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Attachment as a Core Feature of Resilience: A Systematic Review and Meta-Analysis
Abstract
Background: Research has pointed to secure attachment as a possible key factor of resilience in adulthood. Objective: We aimed to investigate the role of secure attachment as a potential core feature in the properties of resilience. Methods: We conducted a systematic review in accordance with PRISMA guidelines followed by a meta-analysis. Results: Thirty-three studies were included in the review, and 10 of these, including 2305 subjects, were used for meta-analysis. The raw correlation coefficients ranged from .20 to .57, which indicated weak to moderate correlations between resilience and attachment. The synthesized correlation coefficients indicated that the correlations were significant and highly unlikely to be due to random variation. All studies are also reported on qualitatively. Conclusions: In both of our meta-analyses and in the narratively reported studies, we found that secure attachment is associated with the presence of resilience.
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“At the same time, positive and secure family relationships can protect against mental health distress [13].”
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BackgroundFactors related to resilience of adolescents living in out-of-home care settings in Bangkok
Danpho, W., & Thommachot, P. (2025) · BMJ Paediatrics Open · doi:10.1136/bmjpo-2024-003238 · Cited by 3
Zhang, J., Chen, W., Weng, W., Li, M., Zhu, Y., Xiao, X., Zhang, R., Jiang, D., Li, S., Ma, J., et al. (2025) · BMC Public Health · doi:10.1186/s12889-025-23037-z · Cited by 4
Rasmussen, P. D., Bilenberg, N., Kirubakaran, R., & Storebø, O. J. (2020) · Nordic Journal of Psychiatry · doi:10.1080/08039488.2020.1748899 · Cited by 4
Self-citationVerger, N. B., Roberts, J., Guiller, J., & McAloney‐Kocaman, K. (2023) · Creativity Theories – Research – Applications · doi:10.2478/ctra-2023-0007 · Cited by 3
Relational vulnerability in motherhood—an existential perspective on pain and exhaustion among women
Gebhardt, A. J., Andermo, S., & Arman, M. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1412385 · Cited by 3
Long, M., Zhang, P., & Shi, J. (2024) · Children · doi:10.3390/children11080969 · Cited by 5
Erden, S. (2020) · European Journal of Educational Research · doi:10.12973/eu-jer.9.3.1211 · Cited by 3
“Rasmussen et al. (2018) reviewed 32 studies and found that resilience was associated with secure attachment because of the positive self-perception of self and others.”
BackgroundPromoting Resilience in Early Childhood
Bartlett, J. D., Halle, T., & Thomson, D. (2021) · Springer series on child and family studies · doi:10.1007/978-3-030-81728-2_10 · Cited by 4
Lovell, C. C., Valdez, E. S., Chan, J., Beatriz, E. D., & Gubrium, A. (2022) · Sex Education · doi:10.1080/14681811.2022.2106560 · Cited by 3
Sibling love in adolescence and subsequent health and well-being in adulthood
Wilkinson, R., Chen, Y., Lee, M. T., Cowden, R. G., & VanderWeele, T. J. (2025) · Social Science & Medicine · doi:10.1016/j.socscimed.2025.117700 · Cited by 2
Burstein, O., Zevin, Z. T., & Geva, R. (2025) · Frontiers in Psychology · doi:10.3389/fpsyg.2025.1524008 · Cited by 2
Kim, J., Herbert, H. M., & Kochanska, G. (2025) · Development and Psychopathology · doi:10.1017/s0954579425100904 · Cited by 2
“Parent – child attachment security is one well-documented protective factor (Belsky & Fearon, 2002; Cyr et al., 2014; Darling Rasmussen et al., 2019; Delker et al., 2018; Egeland et al., 1993; Fearon & Belsky, 2011; Houbrechts et al., 2023; Masten, 2018; Napoleon et al., 2023; Sroufe, 2013).”
Assessment of Attachment in Psychosis: The Validity of the Psychosis Attachment Measure
van Bussel, E. M. M., Burghouwt, D. E., van Aken, B. C., Willems, I. E. M. G., Mulder, C. L., & Wierdsma, A. I. (2023) · Medical Research Archives · doi:10.18103/mra.v12i1.5005 · Cited by 2
Autonomic response and attachment style in disruptive mood dysregulation disorder
Leal, M., Adan, M., Heilman, K. J., & Cockcroft, K. (2024) · South African Journal of Psychiatry · doi:10.4102/sajpsychiatry.v30i0.2293 · Cited by 3
“20,21,22,,23 Attachment, as defined in classical attachment theory, delineates the enduring emotional connection between an infant and its primary caregiver, with varying attachment styles (i.e. ‘secure’ or ‘insecure’) identified through the child’s responses to caregiver’s presence or absence.”
Background“Resilience” – is this the new black in psychiatric health care and prevention?
Rasmussen, P. D. (2019) · Scandinavian Journal of Child and Adolescent Psychiatry and Psychology · doi:10.21307/sjcapp-2019-004 · Cited by 1
“However, findings suggest that in the near future we may be able to asses some key factors in resilient development (12).”
BackgroundFathianpour, A., Jelodar, M. B., Wilkinson, S. J., & Evans, B. (2022) · IOP Conference Series Earth and Environmental Science · doi:10.1088/1755-1315/1101/2/022054 · Cited by 2
Understanding Developmental Attachment Theory in the Context of Family Diversity
Lombardi, C. M., Scott, M. E., & Thomson, D. (2022) · Springer eBooks · doi:10.1007/978-3-030-92002-9_40 · Cited by 2
Metadata
- Authors
- Darling Rasmussen, P., Storebø, O. J., Løkkeholt, T., Voss, L. G., Shmueli-Goetz, Y., Bojesen, A. B., Simonsen, E., & Bilenberg, N.
- Affiliations
- University of Southern Denmark (DK)
- Region Zealand (DK)
- Anna Freud National Centre for Children and Families, London, UK
- University of Copenhagen (DK)
- Venue
- Psychological Reports
- Publisher
- SAGE Publications
- Published
- 2018-06-29
- Volume
- 122
- Issue
- 4
- Pages
- 1259-1296
- ISSN
- 0033-2941 (ISSN-L)
- 1558-691X
- OpenAlex
- W2810111222
- Cited by
- 167
- References
- 68
- Citations by year
- 2026: 27 · 2025: 22 · 2024: 29 · 2023: 30 · 2022: 28 · 2021: 18 · 2020: 10 · 2019: 3
- FWCI
- 1.31
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychological Reports (publishedVersion)
- PubMed (publishedVersion)
- University of Southern Denmark Research Portal (University of Southern Denmark) (publishedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- secure attachment, resilience, attachment security, adulthood, psychological well-being
- MeSH terms
- Humans, Object Attachment, Resilience, Psychological
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