Anxious Attachment Style Research Articles

Uncertain reflective functioning, anxious attachment, and cumulative impact of early relational trauma as predictors of severity in borderline personality disorder

ABSTRACT Background: The mentalization model of borderline personality disorder (BPD) utilizes a developmental psychopathology lens, emphasizing an unstable or reduced capacity to mentalize—stemming from early attachment disruptions and relational trauma—as the core feature of BPD. While the empirical evidence for the proposed intersections between mentalizing, attachment, and trauma and the development and manifestations of borderline personality is still limited, this knowledge is essential for developing effective assessments and interventions. Aim: To examine mentalizing, attachment, and early relational trauma as predictors of the severity of symptoms in BPD. Materials and Methods: The sample included 60 individuals diagnosed with BPD, aged 18–45 years, recruited from inpatient and outpatient services in a tertiary care mental health center. Participants completed measures of mentalizing (Reflective Functioning Questionnaire, Interpersonal Reactivity Index, and Reading the Mind in the Eyes test), attachment (Attachment Style Questionnaire), early relational trauma (Complex Trauma Questionnaire), and symptom severity (Borderline Symptom List). Results: The majority of the participants reported experiences of polyvictimization (93.3%) with the most common traumas being psychological abuse (93.3%), neglect (91.7%), and rejection (90.0%). Regression analyses revealed that uncertain reflective functioning, anxious attachment style, and the cumulative impact of trauma together predicted 53.1% of the variance in BPD symptom severity. Conclusion: Impaired mentalizing, characterized by inflexible understanding of mental states, is a critical target for therapeutic interventions in BPD. The significant role of anxious attachment and the necessity of assessing the perceived impact of traumatic experiences highlight the importance of trauma-informed and mentalization-based interventions for this vulnerable group.

Effects of Attachment and Emotional Feedback on Intimate Relationships

Using information from recent psychology studies, the review examines how attachment types and emotional feedback affect interpersonal relationships, particularly in intimate relationships with adults. Attachment theory, which is deeply rooted in the foundational studies conducted by the renowned psychologist John Bowlby, posits that individuals’ behaviors and emotions in their interactions with others within the context of relationships are significantly influenced and molded by the initial interactions they have with their primary caregivers during the early stages of their lives. This study looks at how happiness in relationships, emotional control, and conflict resolution are affected by secure, anxious, and avoidant attachment styles. Furthermore, partners’ spoken and nonverbal emotional input greatly influences the character of the relationship. While negative reactions may foster insecurity, positive replies often reinforce good attachment practices. Several research outcomes are included in this article to shed light on how attachment and emotional feedback interact. In closing, the study indicates directions for further investigation, particularly with regard to digital communication and diversity.

Insecure attachment styles in adolescents at risk for eating disorders.

The present study examines insecure attachment styles in female adolescents, who are at risk for developing eating disorders. A second goal was to investigate whether attachment styles differentiate between high risk for anorexia and high risk for bulimia. A total of 150 adolescents were divided into four risk groups: High risk for anorexia, high risk for bulimia, medium risk and control group. The attachment styles were assessed using the Experience in Close Relationships Scale and the Relationship Questionnaire. Anxiety Attachment, but not Avoidance Attachment, was found to characterize those adolescents who are at risk for ED (AN + BN), and especially for those at high-risk for BN. The present results do not support the notion of an avoidance of emotional intimacy, characterizing the avoidant attachment style of those presenting with AN. Preoccupied Attachment style was found to characterize high-risk for BN, but not high-risk for AN, while the Insecure, Fearful, and Dismissing Attachment types did not differentiate between these two high-risk groups. This study highlights the dominant attachment style in adolescents at high risk for developing ED: The Anxiety Attachment style for AN and BN, and the Preoccupied Attachment style for BN but not for AN.

Spiraling down: Fearful attachment style moderates the link between parental burnout and violence

AbstractObjectiveThe aim of the current preregistered cross‐sectional study was to examine whether in parents with high anxious (characterized with a negative model of self), dismissing (characterized with a negative model of others), and fearful attachment styles (characterized with a negative model of self and of others), the link between parental burnout and violence toward the offspring is stronger.BackgroundPast research has shown that parental burnout exacerbates violence toward the offspring, but the correlation is not perfect (r = .49), which suggests that not all parents in burnout out are violent, and that moderators might therefore be at play.MethodParticipants (N = 794) answered an online questionnaires one time, through Prolific. Parental burnout, violence, and attachment styles were measured through the Parental Burnout Assessment, the Parental Violence Scale, and the Relationship Questionnaire. Multiple regression analyses were performed to test the moderating role of anxious, dismissing, and fearful attachment styles.ResultsParental burnout and all attachment styles are significantly related to violence. However, only fearful attachment style significantly potentiated the relation between parental burnout and violence.ConclusionIn parents with high fearful attachment style, the link between parental burnout and violence toward the offspring is stronger. Results are discussed in light of the role of internal models of self and others.ImplicationsAnxious, dismissing, and fearful attachment styles should systematically be investigated when dealing with burnt out parents, as some may be associated with a higher risk of violence toward the offspring.

How Attachment to Dogs and to Other Humans Relate to Mental Health.

It is unclear how pet ownership is related to mental health, with some previous research suggesting pet owners have better mental health, while other research suggests they have worse mental health. Some researchers have suggested that it may be more useful to investigate the bond people feel with their pets and how this may impact mental health; however, this too has led to mixed results. This study examined how owners' attachment to their dogs was associated with mental health and how this compared to their attachment relationships with other humans in a sample of 607 dog owners. Our findings indicate that both strong and insecure attachments to dogs are linked to poorer mental health outcomes, as was having an insecure attachment style in their human relationships. The adverse impact of strong attachment to dogs on mental health was mediated by these owners having an anxious attachment style toward other people, which in turn was associated with poorer mental health. The relationship between a strong attachment to dogs and poorer mental health was also moderated by gender, with this relationship being significant in women but not significant for men. Together, these results suggest a possible risk to mental health for owners who form a strong attachment to their dogs to compensate for anxious attachments in human relationships.

Sharing Your Husband: Adult Attachment Styles and Emotional Responses of Israeli Bedouin-Arab Women to Potential Polygynous Marriage.

Polygynous marriage is prevalent among Israel's Bedouin-Arab community, despite being explicitly banned by state law. Cultural traditions and customs permit men to take multiple wives, and Islamic teachings do not prohibit the practice. The impact of polygyny is significant, affecting women, children, and society as a whole in various ways. We examined the connections that attachment anxiety and attachment avoidance had with hypothetical responses to the potential threat of polygynous marriages in a community sample of young unmarried Israeli Bedouin-Arab women (n = 306). Participants were randomly assigned to imagine either a high-threat scenario (i.e., finding that their husband decided to take a second wife; n = 151) or a low-threat scenario (i.e., their husband would not decide to take a second wife; n = 155) and report their anticipated responses to these scenarios. Results showed that attachment anxiety was positively associated with anticipated negative emotional responses in the high-threat condition but not in the low-threat condition. However, neither attachment anxiety nor attachment avoidance were associated with the perceived threat of polygyny to their marriage. The findings of this study suggest that attachment styles play a significant role in shaping women's perceptions and reactions to hypothetical polygynous marriages. Women with anxious attachment styles are more likely to experience intensified negative emotions regarding such marriages, while those with avoidant attachment styles may display greater tolerance toward polygyny. These results highlight the need for tailored interventions and support systems that take into account individual psychological profiles as well as the broader cultural context of Israeli Bedouin-Arab society.

Difficulties in emotion regulation and attachment styles among Kurdish individuals in Eastern Turkey with substances use disorders

The aim of this study was to investigate the relationship between attachment style and emotion dysregulation in Kurdish individuals with substance use disorders (SUDs) in Eastern Turkey, a non-Western, Islamic society, in a descriptive cross-sectional design. This study was conducted with 216 individuals with SUDs who were treated at the SBU Van Training and Research Hospital Alcohol and Substance Addiction Treatment Center in Eastern Turkey between April 2023 and June 2023. Almost half of the participants (44.5%, n = 96) were between 18 and 30 years old and almost all were men (96.3%, n = 208). The most commonly used substances were heroin (46.3%, n = 100), marijuana (28.7%, n = 62) and synthetic cannabinoids (7.9%, n = 12). The results showed that higher levels of emotion dysregulation were associated with increased avoidant attachment and anxious attachment style. The study found that anxious and avoidant attachment styles were a significant predictor of emotion dysregulation. These findings suggest that attachment styles may play an important role in emotion dysregulation in Kurdish individuals with SUDs. Future research should investigate whether interventions targeting attachment-based interventions could be effective in reducing emotion dysregulation in Kurdish individuals with SUDs.

The Effect of Mothers’ Attachment Styles on Separation Anxiety in Children with Autism

This research was designed to determine the effect of the attachment styles of mothers on separation anxiety in children with autism. One hundred forty mothers of children with autism contacted using the convenience sampling method were included in this descriptive and correlational research. The data were collected using a questionnaire containing a sociodemographic form, the Experiences in Close Relationships Inventory (ECRI) and the Separation Anxiety Assessment Scale-Parents’ Version (SAASP). An anxious attachment style among mothers of children with autism was found to exacerbate separation anxiety in those children.

Family Attachment and Its Influence on Adult Resilience: A Cross-Sectional Ex Post Facto Investigation

This study examines the relationship between early family attachment and resilience in adulthood, yielding significant theoretical implications for extending attachment theory. The regression analysis demonstrates that anxious and avoidant attachment styles are significant negative predictors of resilience, collectively accounting for 99.9% of its variability. The model exhibits excellent fit and high significance, as evidenced by the F-value. Secure attachment shows the highest positive association with resilience (B = 29.94), while avoidant (B = -5.937) and anxious (B = -23.937) attachment styles are negatively associated with resilience. The theoretical implications highlight the importance of considering attachment theory in the context of adult resilience and suggest avenues for future research to explore interventions that can mitigate the negative effects of insecure attachment styles. Therefore, this study concludes that enhancing secure attachment in early family relationships may be a key strategy in promoting resilience in adulthood, offering valuable insights for both clinical practice and educational interventions.

Predicting relationship outcomes from rejection sensitivity in romantic couples: testing actor and partner effects

This study sought to test actor and partner effects of rejection sensitivity on romantic relationship outcomes. In total, 200 participants (100 mixed-sex couples; mean age = 36.17 ± 11.11 years) completed questionnaire measures at a single timepoint. After controlling for participant age and relationship duration, results showed that personal rejection sensitivity, but not partner rejection sensitivity, predicted self-report relationship outcomes for both men and women. Higher levels of rejection sensitivity were associated with lower levels of relationship satisfaction and relationship commitment, and higher levels of jealousy and self-silencing behaviour. Rejection sensitivity was unrelated to relationship investment. Multiple mediation models further demonstrated that anxious and avoidant attachment styles mediated associations between rejection sensitivity and relationship outcomes. Analyses of couple similarity in rejection sensitivity showed that couples report worse relationship outcomes when both partners score high on rejection sensitivity. Overall, the study provides evidence that rejection sensitivity has an important role in relationship outcomes among couples. Creating awareness of the role of rejection sensitivity in relationship outcomes might be a useful approach to improving relationship quality.

The need for affiliation and depression amidst the post-acute pandemic: The mediation of self-esteem and moderation of insecure attachment among university students

The study investigated the connection between the need for affiliation and depression in Chinese university students, considering the mediating role of self-esteem and the moderating effect of insecure attachment (both anxious and avoidant). Involving 804 students from two Chinese universities, participants provided self-reports on affiliation desire, self-esteem, depressive symptoms, and assessments of insecure attachment. The findings revealed that self-esteem partially mediated the relationship between the need for affiliation and depression. Both anxious and avoidant attachment styles moderated the connection between self-esteem and depression. A simple slopes analysis showed that high anxious attachment intensified the link between low self-esteem and high depression. Similarly, high avoidant attachment exacerbated the association between low self-esteem and higher levels of depression. The implications of these findings were discussed, emphasizing their significance for mental health support and interventions targeting university students.

Neural correlates of distress and comfort in individuals with avoidant, anxious and secure attachment style: an fMRI study

ABSTRACT Despite a growing literature, experiments directly related to attachment are still needed. We explored brain processes involved in two aspects of attachment, distress and comfort. Seventy-eight healthy adult males with different attachment styles (secure, avoidant, and anxious) viewed distress, comfort, complicity-joy and neutral images (picture database BAPS-Adult) in an fMRI block design. ROIs from the modules described in the functional Neuro-Anatomical Model of Attachment (Long et al. 2020) were studied. Secure participants used more co- and self-regulation strategies and exhibited a higher activation of the reward network in distress and comfort viewing, than insecure participants. Avoidant participants showed the lower brain activations. Their approach and reward modules were the least activated in distress and comfort. Anxious participants presented both higher activations of the approach and aversion modules during complicity-joy. In addition, comfort and complicity-joy were processed differently according to attachment styles and should be differentiated among positive stimuli to disentangle attachment processes.

How we get along depends on how you make me feel: An episodic perspective on leader–follower emotional entrainment and daily interaction quality

AbstractLeader–follower relationships are a cornerstone of leadership research. Considering recent developments that point to emotions as key determinants of dyadic relationships, we shift the focus of this literature to the episodic interplay of leader emotional expressions and follower emotional reactions for the emergence of high‐quality interactions. Specifically, we develop an emotional entrainment perspective stating that the trajectory of leader emotional expressions and corresponding follower emotional reactions over the course of a day gives rise to follower perceptions of their interaction quality with their leader. We glean additional insights by examining follower attachment styles as a moderator. Results of an experience sampling study (Nemployees = 72, Ndays = 479) demonstrate that emotional entrainment of high‐activated emotions (joy and fear) predicts end‐of‐day interaction quality contingent on followers' (avoidant and anxious) attachment styles. Future avenues for research on the emergence of high‐quality leader–follower relationships are discussed.

Individual factors as predictors of secondary traumatic stress and burnout in forensic inpatient staff.

Secondary traumatic stress (STS) is the indirect traumatisation of a person through the stress of helping or knowing about other's trauma. Burnout is gradual exhaustion in response to long-term work-related stress. Both have negative psychological, physiological and/or organisational consequences; however, the existing research in forensic health care professionals (FHCPs) is limited. One study explored STS in FCHPs and found that lower psychological flexibility (ability to adapt) was a predictor of greater STS. Existing research on burnout in FHCPs suggests that individual differences, such as the ways in which we cope (talking to people vs. using substances), may predict burnout levels. Prevalence findings add to the recent evidence base, which also found moderate levels of burnout. However, this study is the first to find high levels of secondary traumatic stress in FHCPs. Similar to existing literature, the study's findings suggest that FHCP's with lower levels of psychological flexibility and more maladaptive coping strategies may experience greater STS and burnout symptoms, while staff who use more adaptive coping strategies may experience less burn-out. Unexpectedly, staff who reported a more anxious attachment style were burnt-out; however, there are limitations to this finding. Policies and practices in forensic settings should reflect the risk of STS and burnout. Practices or interventions should enhance adaptive coping strategies and psychological flexibility, such as Resilience Enhancement Programmes or Acceptance and Commitment Therapy (ACT). INTRODUCTION: Secondary traumatic stress (STS) and burnout literature in inpatient forensic health care professionals (FHCPs) is limited, despite the psychological, physiological and organisational consequences. This study aimed to further this limited evidence base, investigating predictors of STS and burnout in FHCPs. 98 healthcare professionals working in two UK forensic inpatient settings completed measures assessing: burnout, STS, psychological flexibility, coping style, attachment style and a demographic questionnaire recording length of service and the sex of staff. Results indicated high STS and moderate burnout levels. The main predictors of STS and burnout were poorer psychological flexibility and greater maladaptive coping styles, whereas lower burnout was predicted by greater adaptive coping styles and an anxious attachment style. This study has contributed towards a limited evidence base and indicates poorer psychological flexibility and greater maladaptive coping may be risk factors for STS and burnout in FHCPs, whereas greater maladaptive coping may be a protective factor. The findings suggest that interventions such as Acceptance and Commitment Therapy (ACT) and coping skills interventions, may offer protective benefits to inpatient forensic healthcare professionals.

Childhood emotional maltreatment and internalizing problems in a non-clinical sample of adolescents: a moderated-mediation model of insecure anxious attachment style and gender.

Childhood emotional maltreatment (abuse and neglect) may contribute to the development of internalizing problems in adolescence. However, the mechanisms explaining this association should be examined further. This study explored the mediating role of insecure anxious attachment style in the relationship between emotional maltreatment and internalizing symptoms in a non-clinical sample of adolescents. Analyses were also conducted to determine whether gender moderated the direct and indirect pathways between emotional maltreatment and internalizing problems. We recruited 449 adolescents aged between 14 and 18 years old [(Mage)=16.46, standard deviation (SD)=1.38]. 60.8% of adolescents were female (Mage=16.51, SD=1.43), whereas 39.2% identified as male (Mage=16.39, SD=1.28). Participants completed a survey including socio-demographic information and three selfreport questionnaires: the Childhood Trauma Questionnaire-Short Form, the Attachment Style Questionnaire, and the Youth Self- Report for ages 11-18. Results showed that emotional abuse and neglect were related to internalizing problems both directly and indirectly through anxious attachment style. Girls who experienced higher levels of emotional abuse and who had an anxious attachment style reported more internalizing problems than boys, whereas higher levels of emotional neglect were associated with increasing levels of internalizing problems only for boys. This study expanded our knowledge of the role of anxious attachment in the onset of internalizing problems among adolescents with experiences of childhood emotional maltreatment.

The mediating role of psychological resilience, anger, and hostility in university students’ attachment styles and life satisfaction

This study examined the function of psychological resilience, anger, and hostility as mediators in the connection between attachment styles and life satisfaction among university students in Turkey. The sample size of the study was 326 university students, consisting of 218 (66.9 %) females and 108 (33.1 %) males. The mean age was 21.4 and the standard deviation of the statistic for their age was 2.7. The distribution of the sample according to grade level was as follows: first year, 92 (28.2 %) second, 152 (46.6 %) third, 46 (14.1 %) and fourth, 36 (11.1 %). The Three-Dimensional Attachment Styles Scale, Satisfaction with Life Scale, Brief Psychological Resilience Scale, and Symptom Screening List were used to collect data. The study’s findings indicate that secure attachment, anxious attachment, psychological resilience, anger, and hostility are statistically significant determinants of life satisfaction. Bootstrapping analysis revealed that psychological resilience, as well as anger and hostility, partially mediated the association between secure and anxious attachment styles and life satisfaction. These results improve our understanding of the underlying mechanisms between attachment styles and life satisfaction by considering the roles of hostility and psychological resilience. We can design prevention and intervention programs to enhance psychological resilience and reduce hostility, thereby reducing the impact of anxious attachment on life satisfaction. Similarly, interventions to increase the impact of secure attachment on life satisfaction can focus on developing psychological resilience and reducing hostility.

Mediation role of interpersonal problems between insecure attachment and eating disorder psychopathology

PurposeAlthough insecure attachment and interpersonal problems have been acknowledged as risk and maintaining factors of eating disorders (EDs), the mediating role of interpersonal problems between attachment style and ED psychopathology has been poorly explored. The purpose of this study was to investigate the mediating role of interpersonal problems between insecure attachment and ED psychopathology.MethodsOne-hundred-nine women with anorexia nervosa and 157 women with bulimia nervosa filled in the Eating Disorder Inventory-2 (EDI-2) and the Experiences in Close Relationships (ECR) revised scale to assess ED core symptoms and attachment styles, respectively. Interpersonal difficulties were evaluated by the Inventory of Interpersonal Problems (IIP-32). A mediator’s path model was conducted with anxious and avoidant attachment subscores as independent variables, ED core symptoms as dependent variables and interpersonal difficulties as mediators. The diagnosis was entered in the model as a confounding factor.ResultsThe socially inhibited/avoidant interpersonal dimension was a mediator between avoidant attachment and the drive to thinness as well as between avoidant attachment and body dissatisfaction. An indirect connection was found between attachment-related anxiety and bulimic symptoms through the mediation of intrusive/needy score.ConclusionsSocial avoidance and intrusiveness mediate the relationships between avoidant and anxious attachment styles and ED psychopathology. These interpersonal problems may represent specific targets for psychotherapeutic treatments in individuals with EDs and insecure attachment.Level of evidenceLevel III: Evidence obtained from well-designed cohort or case–control analytic studies.

Influence of anxious attachment on the relationship between primary emotions and substance-related addictive behaviors.

To date there is no universally accepted model that describes the development of substance related addictive behavior. In order to address this gap, the study sought to examine whether the association between primary emotions and the inclination toward addictive behavior is mediated by an anxious attachment style. The total sample consisted of 900 German speaking non-clinical adults (age: M = 27; SD = 9.60; 71.6% female). Structural Equation Modeling (SEM) was applied to examine the connection between the primary emotions (SADNESS and ANGER), and the latent variables attachment anxiety and symptoms of addictive behavior. Substance use symptomatology was correlated with higher attachment anxiety (r = 0.15), SADNESS (r = 0.15), and ANGER (r = 0.11). The effect of SADNESS on addictive behavior is mediated by attachment anxiety (p < 0.01) whereas ANGER had a direct effect on addictive behavior (p < 0.01). The final SEM explains 4% of the variance of addictive behaviors and 22% of attachment anxiety. Our findings suggest that both SADNESS and ANGER, along with attachment anxiety, are dispositions that contribute to the risk of engaging in addictive behavior. However, while ANGER directly influences addictive behavior, SADNESS acts through its impact on attachment anxiety.

Interpersonal Communication Competence: The Role of Sex, Parenting Styles, and Attachment Styles

An individual’s capability and capacity for interpersonal communication is heavily dependent on environmental, personal, and social factors. This study explores the effects of sex, parenting styles experienced, and attachment styles on the interpersonal communication competence of adolescents. A sample of 240 senior high school students from De La Salle University Integrated School Manila was selected through convenience sampling. Results reveal that adolescent senior high school students are above average in overall interpersonal communication competence. They are excellent in the emotional support dimension of ICC and above average in the initiation, negative assertion, disclosure, and conflict management dimensions. Sex, parenting styles of mothers and fathers, and attachment style have no significant effect on the initiation and negative assertion dimensions of ICC. However, sex has significant effects on the emotional support and conflict management dimensions of ICC. Data show that females are significantly better at emotional support and conflict management regardless of attachment style, except for adolescents with an anxious attachment style, where males are better than females at emotional support and conflict management. On the other hand, only sex has a significant effect on the overall ICC of adolescent senior high school students.

Prediction of anger suppression based on obsessive beliefs and anxious preoccupied attachment style among the non-clinical population: a cross-sectonal study

The Article Abstract is not available.