Can behaviour during immunisation be used to identify attachment patterns? A feasibility study

G Rajendran, Rachel Pritchett, Helen Minnis, Christine Puckering, Philip Wilson

    Research output: Contribution to journalArticle

    3 Citations (Scopus)

    Abstract

    Background - Infant attachment is a strong predictor of mental health, and current measures involve placing children into a stressful situation in order to observe how the child uses their primary caregiver to assuage their distress.Objectives - This study aimed to explore observational correlates of attachment patterns during immunisation.Participants and setting - 18 parent–child pairs were included in the study. They were all recruited through a single general medical practice.Methods - Infant immunisation videos were observed and coded for parenting behaviours as well as pain promoting and pain reducing strategies. Results were compared between different attachment groups, as measured with the Manchester Child Attachment Story Task.Results - Parents of securely attached children scored higher on positive Mellow Parenting Observational System behaviours, but not at a statistically significant level. Parents of securely attached children were also significantly more likely to engage in pain reducing behaviours (p < 0.01) than parents of insecurely attached children.Conclusions - Robust composite measures for attachment informative behaviours in the immunisation situation should be developed and tested in a fully powered study.
    Original languageEnglish
    Pages (from-to)386-391
    Number of pages6
    JournalInternational Journal of Nursing Studies
    Volume50
    Issue number3
    Early online date25 Sep 2012
    DOIs
    Publication statusPublished - Mar 2013

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