Evidence map›Paper›PMID 35272727›Full record

ArticleDevelopment and psychopathology2023

Exploring the meaning of unresolved loss and trauma in more than 1,000 Adult Attachment Interviews.

Lianne Bakkum, Marije L Verhage, Carlo Schuengel, Robbie Duschinsky, Ilja Cornelisz, Chris van Klaveren, Marinus H van IJzendoorn, K Lee Raby, Glenn I Roisman, Marian J Bakermans-Kranenburg and 5 more

Abstract read
In one paragraph

Article in Development and psychopathology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Lianne BakkumDepartment of Public Health and Primary Care, University of Cambridge, Cambridge, UK.ORCID 0000-0002-2880-6853
Marije L VerhageDepartment of Clinical Child and Family Studies and Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Carlo SchuengelDepartment of Clinical Child and Family Studies and Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0001-5501-3341
Robbie DuschinskyDepartment of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Ilja CorneliszAmsterdam Center for Learning Analytics, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Chris van KlaverenAmsterdam Center for Learning Analytics, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Marinus H van IJzendoornDepartment of Psychology, Education and Child Studies, Erasmus University Rotterdam, Rotterdam, The Netherlands.ORCID 0000-0003-1144-454X
K Lee RabyDepartment of Psychology, University of Utah, Salt Lake City, UT, USA.ORCID 0000-0002-1041-080X
Glenn I RoismanInstitute of Child Development, University of Minnesota, Minneapolis, MN, USA.
Marian J Bakermans-KranenburgDepartment of Clinical Child and Family Studies and Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Mirjam OostermanDepartment of Clinical Child and Family Studies and Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Sheri MadiganDepartment of Psychology, University of Calgary and the Alberta Children's Hospital Research Institute, Calgary, AB, Canada.
R M Pasco FearonResearch Department of Clinical, Educational and Health Psychology, University College London, London, UK.
Kazuko BehrensDepartment of Social & Behavioral Sciences, State University of New York Polytechnic Institute, Utica, NY, USA.
Collaboration on Attachment Transmission Synthesis

Funding

Secure Base Script Knowledge: Antecedents and SequelaeR01HD102035 · NICHD · UNIVERSITY OF MINNESOTA · PI ROISMAN, GLENN I · 2021 to 2024
$1.9M
NICHD NIH HHS R01 HD102035Wellcome TrustWellcome Trust 208155/Z/17/Z
6 · The paper itself

Abstract

Unresolved states of mind regarding experiences of loss/abuse (U/d) are identified through lapses in the monitoring of reasoning, discourse, and behavior surrounding loss/abuse in response to the Adult Attachment Interview. Although the coding system for U/d has been widely used for decades, the individual indicators of unresolved loss/abuse have not been validated independently of the development sample. This study examined the psychometric validity of U/d, using individual participant data from 1,009 parent-child dyads across 13 studies. A latent class analysis showed that subsets of commonly occurring U/d indicators could differentiate interviewees with or without unresolved loss/abuse. Predictive models suggested a psychometric model of U/d consisting of a combination of these common indicators, with disbelief and psychologically confused statements regarding loss being especially important indicators of U/d. This model weakly predicted infant disorganized attachment. Multilevel regression analysis showed no significant association between ratings of unresolved other trauma and infant disorganized attachment, over and above ratings of unresolved loss/abuse. Altogether, these findings suggest that the coding system of U/d may have been overfitted to the initial development sample. Directions for further articulation and optimization of U/d are provided.

Indexed as

Child AbuseAdultChildHumansInfantObject AttachmentAdult Attachment Interviewindividual participant data meta-analysisunresolved lossunresolved trauma

Identifiers

PMID35272727
PMCPMC10655611

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.