de Mendonça Filho Euclides José, Frechette Ariane, Pokhvisneva Irina, Arcego Danusa Mar, Barth Barbara, Tejada Camila-Andrea Valle, Sassi Roberto, Wazana Ashley, Atkinson Leslie, Meaney Michael J, Silveira Patricia P
Department of Psychiatry, McGill University, Montreal, QC, Canada.
Ludmer Centre for Neuroinformatics and Mental Health, Douglas Hospital Research Center, Verdun, QC, Canada.
Front Behav Neurosci. 2022 Oct 13;16:954977. doi: 10.3389/fnbeh.2022.954977. eCollection 2022.
Secure attachment reflects caregiver-child relationship in which the caregiver is responsive when support and comforting are needed by the child. This pattern of bond has an important buffering role in the response to stress by the reduction of the negative experience and its associated physiological response. Disruption of the physiological stress system is thought to be a central mechanism by which early care impacts children. Early life stress causes cellular and molecular changes in brain regions associated with cognitive functions that are fundamental for early learning.
The association between attachment, cortisol response before and after the Strange Situation Experiment, and neurodevelopment was examined in a sample of 107 preschoolers at age three. Also, the predictive effect of cortisol reactivity and attachment on telomere length at age seven was investigated in a followed-up sample of 77 children.
Children with insecure attachment had higher cortisol secretion and poorer neurodevelopmental skills at age three. A significant cortisol change was observed across the experiment with non-significant interaction with attachment. The attachment and neurodevelopment association was not mediated by cortisol secretion. Preschoolers' attachment and cortisol did not associate nor interacted to predict telomere length at age seven.
These findings add evidence to the detrimental effects of insecure attachment as an aggravator of the physiological response to stress and poorer neurodevelopment during the preschool period. Although attachment and cortisol were not predictive of telomere length, intervention policies that promote secure attachment are more likely to positively echo on several health domains.
安全型依恋反映了照料者与儿童之间的关系,即当儿童需要支持和安慰时,照料者能够做出回应。这种依恋模式通过减少负面经历及其相关的生理反应,在应对压力方面具有重要的缓冲作用。生理应激系统的紊乱被认为是早期照料影响儿童的核心机制。早期生活压力会导致与认知功能相关的脑区发生细胞和分子变化,而认知功能对早期学习至关重要。
在107名三岁学龄前儿童样本中,研究依恋、陌生情境实验前后的皮质醇反应与神经发育之间的关联。此外,在77名儿童的随访样本中,研究皮质醇反应性和依恋对七岁时端粒长度的预测作用。
不安全型依恋的儿童在三岁时皮质醇分泌较高,神经发育技能较差。在整个实验过程中观察到显著的皮质醇变化,但与依恋无显著交互作用。依恋与神经发育的关联并非由皮质醇分泌介导。学龄前儿童的依恋和皮质醇既不相关也不相互作用来预测七岁时的端粒长度。
这些发现进一步证明了不安全型依恋作为压力生理反应加剧因素和学龄前儿童神经发育较差的有害影响。尽管依恋和皮质醇不能预测端粒长度,但促进安全型依恋的干预政策更有可能在多个健康领域产生积极影响。