Anxious Attachment Style Research Articles

Marital Satisfaction and Dissatisfaction Among Ghanaians

This study examined factors associated with marital satisfaction/dissatisfaction among Ghanaian couples living in Ghana and abroad. Using a correlational design, data from a convenience sample of 231 married participants from Ghana and abroad were collected via an online survey. Results from regression analyses revealed that four positive behaviors—affection, companionship, commitment to the family, and financial support—and one negative behavior, beatings/slaps, were significantly associated with marital satisfaction. Three negative behaviors—annoying habits, selfishness, and disrespect—were significantly associated with marital dissatisfaction. Participants in Ghana reported significantly higher rates of beatings in marriage compared to those abroad. Also, negative behaviors experienced in marriage were significantly associated with less secure and more anxious attachment styles. Finally, slaps/beatings as associated with marital satisfaction show unique cultural/sub-cultural interpretations of behaviors. Findings contribute to growing studies and clinical practice that serve multicultural individuals and families.

The Relationship Between Attachment Style and Interpersonal Relationship With the Mediating Role of Moral Identity

Background and Objectives: Human is a social beings and interpersonal relationships are behavioral characteristics affected by several components. This study aimed to examine the relationship between attachment style, and interpersonal relationship with the mediating role of moral identity. Methods: In this study, 200 residents of West Azerbaijan Province, Iran in 2022 were selected by convenience method and completed online attachment style, interpersonal relationship, and moral identity questionnaires. Results: The results of Pearson coefficient and path analysis with SPSS software, version 24 and Amos software showed that secure attachment style has a positive effect on the interpersonal relationship with mediating of moral identity, avoidant and anxious attachment styles have a negative effect on the interpersonal relationships with the mediating of moral identity (P<0.001). Conclusion: According to the results, attachment styles can affect interpersonal relationships, and moral identity is also affected.

Do Adult Attachment Style or Personality Mediate the Relationship Between Childhood Maltreatment and Late-Life Depression in Poor Communities?

Childhood maltreatment is associated with late-life depression. Preliminary evidence indicates that personality characteristics, in particular neuroticism and extroversion, and an anxious attachment style mediate this association. The objective is to evaluate 3 models, in which personality and attachment are considered mediators between childhood maltreatment and late-life depression in a socioeconomically disadvantaged Brazilian population. This study included participants (n = 260) from socioeconomically disadvantaged neighborhoods of Porto Alegre, Brazil, who completed measures of childhood maltreatment (Childhood Trauma Questionnaire - CTQ), personality characteristics (NEO-Five Factor Inventory), attachment styles (Relationship Scales Questionnaire), and geriatric depression (Mini-International Neuropsychiatric Interview-Plus). General multiple and sequential mediation analyses were used to test for possible associations. Attachment anxiety but not attachment avoidance is a mediator between childhood maltreatment and geriatric depression. Neuroticism is a full mediator. At that, attachment anxiety was found to be a predictor of neuroticism. Finally, sequential mediation analysis shows a path from childhood maltreatment to geriatric depression through attachment anxiety and neuroticism. The results suggest a pathway from childhood maltreatment to anxious attachment, which in turn predicts higher neuroticism that itself may favor late-life depression. This hypothesis could have implications for older adults living in low socioeconomic settings in that treating the high-risk group of maltreated children may help prevent late-life depression.

Attachment Style and Its Relationships with Early Memories of Separation Anxiety and Adult Separation Anxiety Symptoms among Emerging Adults.

Emerging adulthood concerns the transition from adolescence to adulthood. It foresees the separation from the family and the creation of new significant relationships, whereby specific attachment styles might be triggered when facing these challenges. The present study investigates the influence of retrospective memories associated with childhood separation anxiety symptoms upon emerging adults’ romantic avoidant vs. anxious attachment styles including adult separation anxiety symptoms as mediators. Age and gender were included as covariates. A community sample of N = 394 Italian emerging adults (Mage = 23.64, SD = 4.00, 70% females) completed self-report measures. The results showed that the participants presented a greater anxious attachment rather than an avoidant attachment style. Moreover, both adult separation anxiety and the memories of early separation anxiety were positively and significantly associated with anxious attachment and not with avoidant attachment. A mediation model conducted and focused on anxious attachment showed that, although not directly associated, child separation anxiety did show a significant positive indirect effect on anxious attachment as mediated by adult separation anxiety symptoms. Thus, the findings highlighted the influence of adult separation anxiety symptoms and retrospective childhood memories of separation anxiety upon anxious adult romantic attachment, yet not on avoidant attachment style. Clinical implications are discussed and suggestions for future research are provided.

Attachment Style's impact on loneliness and the motivations to use social media

Social media use has increased dramatically in the past decade, changing how and why people connect. This study examines how attachment style impacts time spent on social networking sites (SNS), the motives behind social media use, and feelings of loneliness. The impact of loneliness severity on social media usage was additionally investigated. It was hypothesized that (1) individuals with an anxious attachment style would spend more time using SNS compared to participants with other attachment styles and (2) those with an anxious attachment style would use SNS the most to decrease feelings of loneliness. Results of this study indicate attachment styles and loneliness did not have a significant influence on time spent on SNS. This study further found that those with an anxious attachment style were significantly more motivated to use SNS to decrease loneliness. Additionally, those experiencing a low severity of loneliness were less likely to use SNS to reduce feelings of loneliness. To the best of our knowledge, this is the first study that has found a significant connection between attachment styles, loneliness severity, and motivation to use SNS to manage feelings of loneliness.

Insecure attachment styles as predictors of posttraumatic growth in a South African student sample

South Africa, as a developing country, is characterized by high levels of crime, partner violence, and other traumatic experiences. Exposure to these traumas may lead to the development of post-traumatic stress disorder or, conversely, post-traumatic growth. Citizens in developing African countries appear to be at risk for the development of insecure attachment styles due to the cumulative effects of socio-economic risk factors. The prevalence of many possible traumatic experiences along with the risk of more insecure attachments set the stage for investigating the impact of insecure attachment on post-traumatic growth. The aim of this study was thus to determine whether two insecure attachment styles, namely anxious and avoidant attachment, were significant predictors of post-traumatic growth. The sample consisted of 233 undergraduate students from a South African university who had experienced a traumatic event. Participants’ ages ranged from 18 to 33 years ( M = 21 years) and were from various ethnic backgrounds (81.5% Black African, 7.7% White, 9% Coloured, and 3.9% Asian/Indian). Two self-report measures were administered via an online survey to assess attachment styles and post-traumatic growth. Results showed that an anxious attachment style was a significant negative predictor of post-traumatic growth. Furthermore, individuals with an avoidant attachment style were significantly less likely to experience post-traumatic growth through relating to others, than along the other domains of post-traumatic growth. The findings contribute by highlighting the importance of considering how insecure attachment styles may impact post-traumatic growth, as this could inform the treatment of trauma victims.

We Don't Choose Whom We Love: Predictors for Romantic Attraction to Villains.

IntroductionWhy are women (not) romantically attracted to dark personalities or villains, which might be a risk factor for intimate partner violence (IPV) victimization? In the current study, it is opted to investigate how adult attachment, maladaptive personality traits, and acceptance of couple violence in women predict romantic attraction to heroic/villainous characters using structural equation modeling (SEM).MethodFirst, a pilot study was conducted in 122 heterosexual women (aged 16–25) to select male TV characters. This resulted in the selection of six villains and 10 heroes for the main study, in which 194 other heterosexual women (aged 16–25) were asked to rate the pictures of TV characters through an online questionnaire. This was combined with self-report measures of maladaptive personality traits, acceptance of couple violence, and adult attachment. These variables were entered into a SEM model to assess model fit.ResultsOverall, women rated heroes higher on physical appearance (pilot study) and romantic attraction (main study) compared to villains. We found different direct effects of avoidant (negative) and anxious (positive) attachment styles on romantic attraction to heroes. Moreover, maladaptive personality traits fully mediated the positive effect of avoidant attachment style on romantic attraction to villains.DiscussionDespite the limitations of the study design (e.g., low N, low notoriety of the TV characters), this study emphasizes that women are generally more romantically attracted to heroes (vs. villains). Besides, there are different predictors of romantic attraction to heroes and villains, which requires further investigation, especially in the context of IPV.

The mediating role of anger rumination in the relationship between anxious attachment style and conflict resolution strategies in women on the verge of divorce

Aim: The study aimed to investigate the role of anger rumination in the relationship between anxious attachment style and conflict resolution strategies in women on the verge of divorce. Method: This was a descriptive-correlational study and the sample included 165 women seeking divorce from the Yazd Judiciary who were selected by convenience sampling method. The instruments included Strauss et al.'s Conflict Resolution Strategies Questionnaire, Collins and Read Attachment Styles, and anger Ruminant scale of Sukhodolsky et al. Structural equation model and Amos software were used to evaluate the data. findings: showed that the fit indices of the conceptual model after minor corrections were at an acceptable level and the evaluated model had a good fit with the data. The direct effect of anxious attachment on anger rumination (0.55) and the indirect effect of anger rumination on negotiation (-0.18) and psychological aggression (0.29) was significant but the direct effect of anxiety attachment was not significant on any of conflict resolution strategies. Discussion and Conclusion: Based on the obtained results, it can be argued that the style of anxious attachment in individuals can affect negotiation conflict resolution strategies and psychological violence through the rumination of angry thoughts.

The Moderating Role of the FKBP5 Gene Polymorphisms in the Relationship between Attachment Style, Perceived Stress and Psychotic-like Experiences in Non-Clinical Young Adults.

Numerous studies have reported that stressful life experiences increase the risk of psychosis and psychotic-like experiences (PLEs). Common variations of the FKBP5 gene have been reported to impact the risk of psychosis by moderating the effects of environmental exposures. Moreover, anxious and avoidant attachment styles have been shown to increase both the level of perceived stress and the risk for psychosis development. In the present cross-sectional study, we aimed to investigate whether variants of the FKBP5 gene moderate the effects of attachment styles and the level of perceived stress on the development of PLEs. A total of 535 non-clinical undergraduates were genotyped for six FKBP5 single nucleotide polymorphisms (SNPs) (rs3800373, rs9470080, rs4713902, rs737054, rs1360780 and rs9296158). The Psychosis Attachment Measure (PAM), the Perceived Stress Scale-10 (PSS-10) and the Prodromal Questionnaire 16 (PQ-16) were administered to assess attachment styles, the level of perceived stress and PLEs, respectively. Anxious attachment style, lower levels of perceived self-efficacy and higher levels of perceived helplessness were associated with a significantly higher number of PLEs. The main effects of attachment style on the severity of PLEs were significant in models testing for the associations with perceived self-efficacy and three FKBP5 SNPs (rs1360780, rs9296158 and rs9470080). The main effect of rs38003733 on the number of PLEs was observed, with GG homozygotes reporting a significantly higher number of PLEs in comparison to T allele carriers. In individuals with dominant anxious attachment style, there was a significant effect of the interaction between the FKBP5 rs4713902 SNP and self-efficacy on the severity of PLEs. Among rs4713902 TT homozygotes, a low level of perceived self-efficacy was associated with higher severity of PLEs. In subjects with non-dominant anxious attachment, a low level of perceived self-efficacy was associated with a higher number of PLEs, regardless of the genotype. Our results indicate that the FKBP5 gene might moderate the relationship between attachment, perceived stress and PLEs.

Structural Relationship of Anxious Attachment Style with Pain Catastrophizing, Fear of Pain, and Vigilance to Pain in Non-clinical Pain Cases

Background: The present study aimed to determine the relationship of anxious attachment style with catastrophizing, fear of pain, and hypervigilance. Methods: The study sample consisted of 210 students at Tabriz University, Iran, with recent acute pain or the lack of pain experience selected by the convenience sampling method. The subjects responded to the Relationship Scales Questionnaire, Pain Catastrophizing Scale, Fear of Pain Questionnaire, and Pain Vigilance and Awareness Questionnaire. Data were analyzed by Pearson’s correlation coefficient and structural equation modeling. Results: The findings indicated a significant positive relationship between the subscale of anxious attachment and the variables of catastrophizing, fear of pain, and vigilance to pain, as well as a relationship among the variables. Moreover, the modeling showed a structural relationship between anxious attachment and studied variables. Conclusions: Anxious attachment style acts as a vulnerability factor and a predictor of chronic pain in individuals without pain experience. It means that facing catastrophic pain in people with anxious attachment styles can lead to the fear of pain and hypervigilance.

Gift of fantasy: investigating how fantasy in digital game impacts game brand immersion

PurposeThis research aims to extend brand relationship theory to the domain of online gaming by augmenting the understanding of the role played by fantasy state in digital game in impacting gamers' immersive relationships with digital game brands. In this quest, the research examines how fantasy state in game (FSG) creates game brand immersion (GBI) through the mediation of emotional game brand attachment (EGBA) and the roles of individual's need for escapism (NE) and anxious attachment style (AAS) in moderating the aforementioned relationships.Design/methodology/approachThe research employs a pre-test followed by two quantitative studies. Quantitative data were analyzed using the PROCESS macro.FindingsResults from Study 1 illustrate that perceived fantasy in game generates EGBA, which, in turn, predicts GBI. Further, Study 2 establishes that the effect of fantasy in game on EGBA is moderated by gamer's NE. The moderating effect of NE is moderated by individual's AAS.Originality/valueValue of the study lies in extending consumer–brand relationship theory to digital gaming domain which enhances the understanding of how fantasy state in digital game can lead to GBI and the roles played by individual personality characteristics like escapism motivation and AAS in the process.

Anxious attachment improves and is predicted by anxiety sensitivity in internet-based, guided self-help cognitive behavioral treatment for panic disorder.

The purpose of this study was to examine whether anxious and avoidant attachment styles improve during guided internet-based cognitive behavioral treatment (ICBT) for panic disorder, and if so, to identify potential theoretically driven mechanisms related to the change. We examined changes in anxious and avoidant attachment and their time-lagged (1 week), longitudinal relationship with panic-related constructs in patients participating in ICBT (n = 79) in an open trial. Anxious attachment scores improved significantly with a medium effect during ICBT, d = 0.76 [0.45, 1.08]. According to benchmark analyses, changes were similar to the magnitude of change in face-to-face CBT and final scores to values of a nonclinical sample. Additionally, similar to findings in face-to-face CBT for panic disorder, longitudinal time analyses revealed that anxiety sensitivity scores predicted later improvement in anxious attachment scores, but not vice versa. Counter to our hypothesis, avoidant attachment did not significantly change during treatment, d = 0.15 [0.02, 0.46]; however, pretreatment level of avoidant attachment in ICBT was similar to the nonclinical sample. Also counter to our hypotheses, agoraphobic avoidant behaviors when alone did not predict changes in anxious attachment. These results suggest that anxious attachment can improve in ICBT for panic disorder even though the focus of the treatment is not on interpersonal relationships. These changes appear to follow changes in anxiety sensitivity. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

The Contribution of Attachment Styles and Reassurance Seeking to Trust in Romantic Couples.

The current daily diary study examined the moderating impact of attachment style on the association between excessive reassurance seeking (ERS) behavior and trust in romantic dyads. A sample of 110 heterosexual couples completed measures of attachment, ERS, and relationship trust. In line with prior research, an anxious attachment style was associated with higher daily ERS, and an avoidant attachment style with lower daily ERS. Lower levels of trust were also associated with greater daily ERS. Moreover, analyses remained significant while controlling for symptoms of depression. This study extended the literature by demonstrating that for women with an anxious attachment style, and men with an avoidant attachment style, ERS was related to lower next day trust. In contrast, the partners of men with an avoidant attachment style, who also engaged in ERS, reported higher levels of next day trust. This study was also the first to examine how individual attachment styles influenced the perception of, and reactions to, ERS. Women with an anxious attachment style liked when their male partners engaged in ERS, as illustrated by higher levels of reported trust. These results support the idea that attachment styles play an important role in determining whether or not ERS leads to negative interpersonal consequences. They also suggest that it is the combination of relationship insecurities and ERS that leads to negative interpersonal consequences.

Anxious and status signaling: Examining the link between attachment style and status consumption and the mediating role of materialistic values

Attachment theory has recently been recognized as a potentially fruitful avenue for studying consumer behavior. However, few studies have examined the relationship between attachment styles and consumer preferences. Based on literature suggesting that individuals with an anxious attachment style have a particularly strong need for attention, we conducted two studies with a total sample of over 2000 participants, which tested and found that anxiously attached consumers displayed a higher propensity to purchase status-signaling goods than their counterparts with secure attachment styles. This effect was mediated by materialistic values, such that participants with an anxious attachment style reported the highest materialistic values. Additionally, we found mixed evidence for the relationship between an avoidant attachment style, materialism, and status consumption. Together, these findings highlight the importance of attachment theory in the study of status consumption and offer potential implications for research on social status and related research areas.

Predicting Students' Social Adjustment and Academic Achievement based on Parenting Attachment Styles

Aim: The purpose of this study was to predict social adjustment and academic achievement based on parental attachment styles in students. Methods: The method of this research was descriptive-correlational. The study population included 18,000 male and female first year high school students in Lorestan province in the academic year of 2014-15, which was conducted on a sample of 364 students (200 girls, 164 boys). Multi-stage cluster sampling method was selected. The California Social Adjustment Questionnaire (Klako et al., 1953) and the Hazen and Shaver Adult Attachment Styles Questionnaire (1897) were used to collect data, and the students' final grade point average was used to assess academic performance. Data were analyzed using Pearson correlation and multiple regression analysis (stepwise). Findings: The results of Pearson correlation coefficient showed that there was a meaningful negative relationship between avoidant attachment style (P=0.001, r=-0.35), anxiety attachment style (P=0.001, r=-0.29) with adaptation. Also, between secure attachment style (P≥0.001, r=0.41), attachment to mother (P≥0.001, r=0.35), attachment to father (P≥0.001, r=0.37) and attachment to friends (P=0.001, r=0.38) has a significant positive relationship with adaptation. Multiple regression results showed 31% of the total variance of students' academic adjustment by avoidant attachment style (β=-0.16), anxiety attachment style (β=-0.14), secure attachment (β=0.23), attachment to mother (β=0.10), attachment to father (β=0.15), and attachment to friends (β=0.09) are explained. Also, 14% of the variance of academic achievement is explained by the style of secure attachment (β=0.17), attachment to father (β=0.10) and attachment to friends (β=0.11). Conclusion: The present study showed that the first emotional bonds between child and mother play a fundamental role in the formation of social trust and the continuation of emotional relationships in the later period of growth, promoting it positively. Thus, with success in this field, social adjustment is achieved.

Cross-Lagged Associations of Insecure Attachment Style, Alcohol Use, and Sexual Behavior During Emerging Adulthood.

Insecure romantic attachment style has been associated with greater substance use and higher risk sexual behavior, but the temporal nature of these associations is not well-understood. This study examined whether having a more insecure attachment style was associated with greater engagement in higher-risk sexual behavior over time and, if so, whether this was mediated by more frequent alcohol use. We used three annual waves of survey data from a diverse California cohort (N = 2371) who were assessed from ages 19 to 21-22 years. Separate cross-lagged models examined temporal associations of insecure romantic attachment style (anxious and avoidant), past month alcohol use frequency, and sexual behavior (number of sex partners, condomless sex with casual and steady partners). Attachment anxiety was not directly associated with sexual behavior. Rather, a consistent pattern across waves showed that greater attachment anxiety was associated with more frequent alcohol use at the next wave, which, in turn, was associated with having more sex partners and condomless sex with casual and steady partners one year later. In contrast, greater attachment avoidance was directly associated with having fewer sex partners, and its associations with condomless sex differed across partner type and assessment waves. Attachment avoidance was unrelated to alcohol use frequency. Results indicated that both anxious and avoidant attachment styles were associated with higher-risk sexual behavior, but in different ways and through different mechanisms. Future research may want to examine whether the effectiveness of sexual risk reduction programs for young people is enhanced by discussing attachment style and tailoring the curriculum accordingly.

The influence of attachment style on interpersonal learning in substance use psychotherapy groups

Substance Use Disorders (SUDs) are prevalent, long-term conditions, commonly treated via group intervention. Additionally, interpersonal learning (IL) is a therapeutic factor unique to group treatment programs, which has been associated with successful group therapy outcomes. While previous research has suggested attachment styles may predict experiences of IL within groups, research in this area is limited. Therefore, this study aims to investigate if attachment style impacts IL, within SUD group treatment programs and specifically, if anxious and avoidant attachment styles influence IL. Participants (N = 38) were recruited voluntarily from an outpatient SUD open group therapy program at a private mental health hospital in Sydney. All participants completed paper-based self-report questionnaires to assess attachment style and IL. Two separate Multiple Linear Regressions (MLRs) revealed anxious attachment was not a significant predictor of IL and avoidant attachment was a significant, negative predictor of IL. Additionally, thematic analysis of qualitative data revealed themes and behaviours which may improve IL. Thus, future directions and implications of the study’s findings indicate the need to conduct additional research into members attachment-based needs to enhance SUD group treatment outcomes.

Interparental conflict and relational attitudes within romantic relationships: The mediating role of attachment orientations

Early experiences and childhood perceptions of interparental conflict (IPC) have consistently been shown to have detrimental consequences for future psychological adjustment, in particular for attachment and couple relationships during adolescence and adulthood. We hypothesized that 1. IPC would predict anxious and avoidant attachment styles, and three relational attitudes associated with couple relationships: sense of relational entitlement, pathological concern, and authenticity; and 2. Attachment style would mediate the associations between IPC and these three relational attitudes. Measures of perceived IPC, attachment orientations, relational entitlement, pathological concern, and authenticity in romantic relationships were completed online by 280 young adults aged 19–32. IPC was positively correlated with anxious and avoidant attachment styles, restricted and inflated sense of entitlement, and pathological concern and negatively with authenticity. A structural equations model showed that IPC predicted avoidant and anxious attachment styles, which positively predicted an inflated and restricted sense of relational entitlement and pathological concern and negatively predicted authenticity. Attachment styles fully mediated the relationships between IPC and the relational attitudes. IPC therefore seems to be related to imbalanced attitudes in romantic relationships, due in part to a propensity toward insecure attachment orientations. Children with insecure attachment who are exposed to significant levels of IPC may be at high risk for relationship problems later in life because of difficulties exposing their vulnerability, assessing need fulfillment realistically, and caring for themselves as well as others. They should therefore be helped to communicate their relational needs to significant others, in particular to their partners.

OCD, death anxiety, and attachment: what's love got to do with it?

Death anxiety has been empirically implicated in obsessive compulsive disorder (OCD). Research has shown that secure attachments appear to protect against fear of death, and are also associated with reduced risk of mental illness. However, few studies have investigated the moderating effect of attachment style in the relationship between death anxiety and OCD. The present study sought to explore whether attachment style moderates the relationship between death anxiety and OCD symptoms among a treatment-seeking sample of individuals diagnosed with OCD. Following a structured diagnostic interview, a number of measures were administered to 48 participants. These included the Multidimensional Fear of Death Scale, Vancouver Obsessive Compulsive Inventory, and Experiences in Close Relationships-Revised. As expected, death anxiety was a strong predictor of OCD severity, and other markers of psychopathology. However, contrary to hypotheses, neither anxious nor avoidant attachment style moderated the association between fear of death and OCD severity. The current findings add further support to the role of death anxiety in OCD. Given the absence of a moderating effect of attachment between death fears and OCD severity, it is possible that this proposed buffer against death anxiety may potentially be insufficient in the presence of this disorder. Further research is needed to clarify whether attachment style may moderate the relationship between death anxiety and symptom severity in other disorders.

Attachment Style and Reality-Testing Impairment Among Patients with Schizophrenia: A Descriptive Correlational Study

Background: Insecure attachment styles are an area of research that is currently receiving much attention because it has an important role in developing many psychological disorders and might have an effect on an individual's perception of his outer reality. In this respect, assessment of attachment styles among patients with schizophrenia can be informative in indicating how well the patients perceive their reality accurately. Aim: This study aimed to determine the attachment style and reality testing impairment among patients with schizophrenia. As well, investigate the relationship between them among those patients. Setting: This study was conducted at El-Maamoura hospital for Psychiatric Medicine in Alexandria. Subjects: A representative sample of 200 randomly recruited patients with schizophrenia were the subjects of the present study. Tools: A Socio-Demographic and Clinical Data Sheet, Bell Reality Testing Inventory (BRTI), and The Psychosis Attachment Measure (PAM). Results: The study showed that 54.5% of the studied patients exhibited an avoidant attachment style and the patients who exhibited an anxious attachment style constitute 40%. Moreover, 60% of the studied patients had a moderate level of reality-testing impairment and 36.5% had severe impairment. A statistically significant positive correlation between psychotic attachment styles and reality-testing impairment was found (r=0.394, p=0.000). More specifically, there was a statistically significant positive correlation between the avoidant attachment style and the three domains of reality-testing impairment as well as the total scores (r= 0.577, 0.179, 0.278, 0.501 respectively, were p=0.000). Meanwhile, a statistically significant positive correlation between the anxious attachment style was found only with the Hallucinations & Delusions domain of reality-testing impairment (r =0.291, p=0.000). Conclusion: It can be concluded that almost all patients with schizophrenia exhibit insecure attachment styles, with avoidant attachment style being the most prevalent, usually at a severe level in the majority of cases. On the other hand, the great majority of these same patients present with reality-testing impairment reflected in its three domains: reality distortion, the uncertainty of perception, and hallucinations & delusions. Evidence of a correlation between attachment styles and reality testing impairment, (both of the total and sub total domains) in these patients usually and frequently there. Recommendations: Building up a secure, structured, and consistent environment for patients with schizophrenia to modify their insecure attachment styles and hope to become more reality-oriented.