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<p>This study explored the moderating role of attachment styles in the relationship between perceived partner responsiveness (PPR) and marital intimacy (MI) among 317 married female nurses in Iran, while evaluating the cultural adaptability of the Perceived Partner Responsiveness Scale (PPRS). Employing a survey-based correlational design with convenience sampling, psychometric analyses confirmed the PPRS’s high reliability and a second-order model dominated by a higher-order factor, indicating alignment with literature review. PPR significantly predicted MI variance. Attachment anxiety did not moderate the PPR-MI relationship, whereas attachment avoidance statistically significantly but weakly moderated it, contributing approximately 2% to MI variance (Δ<i>R</i><sup>2</sup> = 0.02, which represents a small effect size according to Cohen’s guidelines). Contrary to hypotheses, higher attachment avoidance amplified the PPR-MI association, suggesting insecure nurses, particularly avoidant ones, experience enhanced MI with the least PPR. While the moderation was statistically meaningful (<i>p</i> &lt; 0.05), its small effect size indicates it may be negligible in practical terms, implying limited clinical relevance despite the amplifying direction. These findings highlight the pivotal role of PPR in experiencing intimacy among both secure and insecure individuals and underscore the PPRS utility for assessing relationship dynamics and informing interventions to support nurses’ marital well-being.</p>

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The Moderating Role of Attachment Styles in the Relationship Between Perceived Partner Responsiveness and Marital Intimacy of Nurses: A Cultural Adaptation Study

  • 期刊论文

  • 发表日期：

    2025年10月21日

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  • Manouchehr Rezaee,
  • Esmaeil Asadpour,
  • Sedigheh Ahmadi,
  • Balal Izanloo

摘要

This study explored the moderating role of attachment styles in the relationship between perceived partner responsiveness (PPR) and marital intimacy (MI) among 317 married female nurses in Iran, while evaluating the cultural adaptability of the Perceived Partner Responsiveness Scale (PPRS). Employing a survey-based correlational design with convenience sampling, psychometric analyses confirmed the PPRS’s high reliability and a second-order model dominated by a higher-order factor, indicating alignment with literature review. PPR significantly predicted MI variance. Attachment anxiety did not moderate the PPR-MI relationship, whereas attachment avoidance statistically significantly but weakly moderated it, contributing approximately 2% to MI variance (ΔR2 = 0.02, which represents a small effect size according to Cohen’s guidelines). Contrary to hypotheses, higher attachment avoidance amplified the PPR-MI association, suggesting insecure nurses, particularly avoidant ones, experience enhanced MI with the least PPR. While the moderation was statistically meaningful (p < 0.05), its small effect size indicates it may be negligible in practical terms, implying limited clinical relevance despite the amplifying direction. These findings highlight the pivotal role of PPR in experiencing intimacy among both secure and insecure individuals and underscore the PPRS utility for assessing relationship dynamics and informing interventions to support nurses’ marital well-being.