Autism & Developmental

Attachment security in infants at-risk for autism spectrum disorders.

Haltigan et al. (2011) · Journal of autism and developmental disorders 2011
★ The Verdict

Babies at risk for autism form secure attachments just as often as other babies, though their secure style may look quieter.

✓ Read this if BCBAs running parent-training groups for families who already have one child with ASD.
✗ Skip if Clinicians working only with older youth or solo adults.

01Research in Context

01

What this study did

The team watched how babies act during a short separation and reunion with mom.

They compared two groups: babies who have an older brother or sister with autism, and babies whose siblings are typically developing.

All babies were about 15 months old.

The researchers used the classic "Strange Situation" test to label each baby as secure, insecure, or disorganized in attachment.

02

What they found

Both groups formed secure bonds at the same rate.

Most babies in each group sought comfort from mom after the brief separation.

The only difference was style: more autism-risk babies showed a quiet, low-key secure pattern (called B1-B2).

Rates of disorganized attachment did not differ between groups.

03

How this fits with other research

Rutherford et al. (2007) saw social lags—less smiling and joint attention—in the same infant-sibling sample at 6–12 months.

Those early gaps did not stop the babies from building a secure bond by 15 months.

Koegel et al. (2014) later looked at toddlers already diagnosed with ASD and found that both moms and dads matter for attachment; our target paper shows the risk process starts earlier but still ends secure for most.

Turgeon et al. (2021) reported high disorganization in school-age children with intellectual disability; in contrast, the infant ASD-risk group here showed typical disorganization rates, suggesting risk may rise later or only with added cognitive delay.

04

Why it matters

You can reassure families that having an older child with autism does not block their baby from forming a safe, secure bond.

When you coach parents, note that quiet, calm reunions are still secure—no need to push big dramatic hellos.

Keep tracking social communication milestones, but use this data to ease worry and focus parent training on warmth and sensitivity, not fear.

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During a caregiver session, praise calm, low-key reunions as healthy secure behavior—no need to prompt louder greetings.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
85
Population
not specified
Finding
null

03Original abstract

Little is known about attachment security and disorganization in children who are at genetic risk for an Autism Spectrum Disorder (ASD) prior to a possible diagnosis. The present study examined distributions of attachment security and disorganization at 15-months of age in a sample of infant siblings of older children with (ASD-sibs; n = 51) or without (COMP-sibs; n = 34) an ASD. ASD-sibs were not more or less likely to evince attachment insecurity or disorganization than COMP-sibs. However, relative to COMP-sibs, the rate of B1-B2 secure subclassifications was disproportionately larger in the ASD-sib group. Results suggest that ASD-sibs are not less likely to form secure affectional bonds with their caregivers than COMP-sibs, but may differ from COMP-sibs in their expression of attachment security.

Journal of autism and developmental disorders, 2011 · doi:10.1007/s10803-010-1107-7