Stay informed on the latest psychology and neuroscience research—follow PsyPost on LinkedIn for daily updates and insights.

A meta-analysis of studies investigating the association between affective attachment and social anxiety found that individuals with insecure attachment are more likely to experience social anxiety. The paper was published in the Journal of Social and Personal Relationships.

Social anxiety is a mental health condition characterized by intense fear or worry about being judged, embarrassed, or negatively evaluated in social situations. It often develops during adolescence, when self-awareness and sensitivity to peer evaluation increase. Genetic predisposition, temperament traits such as shyness, and environmental factors like overprotective parenting or bullying can contribute to its onset. Early negative social experiences, such as humiliation or rejection, may also reinforce anxious responses.

Recognizing social anxiety is important because it can significantly impair education, career opportunities, and relationships. People with social anxiety may avoid speaking in class, meeting new people, or pursuing jobs that involve public interaction. If left untreated, it can lead to isolation, low self-esteem, and secondary problems such as depression or substance use.

Study author Yihan Zhang and colleagues sought to systematize the findings of prior research on affective attachment and social anxiety. Affective attachment refers to the deep emotional bonds individuals form with significant others. It develops early in life through interactions with caregivers, where consistent responsiveness fosters secure attachment and inconsistent or neglectful care can lead to insecure patterns.

Attachment patterns can be described using two psychological traits: attachment anxiety (fear of rejection or abandonment) and avoidance (discomfort with closeness and dependence). Individuals low on both traits are considered securely attached, while those with high levels of one or both are considered insecurely attached.

The researchers searched six scientific databases (ERIC, PsycINFO, PubMed, ProQuest Dissertations and Theses Global, Scopus, and Web of Science) for studies containing attachment and social anxiety or social phobia as keywords. This search yielded 2,224 records. After excluding studies that did not meet inclusion criteria, 42 papers were retained for analysis.

Altogether, the included studies involved 21,332 participants, with mean ages ranging from 19 to 44 years. Gender distribution varied widely, with some studies including only one gender.

Eighty percent of the studies reported a non-zero association between insecure attachment and social anxiety. On average, the strength of this association was in the low-to-medium range, though it varied considerably across studies. The association’s strength depended on the type of insecure attachment—whether characterized by high avoidance, high anxiety, or both—as well as on the method used to assess attachment.

“This meta-analysis confirmed that insecure attachment is significantly and positively related to social anxiety. Additionally, we found that the subcategory of insecure attachment and the instrument used to measure insecure attachment act as significant moderators that influence the association between insecure attachment and social anxiety,” the study authors concluded.

The study sheds light on the links between affective attachment pattern and social anxiety. However, it should be noted that this meta-analysis included only studies published in English. It is possible that including results published in other languages might have affected the overall results.

The paper, “The relationship between insecure attachment and social anxiety in adult people: A three-level Meta-analysis,” was authored by Yihan Zhang, Yihui Wang, Lai Na Siu, and Juan Zhang.