Parenting and attachment among toddlers with congenital anomalies: Examining the Strange Situation and attachment Q‐sort

This study assessed parent and child predictors of attachment in a sample of 72 toddlers with neurological (e.g., cerebral palsy) and non‐neurological (e.g., cleft lip and palate) birth defects and their mothers. Parenting quality (e.g., sensitivity) was expected to be more important in predicting the attachment relationship than type and severity of child medical condition. Parenting and indices of severity of child condition were measured via researcher observation. Attachment was measured via the Strange Situation and parent reported Attachment Q‐sort. Parenting quality was better for children with more severe appearance disfigurements. Strange Situation and Q‐sort assessments of attachment were not significantly related. Children with neurological impairments were at greater risk for developing insecure attachments than were children with non‐neurological conditions. Parenting quality also directly predicted Strange Situation assessed attachment security and Q‐sort comfort seeking/exploration but not standard Q‐sort criterion scores. Parenting quality partially mediated the relation between child medical condition and attachment security. Results suggest child medical factors influence parenting, and thereby, child attachment.