Skip to main content
Log in

Looking beyond Maternal Sensitivity: Mother–Child Correlates of Attachment Security among Children with Intellectual Disabilities in Urban India

  • Original Paper
  • Published:
Journal of Autism and Developmental Disorders Aims and scope Submit manuscript

Abstract

This study examined correlates of attachment security among children with intellectual disabilities in urban India. Survey and observational data were gathered from 47 children, mothers, and teachers on children’s attachment security, adaptive functioning, and mother–child emotional availability. The data were analyzed to examine whether child emotional availability mediates the links between maternal emotional availability and child attachment security, and between child functioning and attachment security. The results supported full mediation, indicating that children’s emotional availability was a primary mechanism through which maternal emotional availability and child functioning were linked to attachment security among children in our sample. The study findings are discussed in the context of implications for family interventions and research on socio-emotional development among children with intellectual disabilities.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  • Agarwal, S., & Verma, T. (1990). Mobilizing rural mothers for management of their children through specialised services. Indian Journal of Disability & Rehabilitation, 4(2), 89–93.

    Google Scholar 

  • Ainsworth, M. S., Blehar, M. C., Waters, E., & Wall, S. (1978). Patterns of attachment: A psychological study of the strange situation. Oxford: Lawrence Erlbaum.

    Google Scholar 

  • Atkinson, L., Chisholm, V. C., Scott, B., Goldberg, S., Vaughn, B. E., Blackwell, J., et al. (1999). Maternal sensitivity, child functional level, and attachment in Down syndrome. Monographs of the Society for Research in Child Development, 64(3), 45–66.

    Article  PubMed  Google Scholar 

  • Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173–1182.

    Article  PubMed  Google Scholar 

  • Biringen, Z. (2008). Emotional Availability (EA) Scales (4th Ed.). Unpublished Manual.

  • Biringen, Z., Damon, J., Grigg, W., Mone, J., Pipp-Siegel, S., Skillern, S., et al. (2005). Emotional availability: Differential predictions to infant attachment and kindergarten adjustment based on observation time and context. Infant Mental Health Journal, 26(4), 295–308.

    Article  Google Scholar 

  • Bowlby, J. (1969/1982). Attachment and loss: Vol 1. Attachment (2nd Ed.). New York, NY: Basic Books.

  • Bowlby, J. (1988). A secure base: Parent-child attachment and healthy human development. New York, NY: Basic Books.

    Google Scholar 

  • Brown, G. L., McBride, B. A., Shin, N., & Bost, K. K. (2007). Parenting predictors of father-child attachment security: Interactive effects of father involvement and fathering quality. Fathering, 5(3), 197–219.

    Article  Google Scholar 

  • Capps, L., Sigman, M., & Mundy, P. (1994). Attachment security in children with autism. Development and Psychopathology, 6(2), 249–261.

    Article  Google Scholar 

  • Cicchetti, D., & Serafica, F. C. (1981). Interplay among behavioral systems: Illustrations from the study of attachment, affiliation, and wariness in young children with Down’s syndrome. Developmental Psychology, 17(1), 36–49.

    Article  Google Scholar 

  • Coyl, D. D., Newland, L. A., & Freeman, H. (2010). Predicting preschoolers’ attachment security from parenting behaviors, parents’ attachment relationships and their use of social support. Early Child Development and Care, 180(4), 499–512. doi:10.1080/03004430802090463.

    Article  Google Scholar 

  • Dalal, A. K. (2006). Social interventions to moderate discriminatory attitudes: The case of the physically challenged in India. Psychology, Health & Medicine, 11(3), 374–382.

    Article  Google Scholar 

  • Daley, T. C. (2004). From symptom recognition to diagnosis: Children with autism in urban India. Social Science and Medicine, 58(7), 1323–1335.

    Article  PubMed  Google Scholar 

  • de Falco, S., Venuti, P., Esposito, G., & Bornstein, M. H. (2009). Mother-child and father-child emotional availability in families of children with Down syndrome. Parenting: Science and Practice, 9(3–4), 198–215.

    Article  Google Scholar 

  • Dhar, R. L. (2009). Living with a developmentally disabled child: Attitude of family members in India. The Social Science Journal, 46(4), 738–755.

    Article  Google Scholar 

  • Dissanayake, C., & Crossley, S. A. (1996). Proximity and sociable behaviors in autism: Evidence for attachment. Journal of Child Psychology and Psychiatry, 37(2), 149–156.

    Article  PubMed  Google Scholar 

  • Dissanayake, C., & Crossley, S. A. (1997). Autistic children’s responses to separation and reunion with their mothers. Journal of Autism and Developmental Disorders, 27(3), 295–312.

    Article  PubMed  Google Scholar 

  • Dolev, S., Oppenheim, D., Koren-Karie, N., & Yirmiya, N. (2009). Emotional availability in mother-child interaction: The case of children with autism spectrum disorders. Parenting: Science and Practice, 9(3–4), 183–197.

    Article  Google Scholar 

  • Eisenhower, A., Baker, B., & Blacher, J. (2005). Preschool children with intellectual disability: Syndrome specificity, behavior problems, and maternal well-being. Journal of Intellectual Disability Research, 49(9), 657–671.

    Article  PubMed  Google Scholar 

  • Ganiban, J., Barnett, D., & Cicchetti, D. (2000). Negative reactivity and attachment: Down syndrome’s contribution to the attachment-temperament debate. Development and Psychopathology, 12(1), 1–21.

    Article  PubMed  Google Scholar 

  • Girimaji, S. C., & Srinath, S. (2010). Perspectives of intellectual disability in India: Epidemiology, policy, services for children and adults. Current Opinion in Psychiatry, 23(5), 441–446.

    Article  PubMed  Google Scholar 

  • Guralnick, M. J. (2005). Early intervention for children with intellectual disabilities: Current knowledge and future prospects. Journal of Applied Research in Intellectual Disabilities, 18(4), 313–324.

    Article  Google Scholar 

  • Hodapp, R., Ly, T., Fidler, D., & Ricci, L. (2001). Less stress, more rewarding: Parenting children with Down syndrome. Parenting: Science and Practice, 1(4), 317–337.

    Article  Google Scholar 

  • Hoppes, K., & Harris, S. L. (1990). Perceptions of child attachment and maternal gratification in mothers of children with autism and Down syndrome. Journal of Clinical Child Psychology, 19(4), 365–370.

    Article  Google Scholar 

  • Koren-Karie, N., Oppenheim, D., Dolev, S., & Yirmiya, N. (2009). Mothers of securely attached children with autism spectrum disorder are more sensitive than mothers of insecurely attached children. Journal of Child Psychology and Psychiatry, 50(5), 643–650.

    Article  PubMed  Google Scholar 

  • Lundy, B. L. (2002). Paternal socio-psychological factors and infant attachment: The mediating role of synchrony in father-infant interactions. Infant Behavior & Development, 25(2), 221–236.

    Article  Google Scholar 

  • Ly, T. M., & Hodapp, R. M. (2005). Children with Prader–Willi syndrome vs. Williams syndrome: Indirect effects on parents during a jigsaw puzzle task. Journal of Intellectual Disability Research, 49(12), 929–939.

    Article  PubMed  Google Scholar 

  • Mukhopadhyay, S., & Mani, M. N. G. (2002). Education of children with special needs. In R. Govinda (Ed.), India education report: A profile of basic education. New Delhi: Oxford University Press.

    Google Scholar 

  • Naber, F., Bakermans-Kranenburg, M., van IJzendoorn, M., Swinkels, S., Buitelaar, J., Dietz, C., et al. (2008). Play behavior and attachment in toddlers with autism. Journal of Autism and Developmental Disorders, 38(5), 857–866.

    Article  PubMed  Google Scholar 

  • Naber, F. B. A., Swinkels, S. H. N., Buitelaar, J. K., Bakermans-Kranenburg, M., van IJzendoorn, M. H., Dietz, C., et al. (2007a). Attachment in toddlers with autism and other developmental disorders. Journal of Autism and Developmental Disorders, 37(6), 1123–1138.

    Article  PubMed  Google Scholar 

  • Naber, F. B. A., Swinkels, S. H. N., Buitelaar, J. K., Dietz, C., van Daalen, E., Bakermans-Kranenburg, M. J., et al. (2007b). Joint attention and attachment in toddlers with autism. Journal of Abnormal Child Psychology, 35(6), 899–911.

    Article  PubMed  Google Scholar 

  • National Council of Educational Research and Training. (2005). The national focus group on education of children with special needs. Available from: http://ncert.nic.in/html/pdf/schoolcurriculum/position_papers/pdfs/special_ed_final1.pdf.

  • Newland, L. A., Coyl, D. D., & Freeman, H. (2008). Predicting preschoolers’ attachment security from fathers’ involvement, internal working models, and use of social support. Early Child Development and Care, 178(7–8), 785–801.

    Article  Google Scholar 

  • Parasuram, K. (2006). Variables that affect teachers’ attitudes towards disability and inclusive education in Mumbai, India. Disability & Society, 21(3), 231–242.

    Article  Google Scholar 

  • Rao, S. (2006). Parameters of normality and cultural constructions of ‘mental retardation’: Perspectives of Bengali families. Disability & Society, 21(2), 159–178.

    Article  Google Scholar 

  • Roggman, L. A., Coyl, D., Newland, L. A., & Cook, G. (2001). Attachment measures in infancy, childhood, adulthood: Reliability, stability, and continuity. Poster presented at the annual meeting of the American Psychological Association, San Francisco, CA, August 2001.

  • Roskam, I., & Schelstraete, M. (2007). A qualitative analysis of mothers’ childrearing behaviour towards their disabled child. Research in Developmental Disabilities, 28(2), 130–144.

    Article  PubMed  Google Scholar 

  • Russell, P. S. S., John, J. K. A., & Lakshmanan, J. L. (1999). Family intervention for intellectually disabled children: Randomised controlled trial. British Journal of Psychiatry, 174, 254–258.

    Article  PubMed  Google Scholar 

  • Russell, P., John, J., Lakshmanan, J., Russell, S., & Lakshmidevi, K. (2004). Family intervention and acquisition of adaptive behavior among intellectually disabled children. Journal of Learning Disabilities, 8(4), 383–395.

    Google Scholar 

  • Rutgers, A. H., Bakermans-Kranenburg, M., van IJzendoorn, M. H., & van Berckelaer-Onne, I. A. (2004). Autism and attachment: A meta-analytic review. Journal of Child Psychology and Psychiatry, 45(6), 1123–1134.

    Article  PubMed  Google Scholar 

  • Rutgers, A. H., van IJzendoorn, M. H., Bakermans-Kranenburg, M. J., & Swinkels, S. H. N. (2007a). Autism and attachment: The attachment Q-sort. Autism, 11(2), 187–200.

    Article  PubMed  Google Scholar 

  • Rutgers, A. H., van IJzendoorn, M. H., Bakermans-Kranenburg, M., Swinkels, S. H. N., van Daalen, E., Dietz, C., et al. (2007b). Autism, attachment and parenting: A comparison of children with autism spectrum disorder, mental retardation, language disorder, and non-clinical children. Journal of Abnormal Child Psychology, 35(5), 859–870.

    Article  PubMed  Google Scholar 

  • Sen, R., & Goldbart, J. (2005). Partnership in action: Introducing family-based intervention for children with disability in urban slums of Kolkata, India. International Journal of Disability, Development and Education, 52(4), 275–311.

    Article  Google Scholar 

  • Serafica, F. C., & Cicchetti, D. (1976). Down’s syndrome children in a strange situation: Attachment and exploration behaviors. Merrill-Palmer Quarterly, 22(2), 137–150.

    Google Scholar 

  • Shapiro, T., Sherman, M., Calamari, G., & Koch, D. (1987). Attachment in autism and other developmental disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 26(4), 480–484.

    Article  PubMed  Google Scholar 

  • Shin, J. Y., Nhan, N. V., Lee, S., Crittenden, K. S., Flory, M., & Hong, H. T. D. (2009). The effects of a home-based intervention for young children with intellectual disabilities in Vietnam. Journal of Intellectual Disability Research, 53(4), 339–352.

    Article  PubMed  Google Scholar 

  • Sigman, M., & Ungerer, J. A. (1984). Attachment behaviors in autistic children. Journal of Autism and Developmental Disorders, 14(3), 231–244.

    Article  PubMed  Google Scholar 

  • Singal, N. (2006). An ecosystemic approach for understanding inclusive education: An Indian case study. European Journal of Psychology of Education, 21(3), 239–252.

    Article  Google Scholar 

  • Slonims, V., Cox, A., & McConachie, H. (2006). Analysis of mother-infant interaction in infants with Down syndrome and typically developing infants. American Journal on Mental Retardation, 111(4), 273–289.

    Article  PubMed  Google Scholar 

  • Sobel, M. E. (1982). Asymptotic confidence intervals for indirect effects in structural equation models. In S. Leinhart Sociological (Ed.), Methodology 1982 (pp. 290–312). San Francisco: Jossey Bass.

    Google Scholar 

  • Sparrow, S., Cicchetti, D., & Balla, D. (2005). Vineland adaptive behavior scales II. Survey forms manual (2nd ed.). Circle Pines, MN: American Guidance Service.

    Google Scholar 

  • Srinath, S., Girimaji, S. C., Gururaj, G., Seshadri, S., Subbakrishna, D. K., Bhola, P., et al. (2005). Epidemiological study of child & adolescent psychiatric disorders in urban & rural areas of Bangalore, India. The Indian Journal of Medical Research, 122, 67–79.

    PubMed  Google Scholar 

  • Sroufe, L. (2005). Attachment and development: A prospective, longitudinal study from birth to adulthood. Attachment & Human Development, 7(4), 349–367.

    Article  Google Scholar 

  • Sterkenburg, P., Janssen, C., & Schuengel, C. (2008). The effect of an attachment-based behavior therapy for children with visual and severe intellectual disabilities. Journal of Applied Research in Intellectual Disabilities, 21(2), 126–135.

    Article  Google Scholar 

  • Swanson, K., Beckwith, L., & Howard, J. (2000). Intrusive caregiving and quality of attachment in prenatally drug-exposed toddlers and their primary caregivers. Attachment & Human Development, 2(2), 130–148.

    Article  Google Scholar 

  • Thompson, R. A., Cicchetti, D., Lamb, M. E., & Malkin, C. (1985). Emotional responses of Down syndrome and normal infants in the strange situation: The organization of affective behavior in infants. Developmental Psychology, 21(5), 828–841.

    Article  Google Scholar 

  • van IJzendoorn, M. H., Goldberg, S., Kroonenberg, P. M., & Frenkel, O. J. (1992). The relative effects of maternal and child problems on the quality of attachment: A meta-analysis of attachment in clinical samples. Child Development, 63(4), 840–858.

    Article  PubMed  Google Scholar 

  • van IJzendoorn, M. H., Rutgers, A. H., Bakermans-Kranenburg, M. J., van Daalen, E., Dietz, C., Buitelaar, J. K., et al. (2007). Parental sensitivity and attachment in children with autism spectrum disorder: Comparison with children with mental retardation, with language delays, and with typical development. Child Development, 78(2), 597–608.

    Article  PubMed  Google Scholar 

  • Vaughn, B. E., Goldberg, S., Atkinson, L., & Marcovitch, S. (1994). Quality of toddler-mother attachment in children with Down syndrome: Limits to interpretation of strange situation behavior. Child Development, 65(1), 95–108.

    Article  PubMed  Google Scholar 

  • Waters, E. (1987). Attachment Q-set (Version 3). Retrieved May 10, 2009, from http://www.johnbowlby.com.

  • Waters, E., & Deane, K. (1985). Defining and assessing individual differences in attachment relationships: Q-methodology and the organization of behavior in infancy and early childhood. In I. Bretherton, & E. Waters (Eds.), Monographs of the society for research in child development (Vol 50).

  • Wilcox, C., Washburn, R., & Patel, V. (2007). Seeking help for attention deficit hyperactivity disorder in developing countries: A study of parental explanatory models in Goa, India. Social Science & Medicine, 64(8), 1600–1610.

    Article  Google Scholar 

  • Willemsen-Swinkels, S., Bakermans-Kranenburg, M., Buitelaar, J. K., van IJzendoorn, M. H., & van Engeland, H. (2000). Insecure and disorganised attachment in children with a pervasive developmental disorder: Relationship with social interaction and heart rate. Journal of Child Psychology and Psychiatry, 41(6), 759–767.

    Article  PubMed  Google Scholar 

  • Ziv, Y., Aviezer, O., Gini, M., Sagi, A., & Koren-Karie, N. (2000). Emotional availability in the mother–infant dyad as related to the quality of infant–mother attachment relationship. Attachment & Human Development, 2(2), 149–169.

    Article  Google Scholar 

Download references

Acknowledgments

The authors would like to thank Natalie Rhoton for her editorial contributions to the manuscript and the families who participated in the study for their time.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Aesha John.

Rights and permissions

Reprints and permissions

About this article

Cite this article

John, A., Morris, A.S. & Halliburton, A.L. Looking beyond Maternal Sensitivity: Mother–Child Correlates of Attachment Security among Children with Intellectual Disabilities in Urban India. J Autism Dev Disord 42, 2335–2345 (2012). https://doi.org/10.1007/s10803-012-1479-y

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10803-012-1479-y

Keywords

Navigation