Attachment Disorders

J Pediatr Health Care. 2019 Sep-Oct;33(5):612-622. doi: 10.1016/j.pedhc.2019.04.017.

Abstract

The ability to form attachments with other human beings is an essential skill that typically begins early in life. The parent/caregiver-child relationship is the first crucial relationship that an infant forms, and the health of this relationship has a profound effect on the child's social and emotional development. Children who form secure relationships with their parent or other primary caregiver have fewer internalizing and externalizing behaviors, are more socially competent, and have better-quality friendships. Conversely, children with attachment disorders exhibit a varying capacity to form and sustain relationships and demonstrate emotional depth, they and experience a higher level of peer conflict. Children with insecure attachments have a greater likelihood for physical health morbidities and impaired social, psychological, and neurobiological functioning extending into adulthood. It is crucial that pediatric nurse practitioners implement practice behaviors to better identify children at risk for attachment disorders and link them with appropriate interventions. This continuing education article will explore attachment; and attachment theory; and attachment disorders in terms of types, risk factors, consequences, and treatment and will also provide implications for practice.

Keywords: Attachment disorder; child maltreatment; neglect.

Publication types

  • Review

MeSH terms

  • Child, Preschool
  • Humans
  • Infant
  • Object Attachment
  • Parent-Child Relations
  • Reactive Attachment Disorder / diagnosis*
  • Reactive Attachment Disorder / psychology
  • Reactive Attachment Disorder / therapy
  • Risk Factors