{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T18:56:40Z","timestamp":1790017000214,"version":"4.0.1"},"reference-count":86,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T00:00:00Z","timestamp":1757289600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Marital Family Therapy"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>This systematic review and meta\u2010analysis examines\u00a0the role of romantic attachment as a protective or risk factor in how individuals cope with infertility diagnosis, treatment, and outcomes. A systematic search was conducted across six databases from January 1, 2011, to February 3, 2025. Seventeen studies met inclusion criteria, exploring associations between romantic attachment and individual psychological correlates of infertility. Seven studies examining links between attachment (anxiety and avoidance) and infertility\u2010related stress were included in a meta\u2010analysis. Findings highlight significant associations between insecure attachment and various psychological outcomes, including infertility\u2010related stress, general well\u2010being, mental health symptoms, and body image concerns. Meta\u2010analytic results confirmed moderate, positive associations between both attachment anxiety and avoidance and infertility\u2010related stress. The review underscores the influence of attachment in couple relationships on coping with infertility, emphasizing the distinct roles of attachment anxiety and avoidance. These insights offer valuable clinical implications.<\/jats:p>\n                  <jats:p>\n                    <jats:bold>Trial registration:<\/jats:bold>\n                    PROSPERO (CRD42024523311).\n                  <\/jats:p>","DOI":"10.1111\/jmft.70073","type":"journal-article","created":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T07:02:31Z","timestamp":1757314951000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Attachment Dimensions and Infertility: Exploring Psychological Outcomes Through Systematic Review and Meta\u2010Analysis"],"prefix":"10.1111","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-5135-6843","authenticated-orcid":false,"given":"Camilla","family":"Tacchino","sequence":"first","affiliation":[{"name":"Department of Dynamic and Clinical Psychology, and Health Studies Sapienza University of Rome Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosetta","family":"Castellano","sequence":"additional","affiliation":[{"name":"Department of Dynamic and Clinical Psychology, and Health Studies Sapienza University of Rome Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guyonne","family":"Rogier","sequence":"additional","affiliation":[{"name":"Unicamillus \u2010 Saint Camillus International University of Health Sciences Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teresa","family":"Cocchiaro","sequence":"additional","affiliation":[{"name":"Department of Gender, Parenting, Child and Adolescent Medicine, Unit of Reproductive Pathophysiology and Andrology \u201cSandro Pertini\u201d Hospital Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro Dal","family":"Lago","sequence":"additional","affiliation":[{"name":"Department of Gender, Parenting, Child and Adolescent Medicine, Unit of Reproductive Pathophysiology and Andrology \u201cSandro Pertini\u201d Hospital Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rocco","family":"Rago","sequence":"additional","affiliation":[{"name":"Department of Gender, Parenting, Child and Adolescent Medicine, Unit of Reproductive Pathophysiology and Andrology \u201cSandro Pertini\u201d Hospital Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1933-8314","authenticated-orcid":false,"given":"Patrizia","family":"Velotti","sequence":"additional","affiliation":[{"name":"Department of Dynamic and Clinical Psychology, and Health Studies Sapienza University of Rome Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,8]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.21037\/tau-2019-gcmi-09"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2004.10.014"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.4103\/aja202334"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2011.02.046"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781119558378"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jopy.12523"},{"issue":"1","key":"e_1_2_6_8_1","first-page":"70","article-title":"Self\u2010Report Measurement of Adult Attachment: An Integrative Overview","volume":"46","author":"Brennan K. 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