Association between infant nighttime‐sleep location and attachment security: no easy verdict

ABSTRACT We tested whether mother–infant bed‐sharing is associated with increased secure infant–mother attachment, a previously unexplored association. Frequency of bed‐sharing and mothers’ nighttime comforting measures at 2 months were assessed with questionnaires in 550 Caucasian mothers from a population‐based cohort. Attachment security was assessed with the Strange Situation Procedure (M.D.S. Ainsworth, M.C. Blehar, E. Waters, & S. Wall, 1978) at 14 months. When using a dichotomous variable, “never bed‐sharing” (solitary sleepers) versus “any bed‐sharing,” the relative risk of being classified as insecurely attached for solitary‐sleeping infants (vs. bed‐sharers) was 1.21 (95% confidence interval: 1.05–1.40). In multivariate models, solitary sleeping was associated with greater odds of insecure attachment, adjusted odds ratio (OR): 1.50, 95% CI = 1.02–2.20) and, in particular, with greater odds of resistant attachment, adjusted OR = 1.74, 95% CI = 1.10–2.76); and with a lower attachment security score, β = −0.12, t(495) = −2.61, p = .009. However, we found no evidence of a dose–response association between bed‐sharing and secure attachment when using a trichotomous bed‐sharing variable based on frequency of bed‐sharing. Our findings demonstrate some evidence that solitary sleeping is associated with insecure attachment. However, the lack of a dose–response association suggests that further experimental study is necessa...
Source: Infant Mental Health Journal - Category: Child Development Authors: Tags: ARTICLE Source Type: research