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THE JOURNAL OF SCHOOL AND UNIVERSITY MEDICINE - Volume 9, Issue 4, October-December 2022

Pages: 12-16
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Author: Demian Corina

Category: Medical


Attachment is a complex system that provides the proximity and care necessary for the child's survival and fulfills the child's innate need for safety. From the earliest interactions when parents (attachment figures) comfort the child when she/he feels in danger, each new experience helps her/him to develop secure attachment, and thus the child learns to regulate his emotions and acquire strategies to cope with fear or suffering. If an insecure attachment style (preoccupied/avoidant/disorganized) is aquired, in adulthood people may face difficulties in regulating emotions and stress or may have difficulties in establishing and maintaining relationships. Empirical evidence from cross-sectional, longitudinal and review studies support the assumption that insecure attachment is a risk factor for addictions, but also for other psychopathological disorders. There is growing evidence that addictive disorders can be viewed as a possible expression of an attachment disorder, and the development of secure attachment can lead to better results in the prevention and early interventions of drug-related disorders. Recommended interventions include efficient parenting styles (authoritative/ permissive) training for parents, strengthening the parent-child relationship, ameliorating psychological dysregulation in mid-adolescence, developing adolescents' abilities to self-regulate emotions and to resist to peer pressure.

Keywords: secure/insecure Atachment, Addictions, Interventions

DOI: 10.51546/JSUM.2022.9402



1. Lyons-Ruth K, Jacobvitz D. Attachment disorganization. In: Cassidy, J, and Shaver, PR, editors. Handbook of attachment. New York, NY: Guilford; 2008. p. 666–97.

2. Van IJzendoorn MH, Bakermans-Kranenburg MJ. Attachment representations in mothers, fathers, adolescents and clinical groups: a meta-analytic search for normative data. J Consult Clin Psychol 1996 64/1:8–21.

3. Mikulincer, M. and Shaver, P.R. (2012), An attachment perspective on psychopathology. World Psychiatry, 11: 11-15

4. Schindler A, Bröning S. A Review on Attachment and Adolescent Substance Abuse: Empirical Evidence and Implications for Prevention and Treatment. Subst Abus. 2015; 36(3):304-13.

5. Unterrainer HF, Hiebler-Ragger M, Rogen L, Kapfhammer HP. Sucht als Bindungsstörung [Addiction as an attachment disorder]. Nervenarzt. 2018 Sep; 89(9):1043-1048.

6. D’Arienzo, M.C., Boursier, V. & Griffiths, M.D. Addiction to Social Media and Attachment Styles: A Systematic Literature Review. Int J Ment Health Addiction 17, 1094–1118 (2019).

7. Iglesias EB, Fernández del Río E, Calafat A, Fernández-Hermida JR. Attachment and substance use in adolescence: a review of conceptual and methodological aspects. Adicciones. 2014; 26(1):77-86.

8. Schindler A, Thomasius R, Sack PM, Gemeinhardt B, Küstner U, Eckert J. Attachment and substance use disorders: a review of the literature and a study in drug dependent adolescents. Attach Hum Dev. 2005 Sep; 7(3):207-28.

9. Wedekind, D., Bandelow, B., Heitmann, S. et al. Attachment style, anxiety coping, and personality-styles in withdrawn alcohol addicted inpatients. Subst Abuse Treat Prev Policy 8, 1 (2013).

10. Liese BS, Kim HS, Hodgins DC. Insecure attachment and addiction: Testing the mediating role of emotion dysregulation in four potentially addictive behaviors. Addict Behav. 2020 Aug;107:106432.

11. Attachment style, stressful events, and Internet gaming addiction in Korean university students YoonheSungaTae-HyunNambMae HyangHwangc

12. Eichenberg C, Schott M, Decker O, Sindelar B Attachment Style and Internet Addiction: An Online Survey, J Med Internet Res 2017;19(5):e170

13. Zeinali A, Sharifi H, Enayati M, Asgari P, Pasha G. The mediational pathway among parenting styles, attachment styles and self-regulation with addiction susceptibility of adolescents. J Res Med Sci. 2011 Sep;16(9):1105-21.

14. Zhai ZW, Kirisci L, Tarter RE, Ridenour TA. Psychological dysregulation during adolescence mediates the association of parent–child attachment in childhood and substance use disorder in adulthood. Am. J Drug Alcohol Abuse (2014) 40(1):67–74.

15. Danielsson AK, Romelsjö A, Tengström A. Heavy episodic drinking in early adolescence: gender-specific risk and protective factors. Subst Use Misuse. 2011;46(5):633-43.

16. Spruit A, Goos L, Weenink N, Rodenburg R, Niemeyer H, Stams GJ, Colonnesi C. The Relation between Attachment and Depression in Children and Adolescents: A Multilevel Meta-Analysis. Clin Child Fam Psychol Rev. 2020 Mar; 23(1):54-69.

17. Colonnesi C, Draijer EM, Jan J M Stams G, Van der Bruggen CO, Bögels SM, Noom MJ. The relation between insecure attachment and child anxiety: a meta-analytic review. J Clin Child Adolesc Psychol. 2011; 40(4):630-45.

18. Kerns KA, Brumariu LE. Is Insecure Parent-Child Attachment a Risk Factor for the Development of Anxiety in Childhood or Adolescence? Child Dev Perspect. 2014 Mar 1;8(1):12-17.

19. Gander, M., Sevecke, K., & Buchheim, A. (2015). Eating disorders in adolescence: attachment issues from a developmental perspective. Frontiers in psychology, 6, 1136.

20. Nakash-Eisikovits O, Dutra L, Westen D, Relationship Between Attachment Patterns and Personality Pathology in Adolescents, Journal of the American Academy of Child & Adolescent Psychiatry,

Vol 41, Issue 9, 2002, Pages 1111-1123,

21. Steele KR, Townsend ML, Grenyer BFS. Parenting and personality disorder: An overview and meta-synthesis of systematic reviews. PLoS One. 2019