Predicting Adolescent Anxiety with Childhood Attachment Disruptions: A Systematic Review

Authors

  • Dr. Nabeela Sulaiman Virtual University of Pakistan
  • Raheela Shahid Bahauddin Zakariya University, Multan

DOI:

https://doi.org/10.30971/jecce.v9i1.2577

Keywords:

Childhood Attachment, Adolescent Anxiety, Attachment Disruptions, Mental Health, Insecure Attachment

Abstract

This systematic review explores the relationship between childhood attachment disruptions and the development of anxiety during adolescence. The structured search was conducted for studies from five major databases between 2000 and July 2024, selecting studies that longitudinally examined the association of childhood attachment with later anxiety in adolescence. Eleven studies were synthesized to show that insecure, avoidant, and disorganized attachment styles within childhood predict the emergence of adolescent anxiety. These results point to the clear association of attachment disruptions in early childhood with anxiety disorders later in life and, therefore, strengthen the efforts of early intervention in supporting the development of a secure attachment to prevent later mental health problems. These findings have shown that preventing insecure attachment in early childhood can be one potential strategy for preventing the anxiety disorders later in adolescence.

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References

Ainsworth, M. D. S., Blehar, M. C., Waters, E., & Wall, S. N. (2015). Patterns of attachment: A psychological study of the strange situation. Psychology press. https://doi.org/10.4324/9780203758045

Alhusen, J. L., Hayat, M. J., & Gross, D. (2013). A longitudinal study of maternal attachment and infant developmental outcomes. Archives of women's mental health, 16, 521-529. Doi: 10.1007/s00737-013-0357-8

Bowlby, J. (1969). Attachment and Loss: Vol. 1. Attachment. New York: Basic Books.

Bowlby, J., Ainsworth, M., & Bretherton, I. (1992). The origins of attachment theory. Developmental Psychology, 28(5), 759-775. https://citeseerx.ist.psu.edu/document?repid=rep1&type=pdf&doi=9daf1c13f86720000e9ddcde238ab3756cc0847

Breinholst, S., Esbjørn, B. H., & Reinholdt-Dunne, M. L. (2015). Effects of attachment and rearing behavior on anxiety in normal developing youth: A mediational study. Personality and Individual Differences, 81, 155-161. https://doi.org/10.1016/j.paid.2014.08.022

Brenning, K., Soenens, B., Braet, C., & Beyers, W. (2013). Longitudinal dynamics of depressogenic personality and attachment dimensions in adolescence: An examination of associations with changes in depressive symptoms. Journal of youth and adolescence, 42, 1128-1144. https://doi.org/10.1007/s10964-012-9879-z

Bretherton, I. (1992). The origins of attachment theory: John Bowlby and Mary Ainsworth. Developmental Psychology, 28(5), 759-775. https://www.taylorfrancis.com/chapters/edit/10.4324/9780203728017-4/origins-attachment-theory-inge-bretherton

Brumariu, L. E., & Kerns, K. A. (2010). Mother–child attachment patterns and different types of anxiety symptoms: Is there specificity of relations? Child Psychiatry & Human Development, 41, 663-674. https://doi.org/10.1007/s10578-010-0195-0

Cassidy, J., Lichtenstein-Phelps, J., Sibrava, N. J., Thomas Jr, C. L., & Borkovec, T. D. (2009). Generalized anxiety disorder: Connections with self-reported attachment. Behavior therapy, 40(1), 23-38. https://doi.org/10.1016/j.beth.2007.12.004

Crittenden, P. M. (2013). Attachment and psychopathology. In Attachment theory (pp. 367-406). Routledge. https://www.taylorfrancis.com/chapters/edit/10.4324/9780203728017-17/attachment-psychopathology-patricia-mckinsey-crittenden

Dallaire, D. H., & Weinraub, M. (2005). Predicting children's separation anxiety at age 6: The contributions of infant–mother attachment security, maternal sensitivity, and maternal separation anxiety. Attachment & human development, 7(4), 393-408. https://doi.org/10.1080/14616730500365894

Dallaire, D. H., & Weinraub, M. (2007). Infant–mother attachment security and children's anxiety and aggression at first grade. Journal of Applied Developmental Psychology, 28(5-6), 477-492. https://doi.org/10.1016/j.appdev.2007.06.005

de Minzi, M. C. R. (2006). Loneliness and depression in middle and late childhood: The relationship to attachment and parental styles. The Journal of Genetic Psychology, 167(2), 189-210. https://doi.org/10.3200/GNTP.167.2.189-210

Dozier, M., Lindhiem, O., Lewis, E., Bick, J., Bernard, K., & Peloso, E. (2009). Effects of a foster parent training program on young children’s attachment behaviors: Preliminary evidence from a randomized clinical trial. Child and Adolescent Social Work Journal, 26, 321-332. https://doi.org/10.1007/s10560-009-0165-1

Dubois-Comtois, K., & Moss, E. (2008). Beyond the dyad: do family interactions influence children's attachment representations in middle childhood? Attachment & Human Development, 10(4), 415-431. https://doi.org/10.1080/14616730802461441

Fearon, R. P., Bakermans-Kranenburg, M. J., van IJzendoorn, M. H., Lapsley, A. M., & Roisman, G. I. (2014). The significance of insecure attachment and disorganization in the development of children’s behavior problems: A meta-analytic study. Developmental Psychology, 50(4), 883-897. https://doi.org/10.1111/j.1467-8624.2009.01405.x

Fearon, R. P., Bakermans‐Kranenburg, M. J., Van IJzendoorn, M. H., Lapsley, A. M., & Roisman, G. I. (2010). The significance of insecure attachment and disorganization in the development of children’s externalizing behavior: a meta‐analytic study. Child Development, 81(2), 435-456. https://doi.org/10.1111/j.1467-8624.2009.01405.x

Gabbay, J., & Le May, A. (2010). Practice-based evidence for healthcare: Clinical Mindlines. Routledge. https://doi.org/10.4324/9780203839973

Glazebrook, K., Townsend, E., & Sayal, K. (2015). The role of attachment style in predicting repetition of adolescent self‐harm: A longitudinal study. Suicide and Life‐Threatening Behavior, 45(6), 664-678. https://doi.org/10.1111/sltb.12159

Groh, A. M., Narayan, A. J., Bakermans‐Kranenburg, M. J., Roisman, G. I., Vaughn, B. E., Fearon, R. P., & van IJzendoorn, M. H. (2017). Attachment and temperament in the early life course: A meta‐analytic review. Child development, 88(3), 770-795. https://doi.org/10.1111/cdev.12677

Groh, A. M., Fearon, R. P., van IJzendoorn, M. H., Bakermans-Kranenburg, M. J., & Roisman, G. I. (2017). Attachment in the early life course: Meta-analytic evidence for its role in socioemotional development. Child Development Perspectives, 11(1), 70-76. https://doi.org/10.1111/cdev.12677

Groh, A. M., Roisman, G. I., van IJzendoorn, M. H., Bakermans‐Kranenburg, M. J., & Fearon, R. P. (2012). The significance of insecure and disorganized attachment for children’s internalizing symptoms: A meta‐analytic study. Child development, 83(2), 591-610. https://doi.org/10.1111/j.1467-8624.2011.01711.x

Hazan, C., & Shaver, P. (2017). Romantic love conceptualized as an attachment process. In Interpersonal development (pp. 283-296). Routledge. ISBN: 9781351153683

Jakobsen, I. S., Horwood, L. J., & Fergusson, D. M. (2012). Childhood anxiety/withdrawal, adolescent parent–child attachment and later risk of depression and anxiety disorder. Journal of Child and Family Studies, 21, 303-310. https://doi.org/10.1007/s10826-011-9476-x

Kennedy, M., Betts, L. R., & Underwood, J. D. (2014). Moving beyond the mother–child dyad: Exploring the link between maternal sensitivity and siblings’ attachment styles. The Journal of genetic psychology, 175(4), 287-300. https://doi.org/10.1080/00221325.2014.885879

Larose, S., & Bernier, A. (2001). Social support processes: Mediators of attachment state of mind and adjustment in late adolescence. Attachment & Human Development, 3(1), 96-120. https://doi.org/10.1080/14616730010024762

Lecompte, V., Moss, E., Cyr, C., & Pascuzzo, K. (2014). Preschool attachment, self-esteem and the development of preadolescent anxiety and depressive symptoms. Attachment & Human Development, 16(3), 242-260. https://doi.org/10.1080/14616734.2013.873816

Madigan, S., Atkinson, L., Laurin, K., & Benoit, D. (2013). Attachment and internalizing behavior in early childhood: A meta-analysis. Developmental Psychology, 49(4), 672–689. https://doi.org/10.1037/a0028793

Mikulincer, M., & Shaver, P. R. (2012). An attachment perspective on psychopathology. World Psychiatry, 11(1), 11-15. https://doi.org/10.1016/j.wpsyc.2012.01.003

Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Annals of internal medicine, 151(4), 264-269. https://doi.org/10.1016/j.ijsu.2010.02.007

Obsuth, I., Hennighausen, K., Brumariu, L. E., & Lyons‐Ruth, K. (2014). Disorganized behavior in adolescent–parent interaction: Relations to attachment state of mind, partner abuse, and psychopathology. Child development, 85(1), 370-387. https://doi.org/10.1111/cdev.12113

Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., ... & Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ, 372, n71. https://doi.org/10.1136/bmj.n71

Park, L. E., Crocker, J., & Mickelson, K. D. (2004). Attachment styles and contingencies of self-worth. Personality and Social Psychology Bulletin, 30(10), 1243-1254. https://doi.org/10.1177/0146167204264000

Priddis, L., & Howieson, N. D. (2012). Insecure attachment patterns at five years. What do they tell us?. Early Child Development and Care, 182(1), 45-58. https://doi.org/10.1080/03004430.2010.537334

Raby, K. L., Roisman, G. I., Fraley, R. C., & Simpson, J. A. (2015). The enduring predictive significance of early maternal sensitivity: Social and academic competence through age 32 years. Child development, 86(3), 695-708. https://doi.org/10.1111/cdev.12325

Raja, S. N., McGee, R., & Stanton, W. R. (1992). Perceived attachments to parents and peers and psychological well-being in adolescence. Journal of youth and adolescence, 21, 471-485. https://doi.org/10.1007/BF01537898

Stronach, E. P., Toth, S. L., Rogosch, F., & Cicchetti, D. (2013). Preventive interventions and sustained attachment security in maltreated children. Development and psychopathology, 25(4pt1), 919-930. https://doi.org/10.1017/S0954579413000278

Sund, A. M., & Wichstrøm, L. (2002). Insecure attachment as a risk factor for future depressive symptoms in early adolescence. Journal of the American Academy of Child & Adolescent Psychiatry, 41(12), 1478-1485. https://doi.org/10.1097/00004583-200212000-00020

Toth, S. L., Sturge-Apple, M. L., Rogosch, F. A., & Cicchetti, D. (2015). Mechanisms of change: Testing how preventative interventions impact psychological and physiological stress functioning in mothers in neglectful families. Development and psychopathology, 27(4pt2), 1661-1674. https://doi.org/10.1017/S0954579415001017

Waters, E., Merrick, S., Treboux, D., Crowell, J., & Albersheim, L. (2003). Attachment security in infancy and early adulthood: A twenty-year longitudinal study. In M. E. Hertzig & E. A. Farber (Eds.), Annual progress in child psychiatry and child development: 2000–2001 (pp. 63–72). Brunner-Routledge. https://psycnet.apa.org/record/2003-88081-004

Wei, M., Heppner, P. P., Russell, D. W., & Young, S. K. (2006). Maladaptive perfectionism and ineffective coping as mediators between attachment and future depression: A prospective analysis. Journal of Counseling Psychology, 53(1), 67. https://psycnet.apa.org/doi/10.1037/0022-0167.53.1.67

Zeanah, C. H., & Gleason, M. M. (2015). Annual research review: Attachment disorders in early childhood–clinical presentation, causes, correlates, and treatment. Journal of Child Psychology and Psychiatry, 56(3), 207-222. https://doi.org/10.1111/jcpp.12347

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Published

2025-09-11

How to Cite

Dr. Nabeela Sulaiman, & Shahid, R. (2025). Predicting Adolescent Anxiety with Childhood Attachment Disruptions: A Systematic Review. JECCE, 9(1). https://doi.org/10.30971/jecce.v9i1.2577

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