Romantic attachment insecurity predicts sexual dissatisfaction in couples seeking marital therapy.

Researchers and practitioners have noted the importance of considering individual characteristics as well as couple dynamics when attempting to understand couples and sexual difficulties. Using a dyadic approach, this study examined the links between 2 forms of romantic attachment insecurity (anxiety and avoidance) and sexual dissatisfaction among members of couples seeking couple therapy. A large clinical sample of 242 French-speaking couples completed the Experiences in Close Relationships Scale and the Index of Sexual Satisfaction. Analyses based on the actor-partner interdependence model revealed that both attachment anxiety and avoidance predicted individuals' own sexual dissatisfaction (actor effects). The authors also observed 2 partner effects: (a) anxiety in men predicted female partners' sexual dissatisfaction and (b) avoidance in women predicted male partners' sexual dissatisfaction. The results support attachment theory and have clinical implications for emotion-focused couple therapy and other approaches to couple therapy.