Bifulco, Antonia, Figueiredo, B, Guedeney, N, Gorman, L.L, Hayes, S, Muzik, M, Glatigny-Dallay, E, Valoriani, V, Kammerer, M.H and henshaw, C.A. (2004) Maternal attachment style and depression associated with childbirth: preliminary results from a European and US cross-cultural study. British Journal of Psychiatry, 184 (Suppl. 46).
Full text access: Open
Background Insecure attachment style relates tomajordepressionin women, but its relationshipto depression associatedwith childbirth islargely unknown.AnewUK-designedmeasure, the Attachment Style Interview(ASI), has potential for cross-culturaluse as a risk marker formaternal disorder. Aims To establishthereliabilityoftheASI acrosscentres, itsstabilityover a 9-month period, andits associationswithsocial contextandmajororminordepression. Method The ASIwas used bynine centres antenatallyon 204 women, with 174 followedup 6monthspostnatally. Interrater reliabilitywas tested andthe ASIwas repeated on a subsetof 96 women.Affective disorderwas assessed bymeans ofthe Structured Clinical Interview forDSM^IV. Results Satisfactoryinterrater reliabilitywas achievedwithrelativelyhigh stabilityrates at follow-up.Insecure attachment relatedtolower social class position andmorenegative social context. Specific associations of avoidant attachment style (angry^dismissive or withdrawn)with antenataldisorder, and anxious style (enmeshed or fearful)with postnataldisorderwere found. Conclusions TheASIcanbeused reliablyin EuropeanandUS centres as a measureforriskassociatedwithchildbirth. Itsusewillcontributetotheoretically underpinnedpreventive actionfor disorders associatedwithchildbirth. Declaration of interest None.
This is a Published version This version's date is: 2004 This item is not peer reviewed
https://repository.royalholloway.ac.uk/items/8ea25914-d7c1-d6c5-6bb4-bbf353c2ab72/1/
Deposited by () on 23-Dec-2009 in Royal Holloway Research Online.Last modified on 23-Dec-2009
American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders (4th edn) (DSM^IV).Washington,DC: APA. Asten, P.,Marks,M.N.,Oates,M. R., et al (2004) Aims, measures, study sites and participant samples of theTranscultural Study of Postnatal Depression. British Journal of Psychiatry, 184 (suppl. 46), s3^s9. Bartholomew, K. & Horowitz, L.M. (1991) Attachment styles among young adults: a test of a fourcategorymodel. Journal of Personality and Social Psychology, 61, 226^244. Bernazzani,O., Saucier, J.-F., David,H., et al (1997) Psychosocial predictors of depressive symptomatology level in postpartumwomen. Journal of Affective Disorders, 46, 39^49. Bifulco, A. & Moran, P. (1998) Wednesdayâs Child: Research intoWomenâs Experience of Neglect and Abuse in Childhood and Adult Depression. London:Routledge. Bifulco, A.,Moran, P., Ball,C., et al (2002a) Adult attachment style: I. Its relationship to clinical depression. Social Psychiatry and Psychiatric Epidemiology, 37, 50^59. Bifulco, A.,Moran, P., Ball,C., et al (2002b) Adult attachment style. II. Its relationship to psychosocial depressive-vulnerability. Social Psychiatry and Psychiatric Epidemiology, 37, 60^67. Bowlby, J. (1973) Attachment and Loss, vol. 2. Separation: Anxiety and Anger.NewYork:Basic Books. Bowlby, J. (1980) Attachment and Loss, vol. 3. Loss: Sadness and Depression.NewYork: Basic Books. Brennan, K. A.,Clark,C. L. & Shaver, P. R. (1998) Self-reportmeasurement of adult attachment: an integrative overview. In Attachment Theory and Close Relationships (eds J. A. Simpson & W. S.Rholes), pp.47^76.NewYork:Guilford Press. Brown,G.W.,Bifulco, A.T. & Andrews,B. (1990) Self-esteemand depression: III. Aetiological issues. Social Psychiatry and Psychiatric Epidemiology, 25, 235^243. Dozier,M., Stovall, K.C. & Albus, K. E. (1999) Attachment and psychopathology in adulthood. In Handbook of Attachment:Theory, Research, and Clinical Applications (eds J.Cassidy & P.R. Shaver), pp.497^519. NewYork:Guilford Press. First,M. B., Spitzer, R. L.,Gibbon,M., et al (1994) Structured Clinical Interview for Axis I DSM^IV Disorders. NewYork:Biometrics Research. First,M. B.,Gibbon,M., Spitzer, R. L., et al (1996) Userâs Guide for the Structured Interview for DSM^IV Axis I Disorders ^ Research Version (SCID^I, version 2.0, February 1996 final version).NewYork:Biometrics Research. George,C.,Kaplan,N. &Main,M. (1984) Attachment Interview for Adults.Berkeley,CA:Universityof California. Gerlsma,C. & Luteijn, F. (2000) Attachment style in the context of clinical and health psychology: a proposal for the assessment of valence, incongruence, and accessibility of attachment representations in various workingmodels. British Journal of Medical Psychology, 73, 15^34. Gorman, L. L.,OâHara,M.W., Figueiredo, B., et al (2004) Adaptation of the Structured Clinical Interview for DSM^IVDisorders for assessing depression in women during pregnancy and post-partumacross countries and cultures. British Journal of Psychiatry, 184 (suppl. 46), s17^s23. Hammen,C. L., Burge, D., Daley, S. E., et al (1995) Interpersonal attachment cognitions and prediction of symptomatic responses to interpersonal stress. Journal of Abnormal Psychology, 104, 436^443. Hazan,C. & Shaver, P. R. (1994) Attachment as an organizational framework for research on close relationships. Psychological Inquiry, 5,1^22. Hipwell, A. E.,Goossens, F. A. & Melhuish, E.C. (2000) Severe maternal psychopathology and infantmother attachment. Development and Psychopathology, 12,157^175. Hughes, P.,Turton, P.,Hopper, E., et al (2001) Disorganised attachment behaviour among infants born subsequent to stillbirth. Journal of Child Psychology and Psychiatry, 42, 791^801. Mickelson, K.D., Kessler, R.C. & Shaver, P. R. (1997) Adult attachment in a nationally representative sample. Journal of Personality and Social Psychology, 73,1092^1106. Muller, R.T. & Lemieuz, K. E. (2000) Social support, attachment, and psychopathology in high risk formerly maltreated adults.Child Abuse and Neglect, 24, 883^900. Murray, L., Stanley,C.,Hooper, R., et al (1996) The role of infant factors in postnatal depression and mother-infant interactions. Developmental Medicine and Child Neurology, 38,109^119. OâHara,M.W., Stuart, S.,Gorman,L. L., et al (2000) Efficacy of interpersonal psychotherapy for postpartum depression. Archives of General Psychiatry, 57, 1039^1045. Sagi, A., van Ijzendoorn,M.H., Scharf,M., et al (1994) Stability and discriminant validity of the Adult Attachment Interview: a psychometric study in young Israeli adults. Developmental Psychology, 30, 771^777. Scharfe, E. B. K. (1994) Reliability and stability of adult attachment patterns. Personal Relationships, 1, 23^43. Stein, A.,Gath, D.H., Bucher, J., et al (1991) The relationship between post-natal depression and mother^child interaction. British Journal of Psychiatry, 158, 46^52. Stein,H., Jacobs,N. J., Ferguson, K. S., et al (1998)What do adult attachment scalesmeasure? Bulletin of the Menninger Clinic, 62, 33^82. Van Ijzendoorn,M. & Sagi, A. (1999) Cross-cultural patterns of attachment.Universal and contextual dimensions. In Handbook of Attachment:Theory, Research and Clinical Applications (eds J.Cassidy & P.R. Shaver), pp.713^734.NewYork:Guilford Press.