Self‐report measures of secure attachment in adulthood: A systematic review

Justo‐Núñez, Miranda; Morris, Lydia; Berry, Katherine

doi:10.1002/cpp.2756

Cited by 14 publications

(12 citation statements)

References 55 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Unfortunately, attachment measures have been developed using neurotypical populations, and their use in individuals with ASC, whether using interview or self-report, is problematic (Davis & Kramer, 2021) and could lead to inflated estimates of attachment insecurity in ED samples. Relatedly, whilst the attachment measures used by studies in this review were generally rated as having a low risk of bias, it should be noted that more in-depth reviews of the psychometric properties of attachment measures have identified multiple gaps in evidence for the adequacy of such properties (Jewell et al, 2019;Justo-Núñez et al, 2022). It is notable that no studies in the review assessed attachment beyond the individual's own account via interview or self-report.…”

Section: Discussionmentioning

confidence: 94%

“…Kenny & Hart (1992) and Datta et al (2021) both used measures that lacked evidence of convergent validity data with another attachment measure. Sommer et al (2021) used a German version of the Relationship Styles Questionnaire (Griffin & Bartholomew, 1994), a measure which yields scales that do not map clearly onto our four higher-order attachment constructs, and is known to have poor psychometric properties (Justo-Núñez et al, 2022). Finally, we excluded Lehoux & Howe's (2007) study comparing women with BN with their sisters as a control group from the metaanalysis, since it differed in methodology to all other studies.…”

Section: Risk Of Biasmentioning

confidence: 99%

See 1 more Smart Citation

Attachment in individuals with eating disorders compared to community controls: A systematic review and meta-analysis

Jewell¹,

Apostolidou²,

Sadikovic³

et al. 2022

Preprint

View full text Add to dashboard Cite

Introduction: Individuals with eating disorders are known to have higher rates of insecure attachment compared to community controls, but the factors underlying this finding are poorly understood. We conducted the first meta-analysis comparing attachment in eating disorder samples compared to community controls that included quality assessment, publication bias and moderation analysis. Method: We pre-registered our meta-analysis (CRD42019146799) and followed PRISMA guidelines. We searched PsychINFO, Embase, Medline, CINAHL and Scopus for publications. Attachment scores were extracted, and Cohen’s d calculated for each study using a random effects model.Results: In total, 35 studies were included in the meta-analysis and six studies were summarized in a narrative review. Eating disorder samples showed higher rates of insecure attachment compared to community controls, with a large effect size, across measurement methods and different attachment dimensions. Blinding of assessors moderated effect sizes for attachment interview studies, but no other moderators were significant. Discussion: Risk of insecure attachment is elevated in individuals with eating disorders, albeit heterogeneity is high and largely unexplained. Clinicians may need to take this into account in their work, particularly given the association between attachment insecurity and challenges to therapeutic alliance. Future studies comparing eating disorder samples with community controls should control for general psychopathology.

show abstract

Section: Discussionmentioning

confidence: 94%

Section: Risk Of Biasmentioning

confidence: 99%

Attachment in individuals with eating disorders compared to community controls: A systematic review and meta-analysis

Jewell¹,

Apostolidou²,

Sadikovic³

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…Unfortunately, attachment measures have been developed using neurotypical populations, and their use in individuals with ASC, whether using interview or self‐report, is problematic (Davis & Kramer, 2021) and could lead to inflated estimates of attachment insecurity in ED samples. Relatedly, while the attachment measures used by studies in this review were generally rated as having a low risk of bias, it should be noted that more in‐depth reviews of the psychometric properties of attachment measures have identified multiple gaps in evidence for the adequacy of such properties (Jewell et al, 2019; Justo‐Núñez et al, 2022). It is notable that no studies in the review assessed attachment beyond the individual's own account via interview or self‐report.…”

Section: Discussionmentioning

confidence: 95%

“…Kenny and Hart (1992) and Datta et al (2021) both used measures that lacked evidence of convergent validity data with another attachment measure. Sommer et al (2021) used a German version of the Relationship Styles Questionnaire (Griffin & Bartholomew, 1994), a measure which yields scales that do not map clearly onto our four higher-order attachment constructs, and is known to have poor psychometric properties (Justo-Núñez et al, 2022). Finally, we excluded Lehoux and Howe's (2007) study comparing women with BN with their sisters as a control group from the meta-analysis, since it differed in methodology to all other studies.…”

Section: Narrative Synthesismentioning

confidence: 99%

Attachment in individuals with eating disorders compared to community controls: A systematic review and meta‐analysis

Jewell

Apostolidou

Sadikovic

et al. 2023

Intl J Eating Disorders

View full text Add to dashboard Cite

Objective: Individuals with eating disorders are known to have higher rates of insecure attachment compared to community controls, but the factors underlying this finding are poorly understood. We conducted the first meta-analysis comparing attachment in eating disorder samples compared to community controls that included quality assessment, publication bias and moderation analysis.Method: We pre-registered our meta-analysis (CRD42019146799) and followed PRISMA guidelines. We searched PsychINFO, Embase, Medline, CINAHL, and Scopus for publications. Attachment scores were extracted, and Cohen's d calculated for each study using a random effects model. Results:In total, 35 studies were included in the meta-analysis and six studies were summarized in a narrative review. Eating disorder samples showed higher rates of insecure attachment compared to community controls, with a large effect size, across measurement methods and different attachment dimensions. Blinding of assessors moderated effect sizes for attachment interview studies, but no other moderators were significant.Discussion: Risk of insecure attachment is elevated in individuals with eating disorders, albeit heterogeneity is high and largely unexplained. Clinicians may need to take this into account in their work, particularly given the association between attachment insecurity and challenges to therapeutic alliance. Future studies comparing eating disorder samples with community samples should control for general psychopathology.

show abstract

“…Finally, adult attachment was assessed with a self-report scale [ 29 ]. Although this measure demonstrated excellent psychometric properties (see Justo-Núñez and colleagues [ 59 ] for a review), future research should replicate these results also using other instruments [ 60 , 61 , 62 , 63 ].…”

Section: Discussionmentioning

confidence: 99%

An Integrated Approach to Addictive Behaviors: A Study on Vulnerability and Maintenance Factors

Gori

Topino

Cacioppo

et al. 2023

EJIHPE

View full text Add to dashboard Cite

This study aimed to explore the relationships among the variables involved in a Comprehensive Model of Addiction (CMA), which posits that the presence and severity of addictive behaviors are related to the configuration of seven psychological variables, namely childhood trauma, insecure attachment, affect dysregulation, dissociation, impulsivity, compulsiveness, and obsessiveness. A vulnerability model was proposed, in which it was suggested that affect dysregulation and complex trauma mediated the association between insecure attachment and dissociation. Furthermore, a maintenance model was elaborated, in which it was hypothesized that dissociation influenced affect dysregulation via impulsivity, compulsiveness, and obsessiveness. A clinical sample of 430 individuals with substance use disorder was involved. All participants received a DSM-5 clinical diagnosis of Substance-Related and Addictive Disorders and were recruited from the Italian National Health System. A parallel mediation emerged, confirming the vulnerability model, with complex trauma and affect dysregulation mediating the relationship between insecure attachment and dissociation. Furthermore, a mixed serial–parallel mediation described the maintenance model, where impulsiveness, compulsiveness, and obsessiveness significantly mediated the relationship between dissociation and affect dysregulation. Our findings offer a better understanding of the variables associated with addictive disorders, thus providing important indications for both treatment and preventive interventions.

show abstract

Self‐report measures of secure attachment in adulthood: A systematic review

Cited by 14 publications

References 55 publications

Attachment in individuals with eating disorders compared to community controls: A systematic review and meta-analysis

Attachment in individuals with eating disorders compared to community controls: A systematic review and meta-analysis

Attachment in individuals with eating disorders compared to community controls: A systematic review and meta‐analysis

An Integrated Approach to Addictive Behaviors: A Study on Vulnerability and Maintenance Factors

Contact Info

Product

Resources

About