This study examined the relationships between children with craniofacial anomalies (cleft lip and palate, cleft palate only, and sagittal synostosis) and their mothers during late infancy and toddlerhood in an effort to identify early factors leading to the psychosocial problems that have been observed in this population of children at school age. Dyadic interaction was observed in play and teaching situations. Maternal self-reports of psychological/emotional status and the quality of relationships with spouse and others were gathered. As compared with mothers of healthy children matched for age and SES, mothers of children with craniofacial anomalies reported higher levels of stress, lower evaluations of self-competence, and a higher degree of marital conflict. The observational measures revealed no group differences in maternal response to the child or in the behavior and responsiveness of the children themselves. The implications of these findings for longitudinal research with children with craniofacial birth defects are discussed.
Insecure attachment relations have been theorized to play a significant role in the development of depressogenic modes of adaptation and to thus form a vulnerability factor for the emergence of depressive disorder in children. This study examined security of parent and peer attachment among four groups of early adolescents: clinically depressed, nondepressed psychiatric controls, nonpsychiatric controls, and adolescents with resolved depression. Depressed adolescents reported significantly less secure parent attachment than either of the control groups, and less secure peer attachment than the nonpsychiatric control group. Attachment security of adolescents with resolved depression was on a par with the nonpsychiatric control group. Among all psychiatric patients, security of attachment to parents was negatively correlated with severity of depression according to interview and self-report ratings. Less secure attachment to parents, but generally not to peers, was also related to more maladaptive attributional styles, presence of separation anxiety disorder, and history of suicidal ideation.
Several researchers have called for an interdisciplinary approach to the study of disaster. In this article, the authors discuss conceptual issues related to stress, distress, and disaster; survey pertinent contributions by reseachers; and provide a rationale for the use of a comprehensive, psychoepidemiologic model of distress as a possible means of systematizing research in the area. A review of the model's components, which include exposure to stressors, vulnerability, and psychological and social resources, is presented. Various ways to implement the model practically and methodologically in disaster research also are discussed.
The results of two studies are reported. Study I involved the development of the Inventory of Parent and Peer Attachment (IPPA), a self-report instrument for use with adolescents. Subject were 179 college students aged 16–20 years. Item content of the instrument was suggested by attachment theory's formulations concerning the nature of feelings toward attachment figures. In Study II, the convergent validity of the IPPA was examined. Also, a hierarchial regression model was employed to investigate the association between quality of attachment and self-esteem, life-satisfaction, and affective status. Respondents were 86 adolescents from the Study I sample. As hypothesized, perceived quality of both parent and peer attachments was significantly related to psychological well-being. Results of the development of a theoretically focused, exploratory classification scheme indicated that adolescents classified as highly securely attached reported greater satisfaction with themselves, a higher likelihood of seeking social support, and less symptomatic response to stressful life events.