complete; Health Source: Nursing/Academic Edition; MEDLINE; PsycARTICLES) and PubMed databases, with infant attachment AND depression as search terms with Boolean operators. Study design or sample size did not affect inclusion. After screening, 29 of the 1510 unique publications originally identified were included in the review. Results: The studies reveal an equivocal association between maternal depression and child attachment security. Our findings indicate that depression had a significant influence on the attachment style almost only when diagnosed by structured interview: Depression measured by self-descriptive questionnaires was unrelated to attachment style. Furthermore, postpartum depression was found to be significant only when measured up to six months after childbirth. Conclusion: The relationship between maternal depression and infant attachment is both complex and dynamic, and the possible negative effects of depression might be compensated by maternal involvement in childcare. Therefore, further studies in this area should employ a reliable methodology for diagnosing depression and a suitable time point for measuring it; they should also adopt a multifactorial and prospective approach. It is important to note that breastfeeding/formula feeding was omitted as a factor in the majority of studies.

scholarly journals The Effectiveness of Attachment Security Priming in Improving Positive Affect and Reducing Negative Affect: A Systematic Review

2020 ◽  
Vol 17 (3) ◽  
pp. 968 ◽  
Author(s):  
Angela C. Rowe ◽  
Emily R. Gold ◽  
Katherine B. Carnelley
Keyword(s):  
Systematic Review ◽  
Negative Affect ◽  
Positive Affect ◽  
Attachment Style ◽  
Attachment Security ◽  
Empirical Studies ◽  
Emotional Wellbeing ◽  
Adults And Children ◽  
Study Designs ◽  
Positive Effect

Attachment security priming has been extensively used in relationship research to explore the contents of mental models of attachment and examine the benefits derived from enhancing security. This systematic review explores the effectiveness of attachment security priming in improving positive affect and reducing negative affect in adults and children. The review searched four electronic databases for peer-reviewed journal articles. Thirty empirical studies met our inclusion criteria, including 28 adult and 2 child and adolescent samples. The findings show that attachment security priming improved positive affect and reduced negative affect relative to control primes. Supraliminal and subliminal primes were equally effective in enhancing security in one-shot prime studies (we only reviewed repeated priming studies using supraliminal primes so could not compare prime types in these). Global attachment style moderated the primed style in approximately half of the studies. Importantly, repeated priming studies showed a cumulative positive effect of security priming over time. We conclude that repeated priming study designs may be the most effective. More research is needed that explores the use of attachment security priming as a possible intervention to improve emotional wellbeing, in particular for adolescents and children.

scholarly journals Perception of Gamblers: A Systematic Review

2021 ◽  
Author(s):  
Andrea Wöhr ◽  
Marius Wuketich
Keyword(s):  
Systematic Review ◽  
Empirical Studies ◽  
Grey Literature ◽  
Future Research ◽  
Gambling Problems ◽  
Negative Effects ◽  
Strong Focus ◽  
The Media ◽  
Social Scientific ◽  
Psychological Knowledge

AbstractIt is generally assumed that gamblers, and particularly people with gambling problems (PG), are affected by negative perception and stigmatisation. However, a systematic review of empirical studies investigating the perception of gamblers has not yet been carried out. This article therefore summarises empirical evidence on the perception of gamblers and provides directions for future research. A systematic literature review based on the relevant guidelines was carried out searching three databases. The databases Scopus, PubMed and BASE were used to cover social scientific knowledge, medical-psychological knowledge and grey literature. A total of 48 studies from 37 literature references was found. The perspective in these studies varies: Several studies focus on the perception of gamblers by the general population, by subpopulations (e. g. students or social workers), or by gamblers on themselves. The perspective on recreational gamblers is hardly an issue. A strong focus on persons with gambling problems is symptomatic of the gambling discourse. The analysis of the studies shows that gambling problems are thought to be rather concealable, whereas the negative effects on the concerned persons‘ lives are rated to be quite substantial. PG are described as “irresponsible” and “greedy” while they perceive themselves as “stupid” or “weak”. Only few examples of open discrimination are mentioned. Several studies however put emphasis on the stereotypical way in which PG are portrayed in the media, thus contributing to stigmatisation. Knowledge gaps include insights from longitudinal studies, the influence of respondents‘ age, culture and sex on their views, the relevance of the type of gambling a person is addicted to, and others. Further studies in these fields are needed.

scholarly journals A Systematic Review on Attachment and Sleep at Preschool Age

Children ◽  
2021 ◽  
Vol 8 (10) ◽  
pp. 895
Author(s):  
Catarina Perpétuo ◽  
Eva Diniz ◽  
Manuela Veríssimo
Keyword(s):  
Systematic Review ◽  
Attachment Security ◽  
Biological Process ◽  
Sleep Problems ◽  
Empirical Studies ◽  
Theoretical Models ◽  
Preschool Age ◽  
Future Research ◽  
Parent Child Relationships ◽  
Present Systematic Review

Sleep is a biological process that impacts nearly every domain of a child’s life. Sleep-wake regulation influences and it is highly influenced by developmental variables related to parent-child relationships, such as attachment. The main goal of the present systematic review is to analyze and integrate the findings of empirical studies investigating the relations between attachment and sleep in preschool age, a period marked by important developmental changes that challenge both attachment system and sleep-wake regulation. A database search was performed using a combination of relevant keywords, leading to the identification of 524 articles, with 19 manuscripts assessed for eligibility; finally, seven studies (2344 children) were included. Overall, the findings were not consistent, with some studies reporting significant associations between attachment security and sleep quality, as well as between attachment insecurity and sleep problems, whereas others did not find significant associations. The results are discussed in light of the available theoretical models and integrated in the context of measurement approaches to attachment and sleep heterogeneity, aiming to guide future research on the topic.

scholarly journals Physicians’ perceptions of palliative sedation for existential suffering: a systematic review

2019 ◽  
Vol 10 (2) ◽  
pp. 136-144 ◽  
Author(s):  
Paulo Rodrigues ◽  
Johan Menten ◽  
Chris Gastmans
Keyword(s):  
Systematic Review ◽  
Empirical Studies ◽  
Sufficient Conditions ◽  
Clinical Intervention ◽  
Palliative Sedation ◽  
Related Factors ◽  
Existential Suffering ◽  
Synthesis Methodology ◽  
Meta Analyses ◽  
Necessary And Sufficient

BackgroundPalliative sedation for existential suffering (PS-ES) is a controversial clinical intervention. Empirical studies about physicians’ perceptions do not converge in a clear position and current clinical practice guidelines do not agree either regarding this kind of intervention.AimTo gain deeper insight into physicians’ perceptions of PS-ES, the factors influencing it, the conditions for implementing it and the alternatives to it.DesignSystematic review of qualitative, quantitative and mixed-methods studies following the Peer Review Electronic Search Strategies and Preferred Reporting Items for Systematic Reviews and Meta-analyses protocols; quality appraisal and thematic synthesis methodology.Data sourcesSeven electronic databases (PubMed, CINAHL, Embase, Scopus, Web of Science, PsycINFO, PsycARTICLES) were exhaustively searched from inception through March 2019. Two reviewers screened paper titles, abstracts and full texts. We included only peer-reviewed journal articles published in English, French, German, Dutch, Spanish, Italian or Portuguese that focused on physicians’ perceptions of PS-ES.ResultsThe search yielded 17 publications published between 2002 and 2017. Physicians do not hold clear views or agree if and when PS-ES is appropriate. Case-related and individual-related factors that influenced physicians’ perceptions were identified. There is still no consensus regarding criteria to distinguish between necessary and sufficient conditions for invoking PS-ES. Some alternatives to PS-ES were identified.ConclusionsTo date, there is still no consensus on physicians’ perceptions of PS-ES. Further research is necessary to understand factors that influence physicians’ perceptions and philosophical-ethical presuppositions underlying this perceptions.

scholarly journals Early Attachment to Mothers and Fathers: Contributions to Preschoolers' Emotional Regulation

2021 ◽  
Vol 12 ◽  
Author(s):  
Carla Fernandes ◽  
Marilia Fernandes ◽  
António J. Santos ◽  
Marta Antunes ◽  
Lígia Monteiro ◽  
...  
Keyword(s):  
Emotion Regulation ◽  
Emotional Regulation ◽  
Attachment Security ◽  
Peer Group ◽  
Empirical Studies ◽  
Nuclear Families ◽  
Attachment Relationships ◽  
Preschool Classrooms ◽  
Child Attachment ◽  
Parent Child

Children acquire and develop emotional regulatory skills in the context of parent-child attachment relationships, nonetheless empirical studies have focused mainly on mother and less information is available regarding the role of both parent-child attachment relationships. Furthermore, despite its importance, there is no information regarding preschool years. This study aims to fill this gap by exploring the potential influences of both mother-child and father-child attachments on preschooler's later emotion regulation observed in the peer group. Fifty-three Portuguese nuclear families (mother, father and focal child) participated in the study; 47% of the children were boys and 53% were girls. Attachment Security was assessed at home using the Attachment Behavior Q-set when children were 3 years of age, and emotion regulation was observed in the preschool classrooms attended by the children at age 5, using the California child Q-sort to derive an Emotion Regulation Q-Scale. Results showed that the combined influence of both parent-child attachment security predicted better emotion regulation results, than did the specific contributions of each parent per se. Findings are consistent with integrative approaches that highlight the value of including both mother- and father-child attachment relationships, as well as their combined effect, when studying emotion regulation.

scholarly journals The implications of parent mental health and wellbeing for parent-child attachment: A systematic review

PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0260891
Author(s):  
Alixandra Risi ◽  
Judy A. Pickard ◽  
Amy L. Bird
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Intergenerational Transmission ◽  
Empirical Studies ◽  
Preliminary Evidence ◽  
Future Research ◽  
Health And Wellbeing ◽  
Parent Mental Health ◽  
Child Attachment ◽  
The Impact

Background Parent mental health and wellbeing may have implications for understanding attachment transmission. In this systematic review, we synthesise the published literature to determine the nature of the relationship between parent mental health and wellbeing and the intergenerational transmission of attachment and to provide recommendations for future research, clinical practice and intervention. Method Using the preferred reporting items for systematic reviews and meta-analyses (PRISMA) approach, five electronic databases were searched for peer-reviewed empirical studies, published in English. Articles were considered for inclusion if data was collected on adult attachment, child attachment, and a domain of parent mental health/wellbeing. No date parameters were applied to the search strategy. The review was registered with PROPSERO (registration number: CRD42020157247). Results Eleven studies examining the impact on parent mental health and wellbeing on the intergenerational transmission of attachment were identified for inclusion in this review. Our review found preliminary evidence that parent mental health and wellbeing play a role in the intergenerational transmission of attachment. Other key findings from the review were: evidence quality is mixed due to variable measurement of attachment and mental health; studies have mostly included correlational analysis or do not utilise contemporary methodological approaches to testing mediating or moderating relationships; and literature is largely focused on psychopathology and negative factors of mental health. Conclusions The limited scope of parent mental health and wellbeing constructs examined in the literature, the sparse use of robust statistical analyses, and the lack of literature in general makes it difficult to draw conclusions on how and why parent mental health impacts attachment transmission. Addressing these limitations will further progress attachment-related literature and may have particular implications for attachment-informed interventions with clinical populations.

scholarly journals Associations of Patient and Staff Outcomes With Inpatient Unit Designs Incorporating Decentralized Caregiver Workstations: A Systematic Review of Empirical Evidence

2019 ◽  
Vol 12 (1) ◽  
pp. 26-43 ◽  
Author(s):  
Francesqca E. Jimenez ◽  
Susan E. Puumala ◽  
Michael Apple ◽  
Lou Ann Bunker-Hellmich ◽  
Renae K. Rich ◽  
...  
Keyword(s):  
Systematic Review ◽  
Quantitative Methods ◽  
Empirical Studies ◽  
Inpatient Unit ◽  
Systematic Review Methodology ◽  
Hospital Design ◽  
Unit Design ◽  
Evidence Quality ◽  
Meta Analyses ◽  
Inpatient Units

Objectives: This systematic literature review synthesizes and assesses quality of research addressing associations of patient and staff outcomes with inpatient unit designs incorporating decentralized caregiver workstations. Background: A current hospital design trend is to include decentralized caregiver workstations on inpatient units. A review of literature addressing decentralized unit design is needed. Methods: The systematic review methodology was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Database searches were conducted for studies published in peer-reviewed journals through October 2017. Included were empirical studies associating patient and/or staff outcomes and unit design with decentralized caregiver workstations. Individual studies were evaluated for quality using established methods, and Grading of Recommendations Assessment, Development and Evaluation (GRADE) and GRADE-Confidence in the Evidence from Reviews of Qualitative Research (GRADE-CERQual) guided rigorous inspection of evidence quality and strength for quantitative outcomes and qualitative findings, respectively. Results: The search yielded 1,096 records with 36 full-text articles examined and 12 articles included in the final review. This work was dominated by studies with limited analyses. Staff outcomes have been most widely studied, especially collaboration/communication and walking. Overall, studies exploring decentralized nursing as a design intervention have produced limited results for both staff and patient outcomes. Strength of evidence of the current literature with quantitative methods as a whole was rated very low quality. Conclusions: Although varying degrees of caregiver workstation decentralization in inpatient units are now common, the literature addressing the impacts of such designs is of very low quality and shows inconsistency in associated outcomes. Rigorous, well-designed studies with consistently defined design and outcome measures are needed for greater confidence in determining any effects of decentralized unit design.

Dyadic play behaviors of children of well and depressed mothers

1991 ◽  
Vol 3 (3) ◽  
pp. 243-251 ◽  
Author(s):  
Kenneth H. Rubin ◽  
Lilly Both ◽  
Carolyn Zahn-Waxler ◽  
E. Mark Cummings ◽  
Margaret Wilkinson
Keyword(s):  
Maternal Depression ◽  
Free Play ◽  
Social Inhibition ◽  
Strange Situation ◽  
Infant Attachment ◽  
Attachment Relationship ◽  
Child Attachment ◽  
Security Of Attachment ◽  
Play Behaviors ◽  
Depressed Mothers

AbstractThe purpose of this study is to examine the relations among maternal depression, security of attachment, and peer interactive behaviors in early childhood. Drawing from the literature, we posited that socially inhibited play behaviors in childhood would be associated with maternal depression as well as with an insecure mother-child attachment relationship. Forty-three 5-year-olds and their mothers participated in the study. There were 21 depressed and 22 affectively well mothers. Security of attachment was assessed via a variation of the Strange Situation procedure when the children were 2 years old. At 5 years of age the children were observed during free play with a familiar same-sex agemate. Results supported the hypotheses that social inhibition is associated with maternal depression and with an insecure mother-infant attachment relationship.

scholarly journals The early care environment and DNA methylome variation in childhood

2018 ◽  
Vol 30 (3) ◽  
pp. 891-903 ◽  
Author(s):  
Elika Garg ◽  
Li Chen ◽  
Thao T. T. Nguyen ◽  
Irina Pokhvisneva ◽  
Lawrence M. Chen ◽  
...  
Keyword(s):  
Dna Methylation ◽  
Attachment Style ◽  
Infant Development ◽  
Rating Scale ◽  
Early Care ◽  
Negative Effects ◽  
Infant Attachment ◽  
Care Environment ◽  
Behavior Rating Scale ◽  
Genome Wide

AbstractPrenatal adversity shapes child neurodevelopment and risk for later mental health problems. The quality of the early care environment can buffer some of the negative effects of prenatal adversity on child development. Retrospective studies, in adult samples, highlight epigenetic modifications as sentinel markers of the quality of the early care environment; however, comparable data from pediatric cohorts are lacking. Participants were drawn from the Maternal Adversity Vulnerability and Neurodevelopment (MAVAN) study, a longitudinal cohort with measures of infant attachment, infant development, and child mental health. Children provided buccal epithelial samples (mean age = 6.99, SD = 1.33 years, n = 226), which were used for analyses of genome-wide DNA methylation and genetic variation. We used a series of linear models to describe the association between infant attachment and (a) measures of child outcome and (b) DNA methylation across the genome. Paired genetic data was used to determine the genetic contribution to DNA methylation at attachment-associated sites. Infant attachment style was associated with infant cognitive development (Mental Development Index) and behavior (Behavior Rating Scale) assessed with the Bayley Scales of Infant Development at 36 months. Infant attachment style moderated the effects of prenatal adversity on Behavior Rating Scale scores at 36 months. Infant attachment was also significantly associated with a principal component that accounted for 11.9% of the variation in genome-wide DNA methylation. These effects were most apparent when comparing children with a secure versus a disorganized attachment style and most pronounced in females. The availability of paired genetic data revealed that DNA methylation at approximately half of all infant attachment-associated sites was best explained by considering both infant attachment and child genetic variation. This study provides further evidence that infant attachment can buffer some of the negative effects of early adversity on measures of infant behavior. We also highlight the interplay between infant attachment and child genotype in shaping variation in DNA methylation. Such findings provide preliminary evidence for a molecular signature of infant attachment and may help inform attachment-focused early intervention programs.

scholarly journals The Effects of Gamification on Computerized Cognitive Training: Systematic Review and Meta-Analysis

10.2196/18644 ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. e18644 ◽  
Author(s):  
Julie F Vermeir ◽  
Melanie J White ◽  
Daniel Johnson ◽  
Geert Crombez ◽  
Dimitri M L Van Ryckeghem
Keyword(s):  
Systematic Review ◽  
Cognitive Training ◽  
Meta Analysis ◽  
Empirical Studies ◽  
Age Groups ◽  
Future Research ◽  
Computerized Cognitive Training ◽  
Meta Analyses ◽  
Game Elements ◽  
The Impact

Background There has been a growing interest in the application of gamification (ie, the use of game elements) to computerized cognitive training. The introduction of targeted gamification features to such tasks may increase motivation and engagement as well as improve intervention effects. However, it is possible that game elements can also have adverse effects on cognitive training (eg, be a distraction), which can outweigh their potential motivational benefits. So far, little is known about the effectiveness of such applications. Objective This study aims to conduct a systematic review and meta-analysis to investigate the effect of gamification on process outcomes (eg, motivation) and on changes in the training domain (eg, cognition), as well as to explore the role of potential moderators. Methods We searched PsycINFO, Cumulative Index to Nursing and Allied Health Literature, ProQuest Psychology, Web of Science, Scopus, PubMed, Science Direct, Excerpta Medica dataBASE, Institute of Electrical and Electronics Engineers Xplore, Association for Computing Machinery, and a range of gray-area literature databases. The searches included papers published between 2008 and 2018. Meta-analyses were performed using a random-effects model. Results The systematic review identified 49 studies, of which 9 randomized controlled trials were included in the meta-analysis. The results of the review indicated that research in this context is still developing and lacks well-controlled empirical studies. Gamification in cognitive training is applied to a large range of age groups and audiences and is mostly delivered at a research site through computers. Rewards and feedback continue to dominate the gamification landscape, whereas social-oriented features (eg, competition) are underused. The meta-analyses showed that gamified training tasks were more motivating/engaging (Hedges g=0.72) and more demanding/difficult (Hedges g=–0.52) than non- or less-gamified tasks, whereas no effects on the training domain were found. Furthermore, no variables moderated the impact of gamified training tasks. However, meta-analytic findings were limited due to a small number of studies. Conclusions Overall, this review provides an overview of the existing research in the domain and provides evidence for the effectiveness of gamification in improving motivation/engagement in the context of cognitive training. We discuss the shortcomings in the current literature and provide recommendations for future research.

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