Emotional and Sexual Maltreatment: Anxious Attachment Mediates Psychological Adjustment
Abstract
The role of attachment as a possible mediator of adjustment differences was examined in two samples of college students who had experienced childhood maltreatment before age 15. Although both emotionally and sexually maltreated samples had elevated scores on self-report measures of anxious and avoidant attachment compared to demographically-yoked controls, only anxious attachment mediated deficits in psychological adjustment. Discussion focuses on the possible differential consequences of anxious versus avoidant adult attachment; the implications of partial mediation for the emotionally maltreated sample; and evidence that maltreated samples may utilize coping strategies that range from those that are generally positive or adaptive to those that are sometimes negative or maladaptive.
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Persons with a history of emotional abuse and neglect often develop an anxious (preoccupied) attachment style.
“Clinically, persons with a history of emotional abuse and neglect often develop an anxious (preoccupied) attachment style [42–45], characterized by heightened sensitivity to rejection, difficulties with affect regulation, and persistent fears about the availability of close others [21].”
From The link of adverse childhood experiences and attachment to maladaptive personality traits in adults diagnosed with substance use disorder (2025) · cites this paper as [42]
Cites
Baron, R. M., & Kenny, D. A. (1986) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.51.6.1173 · Cited by 91,542 · see citing works
Baron, R. M., & Kenny, D. A. (1986) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.51.6.1173 · Cited by 91,532 · see citing works
Society and the Adolescent Self-Image
Rosenberg, M. (1965) · doi:10.1515/9781400876136 · Cited by 30,126 · see citing works
Happiness is everything, or is it? Explorations on the meaning of psychological well-being.
Ryff, C. D. (1989) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.57.6.1069 · Cited by 14,847 · see citing works
A comparison of methods to test mediation and other intervening variable effects
MacKinnon, D. P., Lockwood, C. M., Hoffman, J. M., West, S. G., & Sheets, V. (2002) · Psychological Methods · doi:10.1037/1082-989x.7.1.83 · Cited by 9,406 · see citing works
Romantic love conceptualized as an attachment process.
Hazan, C., & Shaver, P. R. (1987) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.52.3.511 · Cited by 8,783 · see citing works
Attachment styles among young adults: a test of a four-category model.
Bartholomew, K., & Horowitz, L. M. (1991) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.61.2.226 · Cited by 7,965 · see citing works
Confidence Limits for the Indirect Effect: Distribution of the Product and Resampling Methods
MacKinnon, D. P., Lockwood, C. M., & Williams, J. (2004) · Multivariate Behavioral Research · doi:10.1207/s15327906mbr3901_4 · Cited by 7,806 · see citing works
Attachment styles among young adults: A test of a four-category model.
Bartholomew, K., & Horowitz, L. M. (1991) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.61.2.226 · Cited by 7,729 · see citing works
Romantic love conceptualized as an attachment process.
Hazan, C., & Shaver, P. (1987) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.52.3.511 · Cited by 6,247 · cited 1× · see citing works
“This may allow them to function quite well (Fraley, Davis, & Shaver, 1998; Hazan & Shaver, 1987, 1990; Griffin & Bartholomew, 1994), in which case the lack of avoidant attachment effects should be viewed as an accurate index of the consequences of their maltreatment.”
BackgroundDepression. Clinical, Experimental, and Theoretical Aspects.
(1968) · Annals of Internal Medicine · doi:10.7326/0003-4819-68-2-502 · Cited by 5,232 · see citing works
Dynamics of a stressful encounter: Cognitive appraisal, coping, and encounter outcomes.
Folkman, S., Lazarus, R. S., Dunkel‐Schetter, C., DeLongis, A., & Gruen, R. J. (1986) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.50.5.992 · Cited by 4,893 · see citing works
Required sample size to detect the mediated effect
Fritz, M. S., & MacKinnon, D. P. (2007) · Psychological Science · doi:10.1111/j.1467-9280.2007.01882.x · Cited by 4,810 · see citing works
Attachment theory and close relationships
(1998) · Choice Reviews Online · doi:10.5860/choice.35-6513 · Cited by 3,642 · see citing works
Dynamics of a stressful encounter: Cognitive appraisal, coping, and encounter outcomes.
Folkman, S., Lazarus, R. S., Dunkel‐Schetter, C., et al. (1986) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.50.5.992 · Cited by 3,552 · see citing works
Social stigma and self-esteem: The self-protective properties of stigma.
Crocker, J., & Major, B. (1989) · Psychological Review · doi:10.1037/0033-295x.96.4.608 · Cited by 3,426 · see citing works
Fredrickson, B. L., Tugade, M. M., Waugh, C. E., & Larkin, G. R. (2003) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.84.2.365 · Cited by 2,797 · see citing works
Impact of sexual abuse on children: A review and synthesis of recent empirical studies
Kendall-Tackett, K. A., Williams, L. M., & Finkelhor, D. (1993) · Psychological Bulletin · doi:10.1037/0033-2909.113.1.164 · Cited by 2,537 · see citing works
Attachment in the preschool years: Theory, research, and intervention.
Greenberg, M. T., Cicchetti, D., & Cummings, E. M. (1990) · University of Chicago Press eBooks · Cited by 2,161 · see citing works
Main, M., & Solomon, J. (2026) · Routledge eBooks · doi:10.4324/9781003569978-2 · Cited by 1,978 · see citing works
Models of the self and other: Fundamental dimensions underlying measures of adult attachment.
Griffin, D. W., & Bartholomew, K. (1994) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.67.3.430 · Cited by 1,762 · see citing works
Influence of attachment styles on romantic relationships
Simpson, J. A. (1990) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.59.5.971 · Cited by 1,501 · see citing works
Distribution of the product confidence limits for the indirect effect: Program PRODCLIN
MacKinnon, D. P., Fritz, M. S., Williams, J. G., & Lockwood, C. M. (2007) · Behavior Research Methods · doi:10.3758/bf03193007 · Cited by 1,328 · see citing works
Simpson, J. A., Rholes, W. S., & Nelligan, J. S. (1992) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.62.3.434 · Cited by 1,315 · see citing works
Love and work: An attachment-theoretical perspective.
Hazan, C., & Shaver, P. R. (1990) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.59.2.270 · Cited by 1,220 · see citing works
Does coping help? A reexamination of the relation between coping and mental health.
Aldwin, C. M., & Revenson, T. A. (1987) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.53.2.337 · Cited by 1,077 · see citing works
Does coping help? A reexamination of the relation between coping and mental health
Aldwin, C. M., & Revenson, T. A. (1987) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.53.2.337 · Cited by 1,076 · cited 1× · see citing works
“The Ways of Coping Scale (Folkman, Lazarus, Dunkel-Schetter, DeLongis, & Gruen, 1986) was scored for emotionfocused and problem-focused coping styles (Aldwin & Revenson, 1987).”
A meta-analytic examination of assumed properties of child sexual abuse using college samples.
Rind, B., Tromovitch, P., & Bauserman, R. L. (1998) · Psychological Bulletin · doi:10.1037/0033-2909.124.1.22 · Cited by 982 · see citing works
Adult attachment in a nationally representative sample.
Mickelson, K. D., Kessler, R. C., & Shaver, P. R. (1997) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.73.5.1092 · Cited by 843 · see citing works
Resilience to loss and chronic grief: A prospective study from preloss to 18-months postloss
Bonanno, G. A., Wortman, C. B., Lehman, D. R., Tweed, R. G., Haring, M., Sonnega, J., Carr, D., & Nesse, R. M. (2002) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.83.5.1150 · Cited by 836 · see citing works
A Prospective Longitudinal Study of Attachment Disorganization/Disorientation
Carlson, E. A. (1998) · Child Development · doi:10.1111/j.1467-8624.1998.tb06163.x · Cited by 820 · see citing works
Attachment styles, emotion regulation, and adjustment in adolescence.
Cooper, M. L., Shaver, P. R., & Collins, N. L. (1998) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.74.5.1380 · Cited by 793 · see citing works
Resilience to loss and chronic grief: a prospective study from preloss to 18-months postloss.
Bonanno, G. A., Wortman, C. B., Lehman, D. R., Tweed, R. G., Haring, M., Sonnega, J., Carr, D., & Nesse, R. M. (2002) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.83.5.1150 · Cited by 773 · see citing works
The Defense Style Questionnaire
Andrews, G., Singh, M., & Bond, M. (1993) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199304000-00006 · Cited by 717 · see citing works
Wright, M. O., Crawford, E., & Del Castillo, D. (2009) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2008.12.007 · Cited by 657 · see citing works
A review of the short-term effects of child sexual abuse
Beitchman, J. H., Zucker, K. J., Hood, J. E., daCosta, G. A., & Akman, D. (1991) · Child Abuse & Neglect · doi:10.1016/0145-2134(91)90038-f · Cited by 634 · see citing works
Adult attachment in a nationally representative sample.
Mickelson, K. D., Kessler, R. C., & Shaver, P. R. (1997) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.73.5.1092 · Cited by 632 · see citing works
Adolescent attachment and psychopathology.
Rosenstein, D. S., & Horowitz, H. A. (1996) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.64.2.244 · Cited by 559 · see citing works
Adult attachment and the suppression of unwanted thoughts.
Fraley, R. C., & Shaver, P. R. (1997) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.73.5.1080 · Cited by 517 · see citing works
Mikulincer, M., & Orbach, I. (1995) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.68.5.917 · Cited by 501 · see citing works
Compartmentalization of positive and negative self-knowledge: Keeping bad apples out of the bunch.
Showers, C. J. (1992) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.62.6.1036 · Cited by 402 · see citing works
Self-citationFlorián, V., Mikulincer, M., & Taubman, O. (1995) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.68.4.687 · Cited by 393 · see citing works
Adult attachment and the suppression of unwanted thoughts.
Fraley, R. C., & Shaver, P. R. (1997) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.73.5.1080 · Cited by 377 · see citing works
Adolescent attachment and psychopathology.
Rosenstein, D. S., & Horowitz, H. A. (1996) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.64.2.244 · Cited by 373 · see citing works
Mikulincer, M., & Orbach, I. (1995) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.68.5.917 · Cited by 336 · see citing works
A meta-analysis of the relationship of child sexual abuse to adult psychological adjustment
Jumper, S. A. (1995) · Child Abuse & Neglect · doi:10.1016/0145-2134(95)00029-8 · Cited by 319 · see citing works
Compartmentalization of positive and negative self-knowledge: Keeping bad apples out of the bunch.
Showers, C. J. (1992) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.62.6.1036 · Cited by 300 · see citing works
Self-citationSocial and emotional outcomes of childhood sexual abuse
Tyler, K. A. (2002) · Aggression and Violent Behavior · doi:10.1016/s1359-1789(01)00047-7 · Cited by 294 · see citing works
Adjustment following sexual abuse discovery: The role of shame and attributional style.
Feiring, C., Taska, L. S., & Lewis, M. (2002) · Developmental Psychology · doi:10.1037//0012-1649.38.1.79 · Cited by 286 · see citing works
Gibb, B. E., Alloy, L. B., Abramson, L. Y., Rose, D. T., Whitehouse, W. G., Donovan, P., Hogan, M. E., Cronholm, J., & Tierney, S. C. (2001) · Cognitive Therapy and Research · doi:10.1023/a:1005586519986 · Cited by 276 · see citing works
Hankin, B. L. (2005) · Cognitive Therapy and Research · doi:10.1007/s10608-005-9631-z · Cited by 270 · see citing works
Internal and external mediators of women's sexual abuse in childhood.
Wyatt, G. E., & Newcomb, M. D. (1990) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.58.6.758 · Cited by 213 · see citing works
Adjustment following sexual abuse discovery: The role of shame and attributional style.
Feiring, C., Taska, L. S., & Lewis, M. (2002) · Developmental Psychology · doi:10.1037/0012-1649.38.1.79 · Cited by 210 · see citing works
Dismissing-avoidance and the defensive organization of emotion, cognition, and behavior.
Fraley, R. C., Davis, K. E., & Shaver, P. R. (1998) · Cited by 205 · see citing works
Merrill, L. L., Thomsen, C. J., Sinclair, B. B., Gold, S. R., & Milner, J. S. (2001) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.69.6.992 · Cited by 189 · see citing works
Differential accuracy in person perception across traits: Examination of a functional hypothesis.
Gangestad, S. W., Simpson, J. A., DiGeronimo, K., & Biek, M. (1992) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.62.4.688 · Cited by 169 · see citing works
Age and gender differences in children’s and adolescents’ adaptation to sexual abuse
Feiring, C., Taska, L. S., & Lewis, M. (1999) · Child Abuse & Neglect · doi:10.1016/s0145-2134(98)00116-1 · Cited by 154 · see citing works
Cloître, M., Stovall‐McClough, C., Zorbas, P., & Charuvastra, A. (2008) · Journal of Traumatic Stress · doi:10.1002/jts.20339 · Cited by 151 · see citing works
Merrill, L. L., Thomsen, C. J., Sinclair, B. B., et al. (2001) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.69.6.992 · Cited by 139 · see citing works
Lowell, A., Renk, K., & Havill, A. M. (2014) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2014.02.006 · Cited by 105 · see citing works
Hobfoll, S. E., Bansal, A., Schurg, R., Young, S., Pierce, C. A., Hobfoll, I., & Johnson, R. J. (2002) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.70.1.252 · Cited by 91 · see citing works
Age of Onset of Sexual Abuse: Relationship to Sexually Inappropriate Behaviors
McClellan, J., MCCURRY, C., RONNEI, M., ADAMS, J., Eisner, A., & STORCK, M. (1996) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199610000-00025 · Cited by 85 · see citing works
Romans, S. E., Martin, J. L., Morris, E., & Herbison, P. (1999) · American Journal of Psychiatry · doi:10.1176/ajp.156.7.1080 · Cited by 74 · see citing works
Childhood physical abuse, attachment, and adult social support: Test of a mediational model.
Muller, R. T., Gragtmans, K. T., & Baker, R. (2008) · Canadian Journal of Behavioural Science/Revue canadienne des sciences du comportement · doi:10.1037/0008-400x.40.2.80 · Cited by 58 · see citing works
Attachment and Psychopathology Among Formerly Maltreated Adults
Muller, R. T., Lemieux, K. E., & Sicoli, L. A. (2001) · Journal of Family Violence · doi:10.1023/a:1011158919303 · Cited by 46 · see citing works
Family Environment, Love Withdrawal, Childhood Sexual Abuse, and Adult Attachment
Swanson, B., & Mallinckrodt, B. S. (2001) · Psychotherapy Research · doi:10.1080/713664062 · Cited by 43 · see citing works
Characteristics of sexual abuse associated with greater psychological impairment among children
Nash, M. R., Zivney, O. A., & Hulsey, T. L. (1993) · Child Abuse & Neglect · doi:10.1016/0145-2134(93)90063-b · Cited by 40 · see citing works
Showers, C. J., Zeigler‐Hill, V., & Limke, A. (2006) · Journal of Social and Clinical Psychology · doi:10.1521/jscp.2006.25.5.473 · Cited by 40 · see citing works
Self-citationParental bonding and current psychological functioning among childhood sexual abuse survivors.
Schreiber, R., & Lyddon, W. J. (1998) · Journal of Counseling Psychology · doi:10.1037//0022-0167.45.3.358 · Cited by 38 · see citing works
Hetzel‐Riggin, M. D., & Meads, C. L. (2011) · Journal of Family Violence · doi:10.1007/s10896-011-9395-z · Cited by 31 · see citing works
Parental bonding and current psychological functioning among childhood sexual abuse survivors.
Schreiber, R., & Lyddon, W. J. (1998) · Journal of Counseling Psychology · doi:10.1037/0022-0167.45.3.358 · Cited by 26 · see citing works
Zarantonello, M. M., Slaymaker, F. L., Johnson, J. E., & Petzel, T. P. (1984) · Journal of Clinical Psychology · doi:10.1002/1097-4679(198401)40:1 · Cited by 14 · see citing works
Psychopathology and History of Sexual Abuse
Belkin, D. S., Greene, A. F., Rodrigue, J. R., et al. (1994) · Journal of Interpersonal Violence · doi:10.1177/088626094009004007 · Cited by 14 · see citing works
College students from emotionally neglectful homes
Cook, D. A. (1991) · New Directions for Student Services · doi:10.1002/ss.37119915408 · Cited by 4 · see citing works
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Changes in attachment representations during psychological therapy
Taylor, P., Rietzschel, J., Danquah, A., & Berry, K. (2015) · Psychotherapy Research · doi:10.1080/10503307.2014.886791 · Cited by 150 · see citing works
Gay, L. E., Harding, H. G., Jackson, J. L., Burns, E. E., & Baker, B. D. (2013) · Journal of Aggression, Maltreatment & Trauma · doi:10.1080/10926771.2013.775982 · Cited by 102 · see citing works
Sutton, T. E. (2019) · Marriage & Family Review · doi:10.1080/01494929.2018.1458001 · Cited by 87 · see citing works
Migalova, E., Furstova, J., Hasto, J., Tavel, P., & Kascakova, N. (2025) · BMC Psychology · doi:10.1186/s40359-025-03331-6 · Cited by 6 · see citing works
“Clinically, persons with a history of emotional abuse and neglect often develop an anxious (preoccupied) attachment style [42–45], characterized by heightened sensitivity to rejection, difficulties with affect regulation, and persistent fears about the availability of close others [21].”
- Authors
- Limke, A., Showers, C. J., & Zeigler-Hill, V.
- Affiliations
- University of Central Oklahoma (US)
- University of Oklahoma (US)
- Venue
- Journal of Social and Clinical Psychology
- Publisher
- Guilford Publications
- Published
- 2010-03
- Volume
- 29
- Issue
- 3
- Pages
- 347-367
- ISSN
- 0736-7236 (ISSN-L)
- OpenAlex
- W2170580376
- Cited by
- 50
- References
- 74
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 2 · 2020: 4 · 2019: 4 · 2018: 3 · 2017: 4 · 2016: 7 · 2015: 4 · 2014: 6 · 2013: 5 · 2012: 3
- FWCI
- 3.87
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Social and Clinical Psychology (publishedVersion)
- Aquila Digital Community (University of Southern Mississippi) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- psychological maltreatment, child abuse, attachment anxiety, attachment avoidance, psychological adjustment, mediation, university students, coping strategies, maladaptive coping
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