Attachment style as a piedictor of sexual attitudes and behavior in late Adolescence

Abstract

This research applied attachment theory to the study of sexual attitudes and behaviors in a sample of late adolescents. Four hundred and seventy heterosexual undergraduate students completed questionnaires assessing attachment (discomfort with closeness; anxiety over relationships). relationship history, communication about sex. sexual self-efficacy and locus of control, and attitudes to condoms. Eight weeks later, participants reported on sexual behaviors occurring during the eight-week interval. and perceived risk of these activities. Both discomfort with closeness and anxiety over relationships were associated with external locus of control for sexual outcomes, and with use of drugs before sexual contact. Anxiety over relationships was linked to unsafe sex and to negative attitudes to condoms, but discomfort with closeness was associated with a more cautious approach to sexual risk-taking. Some results were qualified by gender differences. and by differences between the full sample and those who were sexually active. The findings arc discussed in terms of attachment style and its links with communication and affect regulation.

SUMMARY AND CONCLUSIONS

This study indicates that attachment dimensions are reliably related to many aspects of sexual attitudes and behaviors among late adolescents. Insecure attachment was linked to increased drug use before sexual contact. Anxiety over relationships was also linked to less safe sexual practice, but discomfort with closeness was associated with a tendency for males to be cautious about sexual risk-taking. The results support the utility of the attachment perspective on adolescent sexuality, but also highlight the complex relations between attachment dimensions and sexual outcomes. Future research would benefit from more detailed investigations of the attitudes, emotions, and cognitions which may mediate the link between attachment style and sexual behavior. For example, those who are highly anxious about their relationships may engage in more risky sexual practices because they fear that non-compliance with partners' wishes will jeopardize their relationship; the tendency to engage in drug use before sexual cpntact may reflect their attempts to boost self-confidence or to manage negative mood states. Research into these issues has the potential to explain how attachment insecurity is played out in patterns of sexual activity.     

Adult attachment and emotional control

The connection between attachment style and affect regulation, proposed by attachment theorists, was explored in the context of long-term dating relationships. Seventy-two couples completed questionnaire measures of attachment (using a four-group forced-choice item, together with scales tapping Comfort with closeness, and Anxiety over relationships) and emotional control (in which subjects rated own and partner's control of anger, sadness, and anxiety, and the extent to which partners wanted them to control these emotions). Couples in which both partners endorsed insecure attachment styles (using the forced-choice measure) reported greater emotional control than did couples with two secure partners. Data from the attachment scales also supported the link between insecure attachment and emotional control: Comfort with closeness was negatively related both to one's own emotional control and to perceptions that partners wanted subjects to control their sadness; Anxiety over relationships was associated with perceptions that partners controlled sadness and wanted subjects to control their anger and sadness. The link between insecure attachment and the control of negative emotion remained significant when the frequency of experiencing such emotion was controlled. The association between attachment dimensions and other responses to negative emotions was also explored, and was consistent with attachment theory.     

A six-month follow-up of adolescents' sexual risk-taking,HIV/AIDS knowledge,and attitudes to condoms

A follow-up study was conducted to investigate change in sexual behaviour, knowledge about HIV/AIDS transmission, and attitudes to condoms over a 6-month period in a sample of late-adolescent students. The study also obtained subjective reports of HIV/AIDS-relevant change. Overall there was a decrease in sexual risk-taking behaviour with casual partners but no change occurred in sexual behaviour with regular partners, knowledge about HIV/AIDS, attitude towards condoms, or intention to use a condom on next sexual encounter. Examination of individual data revealed that, for some adolescents where behavioural change had occurred, this was in the direction of less safe sex. There were few self-reports of change in sexual behaviour, intention to take precautions against HIV/AIDS, or concern about HIV/AIDS over the preceding 6 months. Subjective reports of behaviour change did not correspond with reports of actual behaviour. Low rates of behaviour change are attributed to the failure of adolescents to personalize the threat of AIDS and to their trust in the safety of sex with a regular partner as well as to the lack of relevance of HIV/AIDS education campaigns to this group.     

The relationship between childhood sexual abuse and sexual health practices of homeless adolescents

This study explored the gender differences in sexual self-concept, personal resources for sexual health, safe sex behaviors, and risky sexual behaviors among homeless adolescents with and without histories of sexual abuse. Data for this secondary analysis were collected in 2003 to 2004 in the first phase of a larger repeated-measures sexual health intervention study; 371 homeless youth between 16 and 23 years of age (M = 19.26, SD = 1.83) were recruited from a street outreach center. The majority (64.6%) of participants were males. Self-report instruments were completed at the outreach center via audio computer-assisted self-interview (A-CASI) format. It was found that female participants were better off than males on numerous measures of sexual health behaviors and attitudes. Sexually abused participants had significantly less future time perspective (p = .05), fewer sexual self-care behaviors (p = .04), and less social support than nonabused participants (p = .01) and almost significantly more sexual risk-taking (p = .08). However, no significant differences were found between abused and nonabused participants on sexual self-concept, self-efficacy or intention to use condoms, safe sex behaviors, AIDS knowledge, assertive communication, or self-efficacy to perform testicular/ breast self-exams. Overall, participants who did not report a history of sexual abuse had significantly more sexual health resources and engaged in fewer sex-risk behaviors than those who reported having been abused. These differences have notable implications for screening adolescents for a history of sexual abuse. Adolescents who report sexual abuse should receive risk counseling and be screened regularly for the development of sexual risk behaviors.     

School-aged Children’s Psychobiological Divergence as a Prospective Predictor of Health Risk Behaviors in Adolescence

Recent attachment research suggests that children with avoidant attachment often underreport their psychological distress compared to their physiologic indicators of distress (neuroendocrine reactivity, startle response, event-related potentials). This pattern of behavior (referred to as psychobiological divergence) may confer risk for suboptimal coping behaviors, including substance use, sexual risk-taking, and non-suicidal self-injury (NSSI), because individuals who are not aware of or cannot express their emotional needs may engage in maladaptive strategies to regulate their emotions. In the current pilot study (N?=?45 youth), we investigate whether psychobiological divergence of neuroendocrine and self-reported reactivity in middle childhood prospectively predicts health risk behaviors (HRBs) in adolescence. The results revealed that divergence was significantly associated with adolescents’ substance use and non-suicidal self-injury (NSSI), but not with their sexual behavior. Among adolescents currently reporting low levels of attachment security, divergence was associated with greater self-reported NSSI. Our results provide initial evidence that psychobiological divergence confers risk for substance use and NSSI in combination with current relational distress. We discuss the implications of our findings for adolescent development and clinical risk.     

亲子性话题沟通风格对青少年性行为和性态度的预测： 依恋的调节效应

采用问卷法探讨了亲子间性话题沟通风格与青少年性行为、性态度的关系,并考查了亲子依恋的调节效应。结果发现：（1）两个关于性别、父母职业和受教育程度的多元方差分析表明：男生与女生在与父亲和母亲的性话题沟通开放性上均没有显著差异,与父亲和母亲性话题沟通的舒适感上有显著差异。男生与父亲的性话题沟通风格好于与母亲的,而女生与母亲的性话题沟通风格好于与父亲的。父母的职业和受教育程度以及青少年性别、父母职业、受教育程度的交互作用不显著;（2）进一步的结构方程模型分析表明：青少年与父母性话题沟通开放性对性行为具有显著的负向预测作用,对不赞同同伴性行为的态度具有显著的正向预测作用;而青少年与父母性话题沟通舒适感对不赞同同伴性行为的态度具有显著的负向预测作用;（3）依恋对性话题沟通和青少年的性行为的关系有显著的调节作用,与完全安全依恋的家庭相比,在与父母依恋都不安全的家庭中,青少年与父母性话题沟通的开放性对青少年的性行为有更强的预测力     

Attachment,caregiving, and marital satisfaction

This research tested the proposition that attachment and caregiving are central, interrelated components of adult love relationships. A sample of 229 married couples was used to assess the association between attachment and caregiving styles and the implications of these variables for marital satisfaction. There was evidence of partner matching in terms of dimensions of attachment (Comfort with closeness, Anxiety over relationships) and caregiving (Responsive care, Compulsive care). Secure attachment (high Comfort with closeness, low Anxiety over relationships) was associated with beneficial caregiving to the spouse (high Responsive care, low Compulsive care). These associations were modest in size, however, suggesting that attachment and caregiving are separate constructs; further, these constructs were related in different ways to retrospective reports of early parenting. Marital satisfaction was higher for securely attached spouses, and for those whose partners reported more beneficial caregiving. For husbands, however, the link between caregiving and satisfaction was restricted to short-term marriages, and to those high in Anxiety over relationships. Overall, the results support the role of attachment and caregiving in marriage, but suggest that variables such as gender have important moderating effects.     

Anxiety sensitivity and risk-taking behavior

High trait anxiety has been linked with risk-avoidant decision-making, though little is known regarding the specific facets of anxiety contributing to this negative association. Anxiety sensitivity (AS), a transdiagnostic vulnerability factor for anxiety-related pathology, may be particularly relevant to risk decision-making given that risk-taking behaviors generate heightened somatic arousal and produce many of the sensations feared by individuals with high AS. Two studies were conducted to investigate the relation between AS and risk decision-making. In the first study, 268 undergraduate students completed a series of questionnaires that included measures of AS and gambling behaviors. Significant negative correlations were observed between AS and several gambling-related risk-taking activities, and hierarchical multiple regression analyses indicated that AS scores added significant incremental validity in predicting risk-taking over and above demographic variables, negative affect, and trait anxiety. In the second study, 43 participants who had screened for high (n = 20) or low (n = 23) AS completed the Iowa gambling task, a behavioral measure of risk-taking. Results indicated that, when placed under conditions of risk, individuals with high AS engaged in significantly less risk-taking than their low AS counterparts. The implications of these findings and potential directions for future research are discussed.     

积极同伴压力、自尊对青少年不同冒险行为的影响

该研究基于问题行为理论,采用问卷法对普通高中、中职院校689名青少年学生进行调查,探讨了积极同伴压力、自尊对青少年不同冒险行为的影响及其交互作用和学校差异。结果表明:(1)中职院校生的积极同伴压力和冒险行为都显著高于普通高中生;(2)积极同伴压力不能预测青少年的适应不良冒险行为,但可显著预测普通高中生的社会可接受冒险行为;(3)自尊可显著负向预测青少年的适应不良冒险行为,显著正向预测普通高中生的社会可接受冒险行为;(4)自尊仅可以调节普通高中生的积极同伴压力与社会可接受冒险行为的关系:高自尊增强了高积极同伴压力对青少年社会可接受冒险行为的影响;但它不能调节无论哪所学校青少年的积极同伴压力与适应不良冒险行为的关系。     

Attachment style and subjective motivations for sex

The relation of attachment style to subjective motivations for sex was investigated in an Internet survey of 1999 respondents. The relations of attachment anxiety and avoidance to overall sexual motivation and to the specific motives for emotional closeness, reassurance, self-esteem enhancement, stress reduction, partner manipulation, protection from partner's negative affect and behavior, power exertion, physical pleasure, nurturing one's partner, and procreation were explored. As predicted, attachment anxiety was positively related to overall sexual motivation and to all specific motives for sex, with the exception of physical pleasure. Avoidance was negatively related to emotional closeness and reassurance as goals of sex and positively related to manipulative use of sex but minimally related to most other motives. Sexual passion was positively related to attachment anxiety and negatively related to avoidance, and anxiety was related to the maintenance of passion over time, whereas avoidance was related to loss of passion over time.     

Health-protective effects of attachment among African American girls in psychiatric care

African American girls in psychiatric care are at increased risk for HIV and sexually transmitted infection (STI) through sexual risk taking. Adolescent sexual behavior often reflects peer norms and behavior. Secure attachment patterns with mothers and peers might lessen the effects of negative peer influences and reduce sexual risk taking among African American girls. This study examined the relationships among mother-daughter and peer attachment, peer norms, and sexual-risk behaviors in African American girls seeking outpatient psychiatric care. A group of 12-16-year-old African American girls (N = 262; M age = 14.45 years) reported on their attachment to their mothers and peers, peer risk-taking and dating behaviors, peer pressure, and sexual-risk behaviors (e.g., number of partners, high-risk partners, and condom use). Structural equation modeling examined whether peer attachment and peer norms mediated the relationship between mother attachment and sexual risk. Findings supported peer norms, but not peer attachment, as a mediator of mother attachment and girls' sexual-risk behaviors. Findings revealed important family and peer factors for African American girls in psychiatric care. HIV prevention programs may be strengthened by improving mother-daughter relationships, addressing the importance of peer relationships, and emphasizing how secure mother-daughter relationships can temper the impact of peer norms.     

Eating attitudes and their psychological correlates among Turkish adolescents

This study examined the eating attitudes and psychological characteristics of Turkish late adolescents. Seven hundred eighty-three university students were administered the Eating Attitudes Test, Rosenberg Self-Esteem Scale, State-Trait Anxiety Inventory, and Social Physique Anxiety Scale. More than one in ten (9.2% of the males and 13.1% of the females) had abnormal eating attitude scores. Chi-square analysis revealed that there were no significant differences in the prevalance of abnormal eating behaviors based on gender. Analysis of covariance indicated that participants who had disturbed eating attitudes had lower self-esteem, higher social physique anxiety, and higher trait anxiety than those who had normal eating attitudes. It was concluded that the prevalence of disturbed eating attitudes was high among these Turkish late adolescents, and that disturbed eating attitudes were related to several psychological characteristics.     

The attachment system in fledgling relationships: an activating role for attachment anxiety

Is it sensible to study attachment dynamics between potential romantic partners before they share a full-fledged attachment bond? The present data indicate that such an approach may reveal novel insights about initial attraction processes. Four studies suggest that the state-like experience of attachment anxiety has functional implications within fledgling (i.e., desired or undeveloped) romantic relationships, well before the formation of an attachment bond. Studies 1 and 3 reveal that attachment anxiety directed toward a particular romantic interest is elevated before (in comparison with after) participants report being in an established relationship. Studies 2 and 3 demonstrate that such partner-specific attachment anxiety predicts attachment-relevant outcomes in fledgling relationships, including proximity seeking, safe haven, secure base, passionate love, and other approach behaviors. These associations were reliable above and beyond (and were typically as strong as or stronger than) the effect of sexual desire. Finally, Study 4 presents evidence that partner-specific attachment anxiety may cause several of these attachment-relevant outcomes. Attachment anxiety seems to be a normative experience and may signal the activation of the attachment system during the earliest stages of romantic relationships.     

Facets of grandiose narcissism predict involvement in health-risk behaviors

Why do adolescents and young adults engage in risk-taking behaviors? The present study sought to examine the role of grandiose narcissism, as well as narcissistic traits (entitlement, exploitativeness, grandiosity), in the prediction of involvement in risk-taking behaviors. Participants were 630 undergraduates, split into two subgroups, who completed measures assessing likelihood of and actual involvement in risk-taking behaviors, perceived risks and benefits of the behaviors, delay discounting, grandiose narcissism, and narcissistic traits. Greater levels of grandiose narcissism predicted reported likelihood of risk-taking and risk-taking behaviors in the past 30 days. This relationship appears driven by grandiosity and exploitativeness rather than entitlement. Grandiose narcissism and entitlement were independently associated with a preference for smaller, more immediate gains over larger, temporally distant rewards. Implications for understanding reasons behind risk-taking behaviors and future studies of narcissism are discussed.     

Ageism,Sensation-Seeking,and Risk-Taking Behavior in Young Adults

The research investigated the relationships among ageism, sensation-seeking, and risk-taking in young adults. Recent research has shown that young adults reporting higher levels of ageist attitudes and ageist behaviors also report higher levels of risk-taking in daily life than those with less ageist attitudes and behaviors (Popham et al. in press). The results are consistent with terror management theory; young adults may attempt to buffer their death anxiety by seeking out experiences that make them feel strong and invulnerable (i.e., taking risks). In contrast, prior research has shown that there is a link between risk-taking and sensation-seeking and that individuals may be biologically predisposed to be high sensation-seekers (Zuckerman Behavioural and Brain Sciences 7:413–471, 1984; Neuropsychobiology 13:121–128, 1985). In a study with 475 undergraduates, we investigated the relationships among ageism, sensation-seeing, and risk-taking behavior. The results showed that ageist behavior and two dimensions of sensation-seeking (i.e., Disinhibition and Experience Seeking) were significant predictors of risk-taking. Implications for practical approaches to reduce risk-taking in young adults are discussed.     

Death anxiety and sexual risk-taking: different manifestations of the process of defense

College students(n = 162) completed measures of death anxiety and sexual risk-taking, with a thought listing procedure in-between. Those who completed the death anxiety measure first (Death Salient condition) reportedgreater willingness to engage in high-risk sexual behavior than the Non-Death Salient group. This result was consistent with the hypothesis that evoking death anxiety would produce denial-based defensive activity. Also, Death Salient participants reporting more death thoughts were lower on risk-taking, as predicted. Interestingly, Death Salient participants reporting stressful thoughts about issues unrelated to personal mortality (displacement) were also less willing to engage in high-risk sexual behavior. The results are discussed in relation to a new, avowal-based model of the process of psychological defense.     

Death anxiety and sexual risk-taking: different manifestations of the process of defense

College students(n = 162) completed measures of death anxiety and sexual risk-taking, with a thought listing procedure in-between. Those who completed the death anxiety measure first (Death Salient condition) reportedgreater willingness to engage in high-risk sexual behavior than the Non-Death Salient group. This result was consistent with the hypothesis that evoking death anxiety would produce denial-based defensive activity. Also, Death Salient participants reporting more death thoughts were lower on risk-taking, as predicted. Interestingly, Death Salient participants reporting stressful thoughts about issues unrelated to personal mortality (displacement) were also less willing to engage in high-risk sexual behavior. The results are discussed in relation to a new, avowal-based model of the process of psychological defense.     

Religiosity and Adolescents’ Involvement with Both Drugs and Sex

Previous research has shown that religion reduces adolescents’ risk of substance use, while having little impact on sexual risk-taking. However, few studies have examined how religion might mitigate adolescents’ involvement with both drugs and sex. Using the Child Development Supplement (CDS) in combination with the Panel Study of Income Dynamics (PSID), we fill this gap by determining how adolescents’ involvement with both drugs and sex is related to religiosity. We find the statistically significant relationship between religiosity and adolescents’ involvement in both risk behaviors is accounted for by school attachment, but the relationship between religiosity and drugs is robust.     

Adolescents' perceptions of friends' and parents' attitudes to sex and sexual risk-taking

This study investigated the association between adolescents' perceptions of parental and peer attitudes towards sexuality and AIDS precautions, and the risky sexual behaviours of 1008 sexually active, heterosexual undergraduate students aged 17-20 years. Students were asked to rate the extent to which their mothers, fathers and friends would agree or disagree with 16 statements reflecting support of the adolescent engaging in sexual behaviour and using sexual precautions, including precautions against AIDS. The adolescents also indicated whether they were sexually active and their level of condom use in both ‘regular’ (or steady) and ‘casual’ relationships. Results indicated that adolescents perceived their parents as non-liberal in their sexual attitudes and relatively unlikely to discuss sex or precautions with them. Parents were viewed as more accepting of their sons' sexual behaviours than of their daughters'. Adolescents believed that peers were more likely to discuss sexuality and precautions than parents, and were more liberal in their sexual attitudes. Adolescent sexual risk-taking was related to the perceived attitudes of significant others in ways which varied across gender and type of relationship. Implications for interventions are discussed.