Review of Attachment Theory: Familial Predictors, Continuity and Change, and Intrapersonal and Relational Outcomes
Abstract
Initially, the major focus of attachment theory was the parent–child relationship, but Bowlby (1988 Bowlby, J. (1988). A secure base: Clinical applications of attachment theory. London: Routeledge. [Google Scholar]) also described the attachment system as active over the entire life course. Accordingly, a proliferation of research on attachment theory in the past two decades has addressed an array of familial predictors as well as intrapersonal and relational outcomes of attachment. The purpose of this review is to present: 1) measurement of attachment, 2) family violence, parental depression, and parental divorce as predictors of attachment, 3) (in)stability of attachment over time, 4) impact of attachment on emotion regulation and psychopathology, and 5) influence of attachment on romantic relationship. Special attention is paid to the role of attachment as a mediator between family of origin experiences and outcomes among youth and adults.
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Negative family processes can cause or exacerbate mental health problems in youth.
“Studies have consistently shown that negative family processes can cause or exacerbate mental health problems in youth [11, 12].”
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“The attachment style can change as a result of changes in the relationship with a caregiver or changes in a family context (Sutton, 2019).”
BackgroundBrandão, T., Brites, R., Hipólito, J., Nunes, O., & Tomé‐Pires, C. (2023) · Journal of Geriatric Psychiatry and Neurology · doi:10.1177/08919887231195228 · Cited by 17 · see citing works
“28,35 Additionally, as found in previous studies, 29,33,34 individuals with higher levels of avoidance or anxiety have more dif fi culties in ER, being more likely to suppress their emotions and less likely to engage in cognitive reappraisal.”
BackgroundMethodInfluentialPatients’ Tests and Clinicians’ Emotions: A Clinical Illustration
Gazzillo, F., Kealy, D., & Bush, M. (2022) · Journal of Contemporary Psychotherapy · doi:10.1007/s10879-022-09535-w · Cited by 15 · see citing works
Adult attachment: Its mediation role on childhood trauma and mobile phone addiction
Liang, H.-Y., Zhang, B., Jiang, H.-B., & Zhou, H.-L. (2021) · Journal of Psychology in Africa · doi:10.1080/14330237.2021.1952706 · Cited by 13 · see citing works
Sousa-Gomes, V., Lemos, L., Moreira, D., Ribeiro, F. N., & Fávero, M. (2023) · Sexuality Research and Social Policy · doi:10.1007/s13178-022-00708-9 · Cited by 13 · see citing works
“, 2017), intertwined in their origin and remaining interdependent throughout the life span (Cole, 2014; Hazan & Selcuk, 2015; Zimmermann & Thompson, 2014), and mostly maintaining the original trend (Arriaga et al., 2018; Fraley & Hudson, 2017; Gillath et al., 2016; Simpson et al., 2015; Sutton, 2019; Taylor et al., 20…”
BackgroundDelgado-Sánchez, A., Brown, C. A., Sivan, M., Talmi, D., Charalambous, C., & Jones, A. K. P. (2023) · Journal of Pain Research · doi:10.2147/jpr.s411628 · Cited by 13 · see citing works
“The Attachment-Diathesis Model of Chronic Pain(19) Attachment theory is one of the most established and supported theories in psychology.(73) This developmental theory states that an infant will develop an internal working model of relationships based on the early interactions they have with their primary caretaker.”
BackgroundTakayanagi, J. F. G. B., Siqueira, J. D. O., Silveira, P. S. P., & Valentová, J. V. (2024) · Archives of Sexual Behavior · doi:10.1007/s10508-023-02767-4 · Cited by 13 · see citing works
“…styles and relationship satisfaction is well established, showing that individuals with higher attachment anxiety or higher attachment avoidance tend to be less satisfied in their relationships and to have shorter-lasting relationships (Candel & Turliuc, 2019; Mark et al., 2018; Sutton, 2019).”
McKenna, S., Olsen, A., & Pasalich, D. S. (2021) · Journal of Research on Adolescence · doi:10.1111/jora.12684 · Cited by 13 · see citing works
Human attachment as a multi-dimensional control system: A computational implementation
Gagliardi, M. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.844012 · Cited by 13 · see citing works
“Attachment is a crucial and complex psychological phenomenon whose theory has been evolving for many decades, not only enormously widening its corpus but also refining its fundamental concepts and adopting different viewpoints (Fitton, 2012; Sutton, 2019).”
BackgroundStudent Burnout in Children and Adolescents: The Role of Attachment and Emotion Regulation
Iuga, I. A., David, D., & Danet, M. (2023) · Children · doi:10.3390/children10091443 · Cited by 12 · see citing works
Trust in adolescence: Development, mechanisms and future directions
A, L. K. M., Sijtsma, H., Crone, E. A., & van Buuren, M. (2024) · Developmental Cognitive Neuroscience · doi:10.1016/j.dcn.2024.101426 · Cited by 14 · see citing works
“Building on these theories, there is now a rich literature documenting the importance of early relationships for later social-emotional outcomes (Delgado et al., 2020; Feeney et al., 2008; Kochanska et al, 2019; Sutton, 2019).”
Smartphone and Tablet as Digital Babysitter
Ruggieri, R. A., Mollo, M., & Marra, G. (2024) · Social Sciences · doi:10.3390/socsci13080412 · Cited by 15 · see citing works
“…human mind is structured through bonding, meaning it is structured to be “ in relation with ”, to the point that it can be asserted that the mind functions according to not only intersubjective but also intra-subjective modes (Flaherty and Sadler 2011; Cassidy et al. 2013; Music 2016; Sutton 2018).”
BackgroundFasolato, R., Felice, M. D., Barbui, C., Bertani, M., Bonora, F., Castellazzi, M., Castelli, S., Cristofalo, D., Dall’Agnola, R. B., Ruggeri, M., et al. (2024) · Journal of Eating Disorders · doi:10.1186/s40337-024-01103-y · Cited by 12 · see citing works
“Factors such as parental mental health, child temperament, social and economic conditions, and competing care demands, may exert influence on the development of secure attachment relationships [34–36].”
BackgroundThe role of maternal attachment in mental health and dyadic relationships in war trauma
Punamäki, R., Qouta, S., & Diab, S. Y. (2019) · Heliyon · doi:10.1016/j.heliyon.2019.e02867 · Cited by 11 · see citing works
“Instead, there is augmenting evidence of insecure attachment contributing to the non-optimal parenting quality among mothers exposed to current interpersonal violence or abuse in their own childhood (Lo et al., 2017; Sutton, 2019).”
BackgroundCavicchioli, M., Stefanazzi, C., Tobia, V., & Ogliari, A. L. (2022) · European Journal of Developmental Psychology · doi:10.1080/17405629.2022.2069095 · Cited by 10 · see citing works
“These difficulties reinforce the dysfunctional representations of the self and others, which are associated with insecure attachment styles (Sutton, 2019).”
BackgroundLittle, K. K., & Sockol, L. E. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.02068 · Cited by 10 · see citing works
“Secure attachment might enhance these factors through skills that promote adaptive processes in couple interactions, including the ability to give and receive emotional support, conflict management skills, and affective regulation abilities (Sutton, 2019).”
BackgroundFactors Associated with Parent–Adolescent Attachment Relationship Quality: A Longitudinal Study
Therriault, D., Lemelin, J., Toupin, J., & Déry, M. (2021) · Adolescents · doi:10.3390/adolescents1020013 · Cited by 10 · see citing works
“Longitudinal studies have also revealed that an insecure attachment is a predictor of future behavioral difficulties, both externalizing and internalizing [7,15,18].”
BackgroundRelationship-Status and Work-Life Balance Satisfaction: Cross-Sectional and Longitudinal Analyses
Kislev, E. (2022) · Applied Research in Quality of Life · doi:10.1007/s11482-022-10137-w · Cited by 9 · see citing works
van Diest, S. L., Oudsten, B. L. D., Aaronson, N. K., Beaulen, A. A. J. M., Verboon, P., Aarnoudse, B., & van Lankveld, J. J. D. M. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1123821 · Cited by 17 · see citing works
“It is based on the attachment theory, which posits that secure emotional attachment to the partner is a basic need in partner relationships (Hazan and Shaver, 1987; Mikulincer and Shaver, 2007; Péloquin et al., 2014; Sutton, 2019).”
BackgroundHodge, D. R., & Gebler-Wolfe, M. (2022) · Children & Schools · doi:10.1093/cs/cdac007 · Cited by 6 · see citing works
Troisi, G., Parola, A., & Margherita, G. (2022) · Psychological Studies · doi:10.1007/s12646-022-00672-9 · Cited by 6 · see citing works
“, (1978) can be considered the most pervasive theory of early emotional development, placing itself at the center of growing interest in the field of developmental, clinical and research psychology (e.g., Castellano et al., 2014; Dazzi & De Coro, 2001; Dazzi & Zavattini, 2011; Gilath et al., 2019; Mikulincer & Shaver,…”
BackgroundPigeon, S., Frederickson, A., & Langevin, R. (2023) · Journal of Family Violence · doi:10.1007/s10896-023-00543-5 · Cited by 6 · see citing works
“The lack of support often contributed to participants’ feelings of distrust towards others and negatively impacted their relational functioning, in some cases leading to violence in their relationships (e.g., Dekel et al., 2018, 2019; Schmitz & Tyler, 2015 ).”
InfluentialPredictors of attachment in early- and late-placed adoptees
Hillman, S., Lajmi, N., Hodges, J., Kaniuk, J., & Steele, M. (2024) · Adoption & Fostering · doi:10.1177/03085759241297696 · Cited by 6 · see citing works
“The few studies carried out on adolescent adoptees were able to identify a link between secure maternal states of mind and their own security (Beijersbergen et al., 2012; Pace et al., 2015, 2019).”
InfluentialDiamond, G., Rivers, A. S., Winston-Lindeboom, P., Russon, J., & Roeske, M. (2024) · Child and Adolescent Psychiatry and Mental Health · doi:10.1186/s13034-024-00833-w · Cited by 5 · see citing works
“Studies have consistently shown that negative family processes can cause or exacerbate mental health problems in youth [11, 12].”
Marshall, T. C., & Lao, C. H. (2024) · International Journal of Intercultural Relations · doi:10.1016/j.ijintrel.2024.101950 · Cited by 5 · see citing works
“Attachment theory suggests that an infant ’ s interactions with a primary caregiver help to shape internal working models of self and other across the lifespan, influencing individual differences in affect, cognition, and behavior (Bowlby, 1973; Sutton, 2019).”
BackgroundLazinski, M. J., & Ehrenberg, M. F. (2024) · Family Transitions · doi:10.1080/28375300.2024.2382994 · Cited by 5 · see citing works
Langlais, M. R., Chacón, V., & Brazer, J. H. (2024) · The Family Journal · doi:10.1177/10664807241290515 · Cited by 7 · see citing works
Fitzgerald, M., & Shuler, J. (2022) · Journal of Couple & Relationship Therapy · doi:10.1080/15332691.2022.2149650 · Cited by 6 · see citing works
“…process that extends into adult romantic relationships (Hazan & Shaver, 1987) and research has demonstrated there is continuity between childhood attachment and adult attachment (for review see Sutton, 2019) where approximately 70% of adults have the same attachment style as they did in childhood.”
BackgroundSpies, H., & Mackay, N. (2020) · Organizacija · doi:10.2478/orga-2020-0022 · Cited by 4 · see citing works
“…– Relationship value 0.88* – Fear of relationship loss 0.66* 0.67* - Loyalty 0.87* 0.88* 0.64* - *Large effect size (r ≥ 0.50) relations were below 0.90, diminishing the concern with multicollinearity, which arises at correlations of 0.90 and higher (Tabachnick & Fidell, 2013, p. 90).”
BackgroundInfluentialInequality in the intergenerational economic mobility in single mother-headed households
Lee, J., & Allen, J. (2022) · Children and Youth Services Review · doi:10.1016/j.childyouth.2022.106566 · Cited by 4 · see citing works
Cardinali, P., Bizzi, F., & Migliorini, L. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1191307 · Cited by 4 · see citing works
“Furthermore, stable couple relationships in emerging adulthood are considered as frequent outcome for individuals with a secure attachment style (Fagundes and Schindler, 2012) and it might continue to predict security through the life (Sutton, 2019).”
BackgroundStone, M., McDonald, F. E. J., Kangas, M., Sherman, K. A., & Allison, K. R. (2024) · Palliative & Supportive Care · doi:10.1017/s1478951524000932 · Cited by 5 · see citing works
“While attachment style tends to be relatively stable over time (Sutton 2019) and may be difficult to alter (particularly as it relates to attachment to the deceased), understanding bereaved young adults’ attachment styles may help to tailor interventions to better support their individual needs.”
Sofri, I., Czik, A., & Ziv, Y. (2024) · Family Relations · doi:10.1111/fare.13131 · Cited by 4 · see citing works
Communication and language in abused and institutionalized minors. A scoping review
Palazón-Carrión, E., & Sala‐Roca, J. (2020) · Children and Youth Services Review · doi:10.1016/j.childyouth.2020.104904 · Cited by 4 · see citing works
Saleem, S., Karamat, A., Zahra, S. T., Subhan, S., & Mahmood, Z. (2021) · The Family Journal · doi:10.1177/10664807211000725 · Cited by 4 · see citing works
Exploring EEG Features for Differentiating Between Secure and Insecure Attachment Styles
Zuckerman, I., Mizrahi, D., & Laufer, I. (2024) · Lecture notes in networks and systems · doi:10.1007/978-3-031-47718-8_29 · Cited by 4 · see citing works
Patil, K. P., Pramod, D., Bharathi, S. V., & AlSaleh, D. (2025) · International Journal of Information Management Data Insights · doi:10.1016/j.jjimei.2025.100344 · Cited by 3 · see citing works
Emotional awareness mediates the relationship between attachment and anxiety symptoms in adolescents
Carapeto, M., & Veiga, G. (2023) · Mental Health & Prevention · doi:10.1016/j.mhp.2023.200269 · Cited by 3 · see citing works
Marital Communication during Conflict: A Study on Attachment Dimensions and Interaction Patterns
Malaysia, U. S., Hasim, M. J. M., Mustafa, H., Malaysia, U. S., Hashim, N. H., & Malaya, U. (2023) · Jurnal Komunikasi Malaysian Journal of Communication · doi:10.17576/jkmjc-2023-3901-04 · Cited by 3 · see citing works
Simo, D. F., Fernández, M. V. C., Fernández, X. M. C., & Campos, E. C. (2023) · Revista Complutense de Educación · doi:10.5209/rced.79700 · Cited by 3 · see citing works
Chen, J., Husa, R. A., Jonson‐Reid, M., & Parrish, J. W. (2024) · Maternal and Child Health Journal · doi:10.1007/s10995-023-03872-5 · Cited by 3 · see citing works
“Thus, caregiver psychological distress may impact parental involvement, which in turn affects child development (Sutton, 2019).”
Zameni, E., Shahabizadeh, F., Feriz, J. J., & Ghanbarzadeh, N. (2021) · Avicenna Journal of Nursing and Midwifery Care · doi:10.30699/ajnmc.29.4.314 · Cited by 3 · see citing works
The use of (non)exotic leathers by (non)favourite luxury brands: An attachment theory perspective
Park, C. L., & Nunes, M. F. (2025) · Journal of Retailing and Consumer Services · doi:10.1016/j.jretconser.2025.104249 · Cited by 3 · see citing works
Manna, G., Costanzo, G., Santis, S. D., & Falgares, G. (2022) · Current Psychology · doi:10.1007/s12144-021-02529-2 · Cited by 2 · see citing works
“Depending on the quality of these experiences, individuals will develop different attachment styles, conceived as patterns of relational expectations, emotions and behaviors, and distinguished into secure and insecure (Ainsworth et al., 1978; Bowlby, 1980; Sutton, 2018 for review).”
BackgroundKhalili, Z., Amirfakhraei, A., & Zarei, E. (2022) · Iranian Evolutionary Educational Psychology Journal · doi:10.52547/ieepj.4.2.364 · Cited by 2 · see citing works
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Gray, E. C., Sweller, N., & Boag, S. (2024) · Journal of Child & Adolescent Trauma · doi:10.1007/s40653-024-00644-3 · Cited by 5 · see citing works
Hurt people, hurt people? A qualitative study with men who committed homicide
Gonçalves, T., Sousa, B., Oliveira, C., Azevedo, V., & Maia, Â. (2024) · Journal of Crime and Justice · doi:10.1080/0735648x.2024.2400669 · Cited by 2 · see citing works
“The absence of secure attachment figures can result in profound difficulties in forming trusting relationships and seeking help during times of need (Sutton 2019).”
A Prospective Study of Maternal Supportiveness among ADHD and non-ADHD Children and Adolescents
Bradley, R. H., Bryce, C. I., Vandell, D. L., & Owen, M. T. (2025) · Child Psychiatry & Human Development · doi:10.1007/s10578-025-01889-1 · Cited by 1 · see citing works
Can infant carrying prevent disorganized attachment? An intervention trial of adolescent mothers
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Changing for the worse: The effects of attachment anxiety on perceived self-adulteration
Caselli, A. J., Machia, L. V., & Beauparlant, E. T. (2024) · Journal of Social and Personal Relationships · doi:10.1177/02654075241263225 · Cited by 1 · see citing works
“That is, they have different attachment styles (Shaver & Mikulincer, 2002; see Sutton, 2019 for review).”
The family as the primary social group
Klein, J. W. (2025) · Behavioral and Brain Sciences · doi:10.1017/s0140525x24001122 · Cited by 1 · see citing works
Identity and Family Formation During Young Adulthood
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“According to Bowlby, internal working models formed in early caregiving experiences shape expectations and strategies for seeking support and regulating distress in adulthood (Burke et al., 2016; Cassidy et al., 2013; Sutton, 2019).”
Alsaif, B. S., Alblaihed, M. A., Ibrahem, U. M., Ahmed, S. S. I., Tobely, T. E., & Mayor, L. B. (2022) · Applied Nanoscience · doi:10.1007/s13204-021-02157-z · Cited by 1 · see citing works
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Exploring psychosocial support systems for vulnerable children in rural schools.
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It’s not me, it’s you: exploring the associations among attachment, mindfulness, and distress
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“…the one variable that may link attachment and mindfulness – has not been tested as a mediator of this association and, to date, only a few studies have assessed the effect of these three important concepts reappraisal, emotions, and behavior throughout childhood and adulthood (e.g., Sutton, 2019).”
Zakreski, E., Jahnke, S., Androvičová, R., Bártová, K., Chronos, A., Krejčová, L., Nováková, L. M., & Klapilová, K. (2025) · Archives of Sexual Behavior · doi:10.1007/s10508-025-03183-6
“Indeed, research suggests that genes may also influence attachment (Gillath et al., 2008; Sutton, 2019).”
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The Interplay of Personality Traits and Early Life Experiences in Predicting Delinquent Behaviors
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From tools to symbols: exploring the complex nexus of smartphones in Bangladesh
Hossain, S. M. R., Alam, M. A., & Talukder, M. M. H. (2026) · Prometheus · doi:10.13169/prometheus.41.1.0002
van Lankveld, J. J. D. M., Aarnoudse, B., Aaronson, N. K., Oudsten, B. L. D., Beaulen, A. A. J. M., van Diest, S. L., & Verboon, P. (2026) · Sexual & Relationship Therapy · doi:10.1080/14681994.2026.2688534
“Although attachment security has been seen as a stable trait characteristic of individuals in early attachment research (for a review, see Sutton, 2019), Fraley and coworkers, among others, have shown that attachment security is not stable throughout different developmental phases during the…”
- Authors
- Sutton, T. E.
- Affiliations
- University of Georgia (US)
- Corresponding author
- Sutton, Tara E.
- ORCID
- Sutton, Tara E.
- Venue
- Marriage & Family Review
- Publisher
- Informa UK Limited
- Published
- 2018-04-27
- Volume
- 55
- Issue
- 1
- Pages
- 1-22
- ISSN
- 0149-4929 (ISSN-L)
- 1540-9635
- OpenAlex
- W2800406694
- Cited by
- 87
- References
- 100
- Citations by year
- 2026: 3 · 2025: 13 · 2024: 19 · 2023: 14 · 2022: 14 · 2021: 10 · 2020: 7 · 2019: 6 · 2018: 1
- FWCI
- 8.12
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Marriage & Family Review (publishedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- attachment theory, attachment measurement, domestic violence, parental depression, parental divorce, attachment stability, emotion regulation, psychopathology, romantic relationships, family of origin, parent-child relationship, life course
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