Attachment injuries in romantic relationships are increasingly recognized as significant relational traumas, yet existing literature lacks a comprehensive framework for understanding their traumatic sequelae. While traditionally viewed through an attachment theory lens alone, emerging evidence suggests these injuries may trigger symptom patterns consistent with post-traumatic stress disorder (PTSD). Following PRISMA guidelines, we systematically searched PsycINFO, MEDLINE/PubMed, JSTOR, and Scopus databases for English-language qualitative studies published between January 2000 and January 2025. Studies examining subjective experiences of attachment injuries, relational betrayals, or breaches of trust in romantic relationships were included. Quality was assessed using the Critical Appraisal Skills Programme (CASP) checklist. Framework synthesis methodology was employed to map findings against the complex PTSD framework. Twelve qualitative studies (
Review article
Systematic review and framework synthesis of attachment injuries among romantic couples
Rebecca Suganthi DavidarORCID
, Divya Ballal, Deepika Premlal
Abstract