Childhood maltreatment is widely recognized as a significant risk factor for the development of insecure attachment. However, empirical evidence on the strength and direction of this relationship remains mixed. To address this gap, we conducted two three-level meta-analyses to (a) estimate the overall associations between childhood maltreatment and adult attachment and (b) examine key moderators of these associations. A comprehensive literature search was conducted across five databases. Two three-level meta-analyses were employed to account for the dependence among effect sizes within studies. The analyses comprised 1,304 effect sizes derived from 228 independent samples across 211 studies, with 82,376 participants. Results revealed significant and positive correlations between childhood maltreatment and both attachment anxiety (r = 0.23) and avoidance (r = 0.20), with stronger associations observed for emotional maltreatment and when multidimensional measurement tools were employed. These findings suggest that adverse caregiving experiences have an enduring impact on attachment across the lifespan. This highlights the importance of implementing policies to reduce the incidence of childhood maltreatment and developing intervention programs to help affected adults rebuild secure attachment bonds.
ArriagaX. B.KumashiroM.SimpsonJ. A.OverallN. C. (2018). Revising working models across time: Relationship situations that enhance attachment security. Personality and Social Psychology Review, 22(1), 71–96. http://doi.org/10.1177/1088868317705257
2.
AssinkM.WibbelinkC. J. (2016). Fitting three-level meta-analytic models in R: A step-by-step tutorial. The Quantitative Methods for Psychology, 12(3), 154–174. https://doi.org/10.20982/TQMP.12.3.P154
3.
BaerJ. C.MartinezC. D. (2006). Child maltreatment and insecure attachment: A meta-analysis. Journal of Reproductive and Infant Psychology, 24(3), 187–197. https://doi.org/10.1080/02646830600821231
4.
BanduraA. (1977). Social learning theory. Prentice-Hall.
5.
BartholomewK.HorowitzL. M. (1991). Attachment styles among young adults: A test of a four-category model. Journal of Personality and Social Psychology, 61(2), 226–244. https://doi.org/10.1037/0022-3514.61.2.226
6.
BassiG.MancinelliE.SalcuniS.GoriA.MusettiA. (2024). Failure in reflective functioning as a key factor in the association between problematic social networking sites use, attachment and child maltreatment: A network analysis approach on gender differences. Development and Psychopathology, 36(4), 1932–1940. https://doi.org/10.1017/S0954579423001268
7.
BernsteinD. P.FinkL.HandelsmanL.FooteJ.LovejoyM.WenzelK.SaparetoE.RuggieroJ. (1994). Initial reliability and validity of a new retrospective measure of child abuse and neglect. The American Journal of Psychiatry, 151(8), 1132–1136. https://doi.org/10.1176/ajp.151.8.1132
8.
BosmansG.Bakermans-KranenburgM. J.VervlietB.VerheesM. W.van IJzendoornM. H. (2020). A learning theory of attachment: Unraveling the black box of attachment development. Neuroscience & Biobehavioral Reviews, 113, 287–298. https://doi.org/10.1016/j.neubiorev.2020.03.014
9.
BowlbyJ. (1982). Attachment and loss: Attachment (2nd ed.). Hogarth Press; Basic Books. (Original work published 1969)
10.
BrennanK. A.ClarkC. L.ShaverP. R. (1998). Self-report measurement of adult romantic attachment: An integrative overview. In JimpsonJ. A.RholesW. S. (Eds.), Attachment theory and close relationships (pp.46–76). The Guildford.
CollinsN. L.ReadS. J. (1990). Adult attachment, working models, and relationship quality in dating couples. Journal of Personality and Social Psychology, 58(4), 644–663. http://doi.org/10.1037/0022-3514.58.4.644
13.
CrowellJ. A.FraleyR. C.RoismanG. I. (2016). Measurement of individual differences in adult attachment. In CassidyJ.ShaverP. R. (Eds.), Handbook of attachment: Theory, research, and clinical applications (pp. 598–635). Guilford Press.
14.
Demır-kayaM.KayaF.ErogluY. (2023). Interpersonal cognitive distortions: What is the role of childhood trauma and attachment?. Journal of Education in Science Environment and Health, 9(4), 292–309. https://doi.org/10.55549/jeseh.1381214
15.
FarinaB.SchimmentiA. (2025). The psychopathological domains of attachment trauma: A proposal for a clinical conceptualization. Clinical Neuropsychiatry, 22(5), 351–373. https://doi.org/10.36131/cnfioritieditore20250501
16.
FeeneyJ. A. (2016). Adult romantic attachment: Developments in the study of couple relationships. In CassidyJ.ShaverP. R. (Eds.), Handbook of attachment: Theory, research, and clinical applications (pp. 435–463). Guilford Press.
17.
Fernández-CastillaB.DeclercqL.JamshidiL.BeretvasS. N.OnghenaP.Van den NoortgateW. (2020). Visual representations of meta-analyses of multiple outcomes: Extensions to forest plots, funnel plots, and caterpillar plots. Methodology, 16(4), 299–315. https://doi.org/10.5964/meth.4013
18.
GradyM. D.LevensonJ. S.BolderT. (2017). Linking adverse childhood effects and attachment: A theory of etiology for sexual offending. Trauma, Violence, & Abuse, 18(4), 433–444. https://doi.org/10.1177/1524838015627147
19.
GriffinD. W.BartholomewK. (1994). Models of the self and other: Fundamental dimensions underlying measures of adult attachment. Journal of Personality and Social Psychology, 67(3), 430–445. https://doi.org/10.1037/0022-3514.67.3.430
20.
GucciardiD. F.LinesR. L.NtoumanisN. (2022). Handling effect size dependency in meta-analysis. International Review of Sport and Exercise Psychology, 15(1), 152–178. https://doi.org/10.1080/1750984X.2021.1946835
21.
HazanC.ShaverP. R. (1994). Attachment as an organizational framework for research on close relationships. Psychological Inquiry, 5(1), 1–22. https://doi.org/10.1207/s15327965pli0501_1
HöltgeJ.RohnerS. L.HeimE. M.NaterU.ThomaM. V. (2023). Differential pathways from child maltreatment types to insecure adult attachment styles via psychological and social resources: A Bayesian network analysis. Journal of Interpersonal Violence, 38(11–12), 7089–7114. https://doi.org/10.1177/08862605221140039
24.
JiangZ.XuH.LiS.LiuY.JinZ.LiR.TaoX.WanY. (2022). Child maltreatment and depressive symptoms among Chinese college students: A moderated mediation model of adult attachment styles and physical activity. Journal of Affective Disorders, 309, 63–70. https://doi.org/10.1016/j.jad.2022.04.100
25.
KaratziasT.ShevlinM.FordJ. D.FyvieC.GrandisonG.HylandP.CloitreM. (2022). Childhood trauma, attachment orientation, and complex PTSD (CPTSD) symptoms in a clinical sample: Implications for treatment. Development and Psychopathology, 34(3), 1192–1197. https://doi.org/10.1017/S0954579420001509
KimS. H.BaekM.ParkS. (2021). Association of parent-child experiences with insecure attachment in adulthood: A systematic review and meta-analysis. Journal of Family Theory & Review, 13(1), 58–76. https://doi.org/10.1111/jftr.12402
28.
LiS.ZhaoF.YuG. (2019). Child maltreatment and intimate partner violence victimization: A meta-analysis. Child Abuse & Neglect, 88, 212–224. https://doi.org/10.1016/j.chiabu.2018.11.012
29.
LoC. K.ChanK. L.IpP. (2019). Insecure adult attachment and child maltreatment: A meta-analysis. Trauma, Violence, & Abuse, 20(5), 706–719. https://doi.org/10.1177/1524838017730579
30.
MikulincerM.ShaverP. R. (2015). Attachment in adulthood: Structure, dynamics, and change (2nd ed.). Guilford Press.
31.
NelsonB. S.SmithD. B. (2005). Systemic traumatic stress: The Couple Adaptation to Traumatic Stress model. Journal of Marital and Family Therapy, 31(2), 145–157. https://doi.org/10.1111/j.1752-0606.2005.tb01552.x
32.
PapaliaN.WidomC. S. (2024). Do insecure adult attachment styles mediate the relationship between child maltreatment and violent behavior?. Development and Psychopathology, 36(2), 636–647. https://doi.org/10.1017/s0954579422001468
33.
RodgersM. A.PustejovskyJ. E. (2021). Evaluating meta-analytic methods to detect selective reporting in the presence of dependent effect sizes. Psychological Methods, 26(2), 141–160. https://doi.org/10.1037/met0000300
34.
RoismanG. I.HollandA.FortunaK.FraleyR. C.ClausellE.ClarkeA. (2007). The Adult Attachment Interview and self-reports of attachment style: An empirical rapprochement. Journal of Personality and Social Psychology, 92(4), 678–697. http://doi.org/10.1037/0022-3514.92.4.678
35.
ŞarV.NecefI.MutluerT.FatihP.Türk-KurtçaT. (2021). A revised and expanded version of the Turkish Childhood Trauma Questionnaire (CTQ-33): Overprotection-overcontrol as additional factor. Journal of Trauma & Dissociation, 22(1), 35–51. https://doi.org/10.1080/15299732.2020.1760171
36.
SlomanL.TaylorP. (2016). Impact of child maltreatment on attachment and social rank systems: Introducing an integrated theory. Trauma, Violence, & Abuse, 17(2), 172–185. https://doi.org/10.1177/1524838015584354
37.
StrathearnL.GiannottiM.MillsR.KiselyS.NajmanJ.AbajobirA. (2020). Long-term cognitive, psychological, and health outcomes associated with child abuse and neglect. Pediatrics, 146(4), e20200438. https://doi.org/10.1542/peds.2020-0438
38.
Vaillancourt-MorelM. P.BussièresÈ. L.NolinM. C.DaspeM. È. (2024). Partner effects of child maltreatment: A systematic review and meta-analysis. Trauma, Violence, & Abuse, 25(2), 1150–1167. https://doi.org/10.1177/15248380231173427
39.
Van AsscheL.Van de VenL.VandenbulckeM.LuytenP. (2020). Ghosts from the past? The association between childhood interpersonal trauma, attachment and anxiety and depression in late life. Aging & Mental Health, 24(6), 898–905. https://doi.org/10.1080/13607863.2019.1571017
ZamirO. (2022). Child maltreatment and relationship quality: A review of type of abuse and mediating and protective factors. Trauma, Violence, & Abuse, 23(4), 1344–1357. https://doi.org/10.1177/1524838021998319
42.
ZhangX.LiJ.XieF.ChenX.XuW.HudsonN. W. (2022). The relationship between adult attachment and mental health: A meta-analysis. Journal of Personality and Social Psychology, 123(5), 1089–1137. https://doi.org/10.1037/pspp0000437
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