Footprints from childhood: intra- versus extra-familial childhood maltreatment and attachment to romantic partners in adulthood

Abstract Background Childhood maltreatment may have long lasting consequences on adult attachment and intimate relationships in adulthood. Attached security in adulthood varies depending on the type of abuse and the perpetrator, i.e., intrafamilial vs. extrafamilial. In the current study, we investi...

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Main Authors: Mona K. Shahab, Bernet M. Elzinga, Philip Spinhoven, Frits R. Rosendaal, Brenda W. J. H. Penninx, Dennis O. Mook-Kanamori
Format: Article
Language:English
Published: BMC 2025-07-01
Series:BMC Psychology
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Online Access:https://doi.org/10.1186/s40359-025-03001-7
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author Mona K. Shahab
Bernet M. Elzinga
Philip Spinhoven
Frits R. Rosendaal
Brenda W. J. H. Penninx
Dennis O. Mook-Kanamori
author_facet Mona K. Shahab
Bernet M. Elzinga
Philip Spinhoven
Frits R. Rosendaal
Brenda W. J. H. Penninx
Dennis O. Mook-Kanamori
author_sort Mona K. Shahab
collection DOAJ
description Abstract Background Childhood maltreatment may have long lasting consequences on adult attachment and intimate relationships in adulthood. Attached security in adulthood varies depending on the type of abuse and the perpetrator, i.e., intrafamilial vs. extrafamilial. In the current study, we investigate how different types of childhood maltreatment and of perpetrator are associated with adult attachment. Methods In a sample of 1850 respondents, aged 18–65 from the Netherlands Study of Depression and Anxiety (NESDA), type of childhood maltreatment and of perpetrator were assessed using the Structured Childhood Trauma Interview (CTI), distinguishing four types of childhood trauma: emotional neglect, psychological, physical, and sexual abuse. Adult attachment (attachment avoidance & attachment anxiety) was assessed nine years later, based on the Experience of Close Relationships-Short version questionnaire (ECR-S). Results All four types of trauma (i.e., emotional neglect, and psychological, physical, and sexual abuse) were associated with attachment in adulthood, with the strongest associations observed for emotional neglect and sexual abuse. Attachment anxiety was more pronounced when both parents had been emotionally neglectful. Moreover, individuals who experienced intrafamilial sexual abuse reported more anxious and avoidant attachment in adulthood than those who experienced extrafamilial sexual abuse. Conclusions In clinical practice, it is important to explore the link between relational problems/adult attachment and past traumatic experiences, as they may fundamentally impact feelings of trust and safety. The impact is largest when childhood neglect and abuse occurred within families and when both parents are involved.
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spelling doaj-art-c447ca90a3ea402cb0a4ade9fa8533992025-08-20T04:01:47ZengBMCBMC Psychology2050-72832025-07-0113111210.1186/s40359-025-03001-7Footprints from childhood: intra- versus extra-familial childhood maltreatment and attachment to romantic partners in adulthoodMona K. Shahab0Bernet M. Elzinga1Philip Spinhoven2Frits R. Rosendaal3Brenda W. J. H. Penninx4Dennis O. Mook-Kanamori5Department of Clinical Psychology, Leiden UniversityDepartment of Clinical Psychology, Leiden UniversityDepartment of Clinical Psychology, Leiden UniversityDepartment of Clinical Epidemiology, Leiden University Medical CenterDepartment of Psychiatry, Leiden University Medical CenterDepartment of Clinical Epidemiology, Leiden University Medical CenterAbstract Background Childhood maltreatment may have long lasting consequences on adult attachment and intimate relationships in adulthood. Attached security in adulthood varies depending on the type of abuse and the perpetrator, i.e., intrafamilial vs. extrafamilial. In the current study, we investigate how different types of childhood maltreatment and of perpetrator are associated with adult attachment. Methods In a sample of 1850 respondents, aged 18–65 from the Netherlands Study of Depression and Anxiety (NESDA), type of childhood maltreatment and of perpetrator were assessed using the Structured Childhood Trauma Interview (CTI), distinguishing four types of childhood trauma: emotional neglect, psychological, physical, and sexual abuse. Adult attachment (attachment avoidance & attachment anxiety) was assessed nine years later, based on the Experience of Close Relationships-Short version questionnaire (ECR-S). Results All four types of trauma (i.e., emotional neglect, and psychological, physical, and sexual abuse) were associated with attachment in adulthood, with the strongest associations observed for emotional neglect and sexual abuse. Attachment anxiety was more pronounced when both parents had been emotionally neglectful. Moreover, individuals who experienced intrafamilial sexual abuse reported more anxious and avoidant attachment in adulthood than those who experienced extrafamilial sexual abuse. Conclusions In clinical practice, it is important to explore the link between relational problems/adult attachment and past traumatic experiences, as they may fundamentally impact feelings of trust and safety. The impact is largest when childhood neglect and abuse occurred within families and when both parents are involved.https://doi.org/10.1186/s40359-025-03001-7Childhood MaltreatmentTypePerpetratorAttachment AvoidanceAttachment AnxietyIntrafamilial
spellingShingle Mona K. Shahab
Bernet M. Elzinga
Philip Spinhoven
Frits R. Rosendaal
Brenda W. J. H. Penninx
Dennis O. Mook-Kanamori
Footprints from childhood: intra- versus extra-familial childhood maltreatment and attachment to romantic partners in adulthood
BMC Psychology
Childhood Maltreatment
Type
Perpetrator
Attachment Avoidance
Attachment Anxiety
Intrafamilial
title Footprints from childhood: intra- versus extra-familial childhood maltreatment and attachment to romantic partners in adulthood
title_full Footprints from childhood: intra- versus extra-familial childhood maltreatment and attachment to romantic partners in adulthood
title_fullStr Footprints from childhood: intra- versus extra-familial childhood maltreatment and attachment to romantic partners in adulthood
title_full_unstemmed Footprints from childhood: intra- versus extra-familial childhood maltreatment and attachment to romantic partners in adulthood
title_short Footprints from childhood: intra- versus extra-familial childhood maltreatment and attachment to romantic partners in adulthood
title_sort footprints from childhood intra versus extra familial childhood maltreatment and attachment to romantic partners in adulthood
topic Childhood Maltreatment
Type
Perpetrator
Attachment Avoidance
Attachment Anxiety
Intrafamilial
url https://doi.org/10.1186/s40359-025-03001-7
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