SynthesisClinical child and family psychology review2020
The Relation Between Attachment and Depression in Children and Adolescents: A Multilevel Meta-Analysis.
Synthesis in Clinical child and family psychology review, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 86 papers, 7 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
86 citing papers in PubMed, 7 syntheses or guidelines pooled it, 255 citations in OpenAlex.
- Prevalence and outcomes of central line-associated bloodstream infections in intensive care units in Saudi Arabia: a systematic review and meta-analysis.Frontiers in microbiology · 2026Pooled it
- Relationship between online social support and problematic internet use: a three-level meta-analysis.BMC psychology · 2025Pooled it
- Shifting reliance between the internal and external world: A meta-analysis on visual-working memory use.Psychonomic bulletin & review · 2025Pooled it
- Effectiveness of family-based therapy for depressive symptoms in children and adolescents: A systematic review and meta-analysis.International journal of psychology : Journal international de psychologie · 2023Pooled it
- The effects of school-based interventions on physiological stress in adolescents: A meta-analysis.Stress and health : journal of the International Society for the Investigation of Stress · 2022Pooled it
- The Association between Interparental Conflict and Youth Anxiety: A Three-level Meta-analysis.Journal of youth and adolescence · 2021Pooled it
- Attachment Styles in Major Depressive Disorder: A Systematic Review and Meta-Analysis.Clinical psychology & psychotherapyPooled it
- Parents' experiences with the Circle of Security Parenting (COSP) intervention - a scoping review of qualitative studies.International journal of qualitative studies on health and well-being · 2026Article
- Adolescents' Attachment-Related Insecurity with Custodial Grandmothers: Relations to Their Internalizing and Externalizing Symptoms.Family relations · 2026Article
- The Longitudinal Association Between Parent-Child Attachment and Adolescent Depressive Symptoms: Moderation by Oxytocin Receptor Polymorphisms.Behavioral sciences (Basel, Switzerland) · 2026Article
- The Role of Family Environments in Parent-Adolescent Discrepancies in Adolescents' Depressive Symptoms.Child psychiatry and human development · 2026Article
- Examining Attachment Styles and Internal Working Models in Relation to Physical and Mental Health in an Italian Sample.Clinical neuropsychiatry · 2026Article
- Mapping What Works to Strengthen the Relational Ecology of Early Child Development: A Systematic Scoping Review.Clinical child and family psychology review · 2026Article
- Adverse childhood experiences, bullying victimization, and depressive symptoms among Chinese adolescents: the moderating role of perceived social support.BMC public health · 2026Article
- Sibling relationships as a mediator and a moderator between parental attachment and depression among adolescents.BMC psychology · 2026Article
- Associations between parent-child attachment and psychotic-like experiences among adolescents in rural China: The moderating role of parental migration.BMC psychology · 2026Article
- The impact of family and peer relationships on developmental trajectories of depressive and anxiety symptoms among young people: a person-oriented approach.Child and adolescent psychiatry and mental health · 2026Article
- Family structure, adolescent mental health, and the role of advisors in the cultural and social context of South Korea.Scientific reports · 2026Article
- The latent profiles of parent and peer attachment through the lens of adolescents: differences in life satisfaction, resilient mindset, basic psychological needs, and relative deprivation.Frontiers in psychology · 2026Article
- "Mommy, do you love your phone more than me?": Parental device use and the adolescent-caregiver attachment bond.Frontiers in psychology · 2026Article
26 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Insecure attachment to primary caregivers is associated with the development of depression symptoms in children and youth. This association has been shown by individual studies testing the relation between attachment and depression and by meta-analyses focusing on broad internalizing problems instead of depression or adult samples only. We therefore meta-analytically examined the associations between attachment security and depression in children and adolescents, using a multilevel approach. In total, 643 effect sizes were extracted from 123 independent samples. A significant moderate overall effect size was found (r = .31), indicating that insecure attachment to primary caregivers is associated with depression. Multivariate analysis of the significant moderators that impacted on the strength of the association between attachment security and depression showed that country of the study, study design, gender, the type of attachment, and the type of instrument to assess attachment uniquely contributed to the explanation of variance. This study suggests that insecure attachment may be a predictor of the development of depression in children and adolescents. When treating depression in children, attachment should therefore be addressed.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.