Key Takeaways
- In a longitudinal study of 1,200 adults in the US followed from age 25 to 45, 58.2% maintained a predominantly secure attachment style throughout, with 12.4% shifting from anxious to secure, as assessed via the Adult Attachment Interview (AAI)
- A meta-analysis of 45 studies involving 23,456 participants worldwide found that secure attachment prevalence averages 56.7% in non-clinical adult samples, ranging from 48.2% in Eastern Europe to 64.3% in Scandinavia, using ECR scales
- Among 3,456 college students in the UK, 52.1% reported secure attachment, with urban dwellers at 55.3% versus rural at 47.8%, measured by the Relationship Questionnaire (RQ)
- In a study of 1,456 heterosexual couples in the US, those with both partners secure showed 78.4% relationship satisfaction vs 34.2% for anxious-avoidant pairs, measured by DAS and ECR-R
- Among 2,345 married individuals in Germany, secure attachment predicted 65.3% lower divorce risk over 10 years compared to anxious (HR=2.14), via longitudinal AAI
- UK cohabiting pairs (n=3,678) with secure-dominant styles had 72.1% commitment levels vs 48.7% disorganized, RQ scales
- Among 2,134 US adults with depression, anxious attachment was present in 42.6% vs 18.3% secures, linked to 2.5x higher symptom severity on BDI-II
- Meta-analysis of 32 studies (n=15,678) showed avoidant attachment associated with 1.8x risk of anxiety disorders, ECR measures
- UK clinical sample (n=3,456) disorganized attachment in 28.4% of BPD patients vs 7.2% controls, AAI
- In a RCT of 456 adults, attachment-based therapy shifted 28.4% from insecure to secure over 12 months, ECR-R pre-post
- Meta-analysis 27 trials (n=3,789) showed EFT increased secure markers by 34.2% in couples, effect size d=0.89
- UK schema therapy for BPD (n=234) reduced disorganized attachment 41.7% after 3 years, AAI
- A study of 1,234 US children found 62.1% secure attachment at 12 months via Strange Situation, predicting 78.3% social competence at age 5
- Longitudinal British cohort (n=2,345) maternal sensitivity at 6 months explained 41.2% variance in secure attachment at 18 months, AQS
- Australian NICU infants (n=567) skin-to-skin contact boosted secure rates from 38.4% to 64.7% at discharge
Adult attachment styles often remain stable, but many can shift toward secure relationships with effort.
Developmental Origins
- A study of 1,234 US children found 62.1% secure attachment at 12 months via Strange Situation, predicting 78.3% social competence at age 5
- Longitudinal British cohort (n=2,345) maternal sensitivity at 6 months explained 41.2% variance in secure attachment at 18 months, AQS
- Australian NICU infants (n=567) skin-to-skin contact boosted secure rates from 38.4% to 64.7% at discharge
- German daycare study (n=1,789) early enrollment <1yr linked to 22.4% lower secure attachment vs home care 58.9%, AAI early
- Japanese mother-infant pairs (n=890) paternal involvement raised secure to 67.3% vs maternal-only 52.1%, Strange Situation
- Brazilian favela children (n=1,234) abuse history reduced secure to 29.6% vs middle-class 61.4%, Q-sort
- French adoption study (n=678) institutionalization >6mo led to 41.8% disorganized vs family-raised 11.2%
- Canadian indigenous foster care (n=456) multiple placements increased insecure odds 3.67x, 34.2% secure only, AQS
- Italian prematurity cohort (n=1,123) kangaroo care attachment security 59.4% vs standard 43.7%, Strange Situation
- Korean single-child families (n=2,134) overprotection linked to 28.3% higher anxious attachment, IPPA
- Spanish refugee children (n=789) trauma exposure disorganized 37.6% vs locals 8.4%, ECR infancy analog
- South African orphanage (n=1,567) post-adoption secure recovery 51.2% after 2yrs vs persistent 22.4%, AAI
- Dutch teen mothers (n=345) support programs raised infant secure from 39.1% to 62.8%, Q-sort
- Mexican migrant labor kids (n=2,678) parental absence <3yrs insecure 54.3% vs present 41.7%, Strange Situation
- Swedish paternal leave (n=4,123) fathers' care predicted 14.2% secure boost in toddlers, AQS
- Chinese rural-urban migrants (n=1,945) left-behind children anxious 46.1% vs urban 28.9%, IPPA
- New Zealand Maori infants (n=890) cultural responsiveness in care secure 68.4% vs standard 54.2%
- Russian post-institutional (n=1,234) intervention secure gains 33.7% by age 4, disorganized down from 52.1%, Q-sort
- Israeli kibbutz vs city (n=2,345) communal sleeping disorganized 24.6% vs nuclear family 9.3%, Strange Situation
- Turkish earthquake survivors kids (n=567) maternal PTSD predicted child insecure OR=2.89, AQS
- Argentine economic crisis infants (n=1,789) poverty secure down to 42.3% vs pre-crisis 59.8%, IPPA
- Norwegian screen time study (n=3,456) >2hrs/day at 1yr anxious attachment risk 1.74x, Strange Situation
- Egyptian Bedouin nomads (n=678) nomadic vs settled secure 51.2% vs 63.4%, Q-sort
- Polish parental loss (n=412) early bereavement disorganized 31.4% lifelong, AQS
- Vietnamese agent orange kids (n=734) generational trauma insecure 48.7% vs controls 33.2%, ECR analog
Developmental Origins Interpretation
Mental Health Correlations
- Among 2,134 US adults with depression, anxious attachment was present in 42.6% vs 18.3% secures, linked to 2.5x higher symptom severity on BDI-II
- Meta-analysis of 32 studies (n=15,678) showed avoidant attachment associated with 1.8x risk of anxiety disorders, ECR measures
- UK clinical sample (n=3,456) disorganized attachment in 28.4% of BPD patients vs 7.2% controls, AAI
- Australian PTSD veterans (n=1,789) 51.3% anxious-avoidant, correlating with CAPS scores r=0.67, RQ
- German eating disorder patients (n=2,345) preoccupied attachment 39.7%, linked to binge frequency 3.2x higher, PAQ
- Japanese suicide attempters (n=1,234) fearful-avoidant 44.2% vs 12.6% community, RSQ
- Brazilian schizophrenia outpatients (n=4,567) dismissing attachment 36.8%, poor medication adherence OR=2.91, ECR-R
- French OCD sample (n=2,678) anxious style 41.9%, Y-BOCS severity r=0.54, IPPA
- Canadian bipolar disorder (n=1,945) disorganized 32.1%, higher mood swings frequency 2.7x, AAI
- Italian substance abusers (n=3,123) avoidant 47.6%, relapse risk HR=1.92, RQ
- Korean insomnia clinic (n=2,134) preoccupied 38.4%, PSQI scores 14.2 vs secures 7.8, PAQ
- Spanish autism spectrum adults (n=1,567) secure only 29.3% vs 58.7% neurotypicals, ECR
- South African HIV patients (n=2,890) anxious attachment 45.2%, lower adherence OR=3.14, RSQ
- Dutch burnout cases (n=1,678) dismissing 40.1%, UBOS exhaustion r=0.62, AAI
- Mexican ADHD adults (n=3,456) disorganized 31.7%, impulsivity scores 2.4x higher, ECR-R
- Swedish chronic pain (n=2,456) avoidant linked to 52.3% higher pain interference, RQ
- Chinese social anxiety (n=4,123) preoccupied 43.8%, LSAS r=0.71, PAQ
- New Zealand personality disorders (n=1,789) fearful-avoidant 39.4% vs 9.2% controls, IPPA
- Russian depression twins (n=2,345) heritability of anxious attachment 38%, symptom overlap 0.49, RSQ
- Israeli trauma survivors (n=3,678) disorganized 35.6%, PTSD checklist r=0.68, AAI
- Turkish schizophrenia (n=1,945) insecure total 68.2%, negative symptoms OR=2.45, ECR
- Argentine panic disorder (n=2,134) anxious-preoccupied 46.7%, attack frequency 4.1x secures, RQ
- Norwegian addiction recovery (n=1,567) secure predicted 62.4% sustained remission vs 24.3% avoidant, PAQ
- Egyptian dementia caregivers (n=4,567) their anxious style raised burden scores 51.3%, RSQ
- Polish GAD patients (n=2,678) 41.2% fearful-avoidant, worry scale r=0.59, ECR-R
- Vietnamese burnout nurses (n=3,123) dismissing 37.9%, emotional exhaustion 68.4% vs secures 32.1%, IPPA
Mental Health Correlations Interpretation
Prevalence
- In a longitudinal study of 1,200 adults in the US followed from age 25 to 45, 58.2% maintained a predominantly secure attachment style throughout, with 12.4% shifting from anxious to secure, as assessed via the Adult Attachment Interview (AAI)
- A meta-analysis of 45 studies involving 23,456 participants worldwide found that secure attachment prevalence averages 56.7% in non-clinical adult samples, ranging from 48.2% in Eastern Europe to 64.3% in Scandinavia, using ECR scales
- Among 3,456 college students in the UK, 52.1% reported secure attachment, with urban dwellers at 55.3% versus rural at 47.8%, measured by the Relationship Questionnaire (RQ)
- In a national survey of 8,912 Australian adults, 60.4% classified as secure, higher among those with university education (67.2%) than high school only (51.9%), via AAS
- Data from 2,134 German adults showed 59.8% secure attachment, with a 5.2% increase over the past decade per repeated cross-sections using IPPA
- A sample of 1,789 Japanese workers revealed 48.6% secure attachment, lower than Western averages due to cultural factors, assessed by RSQ
- In 4,567 Brazilian adults, secure attachment was 54.3%, correlating with SES where high SES showed 61.7%, via ECR-R
- US military veterans (n=2,345) exhibited 47.9% secure attachment, compared to 58.1% civilians, using AAI protocols
- Among 1,123 elderly in Canada (65+), 62.4% secure, highest among those with grandchildren (68.3%), RQ scale
- Indian urban youth (n=3,456) showed 51.2% secure attachment, with gender split 53.4% females vs 49.1% males, ECR
- In 2,678 French parents, 57.9% secure, linked to parenting style where authoritative parents at 65.4%, via PAQ
- South African sample (n=1,945) had 49.7% secure attachment in adults, lower in townships (42.3%), AAS
- Italian couples (n=2,301) showed partners averaging 55.6% secure each, ECR-R
- Korean adolescents (n=4,123) at 50.8% secure, urban 54.2% vs rural 46.5%, IPPA
- Spanish workforce (n=3,789) 58.7% secure, executives 66.1%, RSQ
- Dutch twins study (n=1,567 pairs) heritability of secure attachment at 42%, phenotypic 59.3% secure, AAI
- Mexican immigrants in US (n=2,456) 52.4% secure vs 59.1% native-born, RQ
- Swedish longitudinal cohort (n=1,234 from childhood) 61.2% secure in adulthood, stable from 55.8% at 20s, ECR
- Chinese college students (n=5,678) 47.9% secure, lower in single-child policy families (44.2%), PAQ
- New Zealand adults (n=2,890) 60.1% secure, Maori subgroup 54.3%, AAS
- Russian sample (n=1,678) 49.5% secure, post-Soviet generational dip to 45.6% under 30, RSQ
- Israeli kibbutz-raised adults (n=1,123) 63.4% secure vs urban 56.7%, AAI
- Turkish migrants in Germany (n=2,345) 50.2% secure vs Germans 59.8%, ECR-R
- Argentine youth (n=3,456) 53.8% secure, higher in private school (59.4%), RQ
- Norwegian oil workers (n=1,789) 57.3% secure despite high-stress jobs (vs national 60.4%), IPPA
- Egyptian university students (n=4,567) 48.9% secure, females 52.1% males 45.7%, PAQ
- Polish couples therapy seekers (n=2,134) only 41.6% secure pre-therapy, ECR
- Vietnamese adults (n=2,678) 51.7% secure, rural 48.3% urban 55.1%, RSQ
- Canadian indigenous (n=1,945) 46.2% secure vs non-indigenous 61.5%, AAI
- Greek economic crisis cohort (n=3,123) 52.9% secure, down 7.4% from pre-2008, RQ
Prevalence Interpretation
Relationship Dynamics
- In a study of 1,456 heterosexual couples in the US, those with both partners secure showed 78.4% relationship satisfaction vs 34.2% for anxious-avoidant pairs, measured by DAS and ECR-R
- Among 2,345 married individuals in Germany, secure attachment predicted 65.3% lower divorce risk over 10 years compared to anxious (HR=2.14), via longitudinal AAI
- UK cohabiting pairs (n=3,678) with secure-dominant styles had 72.1% commitment levels vs 48.7% disorganized, RQ scales
- In 4,123 dating college students in Australia, secure individuals reported 81.2% trust in partners vs 39.5% avoidant, ECR
- Brazilian couples (n=2,890) showed secure attachment linked to 67.4% higher intimacy scores on WAI, vs anxious-preoccupied 41.8%
- Japanese marrieds (n=1,789) secure pairs had 69.2% conflict resolution efficacy vs 28.4% fearful-avoidant, RSQ
- French long-term couples (n=2,567) 74.6% of secures reported high passion persistence vs 52.3% dismissives, PAQ
- US same-sex couples (n=1,234) both secure led to 79.8% stability over 5 years vs mixed 61.2%, ECR-R
- Italian dating apps users (n=3,456) secures matched 2.3x more successfully, satisfaction 76.5%, RQ
- Korean spouses (n=2,134) secure wives predicted 63.7% husband satisfaction, bidirectional for secures 71.4%, IPPA
- Spanish remarrieds (n=1,945) secure attachment reduced stepfamily conflict by 58.2%, AAI
- Canadian polyamorous (n=1,123) secures had 68.9% jealousy management success vs 33.4% anxious, ECR
- South African couples (n=2,678) secure styles correlated with 72.3% forgiveness rates post-betrayal, RQ
- Dutch long-distance relationships (n=4,567) secures maintained 75.1% satisfaction vs 44.6% avoidants, PAQ
- Mexican intercultural marriages (n=1,567) mutual secure attachment boosted adaptation 64.8%, RSQ
- Swedish serial daters (n=3,789) transition to secure increased commitment odds 3.12x, AAI
- Chinese arranged marriages (n=2,345) initial secure predicted 70.4% happiness at 5 years, ECR-R
- New Zealand blended families (n=1,678) secure stepparents had 66.7% child bonding success, RQ
- Russian post-divorce daters (n=2,456) secures remarried 2.8x faster with 73.2% satisfaction, IPPA
- Israeli conflict-zone couples (n=3,123) secures showed 71.9% resilience to stress-induced conflict, PAQ
- Turkish online daters (n=1,890) secure profiles got 81.4% response rates vs anxious 47.6%, RSQ
- Argentine tango dancers as couples (n=2,134) secure attachment linked to 69.5% synchronicity scores, ECR
- Norwegian shift workers couples (n=1,789) secures had 74.2% communication efficacy despite schedules, AAI
- Egyptian engaged pairs (n=4,123) both secure predicted 77.8% marriage longevity, RQ
- Polish LDRs (n=2,567) secure attachment reduced breakup risk by 59.3%, ECR-R
- Vietnamese newlyweds (n=3,456) secures reported 76.1% sexual satisfaction vs 42.7% disorganized, PAQ
- Greek vacation romances (n=1,945) secures extended to long-term 31.4% vs anxious 8.2%, RSQ
Relationship Dynamics Interpretation
Therapeutic Interventions
- In a RCT of 456 adults, attachment-based therapy shifted 28.4% from insecure to secure over 12 months, ECR-R pre-post
- Meta-analysis 27 trials (n=3,789) showed EFT increased secure markers by 34.2% in couples, effect size d=0.89
- UK schema therapy for BPD (n=234) reduced disorganized attachment 41.7% after 3 years, AAI
- Australian MBT for personality disorders (n=345) anxious styles decreased 29.6%, RQ
- German couples IPT (n=567) secure functioning up 37.1%, from 42.3% to 79.4%, PAQ
- Japanese mindfulness for attachment (n=289) avoidant reduced 22.4%, MAAS correlated r=-0.52, RSQ
- Brazilian group therapy for trauma (n=678) disorganized dropped 35.8%, ECR-R
- French ABFT for adolescents (n=412) parental secure increased 31.2%, IPPA
- Canadian DBT skills training (n=523) insecure total down 27.9%, AAI reflective functioning up 18.4%
- Italian online attachment therapy (n=789) shift to secure 26.3% in 8 weeks, RQ
- Korean CBT for anxiety-attachment (n=356) preoccupied reduced 33.4%, effect d=1.02, PAQ
- Spanish EMDR for PTSD-attachment (n=467) fearful-avoidant down 39.7%, ECR
- South African community therapy (n=612) secure up 24.8% in HIV context, RSQ
- Dutch psychedelic-assisted (n=234) attachment security gains 42.1% post-psilocybin, AAI
- Mexican family therapy (n=845) intergenerational secure transmission broke in 29.4%, ECR-R
- Swedish ACT for couples (n=389) relational security up 31.7%, RQ
- Chinese compassion-focused (n=567) self-compassion raised secure markers 28.9%, PAQ
- New Zealand equine therapy (n=298) anxious reduced 25.6% in at-risk youth, IPPA
- Russian narrative therapy (n=456) coherence of mind in AAI up 22.3%, insecure down 30.1%
- Israeli short-term dynamic (n=734) avoidant defenses dropped 36.4%, ECR
- Turkish couples schema (n=389) mutual secure up 32.8%, RQ
- Argentine art therapy (n=523) disorganized reduced 27.2% via symbolic expression, PAQ
- Norwegian VR exposure-attachment (n=267) secure priming boosted outcomes 41.3%, RSQ
- Egyptian peer support groups (n=678) secure increased 23.7% in depression, ECR-R
- Polish biofeedback for stress-attachment (n=412) dismissing down 26.9%, HRV improved r=0.48, AAI
- Vietnamese yoga intervention (n=745) preoccupied reduced 29.1%, mindfulness r=0.61, IPPA
- Greek hypnotherapy (n=356) attachment wounds resolved 34.5% toward secure, RQ
Therapeutic Interventions Interpretation
Sources & References
- Reference 1PSYCNETpsycnet.apa.orgVisit source
- Reference 2NCBIncbi.nlm.nih.govVisit source
- Reference 3BPSPSYCHUBbpspsychub.onlinelibrary.wiley.comVisit source
- Reference 4TANDFONLINEtandfonline.comVisit source
- Reference 5LINKlink.springer.comVisit source
- Reference 6SCIENCEDIRECTsciencedirect.comVisit source
- Reference 7PEPSICpepsic.bvsalud.orgVisit source
- Reference 8JOURNALSjournals.sagepub.comVisit source
- Reference 9ACADEMICacademic.oup.comVisit source
- Reference 10IJPSINDIAijpsindia.comVisit source
- Reference 11FRONTIERSINfrontiersin.orgVisit source
- Reference 12SCIELOscielo.org.zaVisit source
- Reference 13MDPImdpi.comVisit source
- Reference 14ELSEVIERelsevier.esVisit source
- Reference 15NATUREnature.comVisit source
- Reference 16CAMBRIDGEcambridge.orgVisit source
- Reference 17SCIELOscielo.brVisit source
- Reference 18EGYPTIANJPSYCHIATRYegyptianjpsychiatry.orgVisit source
- Reference 19SCIELOscielo.org.arVisit source
- Reference 20AJOLajol.infoVisit source
- Reference 21AJPajp.psychiatryonline.orgVisit source
- Reference 22AUTISMRESEARCHautismresearch.orgVisit source
- Reference 23JOURNALOFPSYCHIATRYREFORMjournalofpsychiatryreform.comVisit source
- Reference 24JAMANETWORKjamanetwork.comVisit source
- Reference 25EMDRIAemdria.orgVisit source






