Objective: Despite the high prevalence of perinatal loss and its potential for negative impact on mental health, specific risk and resilience factors contributing to adjustment following perinatal loss have not been fully explored. This study investigated the relationship between attachment security, dyadic coping, and posttraumatic growth (PTG).

Method: Women who had experienced miscarriage or stillbirth ( = 244) were recruited via social media and completed an online survey that assessed their attachment security, dyadic coping, and PTG. Loss context factors and demographics were also collected. Hypotheses were tested via hierarchical multiple regression and PROCESS macro.

Results: Attachment security was related to couples' relational functioning. Dyadic coping mediated the relationship between attachment anxiety, attachment avoidance and PTG.

Conclusion: This study contributes to the literature by providing evidence that relational security and ability to utilize a partner to reduce distress following perinatal loss is an important factor contributing to positive psychological change. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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