Attachment representations in 7-year-old children at familial high risk of schizophrenia or bipolar disorder: Associations with mental disorders and daily functioning: The Danish High Risk and Resilience Study, VIA 7-A population-based cohort study
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Attachment representations in 7-year-old children at familial high risk of schizophrenia or bipolar disorder : Associations with mental disorders and daily functioning: The Danish High Risk and Resilience Study, VIA 7-A population-based cohort study. / Gregersen, Maja; Ellersgaard, Ditte; Søndergaard, Anne; Christiani, Camilla; Hemager, Nicoline; Spang, Katrine Søborg; Burton, Birgitte Klee; Uddin, Md Jamal; Ohland, Jessica; Gantriis, Ditte; Greve, Aja; Hjorthøj, Carsten; Mors, Ole; Plessen, Kerstin Jessica; Nordentoft, Merete; Clemmensen, Lars; Jepsen, Jens Richardt Møllegaard; Thorup, Anne Amalie Elgaard.
In: Scandinavian Journal of Psychology, Vol. 64, No. 6, 2023, p. 776-783.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Attachment representations in 7-year-old children at familial high risk of schizophrenia or bipolar disorder
T2 - Associations with mental disorders and daily functioning: The Danish High Risk and Resilience Study, VIA 7-A population-based cohort study
AU - Gregersen, Maja
AU - Ellersgaard, Ditte
AU - Søndergaard, Anne
AU - Christiani, Camilla
AU - Hemager, Nicoline
AU - Spang, Katrine Søborg
AU - Burton, Birgitte Klee
AU - Uddin, Md Jamal
AU - Ohland, Jessica
AU - Gantriis, Ditte
AU - Greve, Aja
AU - Hjorthøj, Carsten
AU - Mors, Ole
AU - Plessen, Kerstin Jessica
AU - Nordentoft, Merete
AU - Clemmensen, Lars
AU - Jepsen, Jens Richardt Møllegaard
AU - Thorup, Anne Amalie Elgaard
N1 - Publisher Copyright: © 2023 Scandinavian Psychological Associations and John Wiley & Sons Ltd.
PY - 2023
Y1 - 2023
N2 - Background: Attachment quality may affect psychological functioning. However, evidence on attachment representations and their correlates in children born to parents with schizophrenia and bipolar disorder is sparse. Methods: We compared attachment representations in a Danish sample of 482 children aged 7 years at familial high risk of schizophrenia, bipolar disorder, and population-based controls and examined associations between attachment and mental disorders and daily functioning. Attachment representations were examined with the Story Stem Assessment Profile (SSAP). Mental disorders were ascertained in diagnostic interviews. Daily functioning was assessed with the Children's Global Assessment Scale. Results: We found no between-group differences in attachment. Higher levels of secure attachment were associated with decreased risk of concurrent mental disorders in the schizophrenia high-risk group. Higher levels of insecure and disorganized attachment were associated with increased risk of mental disorders across the cohort. Higher levels of secure and insecure attachment were associated with better and poorer daily functioning, respectively. In the current study, results regarding defensive avoidance could not be reported due to methodological limitations. Conclusion: Familial high risk of schizophrenia (FHR-SZ) or bipolar disorder is not associated with less secure or more insecure attachment at age 7. Insecure and disorganized attachment representations index risk of mental disorders and poorer functioning. Secure attachment may be a protective factor against mental disorders in children at FHR-SZ. Validation of the SSAP is needed.
AB - Background: Attachment quality may affect psychological functioning. However, evidence on attachment representations and their correlates in children born to parents with schizophrenia and bipolar disorder is sparse. Methods: We compared attachment representations in a Danish sample of 482 children aged 7 years at familial high risk of schizophrenia, bipolar disorder, and population-based controls and examined associations between attachment and mental disorders and daily functioning. Attachment representations were examined with the Story Stem Assessment Profile (SSAP). Mental disorders were ascertained in diagnostic interviews. Daily functioning was assessed with the Children's Global Assessment Scale. Results: We found no between-group differences in attachment. Higher levels of secure attachment were associated with decreased risk of concurrent mental disorders in the schizophrenia high-risk group. Higher levels of insecure and disorganized attachment were associated with increased risk of mental disorders across the cohort. Higher levels of secure and insecure attachment were associated with better and poorer daily functioning, respectively. In the current study, results regarding defensive avoidance could not be reported due to methodological limitations. Conclusion: Familial high risk of schizophrenia (FHR-SZ) or bipolar disorder is not associated with less secure or more insecure attachment at age 7. Insecure and disorganized attachment representations index risk of mental disorders and poorer functioning. Secure attachment may be a protective factor against mental disorders in children at FHR-SZ. Validation of the SSAP is needed.
KW - Attachment
KW - childhood and adolescence
KW - familial high risk
KW - mental disorders
KW - psychosis
U2 - 10.1111/sjop.12941
DO - 10.1111/sjop.12941
M3 - Journal article
C2 - 37309265
AN - SCOPUS:85161527524
VL - 64
SP - 776
EP - 783
JO - Scandinavian Journal of Psychology
JF - Scandinavian Journal of Psychology
SN - 0036-5564
IS - 6
ER -
ID: 358229510