La disorganizzazione dell’attaccamento spiega i sintomi post-traumatici nei bambini vittime di violenza intrafamiliare?

Titolo Rivista MALTRATTAMENTO E ABUSO ALL’INFANZIA
Autori/Curatori Elena Camisasca, Sarah Miragoli, Paola Di Blasio
Anno di pubblicazione 2024 Fascicolo 2023/3 Suppl. Lingua Italiano
Numero pagine 21 P. 111-131 Dimensione file 246 KB
DOI 10.3280/MAL2023-003-S1007
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FrancoAngeli è membro della Publishers International Linking Association, Inc (PILA)associazione indipendente e non profit per facilitare (attraverso i servizi tecnologici implementati da CrossRef.org) l’accesso degli studiosi ai contenuti digitali nelle pubblicazioni professionali e scientifiche

La violenza sui minori si configura come un trauma relazionale di tipo cronico con esiti disadattivi in termini sia di attaccamento sia di sintomatologia post-traumatica. Numerosi lavori evidenziano come l’attaccamento disorganizzato costituisca un importante fattore di rischio per l’insorgenza di sintomi di esternalizzazione, dissociativi e post-traumatici. I Modelli Operativi Interni (MOI) disorganizzati possono costituire un meccanismo psicologico chiave per comprendere l’effetto della violenza intrafamiliare sulle conseguenze post-traumatiche. Lo studio si propone di: 1) verificare eventuali differenze nei MOI dell’attaccamento e nella sintomatologia post-traumatica in un gruppo di 47 bambini maltrattati e in gruppo di 59 bambini appartenenti a nuclei familiari svantaggiati; 2) esplorare, nel solo gruppo di bambini maltrattati, se la disorganizzazione media l’associazione tra tipo di violenza e sintomatologia post-traumatica. I risultati mostrano che, rispetto al gruppo di controllo, i bambini maltrattati presentano esiti disadattivi più gravi. Inoltre, i dati indicano che i MOI disorganizzati costituiscono l’unico predittore dei sintomi depressivi; mediano totalmente i sintomi di rabbia e dissociativi, e solo parzialmente i sintomi ansiosi e di PTSD.;

Keywords:violenza all’infanzia, attaccamento disorganizzato, sintomi post-traumatici, bambini.

  1. Liotti, G. (2006). A model of dissociation based on attachment theory and research. Journal of Trauma & Dissociation, 7, 4, 55-73.
  2. Adam, K. S., Sheldon-Keller, A. E., & West, M. (1996). Attachment organization and history of suicidal behavior in adolescents. Journal of Consulting and Clinical Psychology, 64, 264-292. DOI: 10.1037/0022-006X.64.2.264
  3. American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders, 5th Edition: DSM-5. Arlington, VA: American Psychiatric Publishing.
  4. Agrawal, H. R., Gunderson, J., Holmes, B. M., & Lyons-Ruth, K. (2004). Attachment studies with borderline patients: A review. Harvard Review of Psychiatry, 12, 94-104. DOI: 10.1080/10673220490447218
  5. Attili, G. (2001a). Maltrattamento infantile ed attaccamento: l’organizzazione filogenetica del pattern disorganizzato. Maltrattamento e abuso all’infanzia, 3, 3, 49-61.
  6. Attili, G. (2001b). Ansia da separazione e misura dell’attaccamento normale e patologico: Versione modificata e adattamento italiano del Separation Anxiety Test (SAT) di Klagsbrun e Bowlby. Milano: Unicopli.
  7. Attili, G. (2007). Attaccamento e costruzione evoluzionistica della mente: normalità, patologia, terapia. Milano: Cortina Editore.
  8. Attili, G., Di Pentima, L., & Toni, A. (2013). Abuso, trascuratezza e il controllo degli eventi: il paradosso dell’attaccamento. Maltrattamento e abuso all’infanzia, 15, 3, 89-108. DOI: 10.3280/MAL2013-003005
  9. Baer, J. C., & Martinez, C. D. (2006). Child maltreatment and insecure attachment: A meta-analysis. Journal of Reproductive and Infant Psychology, 24, 187-197. DOI: 10.1080/02646830600821231
  10. Bailey, H. N., Moran, G., & Pederson, D. R. (2007). Childhood maltreatment, complex trauma symptoms, and unresolved attachment in an at-risk sample of adolescent mothers. Attachment and Human Development, 9, 139-161. DOI: 10.1080/14616730701349721
  11. Baker, A. J. L., & Verrocchio, M. C. (2013). Italian college student-reported exposure to parental alienation: Correlates with well-being. Journal of Divorce and Remarriage, 54, 8, 609-628. DOI: 10.1080/10502556.2013.837714
  12. Barnett, D., Ganiban, J., & Cicchetti, D. (1999). Maltreatment, negative expressivity, and the development of Type D attachments from 12 to 24 months of age. Monographs of the Society for Research in Child Development, 64, 3, 97-118.
  13. Bifulco, A., Kwon, J., Jacobs, C., Moran, P. M., Bunn, A., & Beer, N. (2006). Adult attachment style as mediator between childhood neglect/abuse and adult depression and anxiety. Social Psychiatry and Psychiatric Epidemiology, 41, 796-805.
  14. Briere, J. (1996). Trauma Symptom Checklist for Children (TSCC) professional manual. Odessa, FL: Psychological Assessment Resources.
  15. Bureau, J. F., Easterbrooks, M. A., & Lyons-Ruth, K. (2009). Maternal depressive symptoms in infancy: Unique contribution to children’s depressive symptoms in childhood and adolescence? Development and Psychopathology, 21, 519-537. DOI: 10.1017/S0954579409000285
  16. Camisasca, E. (2008). Traumi irrisolti, comportamento genitoriale atipico e attaccamento disorganizzato: una rassegna della letteratura. Maltrattamento e abuso all’infanzia, 2, 77-99.
  17. Camisasca, E. (2009). Traiettorie di internalizzazione ed esternalizzazione in bambini maltrattati: il ruolo dell’attaccamento. Maltrattamento e abuso all’infanzia, 3, 65-82. DOI: 10.3280/MAL2009-003007
  18. Cassidy, J., & Marvin, R. S. (with the MacArthur Working Group on Attachment). (1992). Attachment organization in three and four year olds: Procedures and coding manual. Unpublished manuscript, University of Virginia.
  19. Liotti, G., & Farina, B. (2011). Sviluppi traumatici. Eziopatogenesi, clinica e terapia della dimensione dissociativa. Milano: Cortina Editore.
  20. Cicchetti, D., & Toth, S. L. (1995). A developmental psychopathology perspective on child abuse and neglect. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 541-565. DOI: 10.1097/00004583-199505000-00008
  21. Cicchetti, D., Rogosch, F. A., & Toth, S. L. (2006). Fostering secure attachment in infants in maltreating families through prevention interventions. Development and Psychopathology, 18, 623-649. DOI: 10.1017/S0954579406060329
  22. Cole, P. M., & Putnam, F. W. (1992). Effects of incest on self and social functioning: A developmental psychopathology perspective. Journal of Consulting and Clinical Psychology, 60, 174-184. DOI: 10.1037/0022-006X.60.2.174
  23. Courtois, C. A. (2008). Complex trauma, complex reactions: Assessment and treatment. Psychotherapy: Theory, Research, Practice, Training, 1, 86-100. DOI: 10.1037/1942-9681.S.1.86
  24. Cyr, C., Euser, E. M., Bakermans-Kranenburg, M. J., & van IJzendoorn, M. (2010). Attachment security and disorganization in maltreating and high-risk families: A series of meta-analyses. Development and Psychopathology, 22, 87-108. DOI: 10.1017/S0954579409990289
  25. Di Blasio, P., Camisasca, E., & Procaccia, R. (2007). Fattori di mediazione dell’esperienza traumatica nei bambini maltrattati. Maltrattamento e abuso all’infanzia, 2, 33-59
  26. Di Blasio, P., Piccolo, M., & Traficante Valvassori, D. (2011). TSCC - Trauma Symptom Checklist for Children. Valutazione delle conseguenze di esperienze traumatiche. Trento: Erickson.
  27. Di Blasio, P., Miragoli, S., & Procaccia, R. (2011). Understanding children’s sexual abuse through their allegations. In Ardino V. (Ed.), Post-traumatic syndromes in children and adolescents (pp. 177-198). London: Wiley and Sons Publications.
  28. Fearon, R. P., Bakermans-Kranenburg, M. J., van IJzendoorn, M. H., Lapsley, A., & Roisman, G. I. (2010). The significance of insecure attachment and disorganization in the development of children’s externalizing behavior: A meta-analytic study. Child Development, 81, 435-456.
  29. Groh, A. M., Roisman, G. I., van IJzendoorn, M. H., Bakermans-Kranenburg, M. J., & Fearon, R. M. (2012). The significance of insecure and disorganized attachment for children’s internalizing symptoms: A meta-analytic study. Child Development, 83, 591-610.
  30. Hankin, B. (2005). Childhood maltreatment and psychopathology: Prospective tests of attachment, cognitive vulnerability, and stress as mediating processes. Cognitive Therapy and Research, 29, 645-671.
  31. Hesse, E., & Main, M. (2000). Disorganized infant, child, and adult attachment: Collapse in behavioral and attentional strategies. Journal of the American Psychoanalytic Association, 48, 1097-1127. DOI: 10.1177/00030651000480041101
  32. Hesse, E., & Main, M. (2006). Frightened, threatened, and dissociative parental behavior in low risk samples: Description, discussion, and interpretation. Development and Psychopathology, 18, 309-343. DOI: 10.1017/S0954579406060172
  33. Howell, E. F. (2005). The dissociative mind. London: The Analytic Press.
  34. Kearney, C. A., Wechsler, A., Kaur, H., & Lemos-Miller, A. (2010). Posttraumatic stress disorder in maltreated youth: A review of contemporary research and thought. Clinical Child and Family Psychology Review, 13, 46-76.
  35. Klagsbrun, M., & Bowlby, J. (1976). Responses to separation from parents: A clinical test for young children. British Journal of Projective Psychology, 21, 7-21.
  36. Liotti, G. (2004). Trauma, dissociation and disorganised attachment: Three strands of a single braid. Psychotherapy: Theory, Research, Practice, Training, 41, 472- 486. DOI: 10.1037/0033-3204.41.4.472
  37. Lopez, M. A., & Heffer, R. W. (1998). Self-concept and social competence of university student victims of childhood physical abuse. Child Abuse & Neglect, 22, 183-195. DOI: 10.1016/S0145-2134(97)00136-1
  38. Lowell, A., Renk, K., & Adgate, A. H. (2014, in press). The role of attachment in the relationship between maltreatment and later emotional and behavioral functioning. Child Abuse & Neglect.
  39. Lyons-Ruth, K., Bronfman, E., & Atwood, G. (1999). A relational diathesis model of hostile-helpless states of mind: Expressions in mother-infant interaction. In J. Solomon & C. George (Eds.), Attachment disorganization (pp. 33-70). New York: Guilford Press.
  40. Lyons-Ruth, K., Bronfman, E., & Parsons, E. (1999). Maternal frightened, frightening, or atypical behavior and disorganized infant attachment patterns. Monographs of the Society for Research in Child Development, 64, 67-96.
  41. Lyons-Ruth, K., Yellin, C., Melnick, S., & Atwood, G. (2003). Childhood experiences of trauma and loss have different relations to maternal unresolved and hostile-helpless states of mind on the AAI. Attachment and Human Development, 5, 330-352. DOI: 10.1080/14616730310001633410
  42. Macfie, J., Cicchetti, D., & Toth, S. L. (2001). Dissociation in maltreated versus non-maltreated preschool-aged children. Child Abuse and Neglect, 25, 1253-1267. DOI: 10.1016/S0145-2134(01)00266-6
  43. Madigan, S., Bakermans-Kranenburg, M. J., van IJzendoorn, M. H., Moran, G., Pederson, D. R., & Benoit, D. (2006). Unresolved states of mind, anomalous parental behavior, and disorganized attachment: A review and meta-analysis of a transmission gap. Attachment & Human Development, 8, 89-111. DOI: 10.1080/14616730600774458
  44. Main, M. & Cassidy, J. (1988). Categories of response to reunion with the parent at age six: Predicted from infant attachment classification and stable over a one-month period. Developmental Psychology, 24, 415-426. DOI: 10.1037/0012-1649.24.3.415
  45. Main, M., & Hesse, E. (1990). Parents’ unresolved traumatic experiences are related to infant disorganized attachment status: Is frightened and/or frightening parental behaviour the linking mechanism? In M. T. Greenberg, D. Cicchetti & E. M. Cummings (Eds.), Attachment in the preschool years (pp. 161-182). Chicago, IL: Chicago University Press.
  46. Marvin, R. S., & Whelan, W. F. (2003). Disordered attachments: Toward evidence-based clinical practice. Attachment & Human Development, 5, 283-288. DOI: 10.1080/14616730310001596106
  47. Maughan, A., & Cicchetti, D. (2002). The impact of child maltreatment and inter-adult violence on children’s emotion regulation abilities. Child Development, 73, 1525-1542. DOI: 10.1111/1467-8624.00488
  48. MacDonald, H. Z., Beeghly, M., Grant-Knight, W., Augustyn, M., Woods, R. W., Cabral, H., et al. (2008). Longitudinal association between infant disorganized attachment and childhood posttraumatic stress symptoms. Development and Psychopathology, 20, 493-508. DOI: 10.1017/S0954579408000242
  49. Moss, E., Cyr, C., Bureau, J. F., Tarabulsy, G. M., & Dubois-Comtois, K. (2005). Stability of attachment during the preschool period. Developmental Psychology, 41, 773-783. DOI: 10.1037/0012-1649.41.5.773
  50. Moss, E., Dubois-Comtois, K., Cyr, C., St-Laurent, D., Tarabulsy, G. M., Bernier, A., et al. (2007). Can caregiving behavior of maltreating mothers be changed? Paper presented at the biennial meeting of the Society for Research in Child Development, Boston.
  51. Muller, R. T., Thornback, K., & Bedi, R. (2012). Attachment as a mediator between childhood maltreatment and adult symptomatology. Journal of Family Violence, 27, 243-255.
  52. Pollack, S. D., Cicchetti, D., Hornung, K., & Reed, A. (2000). Recognizing emotions in faces: Developmental effects of child abuse and neglect. Developmental Psychology, 36, 679-688. DOI: 10.1037/0012-1649.36.5.679
  53. Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879-891. DOI: 10.3758/BRM.40.3.879
  54. Procaccia, R., Miragoli, S., & Di Blasio, P. (2013). L’utilizzo del Blacky Pictures’ Test nella valutazione dei minori vittime di abuso sessuale. Maltrattamento e abuso all’infanzia, 15, 3, 88-110. DOI: 10.3280/MAL2013-003006
  55. Quas, J. A., Goodman, G. S., & Jones, D. (2003). Predictors of attributions of self-blame in child sexual abuse victims. Journal of Child Psychology and Psychiatry and Allied Disciplines, 44, 723-746. DOI: 10.1111/1469-7610.00158
  56. Riggs, S. A., & Jacobvitz, D. (2002). Expectant parents’ representations of early attachment relationships: Associations with mental health and family history. Journal of Consulting and Clinical Psychology, 70, 195-204. DOI: 10.1037/0022-006X.70.1.195
  57. Roche, D. N., Runtz, M. G., & Hunter, M. A. (1999). Adult attachment: A mediator between child sexual abuse and later psychological adjustment. Journal of Interpersonal Violence, 14, 184-207. DOI: 10.1177/088626099014002006
  58. Roth, S., Newman, E., Pelcovitz, D., van der Kolk, B., & Mandel, F. S. (1997). Complex PTSD in victims exposed to sexual and physical abuse: Results from the DSM-IV field trials for posttraumatic stress disorder. Journal of Traumatic Stress, 10, 539-555.
  59. Sandberg, D. A., Suess, E. A., & Heaton, J. L. (2010). Attachment anxiety as a mediator of the relationship between interpersonal trauma and posttraumatic symptomatology among college women. Journal of Interpersonal Violence, 25, 1, 33-49. DOI: 10.1177/0886260508329126
  60. Schore, A. N. (2003). Affect dysregulation and disorders of the self. NewYork: Norton.
  61. Schuengel, C., Bakermans-Kranenburg, M. J., & van IJzendoorn, M. H. (1999). Attachment and loss: Frightening maternal behavior linking unresolved loss and disorganized infant attachment. Journal of Consulting and Clinical Psychology, 67, 54-63.
  62. Shapiro, D. L., & Levendosky, A. A. (1999). Adolescent survivors of childhood sexual abuse: The mediating role of attachment style and coping in psychological and interpersonal functioning. Child Abuse & Neglect, 23, 11, 1175-1191. DOI: 10.1016/S0145-2134(99)00085-X
  63. Sternberg, K. J., Baradaran, L. P., Abbott, C. B., Lamb, M. E., & Guterman, E. (2006). Type of violence, age, and gender differences in the effects of family violence on children’s behavior problems: A mega-analysis. Developmental Review, 26, 89-112,
  64. Stronach, E. P., Toth, S. L., Rogosch, F., Oshri, A., Manly, J. T., Cicchetti, D. (2011). Child maltreatment, attachment security, and internal representations of mother and mother-child relationships, Child Maltreatment, 16, 2, 137-145. DOI: 10.1177/1077559511398294
  65. Twaite, J., & Rodriguez-Srednicki, O. (2004). Childhood sexual and physical abuse and adult vulnerability to PTSD: The mediating effects of attachment and dissociation. Journal of Child Sexual Abuse, 13, 17-38.
  66. van der Kolk, B. A. (1996). The body keeps the score: Approaches to the psychobiology of posttraumatic stress disorder. In B. A. van der Kolk, A. C. McFarlane & L. Weisaeth (Eds.), Traumatic stress: The effects of overwhelming experience on mind, body, and society. New York: Guilford Press.
  67. van IJzendoorn, M. H., Schuengel, C., & Bakermans-Kranenburg, M. J. (1999). Disorganized attachment in early childhood: Meta-analysis of precursors, concomitants, and sequelae. Development and Psychopathology, 11, 225-249.
  68. Verrocchio, M. C., & Baker, A. J. L. (2013). Italian adults’ recall of childhood exposure to parental loyalty conflicts. Journal of Child and Family Studies,1-11.
  69. Walrath, C. M., Ybarra, M. L., Holden, E. W. (2006). Understanding the pre-referral factors associated with differential 6-month outcomes among children receiving system-of-care services. Psychological Services, 3, 35-50. DOI: 10.1016/S0145-2134(03)00035-8
  70. West, M., Adam, K., Spreng, S., & Rose, S. (2001). Attachment disorganization and dissociative symptoms in clinically treated adolescents. Canadian Journal of Psychiatry, 46, 627-631.
  71. Wright, J., Friedrich, W., Cinq-Mars, C., Cyr, M., & McDuff, P. (2004). Self-destructive and delinquent behaviors of adolescent female victims of child sexual abuse: Rates and covariates in clinical and nonclinical samples. Violence and Victims, 19, 627-643.

Elena Camisasca, Sarah Miragoli, Paola Di Blasio, La disorganizzazione dell’attaccamento spiega i sintomi post-traumatici nei bambini vittime di violenza intrafamiliare? in "MALTRATTAMENTO E ABUSO ALL’INFANZIA" 3 Suppl./2023, pp 111-131, DOI: 10.3280/MAL2023-003-S1007