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<p>We conducted a scoping review of attachment in children with autism spectrum disorder (ASD). Searches of Scopus, Web of Science, and PubMed, with no year limits, identified 23 studies, chiefly using the Strange Situation Procedure (often modified; protocol variants documented) and, less often, the Attachment Q-Sort. Across Strange Situation studies, secure classifications ranged 31.5%–59.0%, with disorganization frequently elevated relative to typical comparison groups. Caregiver sensitivity and insightfulness were associated with greater security; limited longitudinal evidence linked early security with later social inclusion and empathic concern. Overall, children with ASD form organized attachments, yet validity concerns around modified laboratory protocols and the promise of home-based assessments justify dual-method, longitudinal designs and rigorously evaluated sensitivity-focused interventions.</p>

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Attachment Security and Autism Spectrum Disorder: A Scoping Review

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年11月10日

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  • Alessandro Taurino,
  • Pasquale Musso,
  • Teresa Risoli,
  • Gabrielle Coppola,
  • Christian Stifano,
  • Rosalinda Cassibba

摘要

We conducted a scoping review of attachment in children with autism spectrum disorder (ASD). Searches of Scopus, Web of Science, and PubMed, with no year limits, identified 23 studies, chiefly using the Strange Situation Procedure (often modified; protocol variants documented) and, less often, the Attachment Q-Sort. Across Strange Situation studies, secure classifications ranged 31.5%–59.0%, with disorganization frequently elevated relative to typical comparison groups. Caregiver sensitivity and insightfulness were associated with greater security; limited longitudinal evidence linked early security with later social inclusion and empathic concern. Overall, children with ASD form organized attachments, yet validity concerns around modified laboratory protocols and the promise of home-based assessments justify dual-method, longitudinal designs and rigorously evaluated sensitivity-focused interventions.