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(,1. 5.1.3.55}. 4 inn 2,}... .1? s1): .- ‘Q1! 18.9:y i it!!! a '3? vii-’01,..iv‘l. ‘ yeti?“ 3...; < ‘) THESE 1.- This is to certify that the dissertation entitled Children's Aggressive Behavior in a Head Start Sample: Its Relation to Caregiver Psychological and Environmental Factors and Children's Attachment Re re ntati p se ons presented by Ann Michele Stacks has been accepted towards fulfillment of the requirements for Ph.D. degree in Family and Child Ecology Date Ma; 2. 2002 MS U is an Affirmative Action/Equal Opportunity Institution 0- 12771 LIBRARY Michigan State University PLACE IN RETURN BOX to remove this checkout from your record. TO AVOID FINES return on or before date due. MAY BE RECALLED with earlier due date if requested. DATE DUE DATE DUE ' DATE DUE 8/01 c:/ClRC/DateDue.p65—p. 1 5 Children’s Aggressive Behavior in a Head Start Sample: Its Relation to Caregiver Psychological and Environmental Factors and Children’s Attachment Representations By Ann Michele Stacks A Dissertation Submitted to Michigan State University In partial fulfillment of the requirements For the degree of DOCTOR OF PHILOSOPHY Department of Family and Child Ecology 2002 ABSTRACT CHILDREN'S AGGRESSIVE BEHAVIOR IN A . HEAD START SAMPLE: ITS RELATION TO CAREGIVER PSYCHOLOGICAL AND ENVIRONMENTAL FACTORS AND CHILDREN’S ATTACHMENT REPRESENTATIONS BY Ann Michele Stacks The purpose of this study was to investigate caregiver psychological and environmental factors that contribute to parenting attitudes. attachment representations in their children, and subsequent child behavior. Fifty-two caregiver-child dyads participated in the study. Caregiver environmental factors included the perceived availability of social support and satisfaction with social support. measured by the Social Support Questionnaire (SSQ. Sarason, Levine, Basham, & Sarason, 1983). Additionally, life stress was measured using the Schedule of Recent Events (SRE, Daly, 1984). Caregiver psychological well being was assessed using the Brief Symptom Inventory (BSI, Derogatis, 1992). The Six-Year Attachment Doll Play Attachment Classification System (George & Solomon, 1990, 1996. 2000) was used to assess children’s attachment representations. Children's aggressive behavior was reported by teachers using the Teacher Rating Scales (TRS, REynolds & Kamphaus, 1992) and by caregivers using the Child Behavior Checklist (CBCL. Achenbach, 1991). Children’s sex did not account for differences in child behavior. The caregivers cultural background did not account for differences in parenting attitudes. Due to the small number of children classified as secure (N=2), this category was dropped from the analysis. Social support network size. satisfaction with social support, and life stress were not associated with children’s attachment representations. Caregiver environmental factors were significant predictors of empathy and role reversal, but were not significant predictors of values related to corporal punishment. inappropriate expectations. or power- independence issues. Parenting attitudes and psychological well being were not associated with children’s attachment representations. Children's aggression at home and at school did not vary as a function of attachment representations. The small sample size and the lack of observational data regarding parent-child interaction were limitations of this study. Additionally, the small number of children (N=2) classified as secure made it impossible to understand which factors foster security and the contribution that a secure attachment makes to social adjustment It also made the comparison between secure and insecure children impossible. Clearly more research needs to be done before any of the results can be considered conclusive. Copyright by ANN MICHELE STACKS 2002 ACKNOWLEDGEMENTS During my doctoral study, I have been fortunate to have the support of family members, friends, and colleagues. I am grateful to The Administration for Children and Families who funded this research through the Head Start Graduate Student Research Scholars Grant. As a part of receian this grant, I had the opportunity to receive the support and mentoring provided by Michael Lopez and Carole Kuhns, which enhanced my education and gave me a wonderful opportunity to see a community of scholars. The experiences that were created by the granting agency were some of the most memorable and educational pieces of the process of completing my degree. I would like to thank Dr. Robert Griffore, my major professor, for his help and availability throughout my doctoral work. Dr. Griffore provided an academic “secure base” from which I could explore. He has an amazing ability to know when to let me struggle through a problem, how much help to give, and when to intervene. He was able to see potential problems that are inherent in a study and acted as a sounding board for so many important decisions that were made this year. I would also like to express my appreciation to Dr. Marsha Carolan, who has been supportive of every decision that I have made. I will always be grateful to her for the way that she challenged me as a student and as a therapist. Dr. Carolan helped me to stay on the correct paflw by asking future oriented questions in my masters program and early in my doctoral work. Her questions led me to make a very difficult and important decision to alter the course of my doctoral study. Without her help I do not think that I would have been prepared for the work that is still to come. Dr. Carolan also sewed as the advisor to the grant that I received from the Administration for Children and Families. She was always available to meet, problem solve, and listen to my thoughts. The other members of my committee, Dr. Ann Soderman and Dr. Cy Stewart provided a great deal of support by listening to my thoughts, asking questions, and providing feedback throughout my doctoral work. It would never have been possible to complete this research in such a short amount of time without the help of Brandon Silverthom, Kersten Kimmerly, and Jamie Goff. They worked diligently on one of the most irmortant parts of my dissertation, even though their duties were repetitive and difficult. I always felt like they cared as much about this research as I did and that they always gave more than 100 percent. I hope that each of them will be able to experience the same exceptional assistance from others on a project that is as meaningful to them as my dissertation was to me. I feel so fortunate to have had the opportunity to work with the Head Start community. I received a great deal of support from Lucy McCIintic, the family support workers, and teachers, who welcomed me into the classrooms and introduced me to families. I am grateful to every parent who took time out of his or her busy schedule to talk to me, to fill out measures, and to allow me to spend time with his or her child. I would have to add another chapter to the dissertation in order to appropriately thank all of the friends who supported me through this work. Drs. Kate Rosenblum and Maria Muzik were essential in helping me formulate this research and gain the skills necessary to carryout the work. I am grateful to Mara Stein, Lara Campbell, and Nikki Brown for their friendship. They cooked me dinner when l was hungry, gave me ideas when I didn’t have them, helped me find excitement when l was ready to give up, and were understanding when they gave much more than they received. Mara has read more than her fair share of grants and dissertation drafts without complaints. Last, but certainly not least, I would like to thank my fanin for their support through all of my schooling. My parents and brothers have been available to help in any way that they could. They have put up with bad moods and exciting times. They have helped me to celebrate every step along this long and sometimes bumpy road. vii TABLE OF CONTENTS LIST OF TABLES ................................................................................ x LIST OF FIGURES .............................................................................. xi CHAPTER 1 INTRODUCTION Statement of the Problem ............................................................ 1 Purpose of the Study ................................................................... 5 Research Questions .................................................................... 5 Methodology ............................................................................... 6 Overview of Subsequent Chapters .................................................. 7 CHAPTER 2 LITERATURE REVIEW Introduction ................................................................................ 8 Theories Guiding the Research ...................................................... 8 Attachment Theory .............................................................. 8 Human Ecological Theory ................................................... 13 Conceptual Model ...................................................................... 15 Behavior Problems ..................................................................... 17 Prevalence of Behavior Problems in Preschool Children ............ 18 Sex Differences in Behavior Problems ................................... 19 lntemalizing Behavior Problems ........................................... 21 Extemalizing Behavior Problems... . . ..23 Factors Related to the Onset and Persistence of Extemalrzrng Problems ........................................................................ 27 Attachment ................................................................................ 35 Attachment in Infancy ......................................................... 36 Attachment in the Preschool Years ........................................ 42 Parental Factors and Attachment Representations in Children.....47 Conclusion ................................................................................. 53 CHAPTER 3 METHODOLOGY Introducfion ................................................................................ 55 Research Questions .................................................................... 55 Research Design ........................................................................ 56 Conceptual and Operational Definitions ........................................... 56 Sampling Procedure .................................................................... 58 Hypotheses ................................................................................ 63 Instrumentation ........................................................................... 65 Data Collection ........................................................................... 68 Sample Characteristics ................................................................. 69 Data Analysis ............................................................................. 71 viii Conclusion ................................................................................. 73 CHAPTER 4 RESULTS Introduction ................................................................................ 74 Frequencies for Relevant Variables ................................................ 74 Major Findings ............................................................................ 80 Conclusion ................................................................................. 90 CHAPTER 5 DISCUSSION Introduction ................................................................................ 91 Frequencies ............................................................................... 91 Caregiver Environmental Factors and Children’s Attachment Representations .......................................................................... 94 Caregiver Environmental Factors and Parenting Attitudes .................................................................................... 95 Parenting Attitudes and Children’s Attachment Representations ............ 96 Caregiver Clinical Symptoms and Attachment Representations ............ 98 Attachment and Child Behavior ...................................................... 99 Aggression at Home and at School ................................................ 100 Implications for Future Research ................................................... 100 Implications for Practice .............................................................. 103 Limitations ............................................................................... 107 Conclusions .............................................................................. 108 APPENDIX A Family Information ..................................................................... 1 11 APPENDIX B Informed Consent ...................................................................... 114 Informed Consent (Teachers) ...................................................... 116 REFERENCES .................................................................................. 1 18 ix LIST OF TABLES Table 3.1 Child Characteristics ............................................................... 70 Table 3.2 Caregiver Characteristics ......................................................... 72 Table 4.1 Percentage of Caregivers in High Risk, General Population, and Low Risk Groups for each Nurturing Parenting Subscale .............................. 78 Table 4.2 Means for Aggression, Stressful Events, and Parenting Attitudes as a Function of Classroom Type ............................................................ 82 Table 4.3 Association Between Caregiver Social Support and Children’s Attachment Representations .................................................................. 84 Table 4.4 Association BeMen Caregiver Life Stress and Children’s Attachment Representations .................................................................. 85 Table 4.5 Summary of Linear Regression Analyses for Ecological Factors Predicting Parenting Attitudes ................................................................. 87 LIST OF FIGURES Figure 1 Contributions of the Caregiving Environment to Attachment Representations and Child behavior ......................................................... 16 xi CHAPTER 1 Statement of the Problem Violent adolescents have received increased attention in the past five years. As society struggles to understand the roots of this violence, research points to the importance of understanding factors that contribute to the onset and persistence of behavior problems in young children. There is increasing evidence that parenting behaviors (Egeland, Kalkoske, Gottesman, & Erickson, 1990; Campbell, 1995; Bates, Bayles, Benett, Ridge, & Brown, 1 991 ; Campbell & Ewing, 1990; Aguilar, Sroufe, Egeland, & Carlson, 2000; George 8 Main, 1979; Herrenkohl & Russo, 2001), family stress ( Egeland et al., 1990; Campbell, 1995; Aguilar et al., 2000), parental depression (Campbell & Ewing, 1990; Keenan 8 Shaw, 1994), and the quality of a child’s home environment (Egeland et al., 1990), are predictive of future aggression. Research has also demonstrated that early behavior problems are stable over time (Olweus, 1979; Huessmann, Eron, Lefi 60) behavior problems in second grade. Additionally, 80% exhibited problem behavior in at least two of the first three years in school. The findings by Egeland et al. (1990) supported research previously done by others. For example, Campbell and her colleagues (1984) found that 50% of preschool children exhibiting behavior problems also have behavior problems at age six. In another study, Campbell and Ewing (1990) found that 67% of three year-olds identified as hyperactive and aggressive also had severe behavior problems at age nine. Together, these findings support the ideas that behavior problems may begin early (Keenan 8 Shaw, 1994) and that behavior is stable from at least preschool to the early school period. Outcomes for Children with Extemalizing Behavior Problems Studies Conducted with Preschool Children. Children who are exhibiting externalizing problems are at risk for a number of later social and academic problems. For example, Head Start children rated as non-compliant and 25 overactive by teachers engaged in more negative interactions with peers and were described negatively by peers (Campbell, 1995). Additionally, boys who exhibited externalizing problems in preschool and first grade were rated as less socially competent by mothers, fathers, and teachers, than a comparison group of boys (Campbell, 1994). Physical aggression and opposition, but not hyperactivity in kindergarten placed boys at high risk for juvenile delinquency (Nagin 8 Tremblay, 1999). Studies Conducted with School Age Children. At school age children with externalizing problems continue to show poor adjustment Tremblay, Pihl, Vitaro, 8 Dobkin (1994) found evidence that school age boys who showed the highest risk for later delinquency have been shown to be highly impulsive and show low levels of anxiety. In support of this, 10 to 12-year-old boys who were rated as non-inhibited and disruptive by peers were more likely than chance to rate themselves as delinquent at 13 to 15 years. By comparison, boys rated as inhibited and disruptive were not as likely to become delinquent (Kerr et al. 1 997). Extemalizing Behavior and School Adjustment. Research has documented the relationship between externalizing behaviors at school age and academic difficulties (Patterson, Capaldi, 8 Bank, 1991). For example, Huesmann, Eron, 8 Yarmel (1987) found that peer-rated aggression at age 8 is a significant predictor of low attainment in reading, spelling, and arithmetic at age 30. In another study, 7 and 10—year-old boys whose peers perceived them as aggressive, were more likely than other boys to become aggressive adolescents 26 who also exhibited poor school performance. The girls in this study who were rated as aggressive also showed poor school performance and were more likely to receive psychiatric services as adolescents (Serbin, Moskowithz, Schwartzman, 8 Ledinghan, 1991). Antisocial children have been shown to be on task in the classroom about 20% less than normally developing children (Walker, Shinn, O’Neill, 8 Ramsey, 1987). Tremblay (1988) found that 38% of high-risk children rated as aggressive by kindergarten teachers were failing in school three years later. Children who change Paths Studies have consistently shown that behavior problems remain stable over time. We can learn a great deal however, from aggressive children whose behavior did not follow the expected outcome. There is evidence that children who showed significant behavior problems in preschool, but did not show significant problems in elementary school have psychosocial factors in common. Children whose early behavior was problematic, but who changed paths by school entry had significantly fewer stressful events and came from homes that were organized, predictable, and more stimulating and responsive to the child’s needs. These children also had mother’s who became less depressed over time (Egeland et al., 1990). Factors related to the Onset and Persistence of Extemalizing Problems The above research demonstrates that children who show early externalizing behavior problems are at risk for a variety of continued social and academic problems. This research underscores the need to prevent this type of behavior before children begin school. Preventing behavior problems requires 27 that one understands factors related to the onset an persistence of such problems. Research has shown that child factors, caregiver factors, and environmental factors, in which the child is raised contribute to the development and continuation of behavior problems. Overall, researchers agree that psychosocial factors, early, chronic behavior problems, and cumulative risk (Aguilar et al., 2000) play an important role in the development and maintenance of behavior problems in children. The research points to a number of factors that are related to the onset and persistence of externalizing behaviors. In keeping with Bronfenbrenner’s Theory of Human Ecology (Bronfenbrenner, 1979), which provides a framework for the research that is to be presented in chapters four and five, factors associated with externalizing behaviors will be presented in sections according to the levels used by Bronfenbrenner (1979). None of the literature to date has examined mesosystemic factors that contribute to the development or persistence of externalizing behaviors. Research of this type is desperately needed if we are to better understand how to prevent behavior problems in children. Microsystemic Factors Research has consistently examined and found support for a number of factors in the child’s environment that contribute to the development of externalizing behavior problems. These factors include initial problem severity, quality of the home environment, temperament, parenting behavior, and maternal psychopathology. 28 Problem Severity, Temperament, and Home Environment. The severity of the behavioral problem at an early age has been shown to contribute to the maintenance and later severity of behavior problems in elementary school children. (Campbell 8 Ewing, 1990; Campbell, 1995; Campbell, March, Pierce, Ewing, 8 Szumowski, 1991). Some studies have supported the idea that early reports of infant difficulty predict later problem behavior (Campbell 8 Ewing, 1990). Others however, believe that the level of infant difficulty interacts with the quality of parenting, developmental problems and sex of the child to determine whether or not a child will exhibit behavior problems (Campbell, 1995). In a prospective study Aguilar and his colleagues (2000) found that temperament did not distinguish between groups of children who had persistent behavior problems beginning in preschool, whose problems began in adolescence, or children who never exhibited clinical levels of behavior problems (Aguilar et al., 2000). One factor that may account for the difference in the findings is that Campbell and Ewing (1990) used mother‘s retrospective accounts of their infant’s temperament, while Aguilar and colleagues (2000) began measuring temperament at birth and used multiple measures and infomtants until 12 months of age. The home environment has also been related to the development of externalizing behavior problems (Egeland et al., 1990). In general, preschoolers who had clinically significant behavior problems that persisted into adolescence tended to live in disorganized homes that were not responsive to the children’s needs. Adolescents who exhibited behavior problems as preschoolers, but were 29 found to be competent as adolescents came from homes that were more developmentally stimulating. Furthermore, their homes were predictable and organized (Egeland et al., 1990). Parenting Behavior. Campbell (1995) found that researchers representing a variety of theoretical perspectives agreed that parenting plays a role in the development of disruptive behavior (Bates, et al.,1991; Farrington, 1978; Patterson, et al., 1991). The level of parental warmth, degree of responsiveness, and effective and consistent limit setting impact the parent-child relationship, thereby impacting child behavior. Campbell (1994), Campbell et al., (1991), and Campbell and Ewing (1990) compared three groups of boys, those who exhibited significant problems in preschool and first grade, those who had significant problems in preschool, but were competent in first grade, and children who were competent in preschool and first grade. These researchers found that boys who continued to have problems had mothers who used more negative control to gain compliance from their children. Another study (Aguilar et al., 2000) compared four groups of children: those whose negative behavior began in preschool and continued through adolescence, those whose behavior was negative in prescth but appropriate in adolescence, those whose negative behavior began in adolescence, and those who never exhibited clinical levels of negative behavior. Their findings suggest that children whose behavior problems started early and persisted through adolescence were the most likely to have parents who were unavailable, physically abusive, and neglectful in the first three years of life. 30 Several studies have found a relationship between abusive and neglectful parenting and childhood aggression (Alesandri, 1991; George 8 Main, 1979; Herrenkohl 8 Herrenkohl; 1981; Herrenkohl 8 Russo, 2001). Patterson et al. (1991) believe that family interaction patterns provide reinforcement for aggression and that aggression is generalized from home to other settings. These researchers have found that there are two paths to delinquent behavior: The early-starter model and the late-starter model. Boys on the early start path begin their antisocial training at home. Patterson et al. (1991) believe that: “...certain specifiable reactions from the parent will produce a toddler who displays stable patterns of coercive behavior and noncompliance. Similar con- tingencies maintain the performance of these behaviors in older children as well...lt is assumed that coercive exchanges are the key ingredient in setting the early starter process in motion. Once it begins, it seems to move through a sequence of three stages: (a) The child shows clearly identifiable antisocial behavior;...(b) the Child is rejected by the non'nal peer group; and (c) the child fails in school” (pp. 145-146) Researchers using attachment theory as a homework to guide their study have consistently found that behavior problems in preschool and the early school years are related to infant attachment classification. While many of the above studies report that parent-child interaction, maternal wamrth and involvement, and parenting style are important factors related to the onset and persistence of behavior problems, attachment is consistently not being measured by researchers interested in children’s behavior. Due to the important role that the early parent-child attachment may play in the development and continuation of behavior problems it will be discussed in later sections of this review. 31 Maternal Psychopathology. Research has consistently found that high levels of maternal depression are related to the onset and persistence of behavior problems in children (Campbell 8 Ewing, 1990; Egeland et al., 1990; Campbell et al., 1991; Campbell, 1994, 1995; Keenan 8 Shaw, 1994). Research that has compared preschool children whose problems persisted over a three year period, whose problems decreased over a three year period, and whose behavior was never problematic at a clinically significant level found that matemal depression was related to the onset and persistence of behavior problems. Children who had behavior problems in preschool, but were found to be competent in first grade had mothers whose reported depression levels decreased over time. Children whose behavior remained problematic had mothers whose reported level of depression increased over time (Egeland et al., 1990). The relationship between maternal depression and child behavior problems is somewhat unclear. The decreased levels of maternal tolerance for developmentally appropriate, but difficult behavior may explain the relationship between depression and behavior problems(Campbell et al., 1991). For example depressed mothers caring for young children tend to be emotionally unavailable, provide inconsistent discipline, are likely to be hostile toward their child, and communicate less with their child (Egeland et al., 1990). Other explanations for the relationship between maternal depression and child behavior problems include the idea that behavior problems in children contribute to feelings of 32 depression in caregivers and that children's problems co-occur with family problems (Campbell et al., 1991). Overall, research has consistently shown that microsystemic factors play a role in the development of children’s behavior problems. These factors include child characteristics, such as the age of onset and severity of the problem and temperament, as well as parenting factors, including warmth, limit setting, physical punishment, and attachment. Home environment and matemal psychopathology also have been shown to impact child behavior. Exosystemic Factors Research has not focused specifically on how factors in a caregiver’s environment may impact child behavior. Factors such as low levels of marital satisfaction (Campbell, 1994) and low levels of satisfaction with one’s support network (Campbell, 1995) have been related to externalizing problems in preschool boys. Campbell’s(1994) comparison of boys who had behavior problems in preschool and first grade, those whose problems decreased over time, and those whose behavior was not seen as problematic at either time period points to a relationship between marital satisfaction and behavior problems. She found that parents who reported a decrease in marital satisfaction, along with other factors presented earlier, had children whose behavior problems persisted over time. Renken, Egeland, Marvinney, Mangelsdorf, and Sroufe (1989) found that children whose mothers reported less social support and more stress received higher teacher ratings of aggressive behavior. 33 Macrosystemic Factors Belief systems and patterns of social interchange that are imbedded within the culture of the family system correlate with child behavior problems. Macrosystemic factors, which may contribute to the development and maintenance of problem behavior, include poverty and a family history of stressful life events. It is likely that families living in poverty are also more likely than families who are not living in poverty to experience a greater number of stressful life events. Stressful life events appear to be associated with the onset and persistence of behavior problems in children (Campbell 8 Ewing, 1990; Egeland et al., 1990; Campbell et al, 1991; Campbell, 1995; Aguilar et al., 2000). Children who have severe behavior problems in preschool and continue to have problems into school age (Campbell 8 Ewing, 1990; Egeland et al., 1990) and adolescence (Aguilar et al., 2000) live in families whose levels of stress stayed consistent or increased over time. Children who began preschool with negative behaviors, but were found to be competent in elementary school had families whose reported levels of stress had decreased (Egeland et al, 1990). Lower levels of family stress also distinguished between groups of children who never exhibited significant levels of behavior problems, and those whose behavior problems began in preschool (Aguilar et al., 2000). Some models of child and family adversity suggest that stressful life events, such as maternal depression, marital discord, single parenting, multiple changes in location, money, or employment, or other stresses indirectly affect children through their impact on 34 parenting (Belsky, 1984; Patterson, DeBaryshe, 8 Ramsey, l 989; Webster- Stratton, 1990), specifically on the use of physical discipline (Herrenkohl 8 Russo, 2001). Clearly a number of factors at a variety of levels make additive and unique contributions to variance in child behavior. One factor that consistently receives attention is the impact that parents have on their children’s behavior. Research has also suggested that factors outside of the parent child relationship exert their influence directly and/or through the parent—child relationship. One important factor that is related to children’s behavior and the quality of caregiving is parent- child attachment. Attachment Many studies have linked attachment and behavior problems, including aggressive behavior (Sroufe, 1983; Sroufe et al., 1984; Renken et al., 1989; Troy 8 Sroufe, 1987; Hubbs-Tait, Osofsky, Hann, 8 Culp, 1994; Solomon, George, 8 De Jong, 1995; DeMulder, Denham, Schmidt, 8 Mitchell, 2000; Lyons-Ruth 8 Jacobvitz, 1999). Understanding this link is important if behavior problems are to be prevented. Preventing behavior problems is important because early behavioral problems remain stable and predict later delinquency and crime (Loeber 8 Dishon, 1983; Loeber 8 Stouthamer-Loeber, 1987; Huesmann, et al., 1984; Magnusson, et al., 1983; Magnusson, 1988). The research above is an indication of the factors associated with behavior problems and the negative outcomes for children who exhibit such behavior. 35 Based on the research presented earlier, it appears that one way to prevent disruptive behavior in children is through the parent-child relationship. The internalization of parental standards of behavior, the development of self regulation, and the development of prosocial behavior has been associated with the quality of the parent-child attachment (Sroufe 8 Fleeson, 1986) and serves to protect children from later behavior problems. Campbell (1995) notes that: “A more detailed assessment of concunent childrearing practices, maternal sensitivity and responsiveness, and attachment security in toddler age and preschool children with and without externalizing problems may help to clarify the role of attachment in the development of problems.“ (p. 137) The sections below review the attachment research in infancy and preschool. It also provides an overview of the relationship between attachment and behavioral problems in children, attachment and parenting, and attachment research that has been done with Head Start children. Attachment in Infancy Most of the research on attachment to date has been conducted in infancy or adulthood. Attachment in infancy functions to protect the infant. When the attachment system is activated, the infant signals the parent (Kobak, 1999; Cassidy, 1999; Bowlby, 1988). Parent responsiveness in early infancy is related to individual differences in later attachment security. Through repeated interacfions with a parent or parent figure, children learn to anticipate how their caregiver will respond. Infants adapt their attachment behaviors so that they will receive protection from their caregiver (Kobak, 1999). There are four functions of attachment: providing a sense of security; regulation of affect and arousal; 36 promoting the expression of feelings and communication; and senring as a base for exploration (Davies, 1999). Research on attachment in infancy has focused on the predictive power of attachment classifications and the relationship between parental sensitivity and attachment classification. Attachment and Child Behavior There has been a great deal of research documenting the relationship between attachment security in infancy and subsequent child behavior. Secure attachment is linked to mastery, emotional regulation, and interpersonal closeness. Attachment and later development are connected through transactional experiences that influence brain development (Weinfeld, et al., 1999) and serve as a foundation for learning affect regulation (Isabella, 1993; Cassidy, 1994; Sroufe, 1996). Much of the research to date has focused on early parent-child attachment and various child outcomes. The literature cited below is reflective of this research. Secure Attachment. Much of what is known about the consequence of attachment security is the result of a longitudinal study by Sroufe (1983, 1996) and his colleagues. In this research, he found that sensitive, responsive caregiving teaches infants that they can readily get their needs met and that they can have an effect on the world (Sroufe,1983, 1996). These infants are effectively dependent on their caregivers and grow up to be effectively independent (Sroufe, Fox, 8 Pancake, 1983). Children’s history of attachment has been shown to play a role in their early and later academic and social success. Preschool teachers described children with a history of secure attachment as empathetic (Waters, erpman, 8 37 Sroufe, 1979). School age children classified as secure in infancy were rated as more socially active, positive, and popular. These children also described themselves as less socially anxious than children classified as insecure in infancy (Bohlin, Hagekull, 8 Rydell, 2000). In addition, preschool children with secure histories were found to seek out teacher attention in a positive manner (Weinfeld, et al., 1999) and are rated as more socially competent by teachers than meir insecure counterparts (Cohen, 1990). At age 10, children classified as secure in infancy were less dependent on adults at summer camp (Weinfeld, et aL,1999) In peer relations, children classified as secure in infancy have not been found to be bullies or victims in elementary school (Troy 8 Sroufe, 1987) and they also show less hostility and scapegoatlng of other children than insecure children (Suess, Grossman, 8 Sroufe, 1992). Children classified as secure at 15 . months of age were found to score significantly higher on measures of social inititative, prosocial orientation, and popularity than those classified as ambivalent or avoidant. Securely attached 6—year-olds have been found to be more competent in their play and conflict resolution in preschool than were insecurely attached children (Main 8 Cassidy, 1988; Bohlin et al., 2000). Cohen (1990) also found that securely attached 6 year-old boys were more likely to be accepted by peers. Furthermore, Sroufe (1983) found that preschool children with a secure histories were better able to respond flexibly to changing requirements of situations, especially when frustrated. 38 Insecure Attachment: Ambivalent and Avoidant. Caregivers who are unresponsive or erratically responsive teach their infants that they cannot influence their surroundings to meet their needs. As a result, these infants do not learn to be confident about their autonomy (Sroufe, Fox 8 Pancake, 1983). Children with insecure-avoidant and insecure-ambivalent histories have been shown to be more dependent on preschool teachers. Insecure-avoidant children were found to have more interactions with the teachers and sat next to them more often during circle time (Weinfeld, et al., 1999). Furthermore, in this longitudinal study, insecure-avoidant children were described as “mean“ by their preschool teachers (Waters, et al., 1979). Egeland and his colleagues (1990) found that of the 16 insecurely attached infants in their sample, 14 emibited behavior problems in preschool, whereas 15 of the 22 infants classified as secure were not exhibiting behavior problems in preschool. Aggression is related to a history of insecure attachment. In a longitudinal study of attachment, Shaw, Owens, Vondra, Keenan, and \NII'ISIOW (1996) found that insecure attachment at 12-months of age was a significant predictor of aggressive behavior, above the clinical cut-off, at 3 to 5 years of age. During preschool and elementary school, children with insecure attachment classifications in infancy were found to display more negative affect, anger, and aggression than were securely attached children (Sroufe, 1983; Sroufe, Schork, Motti, Lawroski, 8 LaFreniere, 1984). Boys classified as avoidant in infancy were rated by their teachers in first through third grades as being more aggressive than boys with secure histories 39 (Renken, Egeland, Marvinney, Mangelsdorf, 8 Sroufe, 1989). Also, children with insecure-avoidant histories have been shown to be significantly more likely than other children to victimize play partners. These children were likely to be victims if they were paired with other avoidant children (Troy 8 Sroufe, 1987). Research by Cohen (1990) demonstrated that insecurely attached 6 year-old boys were rated by teachers as less competent and having more behavior problems than securely attached boys. Furthermore, the boys were less well liked and perceived as more aggressive by other students in their class. Disorganized/Disoriented Attachment. Infants classified as disorganized are at the most risk for later behavior problems (Solomon, et al., 1995). A recent meta-analysis conducted by van IJzendoom (1999) found that the prevalence of disorganized attachment is relatively low in middle class, non—clinical samples. She found that only 14% of infants from middle class samples were classified as disorganized, compared to 24% from low SES groups. Infants from low SES groups who have also been maltreated are even more likely to be classified as disorganized. For example, 82% of infants who were from families with low incomes and maltreated were classified as disorganized (Carlson, Cicchetti, Barnett, 8 Braunwald, 1989). Other studies have demonstrated that 62% of infants growing up in low-income families with depressed mothers were classified as disorganized (Lyons-Ruth, Connell, Grunebaum, 8 Botein, 1990). Clearly, as risk factors increase so does the likelihood that an infant or child will develop a disorganized attachment. 40 A number of family factors have been associated with the development of disorganized attachment. Factors such as parental depression (Lyons-Ruth 8 Jacobvitz, 1999), insensitive and intrusive caregiving (Carlson, 1998), substance use in the home (Lyons-Ruth 8 Jacobvitz, 1999), and maltreatment (Carlson, 1998; Lyons-Ruth 8 Jacobvitz, 1999) have been correlated with disorganized attachment. Children classified as disorganized often have caregivers who have a history of unresolved loss or who are the source of fear for their children (Main 8 Hesse, 1990). Infants classified as disorganized are at the greatest risk for later behavior problems. Shaw and his colleagues (1996) examined the relationship between infant attachment, measured at 12 months, and clinical levels of aggression at ages 3 and 5. Disorganized attachment at 12 months was a significant predictor of 5—year—old aggressive behavior above the clinical cut-off. Furthermore, only 17% of secure infants, 31% of aviodant infants, and 38% of ambivalent infants had aggressive behavior above the clinical cut off at age 5. Clearly, insecure infants are at much greater risk for aggressive behavior than children who are classified as secure in infancy. However, infants classified as disorganized were almost twice as likely as those classified as insecure, to show clinical levels of aggression at age 5. In Shaw et al’s (1996) sample, 60% of disorganized infants had clinically elevated aggression scores at age 5. Other studies support the findings by Shaw and his colleagues (1996). For example, infants classified as disorganized at 13 months showed externalizing behaviors in preschool (Hubbs- 41 Tait, et al., 1994; Lyons-Ruth et al., 1993) and at age 7 (Lyons-Ruth, et al., 1997). The relationship between aggression and disorganized attachment has received more attention by attachment researchers than other forms of behavior disorders. However, while the relationship is significant, only a minority of disorganized infants become aggressive (Lyons-Ruth 8 Jacobvitz, 1999). Some research has demonstrated that disorganized attachment status is also related to other behavior problems. For example, 71% of preschool children and 83% of school age children from a high risk population, who had been classified as disorganized at 18 months, showed above normal levels of hostility in the classroom (Lyons-Ruth, et al., 1993). Disorganized attachment has also been shown to be significantly related to dissociative symptoms at age 16 and 19 (Ogawa, Egeland, 8 Carleson, 1998, as cited in Weinfield et al., 1999). In a prospective longitudinal study, infants classified as disorganized at 12 and 18 months scored higher on teacher ratings of dissociative behavior and externalizing behavior in first, second, third, and sixth grades. In adolescence, they scored higher on internalizing behavior and overall psychopathology (Carlson, 1998). Attachment in the Preschool Years Although Bowlby considered attachment to be important across the life span, most of the research conducted thus far has focused on the period of infancy. Greenberg, et al. (1990) attributed this to several factors. The first is that most of the attachment researchers were specialists in infancy; second, 42 social development during the preschool years was relatively neglected between the mid-1960’s and mid-1980’s. Finally, many researchers thought that attachment was only relevant in infancy, despite what the theory proposes. Research has shown that not all problems in attachment are rooted in infancy (Cummings 8 Cicchetti, 1990). Since preschoolers are not yet able to protect themselves from many sources of danger, attachment continues to play a large role in their development (Cicchetti, et al., 1990). Insecurity may develop after infancy as a response to a change in the caregiving environment such as the birth of a new sibling, traumatic event, or divorce. Also, during this time children may spend more time away from their parents and as a result, may form insecure attachments between other adult caregivers or siblings (Ciccheti, et al., 1 990). In the late 1980’s, as a response to the lack of attachment research in the preschool period, attachment scholars fomied a group to discuss how to go about expanding research in the area of preschool children’s attachment. They concluded that a theoretical framework for studying attachment in the preschool years should include the fundamental features of the attachment system. For example, its function to protect, proximity to a caregiver as a predictable behavioral outcome, and an internalized felt security (Cicchetti et al., 1990; Schneider-Rosen, 1990). They believed that, following the theory, attachment behaviors during the second and third years of life occur with the same frequency and intensity as they did in infancy (Bowlby, 1982). The circumstances that elicit attachment behaviors change, however (Schneider-Rosen, 1990). 43 Expanding attachment research to include the preschool years of a child’s life is important if one is to develop a greater understanding of the behaviors associated with different attachment styles. Preschool children carry protective factors, such as a secure attachment, and risk factors, such as stressful events and family discord fomard from infancy (De Mulder et al., 2000). These factors may also play an important role in the stability or instability of preschool children’s attachment representations. Once a representational model is in place it guides the processing of incoming information, making intemal working models unlikely to change. However, when the models become inadequate due to external factors affecting the relationship, internal working models are restructured (Bretherton, Ridgeway, 8 Cassidy, 1990). Cicchetti et al. (1990) support this view, they argue that: “Once attachment develops, it continues to undergo transformations and reintegrations with subsequent accomplish- ments such as emerging autonomy and entrance into the peer world. Thus, children are continually renegotiating the balance between being connected to others and being independent and autonomous as they encounter each new developmental phase” (Cicchetti et al., 1990, p. 3). Attachment and Children ’8 Behavior As children enter preschool their attachment relationships become internalized into a more general representation. Until recently measures of attachment representations in preschool were not available, and as a result this is an area that needs to be studied. Research that has been conducted has generally used an extended version of a laboratory separation reunion developed by Main and Cassidy (1988). The limited number of studies that have been conducted using this measure have consistently found that attachment 44 representations in preschool are related to concurrent and later behavioral functioning. Children classified as disorganized between the ages of 3 and 5 scored lower on maternal ratings of social competence and higher on ratings of behavioral problems in preschool (Moss, Parent, Gosselin, Rousseau, 8 St- Laurent, 1996). Two years later, the children from this sample who were classified as disorganized scored higher on teacher reported behavior problems and had lower math scores than children classified as secure or resistant. They also scored lower on teacher reported measures of academic self-esteem (Moss, Rousseau, Parent, St-Laurent, 8 Saintong, 1998). Preschool children classified as disorganized have also been shown to exhibit aggression and externalizing behaviors toward peers (Speltz, Greenberg, 8 DeKlyen, 1990). Solomon and her colleagues (1995) also used the Main and Cassidy (1988b) system to classify 6 year-old children along with a new measure of attachment designed by the first two authors of the study (George 8 Solomon, 1990, 1996, 2000). They found that children’s use of defensive exclusion could accurately differentiate between the four attachment categories and was correlated with Main and Cassidy’s (1988b) laboratory reunion. This study supported the findings of previous research; disorganized children were rated higher by parents and teachers on both internalizing and externalizing behaviors (Solomon, et al., 1995). Attachment and Head Start The developmental tasks of preschool, to manage affect within social interaction and to begin to form peer relationships (DeMulder et al., 2000) are 45 closely tied to the development of a secure attachment. A recent report released by the Child Mental Health Foundations and Agencies Network (2000) indicated that social and emotional school readiness is an important factor in early school success and later accomplishments in the workplace. Furthermore, this report indicated that social and emotional competence is rooted in the attachment relationships that are developed during the first year of life. The overarching goal of Head Start is to promote social competence and school readiness in children. One way that Head Start accomplishes this is by strengthening families as the primary nurturers of their children. Clearly, it is important to study attachment representations in children attending Head Start There are, however, only a few studies that have investigated attachment using Head Start samples (Call, 1999; Ventura-Cook, 1997; Bost, Vaughn, Washington, Cielinski, 8 Bradbard, 1998). Only one of these studies (Call, 1999) looked at the relationship between insecure attachment and behavioral problems. While a significant relationship was found between insecure adult romantic attachment and behavior problems, the sample size was very small indicating that more research with this population is warranted. In addition, the above study used a measure of attachment that has limited usefulness. Self-report measures of current romantic attachment style are not correlated with adult measures of attachment that examine the extent to which one’s parents displayed care and protection (Steele, Steele, 8 Fonagy, 1996), which has been shown to be related to attachment representations in children (Fogany, Steele, 8 Steele, 1991). More attachment research needs to 46 be conducted with preschool children. Future studies need to improve on previous research that has attempted to measure attachment using recently developed assessments. These assessments are often limited in their usefulness because they fail to differentiate validly among all four main attachment groups; lack concurrent construct validity with other child attachment measures; and fail to replicate findings among studies using the same attachment measure (George 8 Solomon, 1990, 1996, 2000). Parental Factors Related to Attachment Representations in Children The above research demonstrates that attachment representations are stable over time, and that insecure and disorganized attachment have been correlated with behavior problems in preschool and elementary school children and adolescents. Because aggression is stable over time and has been associated with low academic achievement it is important to understand what factors influence a parent’s ability to form a secure attachment. Research in this area has been relatively neglected (Belsky, 1999; Vondra et al., 1999). Social Support There is evidence that the amount and nature of contact with and support from significant others affects the way that parents interact with their infants (Andersen 8 Telleen, 1992). For example, low-income African American mothers with larger social networks tend to be more responsive in interaction with their infants (Burchinal, Follmer, 8 Bryand, 1996). Crockenberg (1981) found that mothers whose infants were assessed as being irritable shortly after birth and who had low levels of social support were more likely to have insecurely 47 attached infants. When mothers had high levels of social support, infant irritability did not have an impact on attachment quality. Crittenden (1985) found that in a group of infants with abusive or neglectful mothers, low social support predicted insecurity. This may indicate that social support is a mediator of security for low levels of nurturing parenting during infancy. These studies have all addressed social support and attachment in infancy, but they do not address the relationship between parental social support during their child’s preschool years, parenting attitudes or their child’s attachment representation. Psychological Well-Being Parents” psychological health and well being effect the quality of care that they provide their child (Belsky, 1984). Furthermore, psychologically healthier parents are more likely than less psychologically healthy parents to have infants who are securely attached to them (Belsky, 1999). Research has shown that mothers who describe themselves as self-confident, independent, cheerful, adaptable, and affectionate were more likely to have secure infants (O’Connor, 1997, as cited in Belsky, 1999). These findings are also true for high-risk and low SES households (Jacobson 8 Frye, 1991). Depression has been associated with attachment insecurity (Lyons-Ruth et al.,1990). Cummings 8 Cicchetti, (1990) note that: “[Previous] research documents the effects of the physical unavailability of attachment figures on the development of children. From the perspective of attachment theory, however, the fact of physical absence may be less important than the psychological unavailability of the attachment figure to the child during periods of separation or loss. Thus, conditions that result in high levels of psychological unavailability, even when physical absence is not a factor, may produce similar outmmes in terms of increasing 48 children’s felt insecurity. One instance where this might occur is when parents have major and extended episodes of unipolar or bipolar depression” (p.347). Research by Gelfand 8 Teti (1990) found that children of depressed mothers were at heightened risk of insecure attachment. Children whose parents have major depressive disorder were more likely to be classified as insecure than children whose parents have minor depression or no affect disorder (Radke- Yarrow, Cummings, Kuczynski, 8 Chapman, 1985). This research, however was conducted prior to the discovery of the disorganized attachment classification and as a result can not report the correlation between maternal depression and disorganized attachment. This research did find, though, that infants whose parents had the most severe depression also had characteristics of both avoidant and ambivalent attachment, they labeled these children very insecure. In a sample of middle income families, DeMulder and Radke-Yarrow (1991) found that 50 percent of infants and preschoolers whose mothers had bipolar depression were disorganized. Twenty-five percent of children whose mothers had unipolar depression were classified as disorganized compared to 18 percent of the children in the control group. Teti, Gelfand, Messinger, and Isabella (1995) also found that maternal depression was a significant predictor of disorganization in infancy. In their middle class sample, 40 percent of infants between 16and 21 months of age, whose mothers were in treatment for depression, compared to 10 percent of infants in the control group were classified as disorganized. 49 Some research has not found the expected relation between depression, disorganized, and insecure attachment (Lyons-Ruth 8 Jacobvitz, 1999). The age at which attachment security is measured may account for this. In studies where maternal depression has been found to be related to insecure attachment, attachment was measured after 15 months of age (Belsky, 1999). Another possible explanation, is that only depression that results in serious clinical impainnent is necessary before it has a significant impact on infant disorganization (Lyons-Ruth 8 Jacobvitz, 1999). Parenting and Attachment Sensitive and responsive parenting is of central importance in the development of a secure attachment. Ratings of matemal sensitivity in the first year of life are linked to security in the first year of life. This is true for samples with various SES backgrounds and various cultural backgrounds (Ainsworth, Blehar, Waters, 8 Wall, 1978; Isabella, 1993; Grossman, Grossman, Spangler, Suess, 8 Unzer, 1985; Egleland 8 Farber, 1984). Prompt responsiveness to distress (Crockenberg, 1981), appropriate stimulation (Belsky, Rovine, 8 Taylor, 1984), and warmth, involvement, and responsiveness (Bates, Maslin 8 Frankel, 1985) have also been related to attachment security. Generally, studies of attachment and parenting have used observational measures of parent-child interaction. Research examining the link between parental sensitivity and attachment has utilized many methods including single home visits, brief laboratory assessments, interviews to assess parental attitudes, and documentation of the frequency of physical contact. De Wolff 8 50 van IJzendoom (1991) believe that these methods may not capture the concept of sensitivity as Ainsworth and her colleagues originally operationalized it. A meta-analysis conducted by De Wolff 8 van IJzendoom, (1997) found that sensitivity appears to be an important condition for the development of attachment security, but that it cannot be considered to be the exclusive and most important factor in the development of attachment. This study demonstrated that “the transactions between social context or clinical conditions, on the one hand, and attachment on the other need more careful study to determine the role of sensitivity, and other aspects of parenting and family life in the development of attachment security more precisely” (De Wolff 8 van IJzendoom, 1997). Research on the relationship between parenting and attachment in preschool is limited. Parents ability to provide a nurturing environment may be related to their own history of care and attachment. In one study, George and Solomon, (1996) found that the caregiving system is organized by a representational structure that is correlated with the child’s attachment to the mother and the mother’s representation of her relationships in childhood. Some of what is known about parenting and attachment in the preschool years is based on infants who were classified as insecure in infancy, but were functioning well in preschool. These children had mothers who were more supportive, gave clearer instructions, and set consistent limits in laboratory play tasks (Erickson, et al., 1985). It is unclear if the infants’ attachment styles also changed from insecure to secure. DeMulder and RadkeYarrow ( 1991) found that children classified as 51 disorganized in preschool had mothers who displayed the most negative affective tone. Another study conducted with preschoolers found that security in preschool, as measured by the attachment Q-Set, was associated with affectively appropriate, sensitive, flexible mothering (T eti, Nakagawa, Das, 8 Wirth, 1991). More research in the area of parenting behavior and attachment in the preschool years is necessary if one is to better understand this relationship. Life Stress Attachment researchers have devoted a great deal of lime studying how caregiving and maternal sensitivity promote attachment security and how insecurity and disorganization are related to behavior problems. However, relatively little research has looked at the factors in the parent’s environment that contribute to their ability to provide this type of care (Belsky, 1999, Vondra et al., 1999). Some studies have indicated that attachment may be influenced by family stress (DeMulder et al., 2000). Shaw and Vondra (1993) found that cumulative family stressors, differentiated secure infants from insecure infants, especially for families with three or more stressors. They also reported that if the stressors impacted caregiving or maternal functioning, they were more likely to impact attachment. In a sample of preschool boys, security with mother and family stress were significantly related to teacher reports of aggression in preschool (DeMulder et al., 2000). This study also supported the finding that family stress may influence the quality of the ongoing attachment relationship. 52 Because high-risk, low-income families have a higher proportion of insecure and disorganized children than do low-risk, middle-income families, it is important to understand how a secure attachment can be facilitated in high-risk families. Research has suggested that alleviating the degree of stress impacting high risk families could help decrease later behavior problems in children and assist in the development of secure attachments (Call, 1999). This research is relevant to the current study because it was conducted with a sample of Head Start families. However, these findings need to be replicated due to the small sample size of the study and the use of a problematic measure of attachment. Conclusion Chapter two has reviewed relevant literature regarding the prevalence and stability of behavior problems in preschool children as well as factors contributing to the development and persistence of behavior problems, including internalizing and externalizing problems. This chapter also explored maternal factors related to parent-child attachment, the relationship between parenting and attachment and between parenting and aggressive behavior. Clearly, there has been a great deal of research regarding attachment in infancy and adult representations of attachment. Research, however documenting the influence of a parent’s ecology on the caregiving environment, parental behaviors, and attachment has been lacking. In addition to this, the research on attachment during the preschool years has been lacking, despite Bowlby’s lifespan perspective. This study will address deficits in the attachment research to date and contribute to research on behavior problems in preschool children by investigating the relationship between 53 concurrent attachment classification and behavior problems. This research will also make a significant contribution by including girls in the sample. Chapter 3 will delineate the research methodology specific to this study. 54 CHAPTER 3 Methodology Introduction The purpose of this study was to investigate caregiver psychological and environmental factors that contribute to parenting attitudes, attachment representations in their children and subsequent child behavior at home and at school. This chapter introduces the methodology used to fulfill the purpose of the study by including a reiteration of the research questions followed by a discussion of the research design. In addition, this chapter will discuss the methodology, sampling, hypotheses, data collection and data analysis procedures. Research Questions . Are factors in the caregiver's environment associated with children’s attachment representations? 0 Are factors in the caregiver’s environment predictive of their attitude about nurturing parenting? a Are caregiver’s nurturing parenting attitudes associated with children’s attachment representations? 0 Is caregiver psychological well being associated with children’s attachment representations? . Do children’s mean aggression scores at home and at school vary as a function of attachment representations c Is aggression at home correlated with aggression at school? 55 Research Design In order to carry out the objectives of this research most effectively, a correlational design in a controlled setting was used. This study examined caregiver environmental and psychological factors that contribute to parenting attitudes and preschool children’s attachment representations. This study also examined the relationship between caregiver environmental factors, psychological factors, parenting attitudes, children’s attachment representations and their aggressive behavior in school and at home. The unit of analysis in this study was 52 caregivers and their children who attend Head Start in Ingham County, Michigan. Conceptual and Operational Definitions 0 Caregiver Conceptual: The person who provides care for the child. Operational: For purposes of this study, the caregiver was defined as the adult who reported that helshe is the person who provided the majority of the care for the child. This person also reported that they had legal custody of the child 0 Caregiver environmental factors Conceptual: The caregiver's report of social support and life stress. Operational: For the purposes of this study social support was measured by the caregiver’s score on two scales of the Social Support Questionnaire (SSQ, Sarason, Levine, Basham, 8 Sarason, 1983). The first scale (SSQ-N) assesses the caregiver's perception of how available his/her support network is. The 56 second scale (SSQ-S) assesses how satisfied the caregiver is with his/her level of support. Life stress was measured by the number of items that the caregiver reported on the Schedule of Recent Events (Daly, 1984). o Caregiver Psychological Well Being Conceptual: The caregiver's reported level of psychological symptoms in the past week. Operational: For the purpose of this study, caregiver psychological well being was measured by the caregiver’s score on the general symptom index of the Brief Symptom Inventory (BSI, Derogatis, 1992). This score is the average of the nine subscales. . Nurturing Parenting Attitudes Conceptual: The caregiver‘s attitudes about nurturing parenting. Operational: For the purpose of this study, nurturing parenting refers to attitudes regarding parental expectations, empathy towards children’s needs, values related to corporal punishment, role reversal, and power and independence. These attitudes were measured by the caregiver’s standard score on each of these subscales of the Adult-Adolescent Parenting Inventory-2 (AAPl-2, Bavolek 8 Keene, 1999). c Children’s Aggressive Behavior Conceptual: The child’s aggressive behavior in the home and in the school. Operational: For the purpose of this study child aggressive behavior in the home was the caregiver’s report of his/her child’s aggressive behavior on the Child Behavior Checklist (CBCL, Achenbach, 1991). The raw score on the 57 aggression scale of this instrument was used to measure the child’s aggressive behavior in the home. Aggressive behavior in school was measured using the teacher‘s report of the child’s aggressive behavior on the Teacher Rating Scales (T RS, Reynolds 8 Kamphaus, 1992). Specifically, this was measured using the raw score on the aggression sub scale of the TRS. c Children’s attachment representation Conceptual: The child’s attachment representation. Operational: For the purpose of this study, children’s attachment representations were the child’s secure, avoidant, antivalent, or disorganized classification on the Six-Year Attachment Doll Play Attachment Classification System (George 8 Solomon, 1990, 1996, 2000). Sampling Procedure Data were collected from 62 caregivers whose children were attending Head Start. Half of the sample was drawn from full day, full year Head Start classrooms and the other half of the sample was drawn from center based, part day Head Start classrooms. The sampling procedure was conducted in two phases. In phase one, the Associate Director of Head Start provided the doctoral student with the location of the full day, full year classrooms and the names of the head teachers for each of those classrooms. There were seven full day classrooms in Ingham County, all of which were sampled. There were approximately 17 students in each classroom. The research was explained to each lead teacher and her consent to participate was obtained. The teacher 58 chose a week during the scheduled data collection time in which no field trips were planned. Arrangements were made so that parent self-report data could be collected during times when caregivers drop off and pick up their children. The week before sampling and data collection was to take place, flyers describing the research were posted in the school and sent home with children who were 4 years old. The week that sampling and data collection took place, flyers that described the research were handed to each parent. The flyers indicated that caregivers could sign up to participate in the study at the school that same afternoon. Caregivers were asked to pick a time during that week, while their child was in school, to fill out self-report measures and information about their child. After the caregiver finished filling out self-report information the caregiver introduced his/her child to the student conducting the research. The child was told that his/her caregiver had given permission to take the child to a room in the school building to make a movie about a pretend family. The child was told the name of the research assistant who would be playing with him or her, the day that it was going to occur, and that helshe would be introduced to the research assistant. The child was also told that his/her caregiver and teacher would help them remember the day that the play time was to occur. On Friday or Monday following caregiver completion of self-report data, the caregiver’s child was taken out of class to participate in the doll play interview. The classroom teacher and the doctoral student introduced each child to the doll play administrator. Each child was reminded that he or she was going 59 to make a movie about a pretend family and then would return to the classroom. The interviews were held in an unoccupied room in the building where the child’s classroom was located. All interviews were video taped so that they could be transcribed. Prior to the scheduled interview with the child, the doll play administrator set up the doll house, and began recording. Each video had the date and the time that the child was interviewed. The video was not turned off until after the doll play administrator had retumed the child to his/her classroom. The doll house was set up the same for every interview. If caregivers were not available during school hours to fill out self-report measures or they did not want their child taken out of class, an alternate time was arranged for them to participate. These additional times were in the evenings and on weekends at the Family and Child Clinic at Michigan State University. Thirty-two caregivers signed up to participate in the study. Twelve of these caregivers failed to follow through with their scheduled appointment, so they were dropped from the study. Twenty caregivers and their children participated in phase one of data collection, which took place in August and September, 2001. Due to the low number of participants, buildings that housed more than one classroom were sampled again in December, 2001. An additional twelve caregivers expressed an interest in the study, but two parents failed to show up for their scheduled appointment to fill out self report measures so they were dropped from the study, leaving ten caregiver-child dyads who participated. In phase one, two children refused to leave their classrooms for the doll play interview. During phase one of data collection three families were dropped from the sample because they did not fit selection criteria. Two caregivers did not speak English well enough to accurately fill out the measures; the caregivers. reported that they were fluent in English, but had a great deal of difficulty understanding directions and words to describe problem behaviors. One child was enrolled part time in a pro-primary impaired classroom for language and social-emotional delays. Another family was dropped from the sanple because the caregiver had only filled out every other question on only the front pages of the measurement instruments. When she was asked to complete the surveys she did so in 10 minutes. Most parents took 40 to 60 minutes to complete the surveys. This reduced the phase one sanple to 26 parent-child dyads. Phase two of the sampling procedure was the same as phase one, however the families that were sampled had children who attended center based, part day Head Start The Associate Director of Head Start provided the names of teachers who worked in buildings that housed two or more part day classrooms. Thirteen classrooms located in Ingham County were sampled. Each classroom had approximately 17 students who attended the morning session and 17 students who attended the altemoon session. The research was explained to each lead teacher and her consent to participate was obtained. Arrangements were made so that data collection could take place when caregivers dropped off and picked up their children. The week before data collection was to begin, flyers describing the study were sent home to caregivers who had 4 year old children. The week that 61 sampling and data collection took place, each caregiver was handed a flyer that described the research. The flyer indicated that the doctoral student would be at the school that same afternoon to sign interested caregivers up for the study. Caregivers were asked to pick a h'me during that week, when their child was in school, to fill out self-report measures and information about their child. After the caregiver finished filling out the self-report information, the caregiver introduced his/her child to the student conducting the research. Each child was told that his/her caregiver had given permission to take the child to a room in the school building to make a movie about a pretend family. The child was told the name of the research assistant who would be playing with him or her and the day that the doll play was going to occur. The child was also told that helshe would be introduced to the research assistant, and that his/her caregiver and teacher would help him/her remember when the playtime would happen. On Monday following caregiver completion of self-report data, the caregiver’s child was taken out of class to participate in the doll play interview. The interviews were held in an unoccupied classroom in the building where the child’s classroom was located. Data collection took place between September and December, 2001. Thirty-five caregivers expressed an interest in the study; two of these caregivers did not show up at their scheduled time to fill out measures, another parent withdrew from the study after discussing it with her husband. Data were collected from thirty-two caregiver-child dyads; doll play interviews were collected from twenty-seven children; Five children chose not to leave their classrooms for the interview. An additional six dyads were dropped 62 from the sample after data collection was complete because they did not meet selection criteria. One parent, who the school later reported was unable to read , filled out the measures without help, one parent was not fluent in English, and had been in the country for less than one year. Two of the children did not live with the parent who filled out the caregiver measures, the teacher reported that these children saw their parent less than daily. One parent brought her child and husband to Michigan State, she and her husband each filled out half of the measures, despite being asked to have only one parent fill out the caregiver measures. One parent filled out the measures in less than 20 minutes, the teacher and Family Support Worker reported that they did not think that the parent could read. This reduced the phase two sample to 26 caregiver—child dyads. lf caregivers were not available during school hours to fill out self-report measures or they did not want their child taken out of class, an alternate time was arranged for them to participate. These additional times included evenings and weekend times at the Family and Child Clinic at Michigan State University. NI of the information that families received and all of the instruments in this study were submitted to and approved by the University Committee for Research Involving Human Subjects. Hypotheses Ho 1: Caregiver’s perceived social support network size, perceived satisfaction of social support, and life stress are not associated with children’s attachment representations. 63 Ha 1: Caregiver’s perceived social support network size, perceived satisfaction of Ho 2: social support, and life stress are associated with children’s attachment representations. Caregiver’s perceived social support network size, perceived satisfaction of social support, and life stress are not significant predictors of parental expectations, empathy towards children’s needs, values related to corporal punishment, family roles, or power-independence issues. Ha 2: Caregivers perceived social support network size, perceived satisfaction of Ho 3: social support, and life stress are significant predictors of parental expectations, empathy towards children’s needs, values related to corporal punishment, family roles, or power-independence issues. Parental expectations, empathy towards children’s needs, values related to corporal punishment, family roles, and power-independence issues are not associated with children’s attachment representations. - Ha 3: Parental expectations, enpathy towards children’s needs, values related to Ho 4: Ha 4: corporal punishment, family roles, and power-independence issues are associated with children’s attachment representations. Caregiver psychological well being is not associated with children’s attachment representations. Caregiver psychological well being is associated with children’s attachment representations. Ho 5: Children’s mean aggression scores at home and at school do not vary as a function of attachment representations Ha 5: Children’s mean aggression scores at home and at school vary as a function of attachment representations Ho 6: Children’s aggressive behavior at home is not significantly correlated with aggressive behavior in school. Ha 6: Children’s aggressive behavior at home is significantly correlated with aggressive behavior in school. Instrumentation The dependent and independent variable, nurturing parenting, was assessed by the Adult Adolescent parenting Inventory-2 (AAPl-2, Bavolek 8 Keene, 1999). The AAPI-2 was designed to assess parenting attitudes and child rearing practices of adolescents and adults. The subscales include: Parental Expectations, Empathy towards Children’s Needs, Values Related to Corporal Punishment, Role Reversal, and Power-Independence. The analysis for this study used the sten scores of the five sub-scales. The internal consistency for these sub-scales is very good. Alpha levels range from .80 to .92 (Bavolek 8 Keene, 1999). The independent and dependent variable, life stress was assessed using the Schedule of Recent Events (Daly, 1984). The Schedule of Recent Events is a checklist designed to measure the amount of stress experienced from readjustment to life events. Items include questions about stressful events that have happened in the past year. Research has shown that the internal consistency for the scale is very good (alpha=.83). 65 The independent and dependent variable, social support. was assessed using the Social Support Questionnaire (SSQ, Sarason, et al., 1983). The strength of the SSQ is that it assesses perceived availability (SSQ-N) of and satisfaction (SSQ-S) with social support. The SSQ-N instrument yields data on the number of supports available; the SSQ-S yields data on satisfaction for each item (Sarason, et al., 1983). Both scales show excellent internal consistency (SSQ-N, alpha=.97; SSQ-S alpha=.94). The independent and dependent variable, caregiver psychological well being, was assessed using the Brief Syn'ptom Inventory (BSI, Derogatis, 1992). The BSI yields scores in tenns of nine primary symptom dimensions divided by the total number of responses. The internal consistency is very good with alpha levels ranging from .71 to .85. The independent and dependent variable, children’s attachment representations, was measured using the Six-Year Attachment Doll Play Classification System (George 8 Solomon, 1990, 1996, 2000). The doll play interview has inter-rater reliability of 71% and shows concordance between representation classifications and attachment classifications based on reunion behavior in the Main and Cassidy (1988) laboratory reunion of 79% (Solomon 8 George, 1999). Furthermore, the Six-Year Attachment Doll Play Classification System differentiates among all four-attachment groups (Solomon 8 George, 1990, 1996, 2000). The investigator was trained by the creators of the measure and established inter-rater reliability of 80% using an alternate sample. The creators of the measure and the doctoral student coded seventeen of the stories from this sample. Inter-rater reliability for the current sample, between all three raters was 100%. The dependent variable, children’s aggressive behavior in the home, was assessed using the Child Behavior Checklist (CBCL, Achenbach, 1991), which was filled out by the caregiver. The CBCL is designed to measure children’s problems as reported by parents. The CBCL has been used widely in research on social-emotional development with children ages 4-18 (Drotar, Stein, 8 Perrin, 1995). The CBCL reports very good internal consistency with alpha levels ranging from .88 to .92. For the analysis of this study the aggressive behavior subscale was used The dependent variable, children’s aggressive behavior at school, was assessed using the Behavior Assessment System for Children (BASC, Reynolds 8 Kamphaus, 1992). The BASC is an integrated set of self-reports of personality, teacher-rating scales (T RS), parent rating scales, a developmental history, and an observation protocol. For the purposes of this study, the TRS was used. One strength of the BASC is that in addition to measuring externalizingbehavior, internalizing behavior, and attention problems, it also measures the child’s adaptive skills. Intemal consistency for this measure is quite good with alpha levels ranging from .80 to .90. Furthermore, conelation between the TRS and Achenbach’s Teacher Report Form are in the .80s and .90s. 67 Data Collection All of the parent data were obtained from caregiver self-report. The self- report measures were completed in 45 to 60 minutes; caregivers filled out these measures at their child’s school, during regular school hours, or at Michigan State University. Questionnaires were read to two caregivers who indicated that they could not read. Children’s behavior was obtained from caregiver and teacher report. Children’s attachment representations were measured using a semi-structured doll play interview. Twenty-seven interviews from the full day sanple and twenty-five interviews from the part day sample took place in an unoccupied room in the building where the child’s classroom was located. Three parent-child dyads from the full day sample and two parent-child dyads from the part day sample came to Michigan State University to participate in the study. For these families, the caregiver self-report data and the child interview took place simultaneously. Prior to the doll play interview, the child was allowed to familiarize him/herself with a doll house that was constructed for the interview. The administrator then introduced a story stern about lost pets and the child was asked to finish the story. Following the introduction, the administrator introduced four story stems describing a hurt knee, a monster in the bedroom, a separation, and a reunion story. The children were asked to complete the stories and were given between three and five minutes to complete the story before the next story stem was introduced. The interview was videotaped and transcribed. The 68 transcripts of the children’s stories were coded by the doctoral student and each child was assigned an attachment classification. Upon completion of the doll play interview and the caregiver self-report measures, the caregivers were sent a $25 gift certificate to a local grocery superstore. After the children at each school completed their doll play interviews, the Teacher Rating Scale was mailed to the child’s teacher. Completed forms were returned in a self-addressed stamped envelope. The teachers received a $10 gift certificate to a teacher supply store for every completed measure that was received. Sample Characteristics Sixty-two caregiver-child dyads were recruited from 7 full day and 13 part day Head Start classrooms in Ingham County, Michigan. It was discovered during data collection that 10 of the caregiver-child dyads did not meet selection criteria for the study. As a result of dropping families from the study, the sample that was analyzed comprised of 52 caregiver-child dyads. Half of the children were enrolled in full day Head Start (N=26) and half were enrolled in part day Head Start (N=26). Child Characteristics The children were approximately 4 years old (M= 54 months, range 40-68 months). Twenty males and 32 females participated in the study. The majority of the children were Caucasian (N=15), African American (N=12), or multi-racial (N= 18). One child was Native American and 6 children were Hispanic. An overview of child characteristics can be found in Table 3.1. 69 Table 3.1 Child Characteristics Variable N Percentage Sex Male 20 38.5 Female 32 61.5 Classroom Full day 26 50 Part day 26 50 Race Caucasian 15 28.8 African American 12 23.1 Hispanic 6 1 1.5 Native American 1 1.9 Multi-racial 18 34.6 Caregiver Characteristics All of the caregivers filling out measures reported that they had legal custody of the child who participated in the study, all of the caregivers were the child’s biological parent. Two fathers and 50 mothers completed self-report measures. Their ages ranged from 19 to 39 years (M=27.9). The majority of the parents were either Caucasian (N=24) or African American (N=13). Eight 70 caregivers were multi-racial and 7 were Hispanic. Half of the parents were single; 18 had never been married, 7 were divorwd and 1 was separated. Eighteen parents were married and 8 were in a committed relationship that had lasted longer than 6 months. The caregivers worked an average of 19.4 hours per week (range 0 to 50 hours) and had an average income of $1,626 per month. The families had experienced an average of 11.7 stressful events in the past year (range 1-36). An overview of caregiver characteristics can be found in Table 3.2. Data Analysis Attachment is a categorical variable, while the others are continuous. Various statistical methods are appropriate for these analyses, depending on whether or not the attachment will be the dependent or independent variable and on whether there will be multiple independent variables. The following research questions were analyzed using crosstabulation. o Are factors in the caregiver's environment associated with children’s attachment representations? 0 Is caregiver psychological well being associated with children’s attachment representations? e Are nurturing parenting attitudes predictive associate with children’s attachment representations? The following research question was analyzed using regression analyses: 0 Are factors in the caregiver’s environment predictive of their attitudes about nurturing parenting? 71 Table 3.2 Caregiver Characten‘stics Variable N Percentage Sex Male 2 3.8 Female 50 96.2 Race Caucasian 24 46.2 African American 13 25 Hispanic 7 13.5 Multi-racial 8 15.4 Marital Status Single 18 34.6 Divorced 7 13.5 Separated 1 1.9 Married 18 34.6 Committed Rel 8 15.4 Mean Range Age 27.9 19—39 Hours worked/week 19.4 0-50 Income/month $1 .626 0-$4,800 Stressful events/yr 11.7 1-36 72 The following research question was be analyzed using Anova: a Do children’s mean aggression scores at home and at school vary as a function of attachment representations? The following research question was analyzed using Pearson correlation: o Is aggression in the home correlated with aggression in school? Conclusion This chapter has delineated the research methodology specific to this study. This chapter has included the purpose of the research, related research questions, and hypotheses. From these, the study was designed and the methodology was determined. The sample was described, data collection techniques and data analysis procedures necessary for completion of the study explained. 73 CHAPTER 4 Results Introduction The main objective of this study was to investigate caregiver psychological and environmental factors that contribute to parenting attitudes, attachment representations in their children and subsequent child behavior at home and at school. This chapter is divided into two sections. The first section presents frequencies for relevant variables, the second section presents the major findings for each hypothesis. Frequencies for Relevant Variables Relevant variables in this study include those that pertain to the caregiver and those that pertain to the child. Frequencies were run for variables that have established cutoffs to determine clinical levels of symptoms for high risk parenting practices and for those that are known to exist in a certain percent of a population. Scores on all caregiver variables were obtained by caregiver self report. These variables included nurturing parenting and levels of clinical symptoms. Scores on child variables were obtained by caregiver report, teacher report, and a semi-structured doll play attachment interview. These variables included: attachment classification, aggressive behavior at home, and aggressive behavior at school. Caregiver Variables Nurturing Parenting. Nurturing parenting was measured using the Adult Adolescent Parenting Inventory-2 (AAPI-2, Bavolek 8 Keene, 1999). The AAPl-2 74 is divided into 5 subscales, which measure known patterns of abusive and neglecting parenting attitudes and child rearing practices. Bavolek and Keene (1999) suggest that to interpret the results of the AAPl-2, one can compare sample caregivers to those in the population by comparing standard scores. Raw scores are converted into standard scores that range from 1 to 10. Low standard scores (1-4) are characteristic of parents who are practicing abusive parenting, these parents are labeled high risk and comprise approximately 30 % of the total population. High standard scores (8-10) are characteristic of a nurturing, non- abusive, parenting philosophy, these parents are labeled low risk and comprise approximately 16 % of the total population. Mid-range standard scores (57) represent parenting attitudes of the general population, approximately 54 % of parents in the general population fall into this category (Bavolek 8 Keene, 1999). In order to understand how this sample compares to the population on which this instrument was normed, the caregivers standard scores were grouped into categories of low risk attitudes, high risk attitudes, and attitudes of the general population, according to Bavolek and Keene’s (1999) definitions. Below, each scale is described and each category within the scale is described. Next, the percentage of parents, from this sample, who fell into each category, is presented. This allows the reader to compare this sample with what would be expected in the population. The first scale, parental expectations, measures thedegree to which caregivers understand and accept their child’s developmental limitations. Low risk caregivers tend to have appropriate expectations of children’s capabilities 75 and tend to encourage self-grth and exploration. Caregivers who fall into the high risk category generally have a lack of understanding of children’s developmental capabilities and may expect children to achieve at a higher level than they are capable (Bavolek 8 Keene, 1999). In the current sample 34.6 % of caregivers (N=18) were judged to be high risk in this area; 59.6 % (N=31) were judged to have attitudes of the general population; and 5.8 % (N=3) were considered low risk. The second subscale, inability to be empathetically aware of children’s needs, measures the caregiver’s ability to be aware of his or her child's feelings and to place the needs of their child as a priority. Caregivers who fall into the low risk category are sensitive to their child’s needs and see their needs as a priority. Caregivers who fall into the high-risk category are likely to see the normal developmental demands of children as bothersome and may have difficulty assisting their child meet his or her needs (Bavolek 8 Keene, 1999). In the current sample, 44.2 % of caregivers (N=23) were judged to be high risk; 44.2 % of caregivers (N=23) had attitudes representative of the general population; and 11.5 % of caregivers (N=6) were judged to be low risk. The third subscale, belief in the value of corporal punishment, measures a caregiver’s attitudes about the use of physical punishment to discipline his or her child. Caregivers who fall into the low risk category tend to use alternative strategies to physical punishment and value non-violent ways of providing discipline. Scores in the high-risk category indicate that physical discipline is an acceptable form of discipline that teaches children appropriate healthy behaviors 76 (Bavolek 8 Keene, 1999). In the current sample, 57.7% of caregivers (N=30) were judged to be high risk; 40.4% of caregivers (N=21) had attitudes representative of the general population; and 1.9% of caregivers (N=1) were judged to be low risk. The fourth subscale, parent-child role reversal, measures the degree to which caregivers reverse parent-child roles and the possibility that they look to their own child for care and comfort. Caregivers who fall into the low risk category tend to understand and accept the needs of self and child, but do not approve of meeting their own needs at the cost of the child’s needs. Caregivers who fall into the high-risk category tend to view children as existing to meet the needs of their caregivers (Bavolek 8 Keene, 1999). In this sample, 30.8% of caregivers (N=16) were judged high risk; 51.9% of caregivers (N=27) had parenting attitudes consistent with the general population; and 17.3% of caregivers (N=9) had attitudes that are considered to be low risk. The final subscale, oppressing children’s power and independence, measures the degree to which caregivers believe that children’s independence and power needs to be oppressed and the belief that children should comply with parental requests without question (Bavolek 8 Keene, 1999). Caregivers who fall into the low risk category generally place value on children feeling empowered and are likely to give children choices and encourage them to problem solve. Caregivers who fall into the high-risk category typically place value on obedience and suppression of children’s feelings (Bavolek 8 Keene, 1999). In this sample, 30.8% of caregivers (N=16) were categorized as high risk; 50% of caregivers 77 (N=26) had attitudes consistent with those of the general population; and 19.2% of caregivers (N=10) were categorized as low risk. An overview of caregiver attitudes toward nurturing parenting can be found in table 4.1. Table 4.1 Percentage of Caregivers in High Risk, General Population, and Low Risk Groups for each Nurturing Parenting Subscale Nurturing Parenting Subscale High Risk General Low Risk Population Parental Expectations 34.6 (18) 59.6 (31) 5.8 (3) Empathy 44.2 (23) 44.2 (23) 11.5 (6) Corporal Punishment 57.7 (30) 40.4 (21) 1.9 (1) Parent-Child Role Reversal 30.8 (16) 51.9 (27) 17.3 (9) Power and Independence 30.8 (16) 50 (26) 19.2 (10) Note. - Cell n’s in parentheses. Caregiver Psychological Well Being. Caregiver psychological well being was measured using the Global Severity Index (GSI) of the Brief Symptom Inventory (BSI, Derogatis, 1993). The Global Severity Index is an indicator of the respondent’s distress level. It is calculated by combining information about numbers of symptoms and intensity of distress (Derogatis, 1993). Respondents whose T-scores are greater than or equal to 63 can be considered to have a positive diagnosis or case. Approximately 12% of the adult female, non-patient population have T-scores that are of clinical significance (Derogatis, 1993). In 78 the current sample 21.2% (N=1 1) of caregivers had scores that fell into the clinical or diagnosable range on the GSI. Child Variables Aggressive Behavior at Home. Children’s aggressive behavior at home was measured using the aggression subscale on the Child Behavior Checklist (CBCL, Achenbach 8 Edelbrock, 1991). The authors provide clinical cut-off scores for each of the subscales. T scores from 60 to 63 are considered borderline clinical and discriminate between deviant and nondeviant groups (Achenbach, 1991). For the purposes of this study T scores 2 62 were considered of clinical concern. In this sample 80.8 % (N=42) of children were categorized as having normal levels of aggressive behavior; 17.3 % (N=9) had a positive diagnosis or case. Aggressive behavior in School. Children’s aggressive behavior at home was measured using the aggression subscale on the Teacher-Rating Scales (TRS, Reynolds 8 Kamphaus, 1992). The authors report that T scores above 60 are clinically significant. In this sample 23.1% (N=12) of the children had aggressive behavior that was clinically significant, 76.9% (N=40) of the children had aggressive behavior that was age appropriate. Attachment Classification. Children’s attachment representations were measured using the Six-Year Attachment Doll Play Classification System (George 8 Solomon, 1990, 1996, 2000). Studies have demonstrated that approximately 13% of infants from a middle class sample are classified as disorganized (Main 8 Solomon, 1990). Children in high-risk situations are more 79 likely to be classified as disorganized. For example 28% of infants from multi- problem families (Spieker 8 Booth, 1988) and 54% of infants from low income depressed mothers were classified as disorganized (Lyons-Ruth, Connell, Gruenbaum, 8Botein, 1990). In this sample, 4.7% (N=2) of children were . classified as secure; 44.2% (N= 19) were classified as avoidant, 20.9% (N=9) were classified as ambivalent, and 30.2% (N=13) were classified as disorganized. Due to the small number of children classified as secure, the expected cell size was less than 5 in all statistical analyses. As a result, secure children were not included in the analysis. Major Findings Group Differences Preliminary analyses were conducted to examine the possibility of group differences and to guide future analysis. Previous studies have demonstrated that there are cultural differences in parenting attitudes, while others have demonstrated that when socioeconomic status is controlled, these differences are minimal (Julian, McKenry, 8 McKelvey, 1994). One way ANOVA was used to determine if caregiver race accounted for significant differences in parenting attitudes. Results indicate that caregiver race did not account for significant differences in inappropriate expectations, F(3,48) = 1.185; p = .325, empathy towards children’s needs, F (3, 48) = 1.145; p = .341, values related to corporal punishment, F (3, 48) = .477; p = .700, role reversal F (3, 48) = .336; p = .799, or power-independence issues, F (3, 48) = 2.53; p = .068. 80 Research has indicated that sex differences in child behavior begin to emerge at preschool age (Zahn-Waxler et al., 1990; Achenbach et al., 1987).T-tests were run to determine if mean levels of behavior at home and behavior at school varied as a function of child sex. Results indicated that the mean of children’s aggressive behavior (boys, M = 9.75; SD = 7.282; girls, M = 8.28; SD = 5.726) at home did not vary as a function of the child’s sex, t(50)= .810, p = .422. The child’s sex also did not account for mean differences (boys, M = 9.0; SD = 6.190; girls, M = 7.0; SD = 5.663) in children’s aggressive behavior in the classroom, t(48) = 1.179, p = .244. The Associate Director of Preschool programs indicated that families whose children attend full day Head Start are different than families whose children attend part day Head Start. Families whose children attend full day Head Start are required to be employed full time and qualify for assistance from the State of Michigan for childcare. T-tests with this sample demonstrated that full day (FD) and part day (PD) enrollment did not account for differences in aggressive behavior at home (FD, M = 7.23; SD = 5.332; PD, M = 10.46; SD = 6.941), t(50) = -1.882, p =.066; aggressive behavior at school (FD, M = 8.08; SD = 5.22; PD, M = 7.52; SD = 8.869), t(48) = .332, p = .741. Mean levels of family stressful life events did not vary as a function of class type (FD, M = 11.539; SD = 9.433; PD, M = 11.885; SD = 10.405), t(50) = -.126, p = .900. Mean scores of inappropriate expectations (FD, M = 5.04; SD = 1.483; PD, M = 4.73; SD = 1.512), t(50) = .741, p = .462, empathy (FD, M = 5.23; SD = 2.338; PD, M = 4.69; SD = 2.000), t(50) =.893, p = .376, corporal punishment (FD, M = 4.15; SD = 1.433; PD, M = 3.81; 81 SD = 1.877), t(50) = .747, p = .458, role reversal (FD, M = 5.96; SD = 2.05; PD, M = 4.96; SD = 2.200), t(50) = 1.696, p = .096, and power-independence (FD, M = 5.85; SD = 2.49; PD, M = 5.31; SD = 2.112), t(50) = .840, p = .405 did not vary by class type. Table 4.2 summarizes means as a function of classroom type. Table 4.2 Means for Aggression, Stressful Events, and Parenting Attitudes as a Function of Classroom Type Variable Full Day Part Day M :l: SD M i SD Child Aggressive Behavior Home (26) 7.23 :I: 5.33 10.46 :I: 6.94 School (25) 8.08 :I: 5.22 7.52 3: 8.87 Stressful Events (26) 11.54 i 9.43 11.89 :I: 10.41 Parenting Attitudes Inappropriate Expectations (26) 5.04 i 1.48 4.73 d: 1.51 Empathy (26) 5.23 i 2.34 4.69 i 2.00 Corporal Punishment (26) 4.15 i: 1.43 3.81 :I: 1.88 Role Reversal (26) 5.96 :t 2.05 4.96 :t 2.20 Power Independence (26) 5.85 :I: 2.49 5.31 i 2.11 Note. N in parentheses 82 Caregiver Ecological Factors and Children ’3 Attachment Representations . H01: Caregiver’s perceived social support network size, perceived satisfaction of social support, and life stress are not associated with children’s attachment representations. . Hal: Caregiver’s perceived social support network size, perceived satisfaction of social support, and life stress are associated with children’s attachment representations. Caregiver ecological factors were not associated with children’s attachment representations. Median scores of social support network size were calculated and a new dichotomous variable was created. Those whose networks were smaller had between 0 and 2.52 individuals whereas those with larger networks had between 2.56 and 6 individuals who offered support. The contingency coefficient (C) was used to gauge the strength of the relationship. Crosstabs indicated that social support network size was not associated with children’s attachment representations and the strength of the relationship was small (C = .148), x2 (2, N = 40) = .915; p = .633. Median social support satisfaction scores were calculated to create a dichotomous variable of satisfaction. Low satisfaction scores were between 0 and 5.6, high satisfaction scores were between 5.74 and 6. The contingency coefficient (C) was used to gauge the strength of the association. Crosstabs indicated that satisfaction with social support was not associated with children’s attachment representations and that the strength of the association was small (C 83 = .229), xZIZ. N = 40) = 2.22, p = .329. Table 4.3 summarizes the association between caregiver social support and children’s attachment representations. Table 4.3 Association Between Caregiver Social Support and Children’s Attachment Representations Factors Avoidant Ambivalent Disorganized Total SSQN High levels Observed 12 3 6 21 Expected 10.0 4.7 6.3 21.0 Low levels Observed 7 6 6 19 Expected 9.0 4.3 5.7 19.0 Total Observed 19 9 12 40 Expected 19.0 9.0 12.0 40.0 SSQS High levels Observed 1 1 2 6 19 Expected 9.0 3.8 6.2 19.0 Low levels Observed 8 6 7 21 Expected 10.0 4.2 6.8 21.0 Total Observed 19 8 13 40 Expected 19.0 8.0 13.0 40.0 Note. SSQN = social support network size; SSQS = satisfaction with social suppon 84 A dichotomous variable was created for life stress by splitting the continuous variable at the median. Low levels of life stress ranged from 0 to 7 and high levels of stress ranged from 8 to 36. The contingency coefficient (C) was used to gauge the strength of the association. Crosstabs indicated that stressful life events were not associated with children’s attachment representations and that the strength of the association was small (C = .241 ), x2(2, N = 41) = 2.457, p = .293. Table 4.4 summarizes the association between caregiver life stress and children’s attachment representations. Table 4.4 Association Between Caregiver Life Stress and Children’s Attachment Representations Factor Avoidant Ambivalent Disorganized Total Life Stress High levels Observed 10 3 6 19 Expected 8.8 4.2 6.0 19.0 Low levels Observed 9 6 7 22 - Expected 10.2 4.8 7.0 22.0 Total Observed 19 9 13 41 Expected 19.0 9.0 13.0 41.0 85 Caregiver Ecological Factors and Parenting Attitudes - Ho 2: Caregiver’s perceived social support network size, perceived satisfaction of social support, and life stress are not significant predictors of parental expectations, empathy towards children’s needs, values related to corporal punishment, family roles, or power-independence issues. . Ha 2: Caregiver’s perceived social support network size, perceived satisfaction of social support, and life stress are not significant predictors of parental expectations, empathy towards children’s needs, values related to corporal punishment, family roles, or power-independence issues. Table 4.5 reports the relationship between caregiver environmental factors (social support network size, satisfaction with social support, and stressful life events) and parenting attitudes. Separate regression analyses were run to determine if caregiver ecological factors were significant predictors of each subscale of parenting attitudes. Caregiver ecological factors were not significant predictors of inappropriate expectations, F (3, 45) = .597, p = .620, values related towards corporal punishment, F(3, 45) = .979, p = .411, or power-independence issues, F (3, 45) = 2.391, p = .081. Caregiver ecological factors were significant predictors of empathy, F (3, 48) = 6.447; p = .001, and role-reversal, F (3, 48) = 3.009, p = .04. Parenting Attitudes and Children ’8 Attachment Representations 0 Ho 3: Parental expectations, empathy towards children’s needs, values related to corporal punishment, family roles, and power-independence issues are not associated with children’ s attachment representations. 86 Table 4.5 Summary of Linear Regression Analyses for Ecological Factors Predicting Parenting Attitudes Parenting Attitudes SSQN SSQS Life Stress Sig. R2 Inappropriate Expectations .030 .176 .079 .620 .038 Empathy -.067 .574” .164 .001“ .301 Corporal Punishment -.040 .012 -.238 .41 1 .061 Role Reversal -. 1 73 .437“ -.005 .040“ .167 Power-Independence .053 .350“ .080 .081 .1 37 Note. Standardized betas. Sig = significance of model *p < .05; “*p < .01; “** p < .001 0 Ha 3: Parental expectations, empathy towards children's needs, values related to corporal punishment, family roles, and power-independence issues are not associated with children’ s attachment representations. Due to the small sample size, it was necessary to make continuous standard scores on each parenting subscale into ordinal scales. Reducing the number of categories from 10 to 3 allows for expected counts in each cell to be above 5 or approach 5 so that cell size was adequate for testing. The categories were made according to Bavolek and Keene’s (1999) suggestions for interpreting the parenting profile. The categories that were created were described in an earlier section of this chapter; the categories are high-risk parenting (standard scores ranging from 1-4), attitudes consistent with those of the general population (standard scores ranging from 5-7), and low-risk parenting (standard scores 87 ranging from 8-10). Due to the small number of children classified as secure (N = 2) this category was dropped from the analysis. Crosstabs were run separately for each parenting attitude subscale, the contingency coefficient (C) was used to measure the strength of the relationship. Inappropriate expectations were not associated with children’s attachment representations, x2(4. N = 41) = 4.881, p = .300, and the strength of the association was moderate (C =.326). Empathy was not associated with children’s attachment representations, x2(4, N = 41) = 6.976, p = .137 and the strength of the association was moderate (C = .381). Corporal punishment was not associated with children’s attachment representations, 12(4, N = 41) = 2.226, p = .694, and the strength of the association was small (C = .227). Role reversal was not associated with children’s attachment representations, X2 (4, N= 41) = 2.807, p = .591, and the strength of the association was small (C = .253). Power-independence issues were not associated with children’s attachment representations, x2 (4, N = 41)= 6.860, p = .143, and the strength of the association was moderate (C = .379). Caregiver Clinical Symptoms and Attachment Representations - Ho 4: Caregiver psychological well being is not associated with children's attachment representations. . Ha 4: Caregiver psychological well being is associated with children’s attachment representations. Psychological well being is defined as the absence of clinical symptoms as measured by the GSI subscale on the BSI. A dichotomous variable was created and a crosstab was used to test the association between clinical symptoms (T 88 scores 2 62) and children’s attachment representations. Due to the small number of children classified as secure (N = 2), this category was dropped from the analysis. The contingency coefficient (C) was used to test the strength of the association. There was no association between caregiver psychological well being and children’s attachment representations, 12 (2, N = 41) = 4.955, p = .084, and the strength of the association was moderate (C = .328). Attachment and Child Behavior - Ho 5: Children’s mean aggression scores at home and school do not vary as a function of attachment representations. 0 Ha 5: Children’s mean aggression scores at home and at school vary as a function of attachment representations. Two separate ANOVA’s were run to determine if aggression at home or at school varied as a function of children’s attachment representations. Due to the small number of children classified as secure (N = 2), this category was dropped from the analysis. Aggression at home, as measured by the raw score on the aggression subscale of the CBCL, did not vary as a function of children’s attachment representations, F (2, 38) = 2.63, p = .085. Aggression at school, as measured by the raw score on the aggression subscale of the TRS, did not vary as a function of children’s attachment representations, F (2, 38) = 2.43, p = .102. Aggression at Home and at School 0 Ho 6: Children’s aggressive behavior at home is not significantly correlated with aggressive behavior at school 89 - Ha 6: Children’s aggressive behavior at home is significantly correlated with aggressive behavior at school. Pearson Correlation revealed that children’s aggressive behavior at home, as measured by the raw score on the aggression subscale of the CBCL, was significantly correlated with aggressive behavior at school, as measured by the aggression subscale of the TRS (r = .311; p = .05). Conclusion This chapter reviewed frequencies for relevant variables, and presented the findings for the research hypotheses introduced in chapter 3. The next chapter will present a discussion of these findings 90 CHAPTER 5 Discussion Introduch'on The previous chapter provided the results for this study, which investigated caregiver psychological and environmental factors that contribute to parenting attitudes, attachment representations in their children and subsequent child behavior at home and at school. Included in the previous chapter were frequencies for relevant variables and the findings for each hypothesis. This chapter will discuss the findings presented in the previous chapter. First, frequencies will be discussed, followed by a discussion of each research question. Finally, limitations, implications and suggestions for future research, and conclusions will be presented. Frequencies Caregiver Variables There were more caregivers, in this sample, who reported parenting attitudes that are characteristic of parents who are known to practice abusive parenting attitudes than in the population on which Bavolek and Keene (1999) normed the AAPI-2. In general, caregivers from this sample tended to be less empathetic toward their child’s needs (44.2% compared to 30%), and were more likely to endorse physical punishment as a form of discipline (57.7% compared to 30%) than would be expected . Only a small number of parents had low risk attitudes, which are characteristic of a nurturing, non-abusive, parenting philosophy, as defined by Bavolek and Keene (1999). According to Bavolek and 91 Keene (1999), Approximately 16% of the population have low risk attitudes. In this sample parents were less likely to have appropriate expectations (5.8%), be empathetic toward their child’s needs (11.5%), and less likely to use alternatives to physical punishment for discipline (1 .9%). Caregivers in this sample were also more likely than the general population to have psychological symptoms that fell into the clinical or diagnosable range (21.2% compared to 12%, respectively). Child Variables Children in this sample had higher levels of aggressive behavior than is typical. Frequencies from this study indicate that approximately 17.3% had moderate to severe levels of aggressive behavior at home as designated by cut- off scores on the CBCL. Furthermore, 23.1% of children were exhibiting aggressive behavior that was clinically significant, as evidenced by cut-off scores on the TRS. Other studies have found that 10 to 15 % of preschool children have moderate (60 < T < 70) to severe (T 2 70) levels of behavior problems. Children in this sample also were exhibiting higher levels of aggressive behavior than have previously been found in other samples of Head Start children (Kupersmidt et al., 2000). Given the low number of children classified as secure (N = 2) and the relationship between secure attachment and social competence (Cohen, 1990) and empathy (Waters et al., 1979), the higher than expected frequency of aggressive behavior is not surprising. In this sample, girls and boys did not differ significantly in mean levels of aggressive behavior at home or at school this is contrary to other studies that found sex differences in externalizing problems to emerge between the ages of 4 92 and 5 (Zahn-Waxler et al., 1990; Achenbach et al, 1987). This finding is consistent with other research that has been conducted with Head Start children (Kuppersmidt, et al., 2000). The percentage of children classified as disorganized is consistent with other studies of children from multi—problem families (30% and 28%, respectively) (Spieker 8 Booth, 1988), but less than would be expected in low income samples of infants who have depressed mothers (30% and 54 %, respectively). This relatively low number of children classified as disorganized is interesting given the relatively large number of caregivers in this sample who reported clinical levels of psychological symptoms. Furthermore, it is interesting and concerning that only 4.7% (N = 2) children in this study were classified as secure. The low number of securely attached children could be related to the early child care histories, not examined by this study, of the children participants, especially when one considers that 90% of center-based child care is considered to be low quality (Helbum et al., 1995, as cited in Brazelton 8 Greenspan, 2000). The low number of securely attached children could also be related to a “crisis of transition” (Ainsworth, 1990 p. 485). When the study was conducted, some of the child participants had recently begun preschool (within 3 to 6 months of being interviemd). However, some of the children in the study had been with the same teacher for a year before the study began. It the transition to school was responsible for the small number of children classified as secure, than one would expect that more children would be classified as secure as the study progressed. The rate of secure children, however did not increase as the study progressed, 93 actually the children who were classified as secure were interviewed within the first month of the beginning of the school year. Caregiver Environmental Factors and Children ’s Attachment Representations The size of one’s social support network, one’s satisfaction with the support received, and stressful events in one’s life were not associated with children's attachment representations. This study examined the association that social support has on attachment representations, while other studies that found a relationship between social support and attachment reported that social support acts as a mediator of security for low levels of nurturing parenting during infancy (Crittenden, 1985). More research needs to be conducted to support this earlier finding and to understand if social support network size or quality has a direct impact on attachment representations. Unlike other studies which found that family stress influences the quality of the attachment relationship (DeMulder et al., 2000; Shaw 8 Vondra, 1993), results from this study did not support the idea that family stress is associated with different types of insecure attachment. One reason for the lack of association could be due to the removal of the secure classification from the analyses. Shaw 8 Vondra (1993) found that cumulative family stressors differentiated secure infants from insecure infants, especially for families with 3 or more stressors. The high number of stressors could have contributed to the lack of secure children in the study. Caregiver Environmental Factors and Parenting Attitudes The results of five separate regression analyses indicated that the independent environmental factor variables (size of social support network, satisfaction with received support, and life stress) were not significant predictors of the expectations that caregivers have of their child, their belief in physical punishment as a form of discipline, or the degree to which parents believe that children need to be empowered. While the model was not significant, caregivers who were more satisfied with their support network were more likely to value empowering children. Smaller support networks, higher levels of satisfaction with support, and lower levels of stress were significant pmdictors of empathetic caregiving. The environmental factors in this model accounted for 30% of the variance in empathic parenting; satisfaction with social support contributed unique variance to the model. Additionally, smaller support networks, higher levels of satisfaction with support, and lower levels of stress were significant predictors of caregiving that separates the needs of children from the needs of adults (role reversal). The environmental factors in this model only account for 16.7% of the variance in role reversal, suggesting that other environmental factors may be more important than social support and life stress in predicting parenting attitudes. These findings may be confounded by the relatively few number of parents who reported low risk parenting attitudes. While low scores on the AAPI-2 indicate that a parent can be considered high risk for abusing his or her child and less likely to be considered a nurturing 95 parent, it is difficult to say if parent’s attitudes actually predict if the discipline they are using can be considered abusive. Furthermore, it is unlikely that the size of one’s support network, their satisfaction with support, or stressful events would impact their attitudes about parenting, but it may predict if behavior follows attitudes. Attitudes may be more of a reflection of a caregivers own history of being parented. Environmental factors may be more significant in predicting how parents actually interact with or discipline their children. Future studies . examining environmental factors and parenting should include attitudes about parenting and observations of parenting practices. Parenting Attitudes and Children ’8 Attachment Representations Crosstabulation indicated that parenting attitudes, thought to be associated with abusive parenting, were not associated with children’s attachment representations. Despite the previous finding that disorganization is more prevalent in samples of children who have been maltreated (Carlson et al., 1989), measures of parenting attitudes toward discipline may not actually reflect abusive parenting or account for parent-child interaction that is thought to impact attachment. The lack of association may also be due the small number of children classified as secure and the low number of parents reporting an attitude characteristic of low-risk parenting. However, it is unlikely that these explanations alone account for the lack of association between parenting attitudes and children’s attachment representations. The lack of association makes theoretical sense. Attachment theory posits that sensitive and responsive caregiving in infancy is related to a secure 96 attachment (Ainsworth et al., 1978; Isabella, 1993; Grossman et al, 1985; EgIand 8 Farber, 1984). Sensitivity in these studies has been defined as the caregiver’s ability to respond in an appropriate and prompt way to the infant (De Wolff 8 van IJzendoom, 1997). The measure of parenting attitudes used in the current study did not measure the degree to which a caregiver responds in an appropriate or prompt way, observation in the child’s natural environment is a more useful measure of sensitivity. Since the function of attachment is protection through the maintenance of proximity to a caregiver, it makes sense that in infancy, a caregiver’s appropriate and prompt response is so closely associated with a secure attachment. As researchers begin to examine the correlates of attachment in preschool, especially in high-risk samples, where attachment is thought to be less stable, close observation of children in his or her natural environments is crucial. These observations will allow researchers to understand how the caregiving environment in the prescth years, when a child still needs to be protected, but has gone through significant developmental advancements since infancy, contributes to attachment security. When combined with measures of environmental factors, that are thought to impact a caregivers ability to provide sensitive and responsive care, a clearer picture of the contribution of attachment theory to development will result. While measures of parenting attitudes provide interesting and important information for intervention, they do not measure sensitivity or responsivity, and 97 thus do not provide useful information about the association between parenting and attachment representations. Caregiver Clinical Symptoms and Attachment Representations Crosstabulation indicated that caregiver psychological well-being is not associated with children’s attachment representations. This finding is contrary to findings of much of the research that has been conducted (Lyons-Ruth et al., 1990; Gelfand 8 Teti, 1990). The lack of association in this study could be due to a variety of factors including the small number of children classified as secure. Wrthout a larger number of secure children it is impossible to determine if clinical levels of psychological symptoms differentiate secure from insecure children as it has in other samples. Furthermore, previous research that has found insecurity to be related to depression, has found that major depressive disorder, not minor depression was more likely to differentiate secure from insecure children (Gelfand 8 Teti, 1990). It is also plausible that, despite the relatively high number of caregivers who were exhibiting clinical levels of psychological symptoms, these caregivers were able to provide sensitive and responsive care to their children. During data collection a number of parents reported that they knew their scores on the measure of psychological well-being were high, but they were in therapy to deal with the issues. These parents, while showing high levels of clinical symptoms, may be providing sensitive and responsive care because of the services that they are receiving. Furthermore, other factors may influence this relationship, for example, social support, life stress, and marital discord. More analyses may 98 provide information about the role that social support plays in moderating the effects of psychological symptoms. It is interesting that of the children classified as disorganized in the current study, none of their parents reported clinical levels of psychological symptoms. It is possible that this finding is the result of caregivers underreporting symptoms or that the impact of psychological well-being is greater during the period of infancy than it is in preschool, possibly because children are exposed to a greater number of caregivers. It is also possible that environmental factors, not measumd in this study, account for differences in attachment security in the preschool period. Attachment and Child Behavior Two separate ANOVAs indicated that children’s mean aggression scores at home and at school did not vary as a function of attachment classification. The findings in this study are contrary to infant attachment research that has found that disorganized children are more likely than insecure or secure children to display hostile behavior in the classroom (Lyons-Ruth et al., 1993). Although research examining the relationship between attachment in preschool and concurrent behavior problems is limited, preliminary research has demonstrated that disorganized children have significantly more behavior problems at home and at school that insecure or secure children (Solomon et al., 1995). The lack of association between behavior problems and insecure attachment has been found in studies that were conducted with infants from low risk samples, prior to the introduction of the disorganized category (Bates et al., 1985; Goldberg, Corter, Lojkasek, 8 Minde, 1990). The lack of association in this study may be related to the small number of secure children or an increasingly complex relationship between attachment in preschool and concunent behavior problems. It may be necessary to examine the presence of disorganization in all stories and begin to look at disorganization as a continuous variable in the preschool years. An important finding in this study is that there are disorganized children who are not exhibiting aggression or other behavior problems at home or at school. This presents an exciting and needed opportunity to understand what factors mediate behavior problems when children are classified as disorganized. Aggression at Home and at School Pearson correlation indicated that children’s aggressive behavior at home was significantly correlated with behavior at school. This supports another study, which measured problem behaviors at home and school (Solomon et al., 1995). These finding make intuitive sense; if children learn at home that aggression gets results, they are likely to use this behavior at school. It is unclear if this association is due to communication between teachers and parents, similar home and school environments, or the persistence of behavior problems once children enter preschool. These data suggest that for aggressive behavior to decrease, interventions need to be directed at both environments. Implications for Future Research In the past 25 years, researchers have learned a great deal about attachment in the period of infancy, especially the relationship between sensitive, responsive caregiving and attachment. Research on attachment in the period of 100 infancy has also made strides in understanding the relationship between attachment classification and later psychosocial adjustment. Aldiough Bowlby considered attachment to be relevant throughout the lifespan, there has been little research on attachment during the preschool years, especially in high-risk populations. Research with high-risk samples allows scholars to better understand atypical attachments in the preschool years. Understanding more about this type of attachment is important because coding of atypical attachments in the preschool years varies across attachment measures (Barnett 8 Vondra, 1999). By focusing attachment research on high-risk preschool samples, the precision in which one can code atypical attachments will improve. One of the inconsistencies in this research was that not all children who were classified as disorganized had clinical levels of aggressive behavior and they were not more likely than insecurely attached children to have clinical levels of aggressive behavior. Barnett and Vondra (1999) suggest that attachment research has benefited from looking at attachment patterns that were inconsistent with Ainsworth’s original categorization. In this sample, there was a great deal of disorganization present in stories of children classified into organized categories, but because of the way in which the overall attachment classification is assigned, these children were not classified as disorganized. Perhaps one of the implications of this is to re-examine disorganization during the preschool years. It may be that the amount of disorganization present is more relevant during this time than a child’s status as disorganized. Because high-risk samples are more likely to include infants and preschoolers with 101 atypical attachments, research with these samples will assist developmentalists in understanding more about the consequences of atypical attachments. For example, one can understand if atypical attachment is a risk factor for later social-emotional problems or if atypical attachments can be used to explain the processes that are involved in the transformation from risk to psychopathology (Barnett 8 Vondra, 1999) In this study, caregiver’s attitudes about discipline were not associated with children’s attachment representations. This could be the result of using a measure of self reported attitudes as opposed to direct observation of the parent- child dyad. It could also be related to the fact that the children in this sample have been influenced by other relationships with important adults. Future research in the area of attachment and children’s behavior during the preschool period should take into account children’s relationships with multiple caregivers. Many of the children in this study spent at least 20 hours a week with adults in their classrooms. Some of these children were also in child care before school, after school, or on weekends. Furthermore, most of the social supports listed by caregivers were family members, who could have great influence on the child’s representational model of care, either directly or through contact with the parent. This study only provided a beginning look at the role of environmental factors in attachment representations and parenting. Studies in the future need to be expanded to include observation in the child’s natural environments (home and school) as well as interview techniques with parents, which will provide greater depth as to transitions that children are facing. Studies with larger 102 samples, that include multiple measures, by multiple informants of child behavior, caregiver behavior, and additional environmental factors will be necessary to inform research about the complex nature of attachment during the preschool years. Since comparisons between secure and insecure children were not possible with this sample, it will be important for future studies to have large enough samples so that this comparison can be made. Future analyses with this sample, however will facilitate understanding of the factors that protect insecure children from behavior problems. Research on behavior problems in the preschool years should continue to include assessments of the parent-child relationship, including attachment and interaction. This research should also focus not just on the correlates of behavior problems and their stability over time, but instead on factors that reduce the likelihood of behavior problems at home and at school. Implications for Practice This study has many implications for practice. One of the implications is the support for more funding for Early Head Start. None of the children in this study was enrolled in Early Head Start, which provides high quality care to high- risk children under the age of 3. Because this study was conducted at the beginning of the school year, it allows one to see the many obstacles that children have faced prior to their entry into Head Start. The frequency data in this study clearly showed that children and their families have faced many positive and negative transitions in the past year. They live in families where 103 caregivers are likely to be suffering from psychological symptoms. The children come to school with more behavior problems than would be expected in a typical population. The additive impact of multiple risk factors negatively impacts mental health (Chazan-Cohen, Jerald, 8 Stark, 2001). In addition to the above risk factors, Head Start children in this sample were less likely to be securely attached than children in middle class samples, which may impact their ability to deal with transitions, to behave in socially appropriate ways, and to relate to peers. When combined, these factors, make it clear that some children are entering Head Start at a disadvantage, which may contribute to an already difficult-to-manage classroom. Attachment security and disorganization tend to be relatively stable even in high-risk samples (Barnett, et al., 1999). As a result, it is possible that the children in this sample had experiences in infancy that led to insecure or disorganized attachment. These relationships impact brain development that is important in the regulation of emotions and the ability to deal with stress. Recent research on brain development in infancy has shown that brain maturation in infants is experience-dependent. The experiences that are critical for brain development in the first year of life rooted in the transactions between the infant and his or her primary caregiver (Schore, 2001). The right hemisphere of the brain is dominant during the first three years of life; this is the same time that children form attachment relationships. The right hemisphere of the brain is important throughout the lifespan for processing the physiological and cognitive components of social-emotional information (Schore, 1994). Developmental 104 psychology and neuroscience are showing that the ability to create and maintain an internal sense of emotional security during times of stress is established in the first three years of life through attachment relationships (Schore, 2001). When one looks at the small number of children in this study who have secure attachments through a neuroscience lens, the findings are very troublesome. This perspective suggests that the children in this study may not have developed the capacity to regulate emotion and cope with stress. Because a secure attachment relationship is the foundation of mental health and the context in which healthy social and emotional development continues to grow, more focus needs to be placed on the opportunities to promote infant mental health (Chazan-Cohen, et al., 2001). Early Head Start provides an excellent opportunity to promote healthy child and family development, including secure attachment relationships. Early Head Start recognizes the importance of social and emotional needs of infants and the relationship between these needs and the multiple domains of development (Chazan-Cohen et al., 2001). Because children in this sample were less likely than children in lower risk samples to have secure attachment and more likely to exhibit clinically elevated levels of behavior problems, classroom management and education of the children may be difficult. One clear implication of this research is that lead teachers and teacher assistants may need more training to develop skills to help children in the classroom. Members of the Head Start community, including teachers and parents have indicated that they would like to understand how to address the mental health needs of young children and their families (Chazan- 105 Cohen, et al., 2001). Training in social and emotional development, including attachment, and responding in a sensitive and consistent way may also challenge children’s current representational models, and foster secure attachments, Which may moderate future behavior problems and enhance learning capacity. One of the goals of Head Start is to support parents as the primary nurturers of their children. In Ingham County, each classroom is assigned a family support worker, who assists families with basic needs and connects them to community resources. This research points to the importance of these positions to the overall goal of Head Start, which is to promote school readiness. Family support workers are the important link between home and school. They have contact primarily with parents and form helpful and supportive relationships that may influence parent’s attitudes that are associated with abusive parenting. The higher than expected levels of high-risk parenting, and clinical levels of child aggressive behavior, and the low number of securely attached children, despite the lack of association between these variables, underscores the need for mental health workers in Head Start. These professionals must be trained in early childhood, be a regular part of the classroom, and have the ability to work with children both at home and at school. The consistency of behavior problems at home and at school and previous research that has demonstrated that early behavior problems, in the context of stressful family and community environments, remain highly stable suggests that interventions focusing on home 106 and school are a must if children are going to be ready to learn when they leave Head Start. One of the most important implications for this study is the need for Early Head Start in this community. It also points to the need for a curriculum mat involves parents and is relational in focus. Evaluations of Early Head Start should compare children and parents who have received Early Head Start services to those who have not to determine if early environmental factors are impacting children’s social readiness for Head Start. Limitations The relatively short time period in which this study was conducted contributed to many limitations in the research. The first limitation is the lack of observational data of child behavior at home and at school and parent—child interaction. While the information on parenting attitudes provided important information to Head Start, it did not provide the complex information that has been so valuable in attachment studies. This type of information would also have added a great deal to what is known about behavior problems. This study is also limited in that only one caregiver was included in data collection, when in reality each child has contact with many important adults who influence their representational models and behavior. The second limitation is the small sample size. Although the sample size is similar to other studies rooted in attachment, the small number of subjects is problematic when making conclusions about the role of caregiver ecological and psychological factors in attachment representations in preschool children. The 107 small number of subjects also makes it difficult to determine the relationship between attachment representations and child behavior, especially because of the categorical nature of the attachment variable. The small number of secure children was possibly the largest limitation of the study because it made it impossible to understand which factors foster security and the contribution that a secure attachment makes to social adjustment. It also makes the comparison between secure and insecure children impossible because the secure category had to be dropped from the analysis. Conclusions This chapter has provided a discussion of the findings from this study, which investigated caregiver psychological and environmental factors that contribute to parenting attitudes, attachment representation in their children and subsequent child behavior at home and at school. Overall, this study has significant implications for Head Start practice and demonstrates the importance for Early Head Start in high risk communities. It demonstrates that children entering Head Start have faced a variety of challenges at different levels, which may impact their ability to learn. The limited sample size and small number of secure children made it impossible to understand the correlates of a secure attachment in preschool and resulting behavior. It did demonstrate that satisfaction with social support is associated with nurturing parenting attitudes, but that these attitudes are not associated with insecure or disorganized attachment. Furthermore, it demonstrated that parenting attitudes do not differentiate between insecure 108 attachment classifications. Life stress, social support, and caregiver psychological well being were also not associated with insecure or disorganized attachment classification. The variance in children’s aggression at home and school could not be accounted for by attachment classification. Clearly more research needs to be done before any of these results can be considered conclusive. This study was too narrow to account for the complexities in the relationship between environmental factors that contribute to caregiving, children’s attachment representations, and behavior problems at home and at school. Despite this, it is an important contribution to the small body of literature on attachment in the preschool years because it provides information on measures that are potentially not useful in the study of attachment and begins to add knowledge about contextual factors that are associated with attachment. 109 APPENDIX A 110 Family lnfonnation Please circle the appropriate answer(s) or fill in the blank for the questions below for your child who is attending Head Start. 1) My child is a. Male b. Female 2) His/her date of birth is (please include month, day, year) 3) His/her ethnic background is (circle all that apply) a. White b. African American c. Hispanic d. American Indian e. Asian 9. Arab h. other 4) The following people live in the home where my child spends most of his/her time (circle all that apply) a. biological mother b. biological father c. biological parent’s significant other d. sibling(s) e. grandmother f. grandfather g. foster mother h. foster father i. parent’s friend(s) j. other relatives k. other 5) How many hours a week, not including the time your child spends in Head Start, does helshe spend in child care? (if your child does not spend time in child care outside of Head Start, please go to question 8) 6) If your child is in child care outside of Head Start, is helshe always taken care of by the same person? a. Yes b. No 7) If your child is in child care outside of Head Start, what type of care is helshe in (please circle all that apply) A relative cares for my child A friend cares for my child My child goes to a child care center My child goes to a child care providers home Other (please describe) 9.9-9.3!” 8) Sometimes children spend a period of time living away from their biological parent(s). Has your child spent more than 10 days in a row being cared for by someone other than a biological parent? a. Yes (please go to question 9) b. No (please skip to question 11) 9) How many times has your child spent more than 10 days in a row being cared for by someone other than a biological parent? 111 10) How long was each separation? The questions below are about the child’s primary caregiver. Please circle the appropriate answer(s) or fill in the blanksfor the following questions. 11) I am the Head Start child’s a. biological parent b. grandparent c. foster parent d. other 12) lam a. Male b. Female‘1 13)I am a. Single b. Divorced: c. Married b. Separated c. In a committedrrelationship (more than 6 mo.) 14) Do you have legal custody of thechild described in question 1-10? a. Yes b. No; 15) How old are you? 16) What is your ethnic background? (circle all that apply) a. White b. African American c. Hispanic d. American Indian 8. Asian 9. Arab h. other 17) Are you employed? a. Yes b. No (pleaseskipto question 20) 18) How many hours per week do youwork? 19) Do you work the same hours every week? 20) Are you currently trying to find atjoh? a. Yes b. No 21) What is your family’s approximate monthly income? 112 APPENDIX B 113 Informed Consent Why are we doing this research? The purpose of this research is to better understand the needs and suengths of children who attend Head Start and their caregivers. Specifically we are interested in finding out more about your support network, recent life changes, and your ideas about parenting. We also are intaested in how your child plays and his or her behavior both at home and in the classroom. We are interested in positive behaviors, like coopa'ative play, and negative behaviors, like aggression. What we are asking you and your child to do? Weareaskingyoutofill outsomesurveysabout yourselfandyour childwhoattends Head Start. You can fill these surveys out while your child is still in his or her classroom during regular school hours. If you have questions about the surveys or would prefer to have someone read them to you, someone will be available to do this. The ways will take approximately 45 to 60 minutes to complete. The thy after you complete the stu'veys, we will ask your child to play with us in a room in the school. The researcher who will be with your child what he or she is playing will begin a story and then ask your child to finish that story. The stories involve moderately stressful scenarios that are common struggles for many preschool children. The play is kept at the pretend level, which helps childrar distance themselves fi‘om any stress they may feel. Also, your child will be able to end the story in any way that he or she wishes, allowing him or her to resolve any uncomfortable feelings. Your child’s play will be videotaped so that we can make notes about it late: The play session with your child will take one-half hour. We will also ask your child’s teacher to tell us about his or her behavior in the classroom. We want to know what he or she does well and if the teacher has any concerns about his or her behavior. Participation in this research project is voltmtary. You can decide at any tints that you do not want to participate in this research. If you child does not want to leave his or her classroom, he or she will be allowed to stay in the classroom. It is unlikely that your child will expaience any negative reaction to the play session. In the event that you have any concerns about your child’s behavior at the day that they participated in the play session you may contact Dr. Marsha Carolan at (517) 432-3327 or Ann Stacks at (517) 432-2271 ext. 5 Are there any benefits for families who participate? We Imow that your time is valuable and we are gratefiil that you might be willing to help us understand more about chilth'en who attend Head Start and their families. After your child finishes his or her playtime with us we will send you a $25 gift certificate to Meijer. We will ask you to fill your address out on an envelope so that we can send these to you as soon as possible. You should receive your gift certificate within 5 business days of your child’s playtime. If your child is in school on the day that the interviews are conducted, but does not want to leave his/her classroom, you will still receive the $25 gift certificate. How will we protect your privacy? Your privacy will be protected to the maximum extent allowable by law. You will be instructed not to put your name or your child’s name on any survey that you fill out. We will put a number on your surveys. This number will also be used on the survey that the teacher fills out, on the video of your child’s play, and on any notes made fi'om that video. If you sign the bottom of this page, indicating that you will voluntarily participate in this study, this form will be kept separate from the surveys that you fill out. All of the information we receive will be kept in a locked file cabinet at Midiigan State University. We will not share information about your child’s play or your answers to our surveys with your child’s teacher or other Head Start staff. Only the researchers who have been hired to conduct the play session or to make notes about the video will be allowed to view your child’s play session video. These people have signed a consent form promising that they will not discuss information about you or your child with anyone who is not working on the research project. The law requires that if a child tells us that he or she is being hurt by 114 someone, we have to report it to the proper authorities. This is the only time that we would have to break our promise to keep information about you and your child private. Any information that we share will be grouped together, no names or other idartifying informatim will be used in these reports. If at any point you have any questions or concerns about your participation in this program, you may call the research supervisor, Dr. Marsha Carolan (517) 432-3327. If you have any questions about your rights as a research participant, you should call Dr. Ashir Kurnar, Chair, University Committee on Research Involving Human Subjects (517) 355-2180. Statement 1 voluntarily agree to participate in this study and will allow my child to participate in this study. I am legally able to give consent for this drild to participate. Caregiver: Date: Phone nrnnber: Witness: Date: I give permissiar to my child’s teacher to provide information regarding his or her behavior in the classroom. Caregiver: Date: Witness: Date: Child’s Name: Teacher’s Name: 115 Informed Consent (Teachers) Purpose of the research The purpose of this research is to better understand the needs and strengths of childrar who attend Head Start and their caregivers. Specifically we are interested in finding out more about the support network of caregivers, the recent changes in their lives, and their ideas about pararting. We are also interested in how their children play and their behavior at home and at school. What we are asking teachers to do? Children will be interviewed during the school day, using a doll play procedure that will take place in an empty room in the school building. Research staff will make arrangements with you about how this process will work best in your classroom. After caregivers agree to participate, you will be asked to fill out a silvey of child behavior. Eadr survey that your are asked to fill out will take between 30 and 40 minutes. Your participation in the researdr is voluntary. You can decide at any time that you do not want to participate in this research. Your time will be reimbursed It is important that we understand children’s behavior in many settings; you are the best resource for helping us tmderstand how children behave in your classroom. We rmdastand that your day doesn’t begin when studarts arrive at school and end whar they leave. We know that you are responsible for a great deal of paperwork and outside activities. For each survey that you return within 3-4 weeks, you will receive a $10 gilt certificate to a teacher supply store. You may earn a maximum of $60 in gift certificates. This incentive is for the time that you spend filling out information about child behavior. It is important to us that teachers do not urge fimilies to participate in the study. Your privacy will be protected Your privacy will be protected to the maximum extent allowable by law. You will be instructed not to put your name or the child’s name on any sru'vey that you fill out. The information that you give us will be stored in a locked file cabinet at Michigan State University. We will not share information that you give us with other Head Start staff or parents. Any information that we share will be grouped together, no names will be used. If at any point you have any questions or concerns about your participation in this program, you may call the research supervisor, Dr. Marsha Carolan (517) 432-3327. 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