Mark 2017
Mark 2017
To cite this article: Kristen P Mark, Laura M Patrick & Sarah H Murray (2017): The Impact of
Attachment Style on Sexual Satisfaction and Sexual Desire in a Sexually Diverse Sample, Journal
of Sex & Marital Therapy, DOI: 10.1080/0092623X.2017.1405310
Article views: 7
Corresponding Author:
Kristen Mark
College of Education
University of Kentucky
Lexington KY 40506
859-257-8935
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Abstract
Research has indicated that adult romantic attachment is influential and important to
sexual and relationship satisfaction. Sexual desire, although not a direct focus of
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it may also be impacted by attachment style in romantic couples. However, the research
conducted on sexual desire, sexual satisfaction, and attachment has been largely
literature thus far are relevant in a sexually diverse group of individuals. The current
study aimed to better understand the way that attachment style may impact sexual
men and women. In total, 955 individuals (63.4% cis-gender women, 30.7% cis-gender
men, 6.0% genderqueer; 54.8% straight, 20.4% bisexual, 18.4% gay) participated in a
(29% of variance accounted for), sexual satisfaction (19% of variance accounted for),
and sexual desire (4% of variance accounted for). Attachment style appears to be a
more important contributing factor to satisfaction than desire amongst diverse sexual
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Keywords: attachment, sexual satisfaction, relationship satisfaction, sexual desire
Introduction
relationships has been linked to sexual and relationship satisfaction (e.g., Brassard,
Peloquin, Dupuy, Wright & Shaver, 2012; Hazan & Shaver, 1987; Impett, Gordon &
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Strachman, 2008; Peloquin, Brassard, Lafontaine & Shaver, 2014) and it is important
and integral to long-term relationship success (Hazan & Shaver, 1987; Hollist & Miller,
2005; Peloquin et al., 2014). However, to date, research has been based on college-
aged individuals (e.g., Feeney, Peterson, Gallois & Terry, 2000; Schachner & Shaver,
2004) or heterosexual couples (e.g., Brassard et al., 2012; Impett et al., 2008; Peloquin
et al., 2014). Same-sex couples, in contrast, have largely been absent from the
sexuality and attachment literature. The current study aims to better understand the way
that attachment may impact sexual desire, sexual satisfaction, and relationship
Attachment theory was first proposed by Bowlby (1969; 1973; 1980) to describe
the emotional bond that develops between an infant and their primary caregiver. For
nearly two decades, attachment theory was discussed solely in the context of mother-
infant dynamics. However, in 1987 researchers Hazan and Shaver proposed that the
same presumptions about attachment between parent and child could be used to
researchers suggested that attachment patterns that develop during infancy could
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influence the quality of close relationships individuals form when they are adults (Hazan
& Shaver, 1987). True to their hypothesis, Hazan and Shaver, in their 1987 study of 620
men and women, discovered that while secure adults described their relationships as
“happy, friendly, and trusting” (pg., 515), avoidantly attached adults experienced a fear
obsession, extreme sexual attraction, and jealousy. Since its initial introduction, the
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concept of adult romantic attachment has evolved. Most researchers have moved away
from typologies and view attachment as a continuum along two dimensions: anxiety and
It has been well documented that sexual satisfaction is highly correlated to, and
predictive of, relationship success (Mark, 2014; Mark & Murray, 2012; Willoughby &
Vitas, 2012). More recently, attachment has been found to influence sexual satisfaction
Mikulincer and Shaver (2007) suggested that individuals high in anxiety and avoidance
employ different sexual strategies that fulfil their attachment-related needs. In a study of
attachment was also found to be associated with lower emotional closeness to one’s
partner and fewer expressions of intimacy. The absence of these factors in a romantic
partnership has been found to negatively impact sexual satisfaction (Peloquin et al.,
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2014; Schachner & Shaver, 2004). Consequently, it appears that avoidantly attached
found to be uncertain of their worthiness of love, making them actively seek out
reassurance from their partners. Some of these individuals were preoccupied with their
own needs and had difficulty perceiving the needs of their partner (Peloquin et al.,
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2014). Research has also shown that anxiously attached individuals are likely to use
sex to increase their confidence and their ability to cope with difficult emotions (Hollist &
Miller, 2005; Impett & Peplau, 2003; Peloquin et al., 2014; Scachner & Shaver, 2004).
These individuals are also more willing to consent to unwanted sex, another mediating
factor that has been found to be related to decreased sexual satisfaction (Muise, Impett
attain something not currently attained that brings us towards and away from sexual
behavior (Kandel, 1999; Levine, 2002; Regan & Atkins, 2006; Regan & Bersheid, 1995).
Sexual desire has also been found to be positively and significantly related to sexual
and relationship satisfaction (Mark, 2014; Mark & Murray, 2012, Sprecher, 2002).
Specifically, couples who report higher levels of sexual desire (Mark, 2014) and couples
who experience lower levels of sexual desire discrepancy (Mark & Murray, 2012) are
concluded that sexual desire influences, and is related to, sexual satisfaction. Further,
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as sexual satisfaction is related to attachment (Brassard et al., 2012; Hazan & Shaver,
1987; Impett et al., 2008; Peloquin et al., 2104) it may be that sexual desire is also
related to attachment. In fact, researchers have suggested that individuals with avoidant
attachment may experience less sexual desire whereas individuals with anxious
desire (Mikulincer & Shaver, 2007). However, to date, no direct link has been explored
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between how desire and attachment style may be related in the sexuality literature.
relationship satisfaction (Brassard et al., 2012; Hazan & Shaver, 1987; Hollist & Miller,
2005; Impett et al., 2008; Peloquin et al., 2014). Sexual desire, although not a direct
the research conducted on sexual desire, sexual satisfaction, and attachment has been
et al., 2012; Peloquin et al., 2014), making it difficult to determine whether the findings
presented above would hold true amongst a sexually diverse group of individuals.
Further, the interpretations of dynamics between men and women made by prior
research use propositions from Sexual Script Theory and Sexual Role Theory to explain
differences between men and women that do not necessarily lend themselves to
describe or understand how same sex couples may experience attachment in relation to
their sexual satisfaction. The current study aimed to explore the relationship between
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attachment, relationship satisfaction, sexual satisfaction, and sexual desire amongst
individuals with diverse sexual orientations and to explore what, if any, between group
differences exist.
Method
Participants
participate. Due to missing data, 142 participants were removed from the data for analysis.
Therefore, the analytic sample consisted of 955 participants; 605 (63.4%) cis-gender women,
293(30.7%) cis-gender men, and 57 (6.0%) genderqueer. Most of the participants were straight
(n=523; 54.8%), 109 (11.4%) identified as gay, 67 (7.0%) as lesbian, and 194 (20.4%) as
bisexual. Majority of the participants were White (87.4%), married or cohabiting (62.4%), had at
least one child (79.5%), had at least some level of college (93.4%), and did not identify with any
religion (54.5%). The average age of the participants was 33 years. Table 1 demonstrates
Procedure
Recruitment took place through Mechanical Turk (mTurk) where participants were paid .30
cents for the task. Recruitment was also conducted through social networking sites (e.g.,
Facebook, Twitter), email listservs, and targeted recruitment for sexual minority participants on
online forums. Participants recruited from these mediums were entered into a draw to win one of
four $40 Amazon gift cards. If eligible (over 18 years of age, experience with at least one
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romantic relationship), individuals were asked to click on a web link from the recruitment
advertisement to access additional survey information and, if they chose, to consent to participate
in the study. Participants read an informed consent sheet, and clicked “I consent to participate”
or “I do not consent to participate”. If the participant provided their consent to participate, they
were directed to the survey. There was not a time limit on participation and they could
discontinue participation at any time for any reason without penalty. All research protocol was
approved by the first author’s institutional review board. Research has suggested that web-based
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surveys may be a more comfortable environment to collect data on sensitive issues such as
sexuality and relationships, and the data collected may be more accurate when collected online
(Turner, Ku, Rogers, Lindberg, Pleck, & Stonenstein, 1998). Additionally, data collected online
Measures
Sexual satisfaction was assessed using the General Measure of Sexual Satisfaction Scale
(GMSEX; Lawrance & Byers, 1992). The GMSEX is a 5-item measure used to assess
satisfaction with the sexual relationship. The scale is scored on a 7-point semantic differential
and higher scores are indicative of greater sexual satisfaction. This scale has shown strong
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psychometric properties (Mark, Herbenick, Fortenberry, Sanders, & Reece, 2014) and in the
Satisfaction (GMREL; Lawrance & Byers, 1992). The GMREL measures satisfaction with one’s
overall relationship with their partner. Similar to the GMSEX, the GMREL is a 5-item scale
rated on a 7-point semantic differential and higher scores are indicative of greater relationship
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satisfaction. This scale has shown strong reliability and validity in previous studies (Lawrence &
Byers, 1992; 1995) and in the current sample, the Cronbach’s alpha was .97.
Sexual desire was assessed using the Dyadic Subscale of the Sexual Desire Inventory
(SDI-D; Spector, Carey, & Steinberg, 1996). The SDI-D is an 8-item measure that assesses an
individual’s interest in dyadic sexual activity over the past month (e.g. “When you have sexual
thoughts, how strong is your desire to engage in sexual behavior with a partner?”) and higher
scores are indicative of higher dyadic sexual desire. The SDI-D has shown strong evidence of
reliability and validity in previous studies (Baumeister, Catanese, & Vohs, 2001) and in the
Attachment style was assessed using the Experience in Close Relationships Scale – Short
form (ECR-S; Wei, Russell, Mallinckrodt, & Vogel, 2007). The ECR-S consists of two 6-item
Likert scales: one for anxiety (e.g. I’m afraid that I will lose my partner’s love.”) and one for
avoidance (e.g. “I try to avoid getting too close to my partner.”). Higher scores indicate higher
levels of insecurity of attachment. The ECR-S has shown strong evidence of reliability and
validity in previous studies (Wei et al., 2007) and in the current sample, the Cronbach’s alpha
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Results
Bivariate Analyses. There was a significant difference in anxious attachment between men,
women, and gender queer identified participants, F(2) = 6.40, p < .01, such that women (M =
22.21, SD = 7.30) and genderqueer participants (M = 23.12, SD = 7.45) were significantly higher
in anxious attachment than men (M = 20.53, SD = 7.48); the size of this significant difference
was small (Hedges’ g = .23). There was not a significant difference between men, women, and
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genderqueer identified participants in avoidant attachment, F(2) = 1.21, p = .30. With regard to
sexual orientation, a similar pattern emerged with significant differences in anxious attachment
F(4) = 2.77, p < .05, but not in avoidant attachment, F(4) = .76, p = .55. Within anxious
attachment patterns, the significant difference was between bisexual (M = 23.18, SD = 7.45) and
straight (M = 21.29, SD = 7.37) participants such that bisexual participants were more anxiously
attached than straight participants; the size of this significant difference was small (Hedges’ g =
.26). To examine between group differences in gender and sexual orientation, a 3 (gender: male,
female, genderqueer) x 5 (orientation: bisexual, gay, lesbian, straight, queer) factorial ANOVA
was run. None of the comparisons in the ANOVA were significant: gender (p = .16), orientation
(p = .19), gender x orientation (p = .94). This does not support examination of each separately
and consequently all further analyses were conducted on the sample as a whole. Additionally,
within the outcome variables of interest, there were no significant differences in sexual or
relationship satisfaction between orientation groups (all p > .05) or gender categories (all p >
.05). There was a significant main effect of gender in sexual desire F(2) = 10.53, p < .001, such
that women (M = 53.69, SD = 11.31) scored significantly lower on sexual desire than men (M =
57.21, SD = 10.31), but no significant differences were found with genderqueer participants; the
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size of this significant difference was small to medium (Hedges’ g = .32). There was also a
significant difference on sexual desire between orientation groups, F(3) = 3.71, p < .05.
11.21) participants on sexual desire; the effect size of these differences were small to medium
Multivariate Analyses. Three multiple regression analyses were used to test whether
attachment style predicted relationship satisfaction, sexual satisfaction, and sexual desire in our
diverse sample of participants. Age and relationship length were controlled for in all three
models. Both attachment avoidance and anxiety significantly predicted participants’ ratings of
relationship satisfaction, F(4, 667) = 68.747, p < .001, with 29% of the variance accounted for in
the model (adjusted R2 = .29). Specifically, higher levels of both attachment anxiety and
avoidance were predictive of lower levels of avoidance predicted 23.2% of the variance in
relationship satisfaction and anxiety predicted 5.7% of the variance in relationship satisfaction.
Attachment avoidance and anxiety also significantly predicted sexual satisfaction F(4, 667) =
40.478, p < .001, with 19% of the variance accounted for in the model (adjusted R2 = .19).
Similar to relationship satisfaction, higher levels of attachment anxiety and avoidance predicted
lower levels of sexual satisfaction and avoidance predicted 15.4% of the variance in sexual
satisfaction and anxiety predicted 2.7% of the variance in sexual satisfaction. Both attachment
avoidance and anxiety also predicted the participants’ sexual desire, F(4, 667) = 8.432, p < .001,
with 4% of variance accounted for in the model (adjusted R2 = .04). Avoidance predicted 3.3% of
the variance in sexual desire and anxiety predicted 1.8% of the variance in sexual desire; higher
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levels of attachment avoidance predicted lower levels of sexual desire, whereas higher levels of
attachment anxiety predicted higher levels of sexual desire. The regression results are presented
in Table 2.
Discussion
The aim of the current study was to better understand how attachment style impacts
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sexual desire, sexual satisfaction and relationship satisfaction amongst a sexually diverse sample.
The findings offer some support for previous research which has similarly concluded that
securely attached individuals are more satisfied in their sexual and romantic relationships while
avoidantly and anxiously attached individuals report lower satisfaction in these areas (Peloquin
et al., 2014; Schachner & Shaver, 2004). However, our study also expands on past research by
suggesting that these findings, which had only previously been documented with heterosexual
samples, also applies to lesbian, gay, bisexual and queer identified individuals.
While both avoidant and anxious attachment styles significantly and negatively predicted
relationship and sexual satisfaction, an avoidant attachment style was found to account for more
the variance in relationship satisfaction and 15.4% of sexual satisfaction while anxious
attachment only accounted for 5.7% and 2.7% of the variance in these areas respectively. As
individuals with avoidant attachment styles tend to avoid closeness, not rely on others, and be
distressed by closeness and intimacy (Peloquin et al., 2014; Schachner & Shaver, 2004) – it
seems logical that these behaviours and attitudes could result in lower sexual and relationship
satisfaction. Alternatively, while anxiously attached individuals may be preoccupied with their
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own needs (Peloquin et al., 2014; Schachner & Shaver, 2004) – likely having a negative impact
on sexual and relationship satisfaction – these individuals also tend to have a positive view of
their partner and are actively involved in their relationships, thereby potentially moderating some
The findings on attachment and sexual desire are novel as there has been limited research
conducted on this topic to date. The limited research on this topic could, perhaps, be due to the
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fact that the association is low, making it less worthy of study. However, despite the association
between attachment style and sexual desire being small, the findings from the current study
suggest that individuals with avoidant attachment styles had lower levels of sexual desire, which
is consistent with the avoidant attachment style. Specifically, avoidantly attached individuals are
thought to avoid closeness, which may mean denying or restricting their desire for their partner.
They are also more likely to be self-reliant which, when it comes to sex, could suggest they rely
more on themselves for sexual pleasure – perhaps through pornography use and/or masturbation
rather than reaching out to their partner. In contrast, anxiously attached individuals reported
higher levels of desire. This may be due to anxious individuals being overly reliant on their
partners, needing to be close to them, and perceiving their partners in a very favorable light,
Despite analyzing the data by orientation and gender, no significant differences were
found. Given that it is theorized, by some, that attachment styles develop in infancy and remain
fairly stable into adulthood (e.g., Kirkpatrick & Hazan, 1994) it is possible that attachment styles
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develop before our awareness of our sexual orientation or gender identity. These findings also
offer interesting observations about the far and deep-reaching impact of attachment styles, such
that gender and sexual orientation would not be mediating factors. Put another way, attachment
Clinical Implications
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Sex tends to be one of the main reasons why couples seek therapy (Leiblum, & Rosen
2000). The findings from this study suggest that clinical interventions and approaches that focus
on attachment (for example emotionally focused couples therapy; Greenberg & Johnson, 1988)
may be helpful in increasing relationship and sexual satisfaction (and perhaps even sexual
desire). In fact, a recent publication offers specific suggestions and guidelines for how
discrepancy in couples (Girard & Woolley, 2016). The current study offers additional support
that EFT could also be effectively applied to a variety of individuals regardless of gender or
sexual orientation.
It is also important for clinicians working with couples presenting issues around sexuality
to be aware of, and consider, their clients’ attachment styles. Specifically, avoidant and anxious
people may use different strategies to achieve relationship and sexual satisfaction and these may
need to be taken into account in clinical settings and focus on helping the individuals meet their
needs. For example, if a client is either highly interested in (or avoiding) sex their level of
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interest could be a symptom of a larger sense of security (or lack thereof) in the client’s current
the current study, it is important to note that attachment explained only a small portion of the
variance in sexual desire. Therefore the findings are a reminder of the complexity of sexual
desire and that there may be many other factors to focus on in the clinical setting. Specifically, in
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sex therapy we would encourage therapists to continue to explore a wide variety of impacts to
sexual desire (such as medical issues, cultural issues and relational and psychological issues) that
have been repeatedly found to influence men and women’s sexual interest (e.g., Graham,
Sanders, Mlihausen & McBride, 2006; Janssen, McBride, Yarber, Hill, & Butler, 2008; Tiefer,
2001).
Although the current study expanded our understanding of attachment, sexual and
relationship satisfaction and sexual desire to a sexually diverse sample, there are still some
noteworthy limitations. First, the current study used a cross-sectional design which may have
tapped into our variables of interest as states rather than traits. It would be of value to explore
sexual desire, sexual satisfaction and relationship satisfaction over time and whether changes
occur at different stages of a relationship for men and women as well as across new and different
relationships.
Additionally, the current study only included individuals who were in relationships, but
did not include the participants’ partners. Dyadic research, which includes both members of a
couple, would be of value to see how attachment, sexual desire, sexual and relationship
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satisfaction play out in a couple dynamic. This would allow us to better understand the nuances
secure-secure). Of note, some research has been done on the buffering effects of a secure partner
and how insecurely attached couples tend to be worse off (Senchak and Leonard, 1992).
Further, although the current study sample included a sexually diverse sample that has
been missing from the attachment, sexuality and relationship literature, the sample was still
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largely Caucasian and relatively young. Further research that aims to recruit a wider range of
ages and ethnicities would be of value. Finally, while the findings from this study begin to point
to conclusions we can draw about the LGBTQ populations intimate relationships, they are
preliminary and should be implemented with some degree of caution. It is highly recommended
that additional research be conducted with sexually diverse individuals to determine whether
findings from the current study are replicable with other LGBTQ samples.
Conclusions
appears to have a small, but significant impact on sexual desire. These findings help provide a
better understanding of the sexual and romantic lives of LGBTQ* individuals. It is suggested
that clinicians be aware that attachment style may be an important area of focus when working
with individuals of all orientations presenting issues of a sexual and romantic nature.
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Table 1. Demographic characteristics of the sample by gender.
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Religion
Catholic 26 (8.9%) 54 (8.9%) 1 (1.8%) 81 (8.5%)
Christian, other 24 (8.2%) 67 (11.1%) 4 (7.0%) 95 (9.5%)
Hindu 1 (0.3%) 0 (0%) 0 (0%) 1 (0.1%)
Jewish 19 (6.5%) 27 (4.5%) 8 (14.0%) 54 (5.7%)
Mormon 4 (1.4%) 1 (0.2%) 0 (0%) 5 (0.5%)
Muslim 14 (4.8%) 9 (1.5%) 0 (0%) 9 (0.9%)
Protestant 14 (4.8%) 31 (5.1%) 3 (5.3%) 48 (5.0%)
Agnostic/Atheist 167 (57.0%) 326 (53.9%) 27 (47.4%) 520 (54.5%)
34 (11.6%) 86 (14.2%) 13 (22.8%) 133 (13.9%)
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Table 2. Multiple regression analysis for attachment avoidance and anxiety predicting
Predictor B SE β B SE β B SE β
Model 1
Age -.08 .03 -.11** -.14 .03 -.16*** -.07 .04 -.07
Relationship Length -.03 .08 -.01 -.10 .10 -.04 -.08 .12 -.03
Model 2
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Age -.06 .02 -.08* -.12 .03 -.16*** -.05 .04 -.05
Relationship Length -.02 .07 -.01 -.10 .09 -.04 -.09 .12 -.03
Avoidance -.55 .04 -.50*** -.54 .05 -.39*** -.31 .06 -.18***
Anxiety -.12 .03 -.13*** -.10 .04 -.09* .19 .05 .13***
Note. * p < .05, ** p < .01, *** p < .001
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