Adult Attachment Research Articles

The role of empathy and emotional regulation self-efficacy in adult attachment type and marital adjustment in breast cancer patients–a moderated mediation model

ABSTRACT To date, previous research has elucidated the impact of adult attachment type on marital relationships. However, the mechanisms underpinning the relationship between attachment type and marital adjustment in breast cancer patients remain unclear. In this study, a cohort of 272 breast cancer patients was surveyed using several instruments: the General Information Questionnaire, Revised Marital Adjustment Scale (RDAS), Adult Attachment Scale (AAS), Interpersonal Reactivity Indicator Scale (IRI), and Regulated Emotional Self-Efficacy Scale (RESS). We conducted moderated mediation analyses using the SPSS macro program PROCESS plug-in. Empathy was found to mediate the association between attachment type (attachment anxiety/attachment avoidance) and marital adjustment, with indirect effects of −0.141 (95% CI [−0.260, −0.063]) and 0.157 (95% CI [0.073,0.289]), respectively. Additionally, affect regulation self-efficacy was found to mediate the subsequent impact of attachment type (attachment anxiety/attachment avoidance) on marital adjustment via empathy, with moderated effects of 0.380 (95% CI [0.236, 0.525]) and 0.374 (95% CI [0.240, 0.509]), respectively. Consequently, the presence of insecure attachment in breast cancer patients appears to influence their empathy levels, thereby negatively impacting marital adjustment. Encouragingly, enhancing emotional regulation self-efficacy in patients holds the potential to mitigate these adverse effects. These findings contribute not only to a deeper theoretical understanding but also lay a solid foundation for practical interventions aimed at enhancing marital relationships among breast cancer patients.

Mary Main’s concept of conditional strategies: influences on studies of child–parent and adult romantic attachments

ABSTRACT Among Mary Main’s many vital contributions to the field of attachment is the idea that human infants develop adaptive conditional strategies in the service of maintaining proximity to a secure base in light of a particular caregiving history. In this tribute paper, we describe Main’s original theorizing, which delineated three types of conditional strategies: a primary secure base strategy and two secondary strategies of minimizing or maximizing the naturally occurring output of the attachment behavioral system, using a variety of cognitive, affective, and behavioral means. We review the large body of evidence for minimizing and maximizing strategies in infancy, childhood, adolescence, and adulthood. Across a range of studies – including age groups and methodologies extending well beyond Main’s original work with infants – there is remarkable convergence of findings that support Main’s ideas. We conclude with several promising directions in implementing Main’s groundbreaking ideas to enrich future research and clinical applications.

Adult Parental Attachment and Adolescent Psychological Problems: Mediating Role of Adult Emotional Processes in the Family

The study explores the mediation roles of parent emotion regulation and emotional reactivity in the relationship between adult parental attachment and adolescent psychological problems. The study group consisted of 324 parents. The findings reveal that secure adult attachment to both parents correlates with fewer adolescent psychological issues. Notably, adult emotional reactivity and parent emotion regulation partially mediate this relationship, highlighting distinct mediation pathways for emotional reactivity and parent emotion regulation in attachment to both mothers and fathers. This contributes new insights into parent-child relationships and adolescent psychological health.

Mentalizing Care: Adult Attachment and Structural Factors as Predictors of Representational Mind-Mindedness in Early Child-Care Professionals.

Out-of-home childcare is increasingly essential in many children's lives, significantly impacting their wellbeing and development. Central to high-quality care is the concept of caregiver mind-mindedness (MM), the ability to recognize a child as a unique psychological individual with thoughts, feelings, intentions etc., as this capacity is linked with more optimal responsiveness to children's needs. Despite its importance, the factors influencing MM in professional caregivers remain under-researched. We examined the association between structural factors, self-reported adult attachment, and caregiver representational MM assessed in an interview. The sample consisted of 128 childcare professionals from 30 Danish early childcare centers (children aged 0-2.9 years), participating in a randomized controlled trial. Overall, our results showed that longer employment in the current position was associated with higher levels of representational MM, i.e., increased tendency to describe children in terms of their mental states as opposed to more behavioral or external features. In contrast, more years of experience working in childcare as well as attachment-related avoidance were associated with lower levels of representational MM. These results indicate that personal characteristics, like adult attachment, may be a relevant focus for early education and care research and training.

Motherhood in the Making: Key Determinants of Parenthood Motivation in Young Adult Women

Background: Demographic changes are often prone to purely social perspectives, while individual differences are overlooked. This research examines the role of attachment and emotional intelligence in childbearing motivation. Methods: In total, 234 female students participated in an online survey, including sociodemographic data, adult attachment, emotional competencies, and parenting-related variables. Results: Statistical analyses revealed that the students express positive and negative childbearing motivation almost equally and moderately. They were both linked to religiosity and emotional management. We further explore the differences in relationship status and address the role of religious beliefs. The demographic measures identified as most important include healthcare availability for both mother and child, subsidizing housing loans or rent, and encouraging fathers to become more actively involved in the care of infants. Conclusion: These emerging trends deserve further investigation and social incentives.

Experiences With Physical and Emotional Sibling Violence in Childhood and Adult Attachment in a Sample of Lesbian, Gay, and Bisexual Individuals

To the best of our knowledge, no research has been conducted specifically examining the influence of physical and emotional sibling violence on adult attachment in lesbian, gay, and bisexual individuals. To address this gap, we conducted an exploratory research study using survey methods and asked a sample of 150 participants about their experiences with physical and emotional sibling violence in childhood and attachment in close relationships in adulthood. We found an association between physical and emotional sibling violence and closeness to and dependency on others in adulthood, but no association with fear of abandonment and rejection by others. Implications include the need for psychoeducation and for practitioners to assess for physical and emotional sibling violence when working with individuals and families with members who identify as lesbian, gay, or bisexual.

Out of sight but in mind: Experimentally activating partner representations in daily life buffers against common stressors.

Lab experiments have shown that reminders of romantic partners buffer against stressors. Yet, tightly controlled experiments do not mimic what transpires in people's actual lives. Thus, an important question is as follows: To what extent do reminders of romantic partners confer affective benefits when they occur "in the wild" as people experience their daily activities? To capture people's emotional experience in real time, two studies, each spanning 3 months, used event-contingent ecological momentary assessments with a within-subject experimental manipulation. Prior to encountering a stressful event (taking an exam), participants received either a supportive text message from their partner or no message (Studies 1 and 2), or a supportive text message from the research team (Study 2). Receiving supportive partner messages, compared to no messages or messages from the research team, led to less negative affect and greater positive affect, and to less negative affect and greater positive affect about the exam itself. Receiving supportive partner messages had no statistically significant effects on subjective stress. Interestingly, the quality of the partner messages, as coded by independent raters, did not significantly predict the magnitude of the affective benefits. These findings suggest that receiving any supportive partner message, and not necessarily more subtle differences in the quality of the message, may be the key ingredient for these benefits to occur. The present work advances understanding of how the symbolic presence of partners confers affective regulatory benefits in everyday life. Implications for emotion regulation and the utility of integrating perspectives from adult attachment are discussed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Adult attachment and sexting in Chinese college students' romantic relationships

This study investigated the mediating role of loneliness in the relationship between attachment styles and sexting among Chinese college students in romantic relationships. Participants comprised 656 college students who completed surveys measuring attachment styles, sexting, and loneliness. Results were as follows: (a) attachment anxiety was positively correlated with sexting, (b) attachment avoidance was negatively correlated was sexting, (c) loneliness mediated the associations between attachment styles and sexting, and (d) the indirect effect of loneliness in the relationship between attachment anxiety and sexting was stronger than that in the relationship between attachment avoidance and sexting. These findings expand the understanding of the psychological mechanisms at play in the relationship between adult attachment and sexting by introducing a theoretical framework that incorporates uses and gratification theory. This study also provides practical insights for sex education providers that can empower students with information regarding the psychological motivations and physical risks related to sexting.

The role of childhood trauma and attachment state of mind in mothers’ birth experiences

ABSTRACT Negative birth experiences are common. It is yet unclear which women may be most at risk already before pregnancy. Childhood trauma and non-autonoumous/unresolved attachment state of mind may affect how women experience giving birth. This study used longitudinal data to test childhood trauma and attachment state of mind as predictors of birth experience in at-risk sample of primipara women (N = 193). The Adverse Childhood Experiences questionnaire and the Adult Attachment interview were administered during pregnancy, and women reported about their birth experience three months postpartum. Partial Least Square Structural Equation Modelling was applied to answer the research questions. Childhood physical neglect and parental substance abuse were predictive of a more negative birth experience, while attachment state of mind was not associated with how women experienced giving birth. Cross-validation suggests that these findings may be considered externally valid. Further research using validated measures on birth experience are needed.

Presence and Impact of Adverse Childhood Experiences and Reflective Functioning on Aggression in Adults With Antisocial Behaviour.

This cross-sectional study investigated the relationship between the presence and impact of ACEs with both reactive and proactive aggression, and the possible moderating role of mentalization (operationalized as reflective functioning) in these expected relationships. Sixty-five inpatient and outpatient adults with any kind of antisocial behaviour completed the Dutch version of the Traumatic Experiences Checklist, the Reactive-Proactive Aggression Questionnaire, and the Adult Attachment Interview with the use of the Reflective Functioning Scale. Preliminary analysis showed a remarkably high level of ACEs, and a relatively high reported impact of these experiences. We found a positive relationship between the total presence of ACEs (including childhood maltreatment and adverse household factors), and both reactive and proactive aggression. We also found positive relationships between the experienced impact of these ACEs and both reactive and proactive aggression. Regarding childhood maltreatment in family of origin, we did not find a correlation between the presence of these experiences and respectively reactive and proactive aggression. However, we found a correlation between the impact of childhood maltreatment and reactive aggression. These results suggest that in addition to the cumulative experience of ACEs, the subjective burden of these experiences on individuals must not be underestimated in case of aggression. Additional moderation analysis showed no differences in these relationships in case of less developed versus medium-high developed reflective functioning. The findings substantiate the importance of early prevention and treatment programs with focus on ACEs to possibly reduce aggression.

A Diathesis-Stress Approach to Understanding Partner Maltreatment Perpetration: A Longitudinal Study.

Despite evidence suggesting that partner maltreatment-a concept which represents a wide array of negative, destructive, and abusive behaviors in romantic relationships-is likely to fluctuate over time, the longitudinal trajectory of partner maltreatment is unclear. This study aims to identify the average trajectory of partner maltreatment over a 5-month period before applying an attachment-informed diathesis-stress framework to explain points of escalation or de-escalation in partner maltreatment perpetration. Two hundred and eight individuals completed 5 monthly assessments of partner maltreatment as well as an assessment of adult attachment and perceived stress at baseline. A nonlinear (i.e., quadratic function) trajectory provided optimal fit for partner maltreatment perpetration over time. An interaction between attachment avoidance and perceived stress predicted the trajectory of partner maltreatment perpetration. Specifically, higher attachment avoidance and higher perceived stress predicted a small initial decline followed by a steep increase in partner maltreatment perpetration. No significant associations were found for the interaction between attachment anxiety and stress and partner maltreatment. The findings suggest that perpetration of partner maltreatment fluctuates over time, and that an attachment-informed diathesis-stress framework can be applied to explain levels of partner maltreatment perpetration and points of escalation and de-escalation over time.

성인애착이 외상 후 성장에 미치는 영향: 낙관성과 정신화의 조절된 매개효과

The purpose of this study is to examine the moderated mediating effect of mentalization on the relationship between adult attachment and post-traumatic growth (PTG) through the mediation of optimism. To achieve this, the study surveyed 260 adults aged 19-39, gathering data on trauma experiences, adult attachment patterns, and levels of optimism and mentalization through both online and offline questionnaires. The findings of this study are as follows: First, correlation analysis revealed that avoidant attachment had a negative correlation with post-traumatic growth, while anxious attachment showed no significant correlation with PTG. In contrast, mentalization and optimism had significant positive correlations with PTG. Second, mediation analysis indicated that optimism fully mediated the relationship between avoidant attachment and PTG. Third, moderation analysis showed that mentalization had a moderating effect on the relationship between optimism and PTG. Fourth, the moderated mediation analysis revealed that the indirect effect of avoidant attachment on PTG through optimism was significantly moderated by mentalization. Based on these results, the study discusses its implications and provides suggestions for future research.

Genetic and environmental contributions to adult attachment styles: Evidence from the Minnesota Twin Registry.

Attachment theory, as originally outlined by Bowlby (1973, 1980, 1969/1982), suggests that the ways people think, feel, and behave in close relationships are shaped by the dynamic interplay between their genes and their social environment. Research on adult attachment, however, has largely focused on the latter, providing only a partial picture of how attachment styles emerge and develop throughout life. The present research leveraged data from the Minnesota Twin Registry, a large sample of older adult twins (N = 1,377 twins; 678 pairs; Mage = 70.40 years, SD = 5.42), to examine the relative contributions of genetic and environmental factors to adult attachment styles. Participants reported on both their general attachment styles and relationship-specific attachments to their mothers, fathers, partners, and best friends. The results suggest that attachment styles are partly heritable (∼36%) and partly attributable to environmental factors that are not shared between twins (∼64%). Heritability estimates were somewhat higher for parent-specific attachment styles (∼51%), whereas nonshared environmental factors accounted for larger proportions of the variance in partner- and best friend-specific attachment styles. Using multivariate biometric models, we also examined the genetic and environmental factors underlying the covariation among people's relationship-specific attachment styles. The findings indicate that the similarities among people's avoidant tendencies in different relationships can be explained by a single, higher order latent factor (e.g., global avoidance). In contrast, the genetic and environmental factors underlying attachment anxiety appear to be more differentiated across specific close relationships. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

A cluster analysis of attachment styles in patients with borderline personality disorder, bipolar disorder and ADHD

BackgroundInsecure adult attachment has been associated with psychiatric disorders characterized by emotional dysregulation, such as borderline personality disorder (BPD), bipolar disorder (BD) and attention deficit/hyperactivity disorder (ADHD). However, little is known about the differences in attachment patterns between these diagnostic groups. The aim of this study was to identify clusters of adult attachment style in a cross-diagnostic group of patients with BDP and/or BD and/or ADHD and explore the characteristics of these clusters based on temperament profile, childhood trauma and psychiatric diagnoses.MethodsK-means cluster analysis was used to identify subgroups, based on the Attachment Style Questionnaire Short Form dimensions, in a clinical cohort of 150 young adults (113 women and 37 men, mean age ± SD = 23.3 ± 2.1) diagnosed with BPD, and/or BD, and/or ADHD.ResultsThree distinct clusters were identified: a secure, an insecure/avoidant-anxious and an insecure/avoidant cluster. These three clusters differed in temperament profile and related psychiatric diagnoses.ConclusionsThe three clusters of attachment in individuals with BPD, BD and/or ADHD could support differentiation between the disorders as well provide information usable for planning of treatment.

The Association Between Adult Attachment Patterns, Attachment to Group and Mental Health in Israel Following the October 7th Attack: The Role of Emotion Regulation Strategies.

We examined the associations between attachment anxiety, attachment avoidance, and attachment to group (to Israel) and mental health scores. The study used a community sample of 434 participants in response to the October 7th attack on Israel. Additionally, we explored the potential mechanisms linking these attachment patterns to mental health scores. We focused on emotion regulation strategies, such as task-focused, emotion-focused, and distance-focused strategies, as potential mediators. The results indicated that the negative direct association between attachment anxiety and mental health is fully mediated by a high emotion-focused strategy and a low task-focused strategy. Attachment avoidance did not have a significant direct association with mental health scores. However, it had significant negative indirect associations through a high emotion-focused strategy and a low task-focused strategy. Attachment to the group (to Israel) showed both direct and indirect positive associations with mental health through a low emotion-focused strategy and a high task-focused strategy. The discussion highlights the role of internal representations of insecure attachment, group attachment, and emotion regulation strategies (especially emotion- and task-focused strategies) in how highly stressful external situations affect mental health.

Adult insecure attachment styles and suicidality: A meta-analysis

Insecure attachment styles have been linked to an increased risk for suicidality, functioning as a distal risk factor for suicide behaviors in adulthood. Studies on the subject are numerous, but heterogeneous in methodology. This study aimed to sensibly group study findings and quantify the magnitude of this relationship. We performed a systematic literature search to select studies investigating insecure adult attachment styles and suicidal ideation and attempt, and present quantitative data that could be pooled into a meta-analysis. Six random-effect meta-analyses were performed, comprising 47 studies with 50,214 individuals. A small effect size association was found for the relationship between suicidal ideation and insecure attachment styles (anxious, avoidant, and fearful); similar findings were found for the relationship between suicide attempt and insecure attachment (Pearson’s r ranged from 0.16 to 0.26, all ps <0.05). The type of attachment measure moderated the association of suicidal ideation with anxious and avoidant attachment. This review has been preregistered at The International Prospective Register of Systematic Reviews (PROSPERO) – Registration number CRD42023401459.

Enhancing Psychological Well-Being: Examining The Influence of Attachment Styles, Mediated by Post-conventional Religious Reasoning

This study investigates the intricate relationship between attachment styles, post-conventional religious reasoning, and psychological well-being. A sample of 650 participants completed survey questionnaires, employing established measurement tools such as the psychological well-being scale, adult attachment styles scale, Attachment Styles to God Scale, and the Modified Faith Scale. Utilizing Smart PLS 4.0.4.9 for analysis, the partial least squares (PLS) algorithm with bootstrapping was employed due to its suitability for complex models and small sample sizes. Results reveal significant positive associations between Attachment Styles in Adults and both Post-conventional Religious Reasoning and Psychological Well-being. Similarly, Attachment Styles to God exhibit significant positive relationships with Psychological Well-being and post-conventional religious reasoning. Furthermore, post-conventional religious reasoning demonstrates a significant positive relationship with Psychological Well-being. Through Sobel tests, the mediating role of post-conventional religious reasoning is explored. The findings indicate that it mediates the relationship between Attachment Styles in Adults and Psychological Well-being, as well as between Attachment Styles to God and Psychological Well-being. This study contributes to the understanding of how attachment styles and religious reasoning influence psychological well-being. The findings underscore the importance of considering both attachment to significant others and attachment to a higher power in understanding individuals' well-being. By highlighting the mediating role of post-conventional religious reasoning, this research sheds light on the mechanisms through which these factors interact to influence psychological well-being.

The power of the adult attachment interview in predicting subsequent psychopathology: a tribute to Mary Main

ABSTRACT Mary Main’s conceptualization and operationalization of attachment states of mind through the Adult Attachment Interview (AAI) represent seminal contributions to the attachment field. The AAI is a semi-structured clinical interview used to assess attachment states of mind that is widely used in research and clinical settings. Unresolved state of mind regarding loss or trauma has been linked to concurrent internalizing symptoms. The current study explored the associations between unresolved classification and later depression and anxiety, above and beyond trauma history and symptoms. Participants (n = 70) were parents (98.6% female, 67.1% Black/African-American) from a follow-up of a randomized clinical trial of a parenting program for families referred to child welfare services. Parents completed the AAI, Childhood Trauma Questionnaire, and the Psychiatric Diagnostic Screening Questionnaire at timepoint 1 (T1) and the Brief Symptom Inventory approximately 12 years later, at timepoint 2 (T2). Hierarchical regressions revealed that unresolved state of mind significantly predicted depression at T2, and marginally predicted anxiety at T2, above and beyond childhood trauma, post-traumatic stress symptoms, and early internalizing symptoms. These results suggest that unresolved states of mind are clinically significant and provide unique information about later internalizing symptoms in adults with a history of trauma or loss.

How Does Maternal Childhood Trauma, Adult Attachment, Depression, and Parental Reflective Functioning Affect Preschool Children’s Socio-emotional Development?

How Does Maternal Childhood Trauma, Adult Attachment, Depression, and Parental Reflective Functioning Affect Preschool Children’s Socio-emotional Development?

Sensory-processing sensitivity, parenting styles, and adult attachment patterns in parents of young children

ABSTRACT Background Increased sensitivity to internal and external stimuli, known as sensory-processing sensitivity (SPS), has been linked to attachment insecurity and less optimal parenting styles in parents of children aged 4–13 years. Associations between these parenting factors in parents of children aged 3 years and younger have not yet been investigated. Understanding the relationships between these factors will facilitate the development of strategies to better support highly sensitive parents. Methods A sample of 153 parents of children aged 3 years and younger completed an online survey comprising standardised measures of SPS, attachment, and infant parenting styles. The underlying factor structure of the Infancy Parenting Styles Questionnaire was investigated. Results Factor analysis identified 33 items loading onto five factors: Discipline, Routine, Anxiety, Nurturance, and Involvement, with moderate to high reliability. SPS was positively correlated with parenting anxiety, attachment anxiety, and attachment avoidance, but did not predict parenting style. Younger parent age was associate with more insecure attachment styles. Multivariate regression analyses revealed that variability in parenting anxiety was predicted only by attachment anxiety and having fewer children. Conclusion While SPS was not seen to predict parenting anxiety, relationships between SPS, parenting anxiety, and insecure attachment suggest that strategies tailored to SPS would support highly sensitive parents to care for their children and promote improved parent–child relationships. These strategies may therefore be a beneficial addition to attachment-based parenting programs. Further studies using the Toddler Parenting Styles Questionnaire (TPSQ) are needed to identify optimal parenting styles for parents of infants and toddlers.