Childhood anxiety disorders (CAD) are a common childhood mental disorder and understanding early developmental pathways is key to prevention and early intervention. What is not understood is... Show moreChildhood anxiety disorders (CAD) are a common childhood mental disorder and understanding early developmental pathways is key to prevention and early intervention. What is not understood is whether early life stress predictors of CAD might be both mediated by infant cortisol reactivity and moderated by infant attachment status. To address this question, this exploratory study draws on 190 women recruited in early pregnancy and followed together with their children until 4 years of age. Early life stress is operationalized as maternal depression measured using the Structured Clinical Interview for the DSM, Childhood Trauma Questionnaire, Parenting Stress Index, and antenatal maternal hair cortisol concentrations. Infant cortisol reactivity was measured at 12 months together with the Strange Situation Procedure and CAD assessed at 4 years of age using the Preschool Age Psychiatric Assessment. There was no direct association between attachment classification and CAD. Furthermore, infant cortisol reactivity neither mediated nor attachment moderated the association of early life stress predictors and CAD. However, only for infants with organized attachment classifications, higher maternal antenatal depression, and hair cortisol were associated with a higher risk of CAD. Show less
In this reply, we respond to the critique by Barbaro, Boutwell, Barnes, and Shackelford (2017) in regard to our recent meta-analysis of intergenerational transmission of attachment (Verhage et al.,... Show moreIn this reply, we respond to the critique by Barbaro, Boutwell, Barnes, and Shackelford (2017) in regard to our recent meta-analysis of intergenerational transmission of attachment (Verhage et al., 2016). Barbaro et al. (2017) claim that the influence of shared environment on attachment decreases with age, whereas unique environmental and genetic influences increase, which they felt was disregarded in our meta-analysis. Their criticisms, we argue, are based on a misunderstanding of the core tenets of attachment theory. Barbaro et al. (2017) unify parent-offspring attachment, attachment representations, and romantic-pair attachment under the same conceptual and empirical umbrella, even though these constructs serve different behavioral systems. We show that excluding the incompatible twin data on pair bonding from their analysis undercuts their argument. Statements about the role of the shared environment in attachment beyond early childhood are highly uncertain at this point. Importantly, even if the role of the shared environment were to wane with age, its effects may still be causally important in later childhood or adult outcomes, as either an indirect factor or as a factor influencing earlier developmental outcomes. (PsycINFO Database Record (c) 2016 APA, all rights reserved) Show less
