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This report investigated how attachment predicted symptoms and functional impairment and tested the mediating roles of positive affect (PA) and negative affect (NA). Methods: 1,118 older adults completed measures of attachment, health symptoms, and functional impairment, together with confounds including age, sex, and income. Results: As expected, security and fearful avoidance predicted greater symptomology, but only fearful avoidance predicted greater functional impairment. Negative affect partially mediated links between attachment and outcomes, but only for fearful avoidance. 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