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Sexual Communication Links Insecure Adult Attachment With Sexual Satisfaction Among U.S. College Students.

Maya E Barrett1, Evan J Basting1, Patricia N E Roberson2

  • 1Department of Psychology, University of Tennessee, Knoxville, United States of America.

Couple & Family Psychology
|December 8, 2025
PubMed
Summary

Insecure attachment styles (anxious and avoidant) are linked to lower sexual satisfaction in college students. Poor sexual communication acts as a key mediator, highlighting the need for targeted interventions.

Keywords:
anxious attachmentavoidant attachmentsexual communicationsexual satisfaction

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Area of Science:

  • Psychology
  • Relationship Science
  • Sexual Health

Background:

  • Attachment theory posits that early relationship experiences shape adult attachment styles, influencing interpersonal functioning.
  • Insecure attachment, characterized by anxious or avoidant tendencies, is associated with various relationship difficulties.
  • Sexual satisfaction is a crucial component of overall relationship quality and individual well-being.

Purpose of the Study:

  • To investigate the indirect relationship between insecure attachment (anxious and avoidant) and sexual satisfaction in college students.
  • To examine the mediating role of perceived sexual communication quality in this relationship.
  • To assess both self-perceived sexual satisfaction and partner-derived sexual satisfaction.

Main Methods:

  • Cross-sectional survey data collected from 352 sexually active undergraduate students.
  • Participants completed measures assessing attachment styles, sexual communication quality, and sexual satisfaction (self and partner-derived).
  • Path analysis was used to test the hypothesized indirect effects.

Main Results:

  • Both anxious and avoidant attachment styles were indirectly associated with lower self-sexual satisfaction.
  • Insecure attachment was also indirectly linked to reduced partner-derived sexual satisfaction.
  • Perceived quality of sexual communication significantly mediated these indirect relationships.

Conclusions:

  • Poor sexual communication mediates the negative impact of insecure attachment on sexual satisfaction among college students.
  • Clinicians should consider addressing attachment-related issues and enhancing sexual communication skills in individuals and couples facing sexual dissatisfaction.
  • Future research should focus on developing therapeutic interventions to improve sexual communication, especially for those with high attachment insecurity.