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The effects of child maltreatment and polymorphisms of the serotonin transporter and dopamine D4 receptor genes on infant attachment and intervention efficacy

Published online by Cambridge University Press:  18 April 2011

Dante Cicchetti*
Affiliation:
University of Minnesota Mt. Hope Family Center, University of Rochester
Fred A. Rogosch
Affiliation:
Mt. Hope Family Center, University of Rochester
Sheree L. Toth
Affiliation:
Mt. Hope Family Center, University of Rochester
*
Address correspondence and reprint requests to: Dante Cicchetti, Institute of Child Development, 51 East River Road, University of Minnesota, Minneapolis, MN 55455; E-mail: cicchett@umn.edu.

Abstract

This investigation examined the extent to which polymorphisms of the serotonin transporter linked promoter region (5-HTTLPR) and the dopamine receptor D4 (DRD4) genes differentially influenced the development of attachment security and disorganization in maltreated and nonmaltreated infants at age 13 months, and the extent to which the efficacy of preventive interventions to promote attachment security were influenced by genetic variation. The sample consisted of 106 infants from maltreating families, participating in a randomized control trial evaluating the efficacy of two interventions, child–parent psychotherapy and psychoeducational parenting intervention, and 47 infants from nonmaltreating families. DNA samples were genotyped for polymorphisms of 5-HTTLPR, DRD4 exon III variable number tandem repeat, and DRD4-521. Attachment organization at age 1 and at age 2 was assessed with the Strange Situation for all participants, prior to and following the completion of the interventions. High rates of disorganized attachment were observed in the maltreatment compared to the nonmaltreatment group, and both interventions resulted in increased rates of attachment security at age 2. Genetic variation did not influence improvement in attachment organization among maltreated infants. Among maltreated infants, genetic variation had minimal effect on attachment organization. In contrast, among nonmaltreated infants, 5-HTTLPR and DRD4 polymorphisms influenced attachment security and disorganization at age 2 and the stability of attachment disorganization over time.

Type
Special Section Articles
Copyright
Copyright © Cambridge University Press 2011

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References

Abrams, K. Y., Rifkin, A., & Hesse, E. (2006). Examining the role of parental frightened/frightening subtypes in predicting disorganized attachment within a brief observational procedure. Development and Psychopathology, 18, 345361.CrossRefGoogle ScholarPubMed
Ainsworth, M. D. S., Blehar, M. C., Waters, E., & Wall, S. (1978). Patterns of attachment: A psychological study of the Strange Situation. Hillsdale, NJ: Erlbaum.Google Scholar
Asghari, V., Sanyal, S., Buchwaldt, S., Paterson, A., Jovanovic, V., & Van Tol, H. H. M. (1995). Modulation of intracellular cyclic AMP levels by different human dopamine D4 receptor variants. Journal of Neurochemistry, 65, 11571165.CrossRefGoogle ScholarPubMed
Azar, S. T. (2002). Parenting and child maltreatment. In Bornstein, M. H. (Ed.), Handbook of parenting: Social conditions and applied parenting (2nd ed., Vol. 4, pp. 361388). Mahwah, NJ: Erlbaum.Google Scholar
Bakermans-Kranenburg, M. J., & Van IJzendoorn, M. H. (2004). No association of the dopamine D4 receptor (DRD4) and −521 C/T promoter polymorphisms with infant attachment disorganization. Attachment and Human Development, 6, 211218.CrossRefGoogle Scholar
Bakermans-Kranenburg, M. J., & van IJzendoorn, M. H. (2007). Research review: Genetic vulnerability or differential susceptibility in child development: The case of attachment. Journal of Child Psychology and Psychiatry, 48, 11601173.CrossRefGoogle ScholarPubMed
Bakermans-Kranenburg, M. J., van IJzendoorn, M. H., Mesman, J., Alink, L. R. A., & Juffer, F. (2008). Effects of an attachment-based intervention on daily cortisol moderated by dopamine receptor D4: A randomized control trial on 1- to 3-year-olds screened for externalizing behavior. Developmental and Psychopathology, 20, 805820.CrossRefGoogle ScholarPubMed
Bakermans-Kranenburg, M. J., van IJzendoorn, M. H., Pijlman, F. T. A., Mesman, J., & Juffer, F. (2008). Differential susceptibility to intervention: Dopamine D4 receptor polymorphism (DRD4 VNTR) moderates effects on toddlers' externalizing behavior in a randomized control trial. Developmental Psychology, 44, 293300.CrossRefGoogle Scholar
Barnett, D., Ganiban, J., & Cicchetti, D. (1999). Maltreatment, negative expressivity, and the development of Type D attachments from 12 to 24 months of age. Monographs of the Society for Research in Child Development, 64(Serial No. 258), 97118.CrossRefGoogle Scholar
Barnett, D., Manly, J. T., & Cicchetti, D. (1993). Defining child maltreatment: The interface between policy and research. In Cicchetti, D. & Toth, S. L. (Eds.), Child abuse, child development, and social policy (pp. 773). Norwood, NJ: Ablex.Google Scholar
Barry, R. A., Kochanska, G., & Philibert, R. A. (2008). G × E interaction in the organization of attachment: Mothers' responsiveness as a moderator of children's genotypes. Journal of Child Psychology and Psychiatry, 49, 13131320.CrossRefGoogle Scholar
Bolger, K. E., Patterson, C. J., & Kupersmidt, J. B. (1998). Peer relationships and self-esteem among children who have been maltreated. Child Development, 69, 11711197.Google ScholarPubMed
Carlson, E. A. (1998). A prospective longitudinal study of attachment disorganization/disorientation. Child Development, 69, 11071128.CrossRefGoogle ScholarPubMed
Carlson, V., Cicchetti, D., Barnett, D., & Braunwald, K. (1989a). Disorganized/disoriented attachment relationships in maltreated infants. Developmental Psychology, 25, 525531.CrossRefGoogle Scholar
Carlson, V., Cicchetti, D., Barnett, D., & Braunwald, K. (1989b). Finding order in disorganization: Lessons from research on maltreated infant's attachments to their caregivers. In Cicchetti, D. & Carlson, V. (Eds.), Child maltreatment: Theory and research on the causes and consequences of child abuse and neglect (pp. 494528). New York: Cambridge University Press.CrossRefGoogle Scholar
Caspers, K. M., Paradiso, S., Yucuis, R., Troutman, B., Arndt, S., & Philibert, R. (2009). Association between the serotonin transporter promoter polymorphism (5-HTTLPR) and adult unresolved attachment. Developmental Psychology, 45, 6476.CrossRefGoogle ScholarPubMed
Caspi, A., Hariri, A. R., Holmes, A., Uher, R., & Moffitt, T. E. (2010). Genetic sensitivity to the environment: The case of the serotonin transporter gene and its implications for studying complex diseases and traits. American Journal of Psychiatry, 167, 509527.CrossRefGoogle Scholar
Caspi, A., Sugden, K., Moffitt, T. E., Taylor, A., Craig, I. W., Harrington, H. L., et al. (2003). Influence of life stress on depression: Moderation by a polymorphism in the 5-HTT gene. Science, 301, 386389.CrossRefGoogle ScholarPubMed
Cicchetti, D., & Curtis, W. J. (2006). The developing brain and neural plasticity: Implications for normality, psychopathology, and resilience. In Cicchetti, D. & Cohen, D. (Eds.), Developmental psychopathology: Developmental neuroscience (2nd ed., Vol. 2, pp. 164). New York: Wiley.Google Scholar
Cicchetti, D., & Dawson, G. (2002). Multiple levels of analysis. Development and Psychopathology, 14, 417420.CrossRefGoogle ScholarPubMed
Cicchetti, D., & Gunnar, M. R. (2008). Integrating biological processes into the design and evaluation of preventive interventions. Development and Psychopathology, 20, 737743.CrossRefGoogle Scholar
Cicchetti, D., Rogosch, F. A., & Toth, S. L. (2006). Fostering secure attachment in infants in maltreating families through preventive interventions. Development and Psychopathology, 18, 623650.CrossRefGoogle ScholarPubMed
Cicchetti, D., & Toth, S. L. (2009). The past achievements and future promises of developmental psychopathology: The coming of age of a discipline. Journal of Child Psychology and Psychiatry, 50, 1625.CrossRefGoogle ScholarPubMed
Cicchetti, D., & Valentino, K. (2007). Toward the application of a multiple-levels-of-analysis perspective to research in development and psychopathology. In Masten, A. S. (Ed.), Minnesota Symposia on Child Psychology: Vol. 34. Multilevel dynamics in developmental psychopathology (pp. 243284). Mahwah, NJ: Erlbaum.Google Scholar
Curtis, W. J., & Cicchetti, D. (2003). Moving research on resilience into the 21st century: Theoretical and methodological considerations in examining the biological contributors to resilience. Development and Psychopathology, 15, 773810.CrossRefGoogle ScholarPubMed
Cyr, C., Euser, E. M., Bakermans-Kranenburg, M. J., & van IJzendoorn, M. H. (2010). Attachment security and disorganization in maltreating and high-risk families: A series of meta-analyses. Development and Psychopathology, 22, 88108.CrossRefGoogle ScholarPubMed
Dubowitz, H., Pitts, S. C., Litrownik, A. J., Cox, C. E., Runyan, D., & Black, M. M. (2005). Defining child neglect based on child protective services data. Child Abuse & Neglect, 29, 493511.CrossRefGoogle ScholarPubMed
English, D. J., Upadhyaya, M. P., Litrownik, A. J., Marshall, J. M., Runyan, D. K., Graham, J. C., et al. (2005). Maltreatment's wake: The relationship of maltreatment dimensions to child outcomes. Child Abuse & Neglect, 29, 597619.CrossRefGoogle ScholarPubMed
Fraiberg, S., Adelson, E., & Shapiro, V. (1975). Ghosts in the nursery: A psychoanalytic approach to impaired infant–mother relationships. Journal of the American Academy of Child Psychiatry, 14, 387421.CrossRefGoogle ScholarPubMed
Gelertner, J., Kranzler, H., & Cubells, J. F. (1997). Serotonin transporter protein (SLC6A4) allele and haplotype frequencies and linkage disequilibria in African- and European-American and Japanese populations and in alcohol-dependent subjects. Human Genetics, 101, 243246.Google Scholar
George, C., Kaplan, N., & Main, M. (1984). The Adult Attachment Interview. Unpublished manuscript. University of California, Berkeley, Department of Psychology.Google Scholar
Gervai, J., Nemoda, Z., Lakatos, K., Ronai, Z., Toth, I., Ney, K., et al. (2005). Transmission disequilibrium tests confirm the link between DRD4 gene polymorphism and infant attachment. American Journal of Medical Genetics Part B, Neuropsychiatric Genetics, 132, 126130.CrossRefGoogle Scholar
Gervai, J., Novak, A., Lakatos, K., Toth, I., Danis, I., Ronai, Z., et al. (2007). Infant genotype may moderate sensitivity to maternal affective communications: Attachment disorganization, quality of care, and the DRD4 polymorphism. Social Neuroscience, 2, 307319.CrossRefGoogle ScholarPubMed
Hariri, A. R., & Holmes, A. (2006). Genetics of emotional regulation: The role of the serotonin transporter in neural function. Trends in Cognitive Sciences, 10, 182191.CrossRefGoogle ScholarPubMed
Hesse, E., & Main, M. (2006). Frightened, threatening, and dissociative parental behavior in low-risk samples: Description, discussion, and interpretations. Development and Psychopathology, 18, 309343.CrossRefGoogle ScholarPubMed
Jacobvitz, D., Leon, K., & Hazen, N. (2006). Does expectant mothers' unresolved trauma predict frightened/frightening maternal behavior? Risk and protective factors. Development and Psychopathology, 18, 363379.CrossRefGoogle ScholarPubMed
Krämer, U. M., Cunillera, T., Càmara, E., Marco-Pallarés, J., Cucurell, D., Nager, W., et al. (2007). The impact of catechol-O-methyltransferase and dopamine D4 receptor genotypes on neurophysiological markers of performance monitoring. Journal of Neuroscience, 27, 1419014198.CrossRefGoogle ScholarPubMed
Lakatos, K., Nemoda, Z., Birkas, E., Ronai, Z., Kovacs, E., Ney, K., et al. (2003). Association of D4 dopamine receptor gene and serotonin transporter promoter polymorphisms with infants' response to novelty. Molecular Psychiatry, 8, 9097.CrossRefGoogle ScholarPubMed
Lakatos, K., Nemoda, Z., Toth, I., Ronai, Z., Ney, K., Sasvari-Szekely, M., et al. (2002). Further evidence for the role of the dopamine D4 receptor (DRD4) gene in attachment disorganization: Interaction of the exon III 48-bp repeat and the −521 C/T promoter polymorphisms. Molecular Psychiatry, 7, 2731.CrossRefGoogle ScholarPubMed
Lakatos, K., Toth, I., Nemoda, Z., Ney, K., Sasvari-Szekely, M., & Gervai, J. (2000). Dopamine D4 receptor (DRD4) gene polymorphism is associated with attachment disorganization in infants. Molecular Psychiatry, 5, 633637.CrossRefGoogle ScholarPubMed
Lesch, K. P., Bengel, D., Heils, A., & Sabol, S. Z. (1996). Association of anxiety-related traits with a polymorphism in the serotonin transporter gene regulatory region. Science, 274, 15271531.CrossRefGoogle ScholarPubMed
Lieberman, A. F. (1992). Infant–parent psychotherapy with toddlers. Development and Psychopathology, 4, 559574.CrossRefGoogle Scholar
Lyons-Ruth, K., Bronfman, E., & Parsons, E. (1999). Maternal frightened, frightening, or atypical behavior and disorganized infant attachment patterns. Monographs of the Society for Research in Child Development, 64(3, Serial No. 258), 6796.CrossRefGoogle ScholarPubMed
Lyons-Ruth, K., Connell, D., Grunebaum, H., & Botein, S. (1990). Infants at social risk: Maternal depression and family support services as mediators of infant development and security of attachment. Child Development, 61, 8598.CrossRefGoogle ScholarPubMed
Lyons-Ruth, K., Connell, D., Zoll, D., & Stahl, J. (1987). Infants at social risk: Relationships among infant maltreatment, maternal behavior, and infant attachment behavior. Developmental Psychology, 23, 223232.CrossRefGoogle Scholar
Main, M., & Goldwyn, R. (1984). Adult attachment scoring and classification system. Unpublished manuscript, University of California at Berkeley, Department of Psychology.Google Scholar
Main, M., Goldwyn, R., & Hesse, E. (2002). Adult Attachment Scoring and Classification System. Unpublished manuscript, University of California at Berkeley, Department of Psychology.Google Scholar
Main, M., & Hesse, P. (1990). Parents' unresolved traumatic experiences are related to infant disorganized attachment status: Is frightened and/or frightening parent behavior the linking mechanism? In Greenberg, M., Cicchetti, D., & Cummings, E. M. (Eds.), Attachment in the preschool years (pp. 161182). Chicago: University of Chicago Press.Google Scholar
Main, M., & Solomon, J. (1986). Discovery of a disorganized/disoriented attachment pattern. In Brazelton, T. B. & Yogman, M. W. (Eds.), Affective development in infancy (pp. 95124). Norwood, NJ: Ablex.Google Scholar
Main, M., & Solomon, J. (1990). Procedures of identifying infants as disorganized/disoriented during the Ainsworth Strange Situation. In Greenberg, M. T., Cicchetti, D., & Cummings, E. M. (Eds.), Attachment in the preschool years: Theory, research, and intervention (pp. 212260). Chicago: University of Chicago Press.Google Scholar
Manly, J. T. (2005). Advances in research definitions of child maltreatment. Child Abuse & Neglect, 29, 425439.CrossRefGoogle Scholar
Manly, J. T., Kim, J. E., Rogosch, F. A., & Cicchetti, D. (2001). Dimensions of child maltreatment and children's adjustment: Contributions of developmental timing and subtype. Development and Psychopathology, 13, 759782.CrossRefGoogle ScholarPubMed
Masten, A. S. (2007). Resilience in developing systems: Progress and promise as the fourth wave rises. Development and Psychopathology, 19, 921930.CrossRefGoogle ScholarPubMed
Masten, A. S., & Cicchetti, D. (Eds.). (2010a). Developmental cascades [Special Issue, Part 1]. Development and Psychopathology, 22, 491715.CrossRefGoogle ScholarPubMed
Masten, A. S., & Cicchetti, D. (Eds.). (2010b). Developmental cascades [Special Issue, Part 2]. Development and Psychopathology, 22, 717983.Google ScholarPubMed
Olds, D. L., Eckenrode, J., Henderson, C., Kitzman, H., Powers, J., Cole, R., et al. (1997). Long-term effects of home visitation on maternal life course and child abuse and neglect: Fifteen-year follow-up of a randomized trial. Journal of the American Medical Association, 278, 637643.CrossRefGoogle ScholarPubMed
Olds, D. L., Henderson, C., Kitzman, H., Eckenrode, J., Cole, R., & Tatelbaum, R. (1998). The promise of home visitation: Results of two randomized trials. Journal of Community Psychology, 26, 521.3.0.CO;2-Y>CrossRefGoogle Scholar
Olds, D. L., & Kitzman, H. (1990). Can home visitation improve the health of women and children at environmental risk? Pediatrics, 86, 108116.CrossRefGoogle ScholarPubMed
Oquendo, M. A., Canino, G., Lehner, T., & Licinio, J. (2010). Genetic repositories for the study of major psychiatric conditions: What do we know about ethnic minorities' genetic vulnerability? Molecular Psychiatry, 15, 970975.CrossRefGoogle Scholar
Reiner, I., & Spangler, G. (2010). Dopamine D4 receptor exon III polymorphism, adverse life events and personality traits in a nonclinical German adult sample. Neuropsychobiology, 63, 5258.CrossRefGoogle Scholar
Rogosch, F. A., Cicchetti, D., Shields, A., & Toth, S. L. (1995). Parenting dysfunction in child maltreatment. In Bornstein, M. H. (Ed.), Handbook of parenting (Vol. 4, pp. 127159). Hillsdale, NJ: Erlbaum.Google Scholar
Schneider-Rosen, K., Braunwald, K., Carlson, V., & Cicchetti, D. (1985). Current perspectives in attachment theory: Illustrations from the study of maltreated infants. Monographs of the Society for Research in Child Development, 50, 194210.CrossRefGoogle Scholar
Smith, C. A., & Thornberry, T. (1995). The relationship between child maltreatment and adolescent involvement in delinquency. Criminology, 33, 451481.CrossRefGoogle Scholar
Spangler, G., Johann, M., Ronai, Z., & Zimmerman, P. (2009). Genetic and environmental influence on attachment disorganization. Journal of Child Psychology and Psychiatry, 50, 952961.CrossRefGoogle ScholarPubMed
Sroufe, L. A. (1985). Attachment classification from the perspective of infant–caregiver relationships and infant temperament. Child Development, 56, 114.Google ScholarPubMed
Sroufe, L. A., Egeland, B., Carlson, E. A., & Collins, W. A. (2005). The development of the person: The Minnesota Study of Risk and Adaptation From Birth to Adulthood. New York: Guilford Press.Google Scholar
Thompson, R. (1998). Early sociopersonality development. In Damon, W. & Eisenberg, N. (Eds.), Handbook of child psychology (5th ed., Vol. 3, pp. 25104). New York: Wiley.Google Scholar
van IJzendoorn, M. H., & Bakermans-Kranenburg, M. J. (2006).DRD4 7-repeat polymorphism moderates the association between maternal unresolved loss or trauma and infant disorganization. Attachment and Human Development, 8, 291307.CrossRefGoogle ScholarPubMed
van IJzendoorn, M. H., Bakermans-Kranenburg, M. J., & Mesman, J. (2007). Dopamine system genes associated with parenting in the context of daily hassles. Genes, Brain and Behavior, 7, 403410.CrossRefGoogle ScholarPubMed
van IJzendoorn, M. H., Schuengel, C., & Bakersman-Kranenburg, M. J. (1999). Disorganized attachment in early childhood: Meta-analyses of precursors concomitants, and sequelae. Development and Psychopathology, 11, 225249.CrossRefGoogle ScholarPubMed
VanTol, H. H. M., Wu, C. M., Guan, H., Ohara, K., Bunzoq, J. R., Olivier, C., et al. (1992). Multiple dopamine D4 receptor variants in the human population. Nature, 358, 149152.Google Scholar
Wang, X., Zhong, P., Gu, Z., & Yan, Z. (2003). Regulation of NMDA receptors by dopamine D4 signaling in prefrontal cortex. Journal of Neuroscience, 23, 98529861.CrossRefGoogle ScholarPubMed