A meta-analytic review of the relationship between attachment styles and posttraumatic growth

J Clin Psychol. 2021 Jul;77(7):1521-1536. doi: 10.1002/jclp.23156. Epub 2021 May 20.

Abstract

Objective: The present review aimed to examine the relationship between attachment styles and posttraumatic growth in adults exposed to traumatizing events.

Method: A systematic literature search resulted in the inclusion of 14 studies in the review. Four correlational meta-analyses of the relationship between the attachment styles of secure, dismissive, preoccupied, and fearful, and posttraumatic growth, were conducted.

Results: These revealed a significant small positive relationship between secure attachment and posttraumatic growth (r = 0.21, p < 0.001); a significant small negative relationship between dismissive attachment and posttraumatic growth (r = -0.12, p < 0.001), and a weak relationship between preoccupied attachment and posttraumatic growth (r = -0.04, p = 0.235), and fearful attachment and posttraumatic growth (r = 0.08, p = 0.248).

Conclusions: The relationship between attachment styles and posttraumatic growth is modest and may be better explained by other variables. Nonetheless, findings provide useful information for clinicians regarding the potential small impact of attachment style following traumatizing exposure. Implications for future research are highlighted with respect to methodological rigor and the role of other potentially influential variables.

Keywords: PTSD; adults; attachment; posttraumatic growth; posttraumatic stress disorder; trauma.

Publication types

  • Meta-Analysis
  • Review

MeSH terms

  • Adult
  • Fear
  • Humans
  • Object Attachment
  • Posttraumatic Growth, Psychological*