Despite longstanding theoretical associations in the attachment literature between early experiences of trauma, unresolved attachment representations, and mental health symptoms, few studies have explored associations between these variables, and findings amongst current studies are inconsistent. This study aimed to examine these relationships in a high-risk sample of mothers. It also explored relationships between aspects of trauma, such as type, severity, and age of exposure in relation to unresolved attachment representations. Possible moderating effects of mental health were also examined. Data for the study were collected as part of a larger longitudinal study on women’s transition to motherhood. The present study used data from the third trimester of pregnancy (T1) and 1-year (T3), 2-years (T4), and 3-years (T5) postpartum. Participants in this study included 74 diverse, primarily low-income women between the ages of 18 – 41 years (M = 27, SD = .35). Adult representations were assessed by a relatively new measure of adult attachment, called the Adult Attachment Projective Picture System (AAP; George, West & Pettem, 1999), which has not yet been widely used in the literature but has potential as a valuable research tool in the attachment field. Attachment-related traumas conceptualized by Kobak, Cassidy, and Ziv (2004) were examined and included physical abuse, physical neglect, sexual abuse, emotional abuse, loss, and prolonged separations. Mental health symptoms of depression and posttraumatic stress disorder were also obtained. It was hypothesized that attachment-related trauma and mental health difficulties would be significantly related to unresolved representations. Unexpectedly, results revealed no significant differences between unresolved and resolved mothers on cumulative trauma or mental health (i.e., depression and PTSD symptoms). However, attachment security, as a continuous variable, was significantly related to mental health, such that higher security was related to fewer depression symptoms. The results are discussed in relation to two formal definitions of attachment trauma that have been articulated in the attachment literature. Recent theoretical developments about attachment trauma and the need for further investigations about the influence of childhood experiences on adulthood attachment representations are also discussed.
","abstract_html":"<p>Despite longstanding theoretical associations in the attachment literature between early experiences of trauma, unresolved attachment representations, and mental health symptoms, few studies have explored associations between these variables, and findings amongst current studies are inconsistent. This study aimed to examine these relationships in a high-risk sample of mothers. It also explored relationships between aspects of trauma, such as type, severity, and age of exposure in relation to unresolved attachment representations. Possible moderating effects of mental health were also examined. Data for the study were collected as part of a larger longitudinal study on women’s transition to motherhood. The present study used data from the third trimester of pregnancy (T1) and 1-year (T3), 2-years (T4), and 3-years (T5) postpartum. Participants in this study included 74 diverse, primarily low-income women between the ages of 18 – 41 years (<em>M</em> = 27, SD = .35). Adult representations were assessed by a relatively new measure of adult attachment, called the Adult Attachment Projective Picture System (AAP; George, West & Pettem, 1999), which has not yet been widely used in the literature but has potential as a valuable research tool in the attachment field. Attachment-related traumas conceptualized by Kobak, Cassidy, and Ziv (2004) were examined and included physical abuse, physical neglect, sexual abuse, emotional abuse, loss, and prolonged separations. Mental health symptoms of depression and posttraumatic stress disorder were also obtained. It was hypothesized that attachment-related trauma and mental health difficulties would be significantly related to unresolved representations. Unexpectedly, results revealed no significant differences between unresolved and resolved mothers on cumulative trauma or mental health (i.e., depression and PTSD symptoms). However, attachment security, as a continuous variable, was significantly related to mental health, such that higher security was related to fewer depression symptoms. The results are discussed in relation to two formal definitions of attachment trauma that have been articulated in the attachment literature. Recent theoretical developments about attachment trauma and the need for further investigations about the influence of childhood experiences on adulthood attachment representations are also discussed.</p>","abstract_has_math":false,"creators":["Scott, Syreeta"],"institution":null,"degree_name":"Doctor of Philosophy (PhD)","degree_level":"Open Access Dissertation","degree_discipline":"Psychology","degree_department":null,"school":null,"contributors":["Alissa Huth-Bocks, PhD, Chair","Stephen Jefferson, PhD","Heather Janisse, PhD"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2013,"date_issued":"2013-07-01T07:00:00Z","date_published":"2013-07-01T07:00:00Z","updated_at":"2026-07-24T02:16:51Z","subjects":["postpartum depression","motherhood","post-traumatic stress disorder","mental health","Clinical Psychology"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://commons.emich.edu/theses/503","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Alissa Huth-Bocks, PhD, Chair","Stephen Jefferson, PhD","Heather Janisse, PhD"]},{"key":"dc:creator","label":"Author","values":["Scott, Syreeta"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.available","label":"Dc Date Available","values":["2013-09-17T07:00:00Z"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Psychology"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Open Access Dissertation"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Doctor of Philosophy (PhD)"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["postpartum depression","motherhood","post-traumatic stress disorder","mental health","Clinical Psychology"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://commons.emich.edu/theses/503"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Despite longstanding theoretical associations in the attachment literature between early experiences of trauma, unresolved attachment representations, and mental health symptoms, few studies have explored associations between these variables, and findings amongst current studies are inconsistent. This study aimed to examine these relationships in a high-risk sample of mothers. It also explored relationships between aspects of trauma, such as type, severity, and age of exposure in relation to unresolved attachment representations. Possible moderating effects of mental health were also examined. Data for the study were collected as part of a larger longitudinal study on women’s transition to motherhood. The present study used data from the third trimester of pregnancy (T1) and 1-year (T3), 2-years (T4), and 3-years (T5) postpartum. Participants in this study included 74 diverse, primarily low-income women between the ages of 18 – 41 years (M = 27, SD = .35). Adult representations were assessed by a relatively new measure of adult attachment, called the Adult Attachment Projective Picture System (AAP; George, West & Pettem, 1999), which has not yet been widely used in the literature but has potential as a valuable research tool in the attachment field. Attachment-related traumas conceptualized by Kobak, Cassidy, and Ziv (2004) were examined and included physical abuse, physical neglect, sexual abuse, emotional abuse, loss, and prolonged separations. Mental health symptoms of depression and posttraumatic stress disorder were also obtained. It was hypothesized that attachment-related trauma and mental health difficulties would be significantly related to unresolved representations. Unexpectedly, results revealed no significant differences between unresolved and resolved mothers on cumulative trauma or mental health (i.e., depression and PTSD symptoms). However, attachment security, as a continuous variable, was significantly related to mental health, such that higher security was related to fewer depression symptoms. The results are discussed in relation to two formal definitions of attachment trauma that have been articulated in the attachment literature. Recent theoretical developments about attachment trauma and the need for further investigations about the influence of childhood experiences on adulthood attachment representations are also discussed.
"]},{"key":"dc:title","label":"Title","values":["The association between attachment-related trauma and adult representations of attachment and the role of maternal mental health"]}]}],"canonical_facts":{"dc:contributor":["Alissa Huth-Bocks, PhD, Chair","Stephen Jefferson, PhD","Heather Janisse, PhD"],"dc:creator":["Scott, Syreeta"],"dc:date.available":["2013-09-17T07:00:00Z"],"dc:description.abstract":["Despite longstanding theoretical associations in the attachment literature between early experiences of trauma, unresolved attachment representations, and mental health symptoms, few studies have explored associations between these variables, and findings amongst current studies are inconsistent. This study aimed to examine these relationships in a high-risk sample of mothers. It also explored relationships between aspects of trauma, such as type, severity, and age of exposure in relation to unresolved attachment representations. Possible moderating effects of mental health were also examined. Data for the study were collected as part of a larger longitudinal study on women’s transition to motherhood. The present study used data from the third trimester of pregnancy (T1) and 1-year (T3), 2-years (T4), and 3-years (T5) postpartum. Participants in this study included 74 diverse, primarily low-income women between the ages of 18 – 41 years (M = 27, SD = .35). Adult representations were assessed by a relatively new measure of adult attachment, called the Adult Attachment Projective Picture System (AAP; George, West & Pettem, 1999), which has not yet been widely used in the literature but has potential as a valuable research tool in the attachment field. Attachment-related traumas conceptualized by Kobak, Cassidy, and Ziv (2004) were examined and included physical abuse, physical neglect, sexual abuse, emotional abuse, loss, and prolonged separations. Mental health symptoms of depression and posttraumatic stress disorder were also obtained. It was hypothesized that attachment-related trauma and mental health difficulties would be significantly related to unresolved representations. Unexpectedly, results revealed no significant differences between unresolved and resolved mothers on cumulative trauma or mental health (i.e., depression and PTSD symptoms). However, attachment security, as a continuous variable, was significantly related to mental health, such that higher security was related to fewer depression symptoms. The results are discussed in relation to two formal definitions of attachment trauma that have been articulated in the attachment literature. Recent theoretical developments about attachment trauma and the need for further investigations about the influence of childhood experiences on adulthood attachment representations are also discussed.
"],"dc:identifier":["https://commons.emich.edu/theses/503"],"dc:subject":["postpartum depression","motherhood","post-traumatic stress disorder","mental health","Clinical Psychology"],"dc:title":["The association between attachment-related trauma and adult representations of attachment and the role of maternal mental health"],"thesis:degree_discipline":["Psychology"],"thesis:degree_level":["Open Access Dissertation"],"thesis:degree_name":["Doctor of Philosophy (PhD)"]},"updated_at":"2026-07-24T02:16:51Z"}