Are Insecure Attachment Styles Related to Risky Sexual Behavior? A Meta-Analysis
Are Insecure Attachment Styles Related to Risky Sexual Behavior? A Meta-Analysis
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DOI：
10.1037/hea0000821
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发表时间：
2020-01-01
影响因子：
4.2
通讯作者：
Miller, Lynn Carol
中科院分区：
文献类型：
--
作者：
Kim, Hye Min;Miller, Lynn Carol
目的：依恋理论为理解影响人际关系和一系列健康行为结果的个体差异提供了一个强有力的框架。然而，还没有元分析来研究成人依恋风格和危险性行为之间的关系。这项荟萃分析的目的是综合成人依恋和危险性行为之间的关联的结果。方法：通过PsycINFO、Web of Science和Google Scholar检索关键词。我们使用综合荟萃分析（CMA）3.0对来自16项研究（总N= 7，233）的42个效应量进行了系统综合和分析。结果如下：依恋焦虑对拥有多个伴侣的影响很小（Fisher's Z= 0.09，95% CI [0.021，0.154]; I-2=80.4%）和无安全套性行为（Fisher's Z= 0.09，95% CI [0.006，0.175]; I-2=82.5%），而依恋回避对拥有多个伴侣的影响很小（Fisher's Z= 0.06，95%CI [0.019，0.109]; I-2=57.6%）但对无安全套性行为无影响（Fisher's Z= 0.05，95%CI [-0.024，0.117]; I-2=73.9%）。此外，研究中参与者的平均年龄（z=3.31，beta= 0.01，p= 0.001）和风险人群的类型（z=3.03，beta= 0.12，p= 0.002）被发现是重要的调节因素。结论：不安全的依恋风格与危险的性行为有关，随着参与者平均年龄的增加，以及当研究人群特别是高危人群时，依恋焦虑与拥有多个伴侣之间的相关性更强。
Objective: Attachment theory provides a powerful framework for understanding individual differences affecting interpersonal relationships and a range of health behavior outcomes. However, no meta-analyses have yet to examine the relationship between adult attachment styles and risky sexual behaviors. The purpose of this meta-analysis was to synthesize the results of the association between adult attachment and risky sexual behaviors. Method: Keywords were searched via PsycINFO, Web of Science, and Google Scholar. We used comprehensive meta-analysis (CMA) 3.0 to systematically synthesize and analyze the 42 effect sizes from 16 studies (total N=7,233). Results: Attachment anxiety has a small effect on having multiple partners (Fisher's Z=.09, 95% CI [0.021, 0.154]; I-2=80.4%) and engaging in condomless sex (Fisher's Z=.09, 95% CI [.006, 0.175]; I-2=82.5%), whereas attachment avoidance has a small effect on having multiple partners (Fisher's Z=.06, 95% CI [0.019, 0.109]; I-2=57.6%) but no effect on engaging in condomless sex (Fisher's Z=.05, 95% CI [-0.024, 0.117]; I-2=73.9%). Furthermore, average age of participants in a study (z=3.31, beta=.01, p=.001) and type of risk population (z=3.03, beta=.12, p=.002) were found to be significant moderators. Conclusions: Insecure attachment styles are related to risky sexual behaviors and the correlation between attachment anxiety and having multiple partners is stronger as the average age of participant increases and when the study population is specifically an at-risk population.